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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SYUU-D4EPZH
FACILITY NAME
Delta House
SERVICE TYPES
104 Specialized Residential Care Home
FACILITY LICENSE #
0982514
FACILITY ADDRESS
7415 116A St
FACILITY PHONE
(
604
)
543-0201
CITY
Delta
POSTAL CODE
V2X 2Z3
MANAGER
Jeanne Fung
INSPECTION DATE
April 17, 2024
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.75
ARRIVAL
10:50 AM
DEPARTURE
12:30 PM
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 CCFL website at 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.
Observed Violations
No violations were found during the inspection.
Comments
The Licensee form for restraint agreement of yearly update is not available but there are other methods and documentation in place. Leadership will follow up
Thank you for all the staff assistance during today's inspection.
The copy of the report will be forwarded.
Action Required by Licensee/Manager
Action Required by Licensing Staff
No action required
No action
required
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.