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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKAS-CE3L4E

FACILITY NAME
Eden Care Centre
SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
CNON-5WG2BK
FACILITY ADDRESS
9100 Charles St
FACILITY PHONE
(604) 792-8166
CITY
Chilliwack
POSTAL CODE
V2P 5K6
MANAGER
Elaine Price

INSPECTION DATE
April 28, 2022
ADDITIONAL INSP. DATE (multi-day)
May 02, 2022
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
9
ARRIVAL
09:15 AM
DEPARTURE
02:15 PM
ARRIVAL
10:45 AM
DEPARTURE
02:45 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
85

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.

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
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31270 - RCR s.21(d) - A licensee must ensure that all furniture and equipment for use by persons in care (d) are maintained in a safe and clean condition.
Observation (CORRECTED DURING INSPECTION): During inspection of West Wing hallways it was noted that a sit to stand lift had foam grips that were in poor condition and covered with black electrical tape that was torn and coming away from the foam in a few spots.
Corrective Action(s):
Date to be Corrected:

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: Inspection of 6 PIC rooms, noted that 3 of 6 rooms had blinds with missing or broken slats.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: May 17, 2022

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 5 employee files, 1 of 5 did not have evidence of a current (probationary) performance review on file.
Corrective Action(s): Ensure that performance of employees is reviewed both regularly and as directed by the medical health officer.
Date to be Corrected: May 17, 2022


Comments

This Licensing Officer would like to thank the Manager and Staff for their assistance in completing this routine inspection.

As per the routine inspection from 2021, it was documented that the physical plant needed to be addressed in several key areas. During this routine inspection, it appears that significant progress has been made in all of the areas that were previously identified, with further work planned.

Please provide a written response by May 17, 2022 indicating the corrective actions taken and/or time line and plan for compliance with legislative requirements

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

(Please note: this inspection was reviewed with the team, then written off-site and forwarded to the Licensee. Therefore no signature was obtained.)

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
May 17, 2022

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