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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

KBEL-CURQGK

FACILITY NAME Chadsey House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 0762002
FACILITY ADDRESS 7400 Sunshine Dr			FACILITY PHONE (604) 858-4331
CITY Chilliwack	POSTAL CODE V2R 1H6		MANAGER Katrina Both

INSPECTION DATE August 16, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2.5
ARRIVAL 10:00 AM	DEPARTURE 12:30 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE 5

Introduction

An unscheduled focused routine inspection was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulation(RCR) and the relevant Director of Licensing Standards of Practice (DOLSOP). 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. Care systems reviewed during inspection include the following: - Licensing - Physical Facility - Staffing - Policies and Procedures - Care and Supervision - Hygiene and Communicable Disease Control - Medication - Nutrition and Food Services - Program - Records & 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. A copy of this report and the accompanying Risk Assessment was provided electronically after review with facility manager. Visit the CCFL website at 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.

Observed Violations

No violations were found during the inspection.

Comments

A copy of the HPA Bylaws Schedule F Part 3 was provided to facility manager after discussion regarding medication related records, policies and procedures.

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

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