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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-CUDVB7
FACILITY NAME
Chestnut House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
PNEL-8A2M9P
FACILITY ADDRESS
4576 55B St		FACILITY PHONE
(604) 946-0401
CITY
Delta		POSTAL CODE
V4K 3W5		MANAGER
Mandeep Mann
INSPECTION DATE
August 02, 2023		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
10:30 AM		DEPARTURE
12:30 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.

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
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: During inspection of the outdoor deck, it was noted that several soft spots were observed on the surface. When pressed on, these areas would depress as it appears some rot has occurred in the structure. Additionally, the hand rail attached to the staircase leading up to the deck appeared to wobble when pushed on. The handrail does not appear to be adequately attached or secured to the structure.
Corrective Action(s): Please ensure the deck is inspected and a plan is in place to address the structural integrity.
Date to be Corrected: As this can be a large project, please provide Licensing with an estimated repair date.
Comments

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

Please provide a response to Licensing by September 8, 2023.

Please note that the manager of the facility is Jonathan Loglisci. This will be updated in the system.

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
Sep 08, 2023
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.