STAFFING: 12040 - CCLR s.19(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 first met with the person and obtained all of the following: (a) a criminal record check for the person.
Observation: One staff person does not have a criminal record check completed through the Criminal Record Review agency in Victoria. That staff person currently has a clear criminal record check from the RCMP on file at the facility. Manager stated that criminal record check has been applied through the Criminal Record Review agency in Victoria and they are still awaiting the results.
Corrective Action(s): Please ensure all staff persons have a criminal record check done through the Criminal Record Review Agency in Victoria.
Date to be Corrected: February 23, 2022
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: During inspection Licensing reviewed four staff files. One staff file was missing evidence that references were verified. Manager stated that she did verify this staff’s references but is unsure why the documentation is not available in the staff file. This is repeat contravention from routine inspection # WBET-BZDQR9 dated March 23, 2021.
Corrective Action(s): Please make sure all staff files are complete before they start employment.
Date to be Corrected: February 4, 2022
RECORDS AND REPORTING: 19330 - CCLR s.59(b) - In respect of a record referred to in this Division, a licensee must (b) keep a record other than one referred to in paragraph (a) in a place from which it can be retrieved within a reasonable time, on request.
Observation: During inspection one staff’s records was unavailable at the facility. Manager emailed this staff's documentation to Licensing after the inspection
Corrective Action(s): Staff records must be accessible upon request within a reasonable time.
Date to be Corrected: Daily and ongoing
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