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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

AKUR-BLRMQ5

FACILITY NAME Campbell Home		SERVICE TYPES 140 Community Living	FACILITY LICENSE # BTHS-6HST3R
FACILITY ADDRESS 20139 Telep Ave			FACILITY PHONE (604) 460-1225
CITY Maple Ridge	POSTAL CODE V2X 3M4		MANAGER Karen Stevens

INSPECTION DATE February 13, 2020	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2
ARRIVAL 08:30 AM	DEPARTURE 10:30 AM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE

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 Community Care Facilities Licensing website at https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo

Contraventions

Previous Inspection - Not Applicable

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations

POLICIES AND PROCEDURES: 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: Restraints are used for preventative measures to ensure PIC’s safety. No PIC consents were on file. Corrective Action(s): Please ensure that the agreement(s) for the use of restraint is signed by the PIC or the relative who is closest to and involved in the life of the person in care Date to be Corrected: March 31st, 2020 POLICIES AND PROCEDURES: 33180 - RCR s.74(1)(b)(ii) - 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 (ii) the medical practitioner or nurse practitioner responsible for the health of the person in care. Observation: No Physician or Nurse practitioner approval is in place for the restraints. Corrective Action(s): Ensure that for PIC’s who need on-going restraint have the agreement for the use of restraint signed by the medical practitioner or nurse practitioner responsible for the health of the person in care Date to be Corrected: March 31, 2020

Comments

Community Care Facilities Licensing (CCFL) would like to thank the Facility Manager and staff for their time and assistance that was required to complete this routine inspection. Policies and Procedures have been reviewed in detail earlier with another facility of the agency. Manager has been requested to look into the Reportable Incident Policy change. Writer has been informed that the sidewalk will be repaired later this year. Please contact your Licensing Officer if you need any further clarifications.

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

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