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 3 employee files, all 3 files do not have evidence of completed criminal record checks. This is a repeat contravention.
Corrective Action(s): Ensure that criminal record checks are obtained for all employees.
Date to be Corrected: April 5, 2022.
STAFFING: 32020 - RCR s.37(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 obtained all of the following: (b) character references in respect of the person.
Observation: Review of 3 employee files, 1 had evidence of 1 reference check and 1 had no evidence of reference checks on file.
Corrective Action(s): Ensure that reference checks are obtained for employees.
Date to be Corrected: April 5, 2022
STAFFING: 32040 - RCR s.37(1)(d) - 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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: Review of 3 staff files, 3 of 3 have expired registration with the BC College of Nurses and Midwives on file, expired in February of 2021.
Corrective Action(s): Ensure that copies of diplomas, certificates or other evidence of a person's training and skills are obtained.
Date to be Corrected: April 5, 2022.
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 3 employee files, 2 of 3 files did not have evidence of compliance with the Province's immunization and tuberculosis control programs. This is a repeat contravention.
Corrective Action(s): Ensure that evidence of compliance with the Provincial immunization and tuberculosis control programs is obtained for employees.
Date to be Corrected: April 5, 2022
STAFFING: 32110 - RCR s.40(1)(b) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: Review of 3 employee files, 3 of 3 did not have evidence of a current performance review on file. This is a repeat contravention.
Corrective Action(s): Ensure that performance of employees is reviewed both regularly and as directed by the medical health officer.
Date to be Corrected: April 5, 2022.
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: Review of 3 employee files, 3 of 3 files did not have evidence of a current first aid and CPR certificate, 1 expired in 2019 and 2 expired in 2021. This is a repeat contravention.
Corrective Action(s): Ensure that all employees who require first aid and CPR certification have a current/valid certificate.
Date to be Corrected: April 5, 2022.
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