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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

CJOS-CV7S5X

FACILITY NAME Columbia House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # NGIL-8BPMQB
FACILITY ADDRESS 319 Keary St			FACILITY PHONE (604) 522-8405
CITY New Westminster	POSTAL CODE V3L 3L2		MANAGER Ellen Manlulu

INSPECTION DATE August 30, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 1.5
ARRIVAL 12:30 PM	DEPARTURE 02:00 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE 4

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). 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/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo 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.

Observed Violations

No violations were found during the inspection.

Comments

It was noted that there is a new manager in place and the required forms were provided and will be submitted promptly to update CCFL's records. Thank you to all the staff for their assistance with completing this routine inspection. The report and the risk assessment were discussed with the facility's team members and a copy of both were provided via email.

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

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