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 5/6 did not have performance evaluations within the last year as per Foyer policy.
Corrective Action(s): Ensure that all employees have performance reviews within the last year as per policy. Please submit an evaluation completion plan with the action plan to CCFL.
Date to be Corrected: March 31, 2017
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of weight records for all PIC's found 3 that were missing in August 2017 with no explanation or documentation as to why the weight was missed.
Corrective Action(s): Ensure that all PIC's are weighed monthly, and reasons are documented if weight is missed.
Date to be Corrected: December 1, 2017
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