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: Out of twenty staff files, twelve did not contain valid criminal record checks (CRC) through the Criminal Records Review Program. Three staff's CRCs had expired. A system was not in place for ensuring CRCs are obtained for care staff.
Corrective Action(s): Ensure criminal record checks have been obtained for staff.
Date to be Corrected: May 18, 2022
POLICIES AND PROCEDURES: 33070 - RCR s.51(1)(b) - A licensee must have (b) a plan that sets out how persons in care will continue to be cared for in the event of an emergency.
Observation: The emergency plan identified manual a food processor and a can opener available in order to provide therapeutic diets to residents; however these items were not available. The food plan and food supply list contained contradictory information.
Corrective Action(s): Ensure a plan sets out how PICS will be cared for in the event of an emergency.
Date to be Corrected: May 25, 2023
RECORDS AND REPORTING: 39460 - RCR s.87(b) - A licensee must keep a record of the following matters respecting food services: (b) menus and menu substitutions.
Observation: Menu substitutions had not been recorded for the past twelve months. Three menu substitutions observed on day one of the inspection were not recorded.
Corrective Action(s): Ensure a record of menu substitutions is kept.
Date to be Corrected: May 18, 2023
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