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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SCLY-AGTVSG

FACILITY NAME
Maple Ridge House
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
LOLA-9E5NY5
FACILITY ADDRESS
12210 232A St
FACILITY PHONE
(604) 466-3241
CITY
Maple Ridge
POSTAL CODE
V2X 0R2
MANAGER
Wendy Bouma

INSPECTION DATE
December 15, 2016
ADDITIONAL INSP. DATE (multi-day)
December 20, 2016
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.25
ARRIVAL
11:30 AM
DEPARTURE
12:30 PM
ARRIVAL
01:00 PM
DEPARTURE
04:15 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED

Introduction

An unscheduled routine inspection 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.
The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Policies and Procedures
· Care and Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· 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.
Visit the CCFL website at www.fraserhealth.ca/your_environment/ccfl for:
· Additional resources, and
· Links to the Legislation (CCALA and RCR)

Contraventions
Previous Inspection - Contraventions observed on FIR # 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

Review of staff checklist showed one employee who did not have an immunization records on file. Discussion with the manager determined that it was in process of being completed. All of the other staff checklists reviewed showed the record being on file.
Due to there being a Christmas lunch for the facility staff on the first day of the inspection it was completed over two days so that the staff could attend it.
Thank you to the staff and manager for all of their hard work and implementation of effective systems that appear to be working well for the facility, due to there not being any contraventions.

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.