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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
WCLK-AARUDW
FACILITY NAME
Augustine House		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
MLAO-5UJNWS
FACILITY ADDRESS
3820 Arthur Dr		FACILITY PHONE
(604) 940-6005
CITY
Delta		POSTAL CODE
V4K 5E6		MANAGER
Tanya Snow
INSPECTION DATE
June 09, 2016		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
6
ARRIVAL
10:20 AM		DEPARTURE
04:20 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
Introduction

A scheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CC&ALA) the Residential Care Regulation (RCR) and the relevant Director of Licensing Standards of Practice (DLSP). Evidence for this report was based on the Licensing Officer’s(LO)
observations, review of facility records and information provided by facility staff at the time of the inspection.

As part of the Routine Inspection a 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.

A random audit of the following areas were completed; Licensing, Physical Facility, Staffing, Policies & Procedures, Care & Supervision, Hygiene and Communicable Disease Control, Medication, Nutrition & Food Services, Program, Records & Reporting, Resident Bill of Rights.

Visit CCFL website at www.fraserhealth.ca/ccfl for additional resources and links to legislation (CCALA and RCR)
Contraventions
Previous Inspection - Not Applicable
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
CARE AND/OR SUPERVISION: 34740 - RCR s.81(4)(a) - A licensee must ensure that (a) the implementation of each care plan is monitored on a regular basis to ensure proper implementation.
Observation: A random audit of 3 person in care's nutrition care plan was completed. For one person the diet texture documented on the nutrition care plan was not consistent with the forms sent to the kitchen daily for meals and the diet list form. In addition there was no documentation to determine which foods the person in care ate if they did not eat the meal as outlined on the menu.
Corrective Action(s): Please ensure care plans and supporting documentation are consistent and that there is a system in place to document what persons in care are consuming if they are not eating meals from the menu, when in care.
Date to be Corrected: June 15, 2015
Comments
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Jun 15, 2016
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.