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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

RLAA-D2HN4A

FACILITY NAME Foyer Maillard		SERVICE TYPES 130 Long Term Care	FACILITY LICENSE # TBIU-9PRU66
FACILITY ADDRESS 1010 Alderson Ave			FACILITY PHONE (604) 937-5578
CITY Coquitlam	POSTAL CODE V3K 1W1		MANAGER Doris Brisebois

INSPECTION DATE February 16, 2024	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 5.3
ARRIVAL 10:00 AM	DEPARTURE 03:30 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was completed to assess compliance with the: Community Care and Assisted Living Act (CCALA), 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 inspections include: • 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. 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 except for those noted on supplementary pages.

Observed Violations

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: Observation (CORRECTED DURING INSPECTION): 1 cleaning chemical bottle product, was observed on top of table in 1 of 4 tub room. Corrective Action(s): Please ensure that cleaning agents, chemical products and other hazardous materials are stored in safe and secured area. Date to be Corrected: Corrected during the inspection

Comments

Licensing would like to thank the Staff for their assistance in completing this routine inspection. 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 Staff on site and signed. It was then forwarded with the corresponding risk assessment to the Licensee via email.)

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

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