Staff files:
*Recreation files:
* The Director of Health & Wellness needs to ask other department heads regarding access to certain files such as recreation volunteer files, Recreation staff files, etc. Please ensure access to files is discussed internally and that documentation is accessible for inspection please. There are three recreation management staff and one staff's file is not onsite. The minimum that must be onsite is a staff checklist or the actual staff's documentation. For the one recreation management's file discussed, please provide confirmation that the following is in-place:
- Work history, Tuberculosis screening, Immunizations, Criminal Record Check Clearance, Copy of their degree/certificate/diploma/training, References, First Aid Certification (if applicable), Performance Appraisals, and On-going Education.
* For a second recreation management's file the criminal record check clearance was requested through another department head. Please provide confirmation that there is a criminal record check clearance on file and what the outcome of the clearance is.
* Volunteer files also need to be requested through another department head. Please provide confirmation that for example volunteers in recreation have (1) Application/Work history documentation; (2) Criminal Record Check (free for volunteers); (3) Tuberculosis Screening and (4) Immunizations (Tuberculosis and Immunizations documentation can be completed from the standardized Tuberculosis and Immunization Guideline for Staff that the writer will email to the Director of Health & Wellness).
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* A random review of four staff files indicated:
- References were completed but have been archived. Please provide confirmation the references are in-place.
- Immunizations such as flu vaccination completed. The writer will email to the Director of Health & Wellness the Tuberculosis and Immunization Guideline for staff that has a standardized form in it that can be used to document immunizations. Please ensure all staff where required have their immunizations documented.
Recreation activities:
- The Director of Health & Wellness will forward a few examples of how activities persons in care have participated in are documented.
Thank you for your time to complete today's routine inspection. If there are any questions related to this routine inspection report, please contact your Licensing Officer. |