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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JBAY-C7JM6W

FACILITY NAME
Campbell Home
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
BTHS-6HST3R
FACILITY ADDRESS
20139 Telep Ave
FACILITY PHONE
(604) 460-1225
CITY
Maple Ridge
POSTAL CODE
V2X 3M4
MANAGER
Peter Scheltgen

INSPECTION DATE
October 05, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
09:20 AM
DEPARTURE
02:20 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
4

Introduction

An unscheduled routine inspection was completed to assess compliance with the: Community Care and Assisted Living Act (CCALA), the Residential
Care Regulation (RCR), and the relevant Director of Licensing Standards of Practice (DOLSOP). 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.

Care systems reviewed during inspections include:
Licensing
Physical Facility
Staffing
Policies and Procedures
Care and Supervision
Hygiene and Communicable Disease Control
Medication
Nutrition and Food Services
Program
Records & 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 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).

Contraventions
Previous Inspection - Contraventions observed on FIR #AKUR-BLRMQ5 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: 31200 - RCR s.19(3) - If a licensee installs electronic devices for the purposes of transmitting or recording images of persons in care or members of the public, the licensee must display in a prominent place notice that electronic surveillance is being used.
Observation (CORRECTED DURING INSPECTION): Video surveillance was observed to be in use at the front of the facility; however, no notice was observed to be displayed informing persons in care and members of the public that electronic surveillance is being used.
Corrective Action(s): Ensure that notice of electronic surveillance use is posted in a prominent place.
Date to be Corrected: Corrected during inspection

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: An inspection of the physical facility found that the first step at the front of the facility appears to be rotting and a railing attached to it was observed to be loose and missing a screw. On the same set of stairs at the front of the facility, an anti-slip tread was observed to be loose and requires reattachment. Additionally, a baseboard near the walk-in shower (in the back bedroom bathroom) was observed to be water damaged and appeared to be rotting.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: October 3, 2021

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: The sidewalk at the west side of the facility was observed to have uneven concrete with an approximately 5 cm difference in elevation with an approximate 3 cm gap between slabs which poses a potential tripping hazard. Additionally, a step off the back porch appears to have dropped from its original height (by approximately 2 to 3 cm) making the first step down larger than the others and poses a potential fall hazard. At the back of the facility, debris was observed to sticking out of the gutter. When asked about the gutters, facility staff confirmed that they have not been cleaned.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a safe and clean condition.
Date to be Corrected: November 3, 2021


Comments

Facility management was provided with a paper copy of Fraser Health's COVID-19 Prevention Checklist for their reference and/or use.
Please submit a written response by October 21, 2021 indicating the corrective action taken and/or timeline and plan for compliance with legislative requirements.
This inspection report was not signed as it was reviewed with management over the telephone and sent via email to the site to reduce the amount of time the licensing officer had to spend on site as per COVID-19 prevention measures.

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
Oct 21, 2021

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