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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

JSAT-BWDU8W

FACILITY NAME Waverly Seniors Village		SERVICE TYPES 130 Long Term Care	FACILITY LICENSE # LSEO-AG9ULX
FACILITY ADDRESS 8445 Young Rd			FACILITY PHONE ()
CITY	POSTAL CODE		MANAGER Gerald Roberts

INSPECTION DATE December 17, 2020	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2
ARRIVAL 10:15 AM	DEPARTURE 12:15 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Follow-up					# OBSERVED IN CARE

Introduction

A follow up inspection to Routine Inspection JSAT-BMLUH7, dated March 2 & 3rd, 2020 was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP). The following care systems were reviewed during this inspection: - Licensing - Physical Facility - Staffing - Policies and Procedures - Care and Supervision - Medication For resources for licensees, links to the Legislation (CCALA and RCR), and Residential Care Facility Inspection Reports posted online go to: www.fraserhealth.ca/residentialcare

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 facility is now up and running on Point click care (PCC). Ongoing education is being provided to the DOC and staff moving forward. Staff files are being reviewed and updated, complete update of staff files is expected to be complete by March 1, 2021. It was observed that all care systems are implemented and that the facility operates in compliance with legislation. Self-monitoring is comprehensive and regular with review for improvement. This report was discussed with the DOC & manager on site, and will be delivered Via e-mail due to Covid-19 procedures.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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