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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

NBIH-AV3S4T

FACILITY NAME Fleet Street Group Home		SERVICE TYPES 140 Community Living	FACILITY LICENSE # LBAA-8CFSTG
FACILITY ADDRESS 2994 Fleet St			FACILITY PHONE (604) 944-0408
CITY Coquitlam	POSTAL CODE V3C 3R8		MANAGER Luis de Sousa

INSPECTION DATE January 16, 2018	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 4
ARRIVAL 09:15 AM	DEPARTURE 01:15 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# CHILDREN ENROLLED

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 feel free to contact me at 604-949-7714 or by email at nicholas.birch@fraserhealth.ca

Contraventions

Previous Inspection - Contraventions observed on FIR #SCLY-AGE28K 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: 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: During the inspection, the following was noted: - Paint was chipping off the walls and door/window frames in the downstairs bedrooms, downstairs hallway, downstairs bonus room and upstairs sunroom. - Flooring was chipped and pealing in the downstairs hallway. - the window frame was missing in the upstairs sunroom. Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair. Date to be Corrected: March 16 2018

Comments

The facility had a leak in the kitchen recently and is planning on completing the repairs and renovations for this soon. The manager will submit a health and safety plan to licensing before the work starts. Licensing will come back out to the facility to complete a follow-up inspection once the work, and other repairs, are completed.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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