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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-CJT82E
FACILITY NAME
Georgia House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
PNEL-8A2P6W
FACILITY ADDRESS
4812 Georgia St		FACILITY PHONE
(604) 940-9517
CITY
Delta		POSTAL CODE
V4K 2S9		MANAGER
Angela Keulen
INSPECTION DATE
September 26, 2022		ADDITIONAL INSP. DATE (multi-day)
September 29, 2022		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
10:00 AM		DEPARTURE
10:30 AM		ARRIVAL
09:30 AM		DEPARTURE
11:30 AM		ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
5
Introduction

Routine Inspection Report

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (C.C.A.L.A.), the Residential Care Regulation (R.C.R.), and the relevant Director of Licensing Standards of Practice (D.L.S.P.). 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
- Policies and Procedures
- Care and Supervision
- Hygiene and Communicable Disease Control
- Medication
- Nutrition and Food Services
- Program
- Records and Reporting

As part of this routine inspection a facility risk assessment tool is completed. The risk assessment includes contraventions 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: It was noted throughout the facility that most of the door frames, as well as doors and walls had numerous scratches and dents with paint missing in sections. It did not appear that a regular maintenance program was in place to ensure walls and doors were regularly repaired.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: January 31, 2023

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31780 - RCR s.35(2)(a) - A licensee must ensure that laundry facilities (a) if used by persons in care, have a slip resistant floor surface.
Observation: The laundry area did not have a slip resistant floor surface.
Corrective Action(s): Please ensure a slip resistant surface is in place in front of the laundry machines.
Date to be Corrected: Oct. 14, 2022
Comments

This Licensing Officer would like to thank the Manager and Staff for their assistance in completing this routine inspection. This inspection report was discussed with the Manager.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

(Please note: this inspection report was written off-site and forwarded to the Licensee. Therefore no signature was obtained.)
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 18, 2022
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.