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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SCLY-ADLSPK

FACILITY NAME
Campbell House
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
TDAH-7Z8QHB
FACILITY ADDRESS
21351 Campbell Ave
FACILITY PHONE
(604) 463-7101
CITY
Maple Ridge
POSTAL CODE
V2X 7G6
MANAGER
Kim Rilka

INSPECTION DATE
September 08, 2016
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
10:45 AM
DEPARTURE
03:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP). 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/ccfl for:
Additional resources, and
Links to the Legislation (CCALA and RCR)

Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected.
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: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: The following items have been identified as needing repair:
-One of the Person in Cares (PIC) closet has a broken frame where part of the frame has snapped off.
-The bathroom has peeling paint around the base of the bathtub wall.
-There is a dent in the kitchen wall.
Corrective Action(s): Please ensure that the rooms and common areas are maintained in a good state of repair.
Date to be Corrected: September 30, 2016

CARE AND/OR SUPERVISION: 34360 - RCR s.63(3)(c)(iii) - A licensee must ensure that meals are provided (c) by ongoing room tray service, if (iii) approved by the person in care's medical practitioner or nurse practitioner.
Observation: Staff identified that one Person in Care (PIC) is not able to eat at the kitchen table anymore due to their physical health deteriorating. It is uncomfortable and sometimes painful for the PIC to be transferred to their wheel chair. HSCL has been contacted to do an assessment of the PIC.
Corrective Action(s): Please ensure that approval for ongoing tray service is obtained from a medical or nurse practitioner.
Date to be Corrected: September 30, 2016

HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation (CORRECTED DURING INSPECTION): A review of the freezer found pureed fruit packaged in cups without a lid or cover. There was also 1 jar of expired food in the pantry. The manager removed the items.
Corrective Action(s): Please ensure that food is safely prepared, stored, served, and handled.
Date to be Corrected: September 8, 2016


Comments


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
Sep 30, 2016

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