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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JMEA-CGBL9W

FACILITY NAME
Rainbow Ridge Special Care Home
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
1081489
FACILITY ADDRESS
10666 277th St
FACILITY PHONE
(604) 462-9824
CITY
Maple Ridge
POSTAL CODE
V2W 1M7
MANAGER
Lynda Blyth

INSPECTION DATE
July 13, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
6
ARRIVAL
11:00 AM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
4

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Residential Care Regulation (RCR) and the relevant Director of Licensing Standards of Practice (DOLSP). 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
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and 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 https://www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)

Contraventions
Previous Inspection - Contraventions observed on FIR ##JBAY-C75NRH have been corrected.
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: Lysol disinfectants observed on an open shelf and 3 large bottles of Clorox were observed on the floor not securely stored.
Corrective Action(s): Ensure cleaning agents, chemical products and other hazardous materials are secure, safe and stored.
Date to be Corrected: August 13, 2022

HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Review of 1 of 5 PIC's health care plans found no evidence of immunization records and tuberculosis screening.
Corrective Action(s): Ensure all persons admitted to community care facility comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: August 13, 2022

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 1 of 5 PIC's weight charts determined that a weight was not captured for the month of February and there was no documentation provided to explain why the weight was missing.
Corrective Action(s): Ensure that each person in care is weighed at least once a month or provide a reason as to why the weight could not be obtained.
Date to be Corrected: August 13, 2022


Comments

I would like to thank the team at Rainbow Ridge Special Care Home for their time and assistance in the completing this inspection. Please submit a written response by August 13, 2022 indicating the corrective action taken and/or timeline and plan for compliance with the legislative requirements.
Additionally, the site discussed upcoming outdoor patio renovations. Leadership was made aware that a Health and Safety Plan will be required to be submitted to Licensing for acceptance prior to commencing work.
Due to infection control practices in place related to COVID-19 prevention, this report was written off-site and is therefore unsigned. The report was reviewed with facility leadership and an email copy was provided.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Aug 13, 2022

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