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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-CMWAPK
FACILITY NAME
Christel House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0904186
FACILITY ADDRESS
11753 82nd Ave		FACILITY PHONE
(604) 597-1286
CITY
Delta		POSTAL CODE
V4C 2C3		MANAGER
Firoza (Neelu) Sahim
INSPECTION DATE
January 05, 2023		ADDITIONAL INSP. DATE (multi-day)
January 06, 2023		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
11:00 AM		DEPARTURE
12:00 PM		ARRIVAL
12:00 PM		DEPARTURE
03:00 PM		ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

Routine Inspection Report

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.
Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: The main kitchen fridge was noted to have broken / cracked shelves. In discussion with staff, it appears the fridge has had the broken shelf for an extended period of time.
Corrective Action(s): Please ensure all common areas, including appliances, are maintained in a good state of repair.
Date to be Corrected: Please provide a response to Licensing by January 31, 2023

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Cleaning agents are being stored in a lower cabinet in the kitchen. The cabinet was not secured.
Corrective Action(s): Please ensure all cleaning agents are stored in a secured manner.
Date to be Corrected: January 31, 2023
Comments

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

Please provide a response to Licensing by January 31, 2023 regarding how the noted contravention will be addressed.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

(Please note: this inspection report was written off-site and forwarded to the Licensee)
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
Jan 31, 2023
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.