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: Licensing reviewed 3 staff files and a record of immunization status was not obtained for one employee.
Corrective Action(s): Please obtain a record of staff's immunization status upon hiring
Date to be Corrected: October 13th, 2023
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: Licensing observed expired food and water in the emergency supply bin
Corrective Action(s): Please ensure that food and water supplies are not expired
Date to be Corrected: October 16th, 2023
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: There was no record of last year's emergency evacuation drill. The manager confirmed the earthquake drill was practiced
Corrective Action(s): Please keep a record of yearly emergency evacuation drills
Date to be Corrected: December 31st, 2023
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