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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
VDAN-B8YSJE
FACILITY NAME
Columbia House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
NGIL-8BPMQB
FACILITY ADDRESS
319 Keary St		FACILITY PHONE
(604) 522-8405
CITY
New Westminster		POSTAL CODE
V3L 3L2		MANAGER
Gurpreet Kaur Parmar
INSPECTION DATE
January 31, 2019		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5
ARRIVAL
09:00 AM		DEPARTURE
02:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
4
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 www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)
If you have any questions regarding this report feel free to contact me at 604 918-7526 or fax 604 918-7520
email valerie.dairon@fraserhealth.ca
Contraventions
Previous Inspection - Contraventions observed on FIR #KBOI-AV have been corrected.
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: 31090 - RCR s.16(3) - A licensee must ensure that the lighting, both natural and artificial, and temperature of a room intended for the private use of a person in care meets the needs and preferences of that person.
Observation: The lighting in this facility is maintained at quite a low level. As well there were 4 lightbulbs observed to be not functioning in the different bedrooms, a lens missing from the office light and a broken light in the dining area of the facility. Some of the residents prefer a lower level of illumination. The Team Leader states there is a system in place.
Corrective Action(s): Please provide a plan that will ensure that all light bulbs are maintained as necessary in order that residents can benefit from optimal light levels.
Date to be Corrected: Feb. 15, 2019
Comments

Hot water was measured at 50.0 degrees. This is slightly over the RCR 17 maximum of 49 degrees Celsius.
ACTION, please provide a plan that will make sure the water accessible to residents is not above 49 degrees C.

Christmas decorations continued to be present in the front dining room, these were removed to storage at this inspection.

The manager of the facility has been absent since Dec. 24, 2018. The current web documentation does not reflect the change in manager and the recruiting process is still on-going. The Team leader will submit documentation naming himself as temporary manager until the recruiting process can be completed on Monday.

I want to thank the staff and residents for their assistance with this inspection.
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
Feb 15, 2019
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.