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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SCLY-BHQTT7
FACILITY NAME
Topaz Place		SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
HSIT-6UBTCP
FACILITY ADDRESS
45438 Knight Rd		FACILITY PHONE
(604) 824-6164
CITY
Chilliwack		POSTAL CODE
V2R 5E6		MANAGER
Barbara Rusu
INSPECTION DATE
November 08, 2019		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.25
ARRIVAL
11:15 AM		DEPARTURE
02:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

An unscheduled routine 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 · Hygiene and Communicable Disease Control
· Physical Facility · Medication
· Staffing · Nutrition and Food Services
· Policies and Procedures · Program
· Care and Supervision · 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 https://www.fraserhealth.ca/health-topics-a-to-z/long-term-care-licensing#.XXbB7myos2w 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: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Review of the chemical room found 3 chemical containers being stored on the floor and there appears to be chemical residue on the floor. The concern is the effective cleaning of the floor and the integrity of the floor with the chemical agents on it.
Corrective Action(s): Please ensure that all chemicals are stored off of the ground.
Date to be Corrected: Nov 22, 2019

HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: 1 out of 3 person in care (PIC) records did not have evidence of tuberculosis screening or testing.
Corrective Action(s): Please ensure that all persons admitted to the facility comply with the Province's tuberculosis control program.
Date to be Corrected: Nov 22, 2019
Comments

Licensing will schedule a follow-up inspection to review staff records since the manager was not available at the time of inspection.

Thank you for your time and assistance during this inspection.

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
Nov 22, 2019
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.