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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

RLAA-D48M9J

FACILITY NAME Cochrane House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 1003546
FACILITY ADDRESS 567 Cochrane Ave			FACILITY PHONE (604) 931-5148
CITY Coquitlam	POSTAL CODE V3J 2A3		MANAGER Michelle McCormick

INSPECTION DATE April 10, 2024	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2.4
ARRIVAL 10:00 AM	DEPARTURE 12:40 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE 4

Introduction

An unscheduled routine inspection was completed to assess compliance with the: Community Care and Assisted Living Act (CCALA), the Residential Care Regulation (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. Care systems reviewed during inspections include: • Licensing • Physical Facility • Staffing • Policies and Procedures • Care and Supervision • Hygiene and Communicable Disease Control • Medication • Nutrition and Food Services • Program • Records & 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 www.fraserhealth.ca/residentialcare 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 except for those noted on supplementary pages.

Observed Violations

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius. Observation: Observation: During inspection it was observed that water temperature in the PIC bathroom sink was 54.1 degrees Celsius and the water temperature in the kitchen sink was 52.1 degrees Celsius. Corrective Action(s): Please ensure water accessible to a person in care, from any source, is not heated to more than 49'Celsius Date to be Corrected: April 12, 2024.

Comments

Licensing would like to thank the Staff for their assistance in completing this routine inspection. Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

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

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