Description: A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

Corrective Actions Required: Ensure staff files contain an immunization status.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 15, 2023

Observations: Licensing performed an audit of four staff files this date. One file was missing an immunization status. This item was corrected at time of inspection.

Description: A licensee must keep (a) in the case of employees, all records required under section 19 (1) [character and skill requirements] for the entire time that the subject of the records is an employee of the community care facility,

Corrective Actions Required: Ensure records required under Section19(1) are kept for each employee.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 15, 2023

Observations: Licensing observed that one of the three staff on site this date, did not have a staff file.

Description: A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.

Corrective Actions Required: Ensure children's files contain consent to release a child to someone other than the parent.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 15, 2023

Observations: Licensing performed an audit of five children's files this date. Two files were missing consent to release a child to someone other than the parent.