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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NBIH-BB2QEL
FACILITY NAME
122nd Avenue Home		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
1081369
FACILITY ADDRESS
22229 122nd Ave		FACILITY PHONE
(604) 467-8828
CITY
Maple Ridge		POSTAL CODE
V2X 3X8		MANAGER
Linda Blyth
INSPECTION DATE
April 08, 2019		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
10:30 AM		DEPARTURE
12:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
2
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 Community Care Facilities Licensing website at https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo
Contraventions
Previous Inspection - Contraventions observed on FIR #NBIH-ARNRS4 have been corrected.
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/ManagerAction Required by Licensing Staff
No action requiredNo action required
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Click here for a description of each "Category" of violation displayed.