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: Review of 9 employee files determined that 3 of 9 files show evidence of 1 character reference check and 1 of 9 files did not have any evidence of character reference checks competed.
Corrective Action(s): Please ensure that character references are obtained for all employees.
Date to be Corrected: March 1, 2023
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: In two months there were 6 instances where the effects of a PRN medication were not documented in the Medication Administration Record.
Corrective Action(s): Please ensure that employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: March 1, 2023
RECORDS AND REPORTING: 39430 - RCR s.86(c) - A licensee must keep the following records in respect of each employee: (c) compliance with the Province's immunization and tuberculosis control programs.
Observation: Review of 9 employee files determined that 1 of 9 files did not have evidence of historical immunizations.
Corrective Action(s): Please ensure that records are kept, in respect of each employee, to show compliance with the Province's immunization and tuberculosis control programs.
Date to be Corrected: March 1, 2023
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