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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-BZ2QHN

FACILITY NAME
48B
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982194
FACILITY ADDRESS
4515 48B St
FACILITY PHONE
(604) 940-1372
CITY
Delta
POSTAL CODE
V4K 2R9
MANAGER
Marni MacGillivray

INSPECTION DATE
March 09, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
11:00 AM
DEPARTURE
02:00 PM
ARRIVAL
DEPARTURE
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.

Visit the Community Care Facilities Licensing website at https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing#.W2CWtTpKipp for:

- Additional resources, and
- Links to the legislation (CCALA and 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: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: In the living room 2 tall bookcases were noted to not be secured permanently to the wall. One of the bookcases could be rocked back and forth. It appeared that the bookcase was previously attached to the wall but the bracket screw was noted to be broken.
Corrective Action(s): Please ensure that all furniture is secured to the wall if required for health and safety.
Date to be Corrected: March 22, 2021


Comments

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

Please provide a written response to how the noted contravention will be addressed by March 22, 2021.

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

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
Mar 19, 2021

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