PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31330 - RCR s.23(a) - A licensee must ensure that (a) no one other than a person in care smokes or uses tobacco, holds lighted tobacco, uses an e-cigarette or holds an activated e-cigarette while on the premises of a community care facility,
Observation: There is a secure ashtray mounted to a support post in the garage. The manager stated that there is an exemption in place to allow staff to smoke on the premises and to use the secure ashtray recepticle.
Corrective Action(s): Review of the original exemption and application information process states clearly that the exemption was only requested for night staff to smoke on the premises. The applicant also stated that there would be a baby monitor to hear any unusual sounds and a wireless phone for comunication purposes.
The approving Licensing Officer indicated in the approval of request for exemption letter, dated May 4, 2010, that the exemption will be reviewed on an annual basis by licensee and CCFL. It was also stated that CCFL would be provided notice for any changes to the information provided in the original application, and that the approval will be subject to ongoing review to determine if the exemption has resulted in any increased risk or negative impact on the health, safety and well being of any person in care in which case, it may be canceled.
Please provide a plan that will ensure that all staff are aware of the limitations of the exemption and that the original criteria continues to be enforced.
Date to be Corrected: Dec. 19, 2016
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