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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-C5US5H

FACILITY NAME
Augustine House
SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
MLAO-5UJNWS
FACILITY ADDRESS
3820 Arthur Dr
FACILITY PHONE
(604) 940-6005
CITY
Delta
POSTAL CODE
V4K 5E6
MANAGER
Jackie Reiners

INSPECTION DATE
August 11, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5
ARRIVAL
10:30 AM
DEPARTURE
03:30 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.

Contraventions
Previous Inspection - Not Applicable
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: 31790 - RCR s.35(2)(b) - A licensee must ensure that laundry facilities (b) if not used by persons in care, cannot be accessed by persons in care.
Observation: During inspection of the physical facility, the laundry room door was noted to be open. It was observed in the laundry room to have cleaning agents and chemicals that would pose a risk to the persons in care.
Corrective Action(s): Please ensure that the door to the laundry is secured.
Date to be Corrected: August 13, 2021

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation: During inspection of the medication storage areas, 2 unsecured medications were observed to be stored in the dining room refrigerator.
Corrective Action(s): Please ensure that medications are safely and securely stored.
Date to be Corrected: Staff were directed to correct this during the inspection. Please provide a plan as to how you will ensure that medications requiring refrigeration are securely stored by August 27th, 2021.

HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: In review of the persons in care charts, it was noted for 2 persons in care that the TB and immunization record was not available for review.
Corrective Action(s): Please ensure that all persons admitted comply with the Province's immunization and TB control program.
Date to be Corrected: August 27th, 2021


Comments

This Licensing Officer would like to thank the Manager and Staff for their assistance in completing this routine inspection. The findings of this inspection report was discussed with the Manager.

Please provide a written response to Licensing as to how the noted contravention will be addressed by August 27, 2021.

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

(Please note: this inspection report was written off-site and forwarded to the Licensee.)

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
Aug 27, 2021

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