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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JSAT-BNHPLK
FACILITY NAME
Waverly Seniors Village		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
LSEO-AG9ULX
FACILITY ADDRESS
8445 Young Rd		FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Gerald Roberts
INSPECTION DATE
April 03, 2020		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
6
ARRIVAL
09:00 AM		DEPARTURE
03:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up		# OBSERVED IN CARE
Introduction

A follow up inspection to Routine Inspection JSAT-BMLUH7 , dated March 2 & 3, 2020, was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP).
The following care systems were reviewed during this inspection:
- Licensing
- Physical Facility
- Staffing
- Policies and Procedures
- Care and Supervision
- Medication
- Nutrition and food services

For resources for licensees, links to the Legislation (CCALA and RCR), and Residential Care Facility Inspection Reports posted online go to: www.fraserhealth.ca/residentialcare
Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Medications are not being administered within the medication administration window, as per the Medication Safety and advisory committee’s policies and procedures.
Corrective Action(s): Please ensure that staff comply with the policies and procedures of the Medication safety and advisory committee.
Date to be Corrected: April 23, 2020
Comments

All other contraventions to the Residential Care Regulation that were identified on Routine Inspection Report JSAT-BMLUH7 have been addressed.
This inspection report was sent to GM on April 9th by fax and reviewed by telephone call.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Apr 23, 2020
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Click here for a description of each "Category" of violation displayed.