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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AROE-C6VRZA

FACILITY NAME
Five Corners Residence
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982373
FACILITY ADDRESS
21451 Old Yale Rd
FACILITY PHONE
(604) 533-9332
CITY
Langley
POSTAL CODE
V3A 4M6
MANAGER
Regina Awotwi-Pratt

INSPECTION DATE
September 15, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
01:00 PM
DEPARTURE
04:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Residential Care Regulation (RCR) and the relevant Director of Licensing Standards of Practice (DOLSP). 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
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and 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)
If you have any questions regarding this report, please feel free to the area Licensing Officer.

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: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: Inspection of the physical facility found that
* The kitchen cupboards had a number of doors and drawers where the laminate is lifting making the edges sharp and not able to be cleaned
* The mdf of the sink cabinet in the main bathroom is damaged and laminate is coming off
Corrective Action(s): Ensure that all furniture and equipment is maintained in a good state of repair
Date to be Corrected: Sept 29, 2021


Comments

This LO would like to thank the Staff for their time and assistance in completing this routine inspection.

This report was reviewed and discussed with on-site staff. A copy of this report was left at the facility.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.


Note: PIC has a large recliner that has ripped material, it was discussed with the manager that this is in the process of being replaced by the PIC.

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 29, 2021

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