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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JMEA-CDQLDS
FACILITY NAME
Cochrane House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
1003546
FACILITY ADDRESS
567 Cochrane Ave		FACILITY PHONE
(604) 931-5148
CITY
Coquitlam		POSTAL CODE
V3J 2A3		MANAGER
Michelle McCormick
INSPECTION DATE
April 21, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5
ARRIVAL
10:15 AM		DEPARTURE
01:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
5
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 https://www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)
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: The following observations were noted:
- The living room wall had a paint chip measuring approximately 3-4 inches in length.
- Two bedrooms located at the end of the hall (upper level) had a significant amount of damage on the lower portion of the baseboards exposing the inner wall measuring approximately 1-2 inches in length.
Corrective Action(s): Ensure that all rooms are common areas are maintained in a good state of repair.
Date to be Corrected: May 21, 2022

HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation (CORRECTED DURING INSPECTION): An inspection of the refrigerator found 5-6 frozen items packaged in ziploc but without any dates or labels.
Corrective Action(s): Ensure that all food is being safely stored, served and handled.
Date to be Corrected: May 21, 2022
Comments

I would like to thank the team at Cochrane House for their time and assistance in the completing this inspection.
Please submit a written response by May 21, 2022 indicating the corrective action taken and/or timeline and plan for compliance with the legislative requirements.
If you have any questions related to this report please feel free to contact me.
Due to infection control practices in place related to COVID-19 prevention, this report was written off-site and is therefore unsigned. The report was reviewed with facility leadership and an email copy was provided.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
May 21, 2022
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.