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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-B2EQ3V
FACILITY NAME
Ladner 1		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982839
FACILITY ADDRESS
5281 Westminster Ave		FACILITY PHONE
(604) 940-1290
CITY
Delta		POSTAL CODE
V4K 2J4		MANAGER
Rano Chauhan
INSPECTION DATE
June 26, 2018		ADDITIONAL INSP. DATE (multi-day)
July 06, 2018		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
11:30 AM		DEPARTURE
01:30 PM		ARRIVAL
10:15 AM		DEPARTURE
12:00 PM		ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
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 - Not Applicable
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: 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: Of 4 person's in care closets, 3 were requiring repair, with either being difficult to open, unable to appropriately close or stay closed.
The carpeting in the hallway of the home is separating at the seams and the material is lifting causing the potential of tripping.
The walls throughout the home have heavy streaks and wear and tear from the persons in care wheelchairs.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: August 3, 2018
Comments
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
Aug 03, 2018
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.