STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: During inspection Licensing reviewed Facility Fire Drill record and noted no drill was recorded for the months of Jun./16 & Jul./16.
This violation was previously noted on Facility Inspection Report (FIR) # KSEY- A4C22X (Nov.16/15).
Licensing reminds the Licensee that recording of the drills is proof that they drills were conducted.
Licensing noted an "earthquake drill" noted in the Communication Book on October 20, 2016. Licensing is unsure if this was the annual full evacuation drill. If not, ensure that a full evacuation drill (taking all evacuation equipment with you) is practiced annually.
Corrective Action(s): Ensure fire/ emergency drills are practiced monthly.
Date to be Corrected: November 30, 2016.
STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: During inspection Licensing reviewed the "Personnel File - BPP" document which shows the document on site at head office.
Licensing noted that one staff person's Criminal Record Approval letter appears, on this sheet, to have expired.
Corrective Action(s): Ensure all staff documentation is current.
Ensure "Personnel File - BPP" document is kept current with the records on site at head office for all staff who work at this facility.
Date to be Corrected: December 31, 2016.
|