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

FACILITY NAME
88th
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982654
FACILITY ADDRESS
23124 88th Ave
FACILITY PHONE
(604) 217-2108
CITY
Fort Langley
POSTAL CODE
V1M 2R4
MANAGER
Adam Waine

INSPECTION DATE
September 14, 2022
ADDITIONAL INSP. DATE (multi-day)
September 20, 2022
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.5
ARRIVAL
10:00 AM
DEPARTURE
12:30 PM
ARRIVAL
01:30 PM
DEPARTURE
02:30 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
5

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:

- 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 weights for 3 persons in care (PIC) determined that 1 PICs weight was missed for 1 month in the last year.
Corrective Action(s): Ensure that each person in care is weighed at least once each month.
Date to be Corrected: October 5, 2022


Comments

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

The manager is working on a Health and Safety Plan in order to get renovation work completed in October and November, 2022.
All "physical" items from the previous routine inspection are to be addressed with this renovation; this includes paint through the entire home, new flooring new kitchen cabinets/counters and tub/sink and cabinet replacement for the South washroom.

Please provide a written response by Oct 5, 2022 indicating the corrective actions taken and/or time line and plan for compliance with legislative requirements.

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, 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
Oct 05, 2022

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