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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SBAN-C55PFA

FACILITY NAME
Keary Street Home
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
2582038
FACILITY ADDRESS
313 Keary St
FACILITY PHONE
(604) 522-4032
CITY
New Westminster
POSTAL CODE
V3L 3L2
MANAGER
Katrina Jamal

INSPECTION DATE
July 21, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
09:00 AM
DEPARTURE
12:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
4

Introduction

An unscheduled routine ins 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

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: 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: Hole in the wall observed in the family room.
Corrective Action(s): Please ensure that this hole is repaired.
Date to be Corrected: August 31, 2021

CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: Care plans for one resident not updated since 2019.
Corrective Action(s): Please ensure that all care plans for all residents are updated by facilty nurse.
Date to be Corrected: August 31, 2021

NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: Regular menu for residents indicates that snack consists of fruit and water.
Corrective Action(s): Please ensure that menu is updated to ensure that snack consists of two food groups as required by the Regulation
Date to be Corrected: August 31/2021


Comments

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.
Important websites:

· Legislation (CCALA and RCR) at www.bclaws.ca
· General Fraser Health Licensing information at www.fraserhealth.ca/your_environment/ccfl/

Thank you for your cooperation during this inspection. Please provide a written response and action plan to address the contraventions by August 6, 2021

Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Aug 06, 2021

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