STAFFING: 12040 - CCLR s.19(1)(a) - 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: (a) a criminal record check for the person.
Observation: Audit of 6 staff files revealed one file missing a valid Criminal Record Check
Corrective Action(s): Please ensure prior to employment, all staff have site specific CRC letters
Date to be Corrected: May 13, 2022
STAFFING: 12050 - CCLR s.19(1)(b) - 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: (b) character references in respect of the person.
Observation: Audit of 6 staff files, 2 are missing character references
Corrective Action(s): Please ensure references are obtained and maintained
Date to be Corrected: May 13, 2022
STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Audit of 4 ECE/ECEA staff files revealed no credentials have been verified
Corrective Action(s): Please ensure all legislatively required documentation is obtained and maintained at all times
Date to be Corrected: May 13, 2022
STAFFING: 12170 - CCLR s.21(1) - A licensee must not continue to employ a person in a community care facility unless the licensee has evidence that the person continues to comply with the Province's immunization and tuberculosis control programs.
Observation: Audit of 6 staff files revealed 3 missing immunization status
Corrective Action(s): Please ensure all legislatively required documentation is obtained and maintained
Date to be Corrected: May 13, 2022
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