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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CJOS-C564T5

FACILITY NAME
Queen's Park Care Centre
SERVICE TYPES
401 Long Term Care (Hospital Act)
FACILITY LICENSE #
LBAA-962L2P
FACILITY ADDRESS
315 McBride Blvd
FACILITY PHONE
(604) 520-0911
CITY
New Westminster
POSTAL CODE
V3L 5E8
MANAGER
Senija Kolocka (2 East) & Davinda Renke (2 West)

INSPECTION DATE
July 21, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
09:30 AM
DEPARTURE
12:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DOLSOP). 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
Policies and Procedures
Care and Supervision
Hygiene and Communicable Disease Control
Medication
Nutrition and Food Services
Program
Records and Reporting
As part of this 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 www.fraserhealth.ca/residentialcare for:
· Additional resources, and
· Links to the Legislation (CCALA and RCR)

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
STAFFING: 32100 - RCR s.40(1)(a) - 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 (a) continues to meet the requirements of this regulation.
Observation: In discussion with facility manager it was determined that employee performance reviews have not been conducted as required. During the past 16 months, the facility leadership has been managing the effects of a global pandemic and were unable to adhere to the performance review schedule as planned. The manager did confirm that, in the event there as a specific concern with an employee, it was dealt with in a timely fashion as is typical practice.
Corrective Action(s): Ensure the performance of each employee is reviewed regularly.
Date to be Corrected: Aug 31, 2021


Comments

I would like to thank the team at Queens Park Care Centre for their time and assistance in the completing this inspection. If you have any questions related to this report please feel free to contact me.
Due to infection control practices in place related to COVID-19 prevention, this report was written off-site and is therefore unsigned. The report was reviewed with facility leadership and an email copy was provided. Please ensure this report is signed, printed and posted.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Aug 31, 2021

Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.