STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: Four staff files were reviewed. Three appeared to be deficient in staff performance appraisals. The Care Coordinator stated that, as the facility has changed to a new care contractor within the last 6 months, it was necessary to become familiar with the staff before providing performance assessments. The Policy for performance appraisal (PA) was reviewed, and indicated that PA's are to be conducted before the end of 3 month probationary period. There are approximately 115-125 staff members. The Care coordinator demonstrated that approximately 75% of the PA's had been completed or initiated at this point.
Corrective Action(s): Please provide a plan for completion of the remaining PA's and include the plan proposed for the future to ensure that the regulation continues to be met.
Date to be Corrected: Nov. 21, 2018
HYGIENE AND COMMUNICABLE DISEASE: 35030 - RCR s.54(1) - A licensee must establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene.
Observation: The shower/tub room on the first floor was reviewed and an unlabelled razor was found wrapped in paper towel in a basket with the hairdryer. The RCA who was in the room removed it immediately and disposed of it.
Corrective Action(s): Please provide a plan that will ensure that there is no opportunity for personal care items such as razors to be used between persons in care.
Date to be Corrected: Nov.21,2018
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