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: A random review of four staff files indicated for a staff member there was no criminal record check on file.
Corrective Action(s): Please ensure all staff where applicable have criminal record check on their file.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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: A random review of four staff files indicated for two staff there were not references noted in their files.
Corrective Action(s): Please ensure all staff where applicable have references noted on their files.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
STAFFING: 32030 - RCR s.37(1)(c) - 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: (c) a record of the person's work history.
Observation: A random review of four staff files indicated two staff did not have work history noted in their files.
Corrective Action(s): Please ensure work history is noted in the staff files where required.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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: A random review of four staff files indicated for two staff there were no immunizations and/or Tuberculosis status in their files.
Corrective Action(s): Please ensure all staff where applicable have immunizations and Tuberculosis status noted in their files.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: A random review of the medication system including a medication cart and medication administration records indicated a few staff initials were noted on the front of the medication administration records. Specifics were provided at the time of the inspection.
Also an example was given whereby some staff initials are not noted for certain days and the care staff clarified the medication is not being used at this time, however there is no indication that is the case on the medication administration records. Specifics were provided during the time of the inspection.
Corrective Action(s): Please ensure all staff comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: Snacks are not documented and will be put on the menu as discussed with the General Manager.
Corrective Action(s): Please ensure as per section 62(2)(b) of the Residential Care Regulation this requirement is met.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
NUTRITION AND FOOD SERVICES: 37090 - RCR s.62(2)(d) - A licensee must ensure that each menu provides (d) for substitutions to be made that are from the same food group and have a similar nutritional value.
Observation: A review of the substitution list indicated on May 26, 2019 that icecream was substituted with short cake. The General Manager will look into this to ensure staff are substituting from the same food group and have a similiar nutritional value.
Corrective Action(s): Please ensure all staff are substituting from the same food group and have a similiar nutritional value.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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