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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JFUR-D6KM3R

FACILITY NAME
Fernridge Place
SERVICE TYPES
150 Acquired Injury
FACILITY LICENSE #
KSTZ-6QKQWD
FACILITY ADDRESS
2107 200th St
FACILITY PHONE
(604) 533-2235
CITY
Langley
POSTAL CODE
V2Z 1Z6
MANAGER
Dana McKague

INSPECTION DATE
June 25, 2024
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.75
ARRIVAL
09:45 AM
DEPARTURE
11:30 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
13

Introduction

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 as part of a routine inspection:
- Licensing
- Physical Facility
- 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.

Visit the CCFL website at https://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
STAFFING: 32110 - RCR s.40(1)(b) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: Review of staff files found that 2 of 5 staff do not have updated performance reviews.
Corrective Action(s): A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Date to be Corrected: 9-July-2024


Comments

- Wall damage from handle and stopper behind door of first floor shower room discussed. Assistant Manager stated maintenance is already aware and will be in to fix it today.

- Discussion surrounding snacks available to resident with Cook. Licensing Officer was advised that a variety of nutritious snacks are available to residents.

Thank you for your time and assistance with completing this inspection.

Please submit a written response by July 9, 2024 indicating the corrective action taken and/or timeline and plan for compliance with legislative requirements.

(Please note: this inspection report was reviewed with the Assistant Manager, written on-site and forwarded via email.)

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
Jul 09, 2024

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