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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JMEA-CJPPVB
FACILITY NAME
Maple Ridge House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
LOLA-9E5NY5
FACILITY ADDRESS
12210 232A St		FACILITY PHONE
(604) 466-3241
CITY
Maple Ridge		POSTAL CODE
V2X 0R2		MANAGER
Nola Boivin
INSPECTION DATE
September 28, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
10:15 AM		DEPARTURE
01:15 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
3
Introduction

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.

The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting

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.

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
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: Inspection of the medication cabinet found four medications which expired in April and August 2022.
Corrective Action(s): Ensure that person in care's medication is returned to the pharmacy if the expiry date on the medication has passed.
Date to be Corrected: October 28, 2022
Comments

I would like to thank the team at Maple Ridge House for their time and assistance in the completing this inspection. Please submit a written response by October 28, 2022 indicating the corrective action taken and/or timeline and plan for compliance with the legislative requirements. If you have any questions related to this report please feel free to contact me. Due to infection control practices in place related to COVID-19 prevention, this report was written off-site and is therefore unsigned. The report was reviewed with facility leadership and an email copy was provided.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Oct 28, 2022
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.