| Fort Langley Care Centre - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Residential Care (Hospital Act) - 400 |
| Investigation Completed | July 23, 2021 |
| Reason for Investigation | - Physical facility, equipment & furnishings - Care and supervision - Hygiene & communicable disease control - Nutrition and food services |
| Report of Findings |
|---|
| On April 29, 2021, Licensing received a complaint with multiple allegations regarding the following: -Physical facility -Staff response to call bells -Insufficient personal care & care plan -Food services & nutrition -Restricted access to personal room and mobility equipment All areas of the complaint were fully investigated. Evidence from the Licensee was received and reviewed. The following contraventions were determined: Residential Care Regulation s.22 – Maintenance RCR s.52 – Privacy RCR s.74 – When restraints may be used RCR s.81 – Care plan needed if more than 30 day stay RCR s.82 – Implementation of care plan RCR s.85 – Policies and procedures. |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 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: Licensing determined not all areas of the facility were in a good state of repair. Corrective action: Corrective action required. |
| 33170 - RCR s.74(1)(b)(i) | Subject to subsection (2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (i) the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care. Observation: Licensee determined a restraint was used without written agreement. Corrective action: Corrective action required. |
| 33220 - RCR s.85(1)(a) | A licensee must do all of the following: (a) have written policies and procedures for the purposes of guiding staff in all matters relating to the care and supervision of persons in care. Observation: Licensing determined there weren't policies and procedures available for all matters relating to care. Corrective action: Corrective action required. |
| 34150 - RCR s.53 | A licensee must, to the greatest extent possible while maintaining the health, safety and dignity of all persons in care, ensure respect for the personal privacy of each person in care, including the privacy of each person in care's bedroom, belongings and storage area. Observation: Licensing determined that a PIC's privacy was compromised. Corrective action: Corrective action required. |
| 34750 - RCR s.81(4)(b)(i) | A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care. Observation: Licensing determined that a care plan was not updated to reflect the change in status. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |
