STAFFING: 32010 - RCR s.37(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 obtained all of the following: (a) a criminal record check for the person.
Observation: Review of the staff file indicates one staff person is missing their CRC, the CRC on file is from a different organization
Corrective Action(s): Please ensure staff file is complete
Date to be Corrected: August 3, 2023
STAFFING: 32210 - RCR s.43(1)(a) - A licensee must ensure that persons in care have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.
Observation: One applicable staff member does not have their valid first aid
Corrective Action(s): Please ensure relevant staff hold a valid first aid
Date to be Corrected: July 15, 2023
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: Review of the Policies and Procedures indicates several are due for yearly review May 2023. Leadership is aware and person who is responsible for the review is in the process of completing the review.
Corrective Action(s): Please ensure all Policies and Policies have had their yearly review.
Date to be Corrected: October 31, 2023
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