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: Licensing reviewed 3 staff files and it was identified that one of the staff was missing any record of having a criminal record check. The Manager stated that she thought the staff had applied but she did not have any record available. The Manager was able to obtain a copy of the crc from the staff in the afternoon and emailed it to Licensing. It is noted that the crc is addressed to another facility.
Corrective Action(s): Please ensure all staff have full documentation.
Date to be Corrected: Dec 28, 2017
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: Licensing reviewed 4 PIC's care plans. It was identified that 3/4 care plans have not been reviewed on an annual basis. 2 of the care plans were last reviewed in Nov 2016 and 1 was reviewed in January 2016, with partial reviews competed in July and September 2017. Staff identified one of the barriers to having care plans reviewed annually, was waiting to review the plans with their Mental Health funder.
Corrective Action(s): Ensure that all care plans are reviewed and if necessary modified at least annually.
Date to be Corrected: March 15, 2018
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