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Nobody should be smoking pot on the job.
However, it may not be the CG's.
To be honest, the only way I could stand to take care of my MIL would be if I were high. Seriously.
Not that it's OK. It's not. What your CG does on her own time is her own business, so, no, she shouldn't be smoking pot on the job.
If you mean a 'real' roach, then that's another story.
I would mention finding it in a "curious not furious" way and see what they say, reinforcing your rules and expectations. I'd also be alert for signs that this person is neglecting their responsibilities before firing them because good care can be hard to find.
They need to make it legal especially for those of us dealing with horrible patients. Don't take this seriously, I'm just joking. LOL
Some guys relax with a can of beer and a joint after work.
I may just ask the aide if she has problems with roaches because you found one in the house. If so, could she please just check her bag and clothing before she comes to work to make sure she is not bringing them in.