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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

JSTT-CRUNKZ

FACILITY NAME Cochrane House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 1003546
FACILITY ADDRESS 567 Cochrane Ave			FACILITY PHONE (604) 931-5148
CITY Coquitlam	POSTAL CODE V3J 2A3		MANAGER Michelle McCormick

INSPECTION DATE May 12, 2023	ADDITIONAL INSP. DATE (multi-day) May 15, 2023		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2
ARRIVAL 01:20 PM	DEPARTURE 02:45 PM	ARRIVAL 03:30 PM	DEPARTURE 03:35 PM	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 any 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: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius. Observation: Temperatures are being taken and monitored by a thermometer laser gun. However during the inspection when staff took the bathroom temperature, their readings were showing in the low 40 Celsius range. It was discussed that the thermometer may not be calibrated correctly and therefore not giving the staff accurate readings. Licensing recorded temperatures of 54.2'Celsius Corrective Action(s): Water accessible to a person in care, from any source, is not heated to more than 49'Celsius Date to be Corrected: May 19th 2023

Comments

Action Required by Licensee/Manager	Action Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to Licensing	No action required
Due Date May 19, 2023

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