LICENSING: 30160 - RCR s.11(1)(b) - A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility (b) the most recent routine inspection record made under section 9 (1)(d) of the Act.
Observation: The most recent routine inspection is not posted, instead, there is a sign instructing persons in care to ask for a copy.
Corrective Action(s): Please ensure to post, in a prominent place, the most recent routine inspection record as required.
Date to be Corrected: September 24, 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: Licensee currently has an approved exemption for water temperature to be no higher than 53 degrees Celsius, however during the inspection it was observed that in two areas, the water temperature was 55.4 and 58.6 degrees Celsius respectively.
Corrective Action(s): Please ensure that as per the approved exemption request, the water temperature is not higher than 53 degrees Celsius as is checked daily to ensure compliance.
Date to be Corrected: Immediately.
STAFFING: 32010 - RCR s.37(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 obtained all of the following: (a) a criminal record check for the person.
Observation: The Licensee was unable to provide evidence of a completed criminal record check for one staff
Corrective Action(s): Please ensure that all staff have a completed criminal record check as required.
Date to be Corrected: Immediately
STAFFING: 32020 - RCR s.37(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 obtained all of the following: (b) character references in respect of the person.
Observation: In a review of staff files, one staff file contained only one reference and a second staff had no references.
Corrective Action(s): Please ensure you have obtained character references for all staff.
Date to be Corrected: September 24, 2021
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: The Licensee was unable to provide evidence of one staff's diplomas, certificates or other training and skills.
Corrective Action(s): Please ensure that you obtain staff diploma's certificates or other evidence of the person's training and skills.
Date to be Corrected: September 24, 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: One staff had no evidence of compliance with the Province's immunization and tuberculosis control program, and a seconds staff had no evidence of compliance with the Province's immunization control program.
Corrective Action(s): Please ensure you obtained evidence of compliance with the Province's immunization and tuberculosis control program for all staff.
Date to be Corrected: September 24, 2021
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: One fridge which was designated for client use contained items that were expired and an item that was not labeled so contents were unknown and expiration date was unknown. The current monitoring system in place is that staff are to check weekly and ensure that food in the fridge is properly stored and labled.
Corrective Action(s): Please ensure that items are disposed of prior to their expiration date and that items are labeled with their contents if removed from their original containers.
Date to be Corrected: September 24, 2021
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