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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKAS-CW5NZQ

FACILITY NAME
Connect Langley-Sendall Gardens
SERVICE TYPES
150 Acquired Injury
FACILITY LICENSE #
JKAG-CEXNTL
FACILITY ADDRESS
20148 50th Ave
FACILITY PHONE
(604)
CITY
Langley
POSTAL CODE
V5X 1A6
MANAGER
Ashley Scott-Dey

INSPECTION DATE
September 29, 2023
ADDITIONAL INSP. DATE (multi-day)
October 03, 2023
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
11:30 AM
DEPARTURE
02:15 PM
ARRIVAL
10:45 AM
DEPARTURE
11:00 AM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
3

Introduction

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 as part of a routine inspection:
- 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.

Visit the CCFL website at https://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 except for those noted on supplementary pages.

Observed Violations
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of 2 Persons in Care (PICs)harts determined that over a 12 month period,1 PIC was missing evidence of 4 monthly weights and the other PIC was missing evidence of 3 monthly weights.
Corrective Action(s): Please esure that each person in care is weighed at least once each month.
Date to be Corrected: Oct 17, 2023


Comments

This Licensing Officer would like to thank the Staff for their assistance completing this routine inspection.

Discussion with the manger about a new, more streamlined system for Performance appraisals that will be rolled out in October. Plans are in place to complete performance appraisals starting in November. Please ensure that performance appraisals are completed on a regular basis as required.

Please provide a written response to how the noted contravention will be addressed by October 17, 2023.

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

(Please note: this inspection report was reviewed with the manager on site and signed. It was then sent to the Manager/ Licensee via email.)

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
Oct 17, 2023

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