Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Required: Ensure that performance of each employee is reviewed both regularly and as directed by the medical health officer.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 29, 2023

Observations: Licensing Audited 30 Staff files. Two staff files were missing regular performance evaluations.

Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility and no unsecured chemicals were located.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited 11 care plans for persons in care. All care plans had a plan for follow up on falls suffered.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations: