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

MMAE-AQPUDQ

FACILITY NAME 216A Street		SERVICE TYPES 140 Community Living	FACILITY LICENSE # TGAL-95RQ8D
FACILITY ADDRESS 8983 216A St			FACILITY PHONE (604) 293-0284
CITY Langley	POSTAL CODE V1M 4C7		MANAGER Charlotte Casson

INSPECTION DATE August 29, 2017	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2.5
ARRIVAL 01:30 PM	DEPARTURE 04:10 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# CHILDREN ENROLLED

Introduction

On August 22 and 24, 2017, CCFL attempted to conduct part one of a routine inspection. However, the Manager was not on site. On August 22, 2017 as there was only one staff on site, the physical inspection could not be completed. On August 24, no one was on site. On August 24, 2017 during a follow up phone call, it was agreed with the Manager that a scheduled routine inspection would be done with a staff member as the Manager is on vacation for 2 weeks. This report is based on the Licensing Officer (L.O.) guide to data base coding in conjunction with the L.O.'s observations, review of facility records, and information provided by the Manager at the time of the inspection. The following areas were reviewed: Licensing Physical Facility Care and Supervision Hygiene and Communicable Disease Control Medication Nutrition and Food Services Programming Records and Reporting As the Manager is not present staff records were not reviewed.

Contraventions

Previous Inspection -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations

CARE AND/OR SUPERVISION: 34590 - RCR s.81(2)(b) - A care plan must be developed, to the extent reasonably practical, (b) in a manner that takes into account the unique abilities, physical, social and emotional needs, and cultural and spiritual preferences of the person in care. Observation: In review of the care plan for one resident regarding recreation/leisure, it appears consideration as per the above noted legislation has not been done. Corrective Action(s): Ensure recreation/leisure activities are appropriate and clearly defined in the care plan. Date to be Corrected:

Comments

Records for one resident were reviewed at the time of this inspection. As discussed, it is strongly recommended that the activity calendar be more specific as to actual activities. Also as discussed the system currently in use does not consistently provide information in regards to review dates. Therefore, the quarterly report was referred to to confirm if all required documentation has been reviewed with in the last year. All items as per the above noted guide appear to meet the intent of the RCR and CCALA. CCFL would like to thank your for your time and assistance during the process of this inspection.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Take corrective action to bring facility into compliance	No action required

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