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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NTJN-B6BSCQ
FACILITY NAME
88th		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982654
FACILITY ADDRESS
23124 88th Ave		FACILITY PHONE
(604) 513-2369
CITY
Fort Langley		POSTAL CODE
V1M 2R4		MANAGER
Karen Jackson
INSPECTION DATE
November 05, 2018		ADDITIONAL INSP. DATE (multi-day)
November 08, 2018		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
11:00 AM		DEPARTURE
02:00 PM		ARRIVAL
12:00 PM		DEPARTURE
01:30 PM		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, please feel free to the area Licensing Officer.
Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected except for those noted on supplementary pages.
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: 31590 - RCR s.30(b) - A licensee must ensure that all bathrooms have (b) slip resistant material on the bottom of each bathtub and shower.
Observation: The main floor shower that is used by all persons in care does not have a slip resistant material on the bottom of the shower.
Corrective Action(s): Ensure that all bathrooms have a slip resistant material on the bottom of each bathtub and shower.
Date to be Corrected: December 10, 2018

MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: Review of the medication cabinet found one medication with no clear expiry date as the pharmacy label was possibly covering the date..
Corrective Action(s): Ensure that medications have a clear expiry date so that they are returned to the dispensing pharmacy if the expiry date on the medication has passed.
Date to be Corrected: December 10, 2018


Comments

This LO would like to thank the Manger and Staff for their time and assistance in completing this routine inspection.

This report was reviewed and discussed with on-site staff. A copy of this report was left at the facility.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.
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
Dec 10, 2018
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.