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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKAS-CMLRBN
FACILITY NAME
Langley Memorial Hospital ECU		SERVICE TYPES
401 Long Term Care (Hospital Act)
FACILITY LICENSE #
LBAA-962LHH
FACILITY ADDRESS
22051 Fraser Hwy		FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Barbara-Ann Kubb: Hospice and Maple Hill
Chelsea Archer: Cedar and Marrwood South
Joyti Sharma: Rosewood and Marrwood Centre
INSPECTION DATE
December 30, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.75
ARRIVAL
11:30 AM		DEPARTURE
12:15 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up		# OBSERVED IN CARE
Introduction

An unscheduled follow-up inspection was conducted to assess if requirements of the Residential Care Regulation are being met.
Evidence for this report was based on the licensing officers observations and information provided by the staff at the time of inspection.

The purpose of this inspection is to determine whether the Licensee has taken corrective actions to address unmet requirements identified in Routine Inspection #AROE-CCBQZZ.

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: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: Noted during inspection, the servery in Rosewood has dirty baseboards, with a 2 cm thick soil along the baseboard where the tile floor and baseboard meet. Also noted in the same servery, the counter top behind the sink where it meets the backsplash is black in colour and missing caulking along the entire stretch of counter.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a safe and clean condition.
Date to be Corrected: January 16, 2023.
Comments

This licensing office would like to thank the Manager and staff for their assistance in completing this follow-up inspection.

Discussion with management:
-confirms the plans for tub replacement are progressing.
-confirms that some staff performance reviews have been completed and plans to finish 5-10 more before the beginning of March 2023.


This report was reviewed with the manager on site and signed, it was then emailed to the Managers.

Please contact your licensing Officer if you have any questions or concerns.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Jan 16, 2023
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.