STAFFING: 32050 - RCR s.37(1)(e) - 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 obtained all of the following: (e) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Review of 10 staff files indicates that TB declaration form was not complete.
Corrective Action(s): Please ensure evidence of compliance with the TB control program is complete
Date to be Corrected: June 24, 2022
STAFFING: 32070 - RCR s.37(2)(b) - A licensee must not employ a person in a community care facility unless the licensee is satisfied, based on the information available to the licensee under subsection 37(1), that the person (b) has the personality, ability and temperament necessary to manage or work with persons in care.
Observation: Review of the 10 staff files determined reference checks were not completed for one Staff.
Corrective Action(s): Licensing discussed ensuring assessment has been completed to ensure potential staff person meets the requirements for their position.
Date to be Corrected: The staff is currently employed.
STAFFING: 32270 - RCR s.44(2) - A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is (a) a nutrition manager with membership in the Canadian Society of Nutrition Management, (b) a person who is eligible to be a member of the Canadian Society of Nutrition Management, or (c) a dietitian.
Observation: During the inspection, Licensing was made aware that the FSM is providing the requirements between two facilities.
Corrective Action(s): Please ensure requirements ensuring proper supervision of the preparation and delivery of food is in place. Licensing discussed possible exemption process.
Date to be Corrected: June 27, 2022
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: The facility Policy and Procedure requires that there is a probationary review conducted for a newly hired employee after certain amount of hours worked. Review of the 10 staff files indicated one staff should have had their probationary period review but was not completed.
Corrective Action(s): Please ensure Policies and Procedures are followed.
Date to be Corrected: ongoing
|