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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KBEL-CWVMMP
FACILITY NAME
Glenwood Seniors Community		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
LSEO-AW5Q87
FACILITY ADDRESS
1458 Glenwood Dr		FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Carol McNeil
INSPECTION DATE
October 19, 2023		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
09:00 AM		DEPARTURE
01:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up		# OBSERVED IN CARE
Introduction

The purpose of this second Follow-up Inspection to Routine Inspection KBEL-CUCS2Q, was to assess the implementation of the Licensee's written Health & Safety Plan accepted on 02/AUG/2023 and the Compliance Plan received by CCFL on 11/AUG/2023 and accepted 14/AUG/2023.

A first Follow-up Inspection KBEL-CV6NAD, previously occurred on August 28, 2023.

For resources for licensees, links to the Legislation (CCALA and RCR), and Residential Care Facility Inspection Reports posted on-line go to: www.fraserhealth.ca/residentialcare
Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice.
Observed Violations
No violations were found during the inspection.
Comments

A review of 12 employee files was completed during this Follow-up Inspection and the Licensing Officer confirmed the previously accepted Compliance and Health & Safety Plan is not being implemented in full as required.

A revised Compliance Plan will be provided to CCFL to address continued non-compliance to the following:
RCR s.37(1)(a)
RCR s.37(1)(b)
RCR s.37(1)(c)
RCR s.37(1)(e)
RCR s.40(1)(a)
RCR s.61
RCR s.86(d)

Additional Follow-up Inspections will occur.

The findings of this inspection was reviewed with facility manager and a copy of this report was provided electronically.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingFollow-up Inspection Required
Approximate Follow Up Date
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Click here for a description of each "Category" of violation displayed.