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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AROE-B6QRDB
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
November 21, 2018		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
09:45 AM		DEPARTURE
12:45 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
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/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo for:

· Additional resources and
· Links to the Legislation (CCALA & RCR)
Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected except for those noted on supplementary pages.
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: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: Upon inspection it was noted that:
* 1 light bulb cover in the downstairs bedroom needed to be replaced
* 1 light bulb cover in the Laundry room needs to be replaced
* The upstairs fan light in the living room is missing bulbs
Corrective Action(s): Unsure all furniture and equipment is maintained in a good state of repair
Date to be Corrected: December 2, 2018

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31280 - RCR s.22(1)(a) - A licensee must ensure that all rooms and common areas are (a) well ventilated.
Observation: During inspection it was noted that the downstairs bathroom has poor ventilation and due to this the paint is peeling on the walls and ceiling because of moisture build up. (This is a repeat contravention) manager stated that a reequest was sent in to maintenance after the previous inspection but repair has not yet been made.
Corrective Action(s): Ensre proper vetilation of rooms and commona areas
Date to be Corrected: January 2 2019
Comments

The electrical panel for the house is located in a PIC's bedroom although the panel is unlocked the manager has stated that there is no health and safety concern for the PIC as the PIC would not access this panel independently.

The spare kitchen downstairs although not in use is sometimes accessed by staff. It was noted that the room had some dirt on the counter and the floor and there was a slight musty odour. Manager agreed to have it cleaned.

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
Dec 05, 2018
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Click here for a description of each "Category" of violation displayed.