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 (2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: Review of 6 employee files found that performance evaluations have not been completed as required. As per policy, a review every 2 years is required.
Corrective Action(s): Please ensure that the performance of each employee is reviewed to ensure that the employee demonstrates competence for the duties to which they are assigned.
Date to be Corrected: July 5, 2019
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: It was observed that there was missing documentation to indicate the effectiveness of PRN medications that had been administered. This documentation is required and a new form has been developed to support this.
Corrective Action(s): Please ensure that the effectiveness of all PRN medications administered is documented.
Date to be Corrected: June 14, 2019
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Of 4 PIC records reviewed, 3 did not have completed immunization records.
Corrective Action(s): Please ensure that all persons admitted into a community care facility comply with the Province's immunization control program.
Date to be Corrected: July 05, 2019.
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