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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JMEA-CGZLLY

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
Peter Scheltgen

INSPECTION DATE
August 04, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
10:45 AM
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). 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: 31200 - RCR s.19(3) - If a licensee installs electronic devices for the purposes of transmitting or recording images of persons in care or members of the public, the licensee must display in a prominent place notice that electronic surveillance is being used.
Observation: The facility was observed to be using an electronic device for the purposes of transmitting images of a person in care; however, no notice was observed to be prominently displayed explaining that electronic surveillance is being used.
Corrective Action(s): Ensure that notice is displayed in a prominent place explaining that electronic surveillance is being used at the facility.
Date to be Corrected: September 4, 2022

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 lower portion of the wall located in the shower room has water damage causing the paint to be chipped in several areas exposing the inner wall. The heater in the hallway appears bent in and covered in black scuff marks.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: September 4, 2022

HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Review of 1 of 4 PIC's health records found no evidence of tuberculosis screening and immunization records.
Corrective Action(s): Ensure that all persons admitted to a community care facility comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: September 4, 2022


Comments

I would like to thank the team at Campbell Home for their time and assistance in the completing this inspection. Please submit a written response by September 4, 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
Sep 04, 2022

Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.