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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NTJN-BDFSUT
FACILITY NAME
Langley Lodge		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
0982356
FACILITY ADDRESS
5451 204th St		FACILITY PHONE
(604) 530-2305
CITY
Langley		POSTAL CODE
V3A 5M9		MANAGER
Debra Hauptman
INSPECTION DATE
June 20, 2019		ADDITIONAL INSP. DATE (multi-day)
June 21, 2019		ADDITIONAL INSP. DATE (multi-day)
June 24, 2019		TIME SPENT (HRS.)
9.25
ARRIVAL
12:30 PM		DEPARTURE
03:45 PM		ARRIVAL
11:30 AM		DEPARTURE
04:15 PM		ARRIVAL
02:12 PM		DEPARTURE
03:13 PM
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 contact the geographic area Licensing Officer.
Contraventions
Previous Inspection - Contraventions observed on FIR #NTJN-AZ3P7X have been corrected.
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 (CORRECTED DURING INSPECTION): Review of one of nine person in care records determined that the bath day provided in the care plan was not updated to what day the person in care was receiving their bath.
Corrective Action(s): Ensure that care plans are monitored to ensure proper implementation.
Date to be Corrected: CORRECTED DURING INSPECTION

HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Inspection of the servery kitchen fridge found one food item with no label or date.
Corrective Action(s): Ensure that all food is safely stored.
Date to be Corrected: CORRECTED UPON INSPECTION
Comments

This LO would like to thank the Manger and 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.
Action Required by Licensee/ManagerAction Required by Licensing Staff
No action requiredNo action required
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.