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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

PAH-004

FACILITY NAME Peace Arch Hospital		SERVICE TYPES 401 Long Term Care (Hospital Act)	FACILITY LICENSE # LBAA-962LQ8
FACILITY ADDRESS 15521 Russell Ave			FACILITY PHONE ()
CITY	POSTAL CODE		MANAGER Lisa Humphreville (Dr. Hogg Pavilion) & Jane Rodwell (Weatherby Pavilion)

INSPECTION DATE November 30, 2016	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 0.01
ARRIVAL 01:30 PM	DEPARTURE 03:30 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Follow-up					# CHILDREN ENROLLED

Introduction

Contraventions

Previous Inspection -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice.

Observed Violations

No violations were found during the inspection.

Comments

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

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