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: Upon review of the staffing files, 3 out of 6 files did not have an immunization record.
Corrective Action(s): A licensee must not employ a person in a community care facility unless the licensee, or manager have obtained compliance with the Province's immunization control program
Date to be Corrected: June 26 2023
STAFFING: 32110 - RCR s.40(1)(b) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: Upon review of the staffing files, 4 out of 6 files did not have a performance review conducted annually as per facility policies.
Corrective Action(s): A licensee must ensure that the performance of each staff is conducted regularly as per facility polices.
Date to be Corrected: June 26 2023
RECORDS AND REPORTING: 39210 - RCR s.78(3)(a) - A licensee must have, and keep with each person in care's record, consent in writing from the person in care or a parent or representative of the person in care (a) to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Observation: Upon review of the person's in care files, 6 out of 6 did not have recorded permission to call an ambulance in case of an incident or illness..
Corrective Action(s): A licensee must have and keep with each person in care, consent in writing to call an ambulance in case of an accident or illness.
Date to be Corrected: June 26 2023
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