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: A review of staff file records found that there were 2 staff files that did not have evidence of required certificates and 15 staff files that did not have evidence of required training. Although this is a repeat contravention, management has taken steps to address this issue including sending out letters to staff to obtain the missing information and creating an audit binder to track when the requested information has been received.
Corrective Action(s): Ensure that employee files contain copies of any diplomas, certificates, or other evidence of the person's training and skills.
Date to be Corrected: June 30, 2021
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: A review of staff file records found that there were 4 staff files that did not have evidence of TB screening and 4 staff files that did not have evidence of immunization records. Although this is a repeat contravention, management explained that they were under the impression that every staff is required to have a TB test as opposed to a TB screening. Going forward, management will ensure that every staff completes a TB screening and a TB test when the screening deems it necessary.
Corrective Action(s): Ensure that all employees provide evidence of compliance with the Province's immunization and tuberculosis control programs.
Date to be Corrected: June 30, 2021
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