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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

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FACILITY NAME Irene Thomas Hospice		SERVICE TYPES 110 Hospice	FACILITY LICENSE # MLAO-BZEV66
FACILITY ADDRESS 4635 Clarence Taylor Cres			FACILITY PHONE (604) 946-1121
CITY Delta	POSTAL CODE V4K 4L8		MANAGER Jo-Anne Kirk

INSPECTION DATE November 30, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2
ARRIVAL 11:00 AM	DEPARTURE 01:00 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.

Observed Violations

No violations were found during the inspection.

Comments

This LO would like to thank the manager and staff for their assistance in completing this routine inspection. Areas inspected during this inspection were found to be in compliance with the Community Care and Assisted Living Act and the Residential Care Regulations. Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

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

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