STAFFING: 12050 - CCLR s.19(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 first met with the person and obtained all of the following: (b) character references in respect of the person.
Observation: Review of 5 staff files found that 1 staff's reference letters had not been validated. The manager stated that this is because she use to work with this staff and knows her personally.
Corrective Action(s): Please ensure that reference checks are completed for each staff member.
Date to be Corrected: October 3, 2017
STAFFING: 12070 - CCLR s.19(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 first met with the person and obtained all of the following: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: Review of 5 staff records found that 2 certificates have not been validated.
Corrective Action(s): Please ensure that each staff's certificate is validated.
Date to be Corrected: October 3, 2017
STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: Discussion with the manager determined that the emergency drill was not practiced this past year and that she was unsure as to what it was. Licensing discussed with the manager the expectations of the emergency drill and the importance of practicing it at least once each year.
Corrective Action(s): Please ensure that the emergency drill is practiced at least once each year.
Date to be Corrected: October 3, 2017
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: Discussion with the manager determined that fire drills are being practiced each month but not always recorded. Two inspections (July and September) were recorded in the manager's planner but the others were not.
This is a repeat contravention from the past 2 routine inspections (inspection #JBES-A4VPVG and LJON-ADXRR4).
Corrective Action(s): Ensure that fire drills are recorded and that the record is kept.
Date to be Corrected: Sept 26, 2017
RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Review of children's records found that at least 2 children did not have medical practitioners listed.
Corrective Action(s): Please ensure that each child's records have the name and phone number of a medical practitioner listed.
Date to be Corrected: October 3, 2017
RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: Discussion with the manager determined that there is a child requiring extra support where there is no care plan outlining their diagnosis and the support to be provided to the child. The manager stated that all the staff know how to support the child.
Corrective Action(s): Please ensure that each child who requires additional support has a care plan developed with the support of the parents.
Date to be Corrected: October 3, 2017
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