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: Staff files were reviewed; 2 staff members need site specific CRC clearance letters.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: March 25, 2021
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: Staff files were reviewed; reference numbers/letters are available on file, but there's no indication if their character references were obtained.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: March 19, 2021
STAFFING: 12090 - CCLR s.19(1)(f) - 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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Staff files were reviewed; 1 staff is missing their immunization record status on file.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: March 19, 2021
POLICIES AND PROCEDURES: 13071 - CCLR s.56(2) - A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.
Observation: Staff onsite was not provided with facility policies and procedures; LO discussed with Manager about providing orientation/training for staff.
Corrective Action(s): Please ensure that staff are provided with facility's policies and procedures.
Date to be Corrected: March 19, 2021
RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: 2 children files were reviewed; 1 child's photo is missing.
Corrective Action(s): Please ensure all children files are complete.
Date to be Corrected: March 12, 2021
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