LICENSING: 10010 - CCLR s.10(1) - Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9.
Observation: New manager was appointed and licensing was not informed.
Corrective Action(s): Ensure to inform licensing of any change in the information i.e Change of manager
Date to be Corrected: Immediately
LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: New manager name has not been posted in a prominent place in the facility.
Corrective Action(s): Ensure that the manager's name is posted in the facility
Date to be Corrected: October 11,2022
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: Upon reviewing 4 staff files a minimum of two character references was not obtained for two employees.
Corrective Action(s): Ensure that references are obtained before the employment starts and are included in the staff file.
Date to be Corrected: October 11,2022
STAFFING: 12151 - CCLR s.19(5)(a) - Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (a) a criminal record check for the person.
Observation: Three volunteer files reviewed and one of them did not have a CRC results in the file.
Corrective Action(s): Ensure volunteers have complete files with all the required documents before they start working in the facility.
Date to be Corrected: October 11,2022
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Fire Extinguisher has not been serviced annually
Corrective Action(s): Ensure that there is a system in place where the service of fire extinguishers is done before the next due date.
Date to be Corrected: October 11,2022
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