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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-CKQ7PK
FACILITY NAME
Augustine House		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
MLAO-5UJNWS
FACILITY ADDRESS
3820 Arthur Dr		FACILITY PHONE
(604) 940-6005
CITY
Delta		POSTAL CODE
V4K 5E6		MANAGER
Jackie Reiners
INSPECTION DATE
October 28, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5
ARRIVAL
10:00 AM		DEPARTURE
03:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

ROUTINE INSPECTION

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.

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
CARE AND/OR SUPERVISION: 34680 - RCR s.81(3)(e)(ii) - A care plan must include all of the following: (e) in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address (ii) a plan for preventing the person in care from falling.
Observation: In review of a person in care's care plan, a plan to address fall prevention was not in place.
Corrective Action(s): Please ensure all persons in care have a fall prevention plan in place.
Date to be Corrected: November 11, 2022
Comments

This LO would like to thank the manager and staff for their assistance in completing this routine inspection.

Please provide a response to the contravention noted by November 16, 2022.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.
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
Nov 16, 2022
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.