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

EJON-CP2NNQ

FACILITY NAME KinVillage		SERVICE TYPES 130 Long Term Care	FACILITY LICENSE # 0980021
FACILITY ADDRESS 5410 10th Ave			FACILITY PHONE (604) 943-0155
CITY Delta	POSTAL CODE V4M 3X8		MANAGER Nadine Brown

INSPECTION DATE February 09, 2023	ADDITIONAL INSP. DATE (multi-day) February 13, 2023		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 7
ARRIVAL 10:30 AM	DEPARTURE 02:30 PM	ARRIVAL 10:00 AM	DEPARTURE 01:00 PM	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE

Introduction

Routine Inspection Report 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: - Licensing - Physical Facility - Staffing - 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.

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: 31050 - RCR s.15(1) - A licensee must ensure that, if necessary for the health and safety of a person in care, windows are secured in a manner that prevents a person in care from falling from, or exiting through, the window. Observation: On the 2nd floor, a window in a common area was not secured in a manner to prevent a person in care from exiting or falling through. Corrective Action(s): Please ensure windows are secured in a manner that prevents a person in care from falling from, or exiting through. Date to be Corrected: February 17, 2023

Comments

This Licensing Officer would like to thank the Manager and Staff for their assistance in completing this routine inspection. Please provide a response to Licensing by February 28, 2023 as to how the identified contravention in this report will be addressed. Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report. (Please post this inspection in a prominent place in the care facility.)

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 Feb 28, 2023

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