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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

AKUR-CWJUNP

FACILITY NAME Shaw House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 1081611
FACILITY ADDRESS 560 Shaw Ave			FACILITY PHONE (604) 931-5603
CITY Coquitlam	POSTAL CODE V3K 2R1		MANAGER Marie Ryle

INSPECTION DATE October 12, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 1
ARRIVAL 02:45 PM	DEPARTURE 03:45 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Residential Care Regulation (RCR) and the relevant Director of Licensing Standards of Practice (DOLSP). Evidence for this report was based on the Licensing Officer’s observations, review of the facility records and information provided by the facility staff at the time of inspection. The following areas were reviewed: Licensing Physical Facility Staffing Polices & Procedures Care & Supervision Hygiene and Communicable Disease Control Nutrition and Food Services Program Records and Reporting As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation. Visit the CCFL website at https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo for: · Additional resources and · Links to the Legislation (CCALA & RCR)

Contraventions

Previous Inspection -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice.

Observed Violations

No violations were found during the inspection.

Comments

Licensing Officer was informed by the staff person assisting with this inspection that the staff performance reviews were on-going and staff will complete the nutrition screening for remaining PICs by end of November. Thank you to all the staff for their assistance with this routine inspection. Should any further clarification or questions arise regarding this report, please contact your Licensing Officer.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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