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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKAS-C4ATZ6

FACILITY NAME
Ladner 1
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982839
FACILITY ADDRESS
5281 Westminster Ave
FACILITY PHONE
(604) 940-1290
CITY
Delta
POSTAL CODE
V4K 2J4
MANAGER
Rano Chauhan

INSPECTION DATE
June 24, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
10:45 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.

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: During inspection of the outdoor patio area, it was noted that a large branch had broken off from the main tree and was hanging in place. This could pose a health and safety risk for residents or staff working in close proximity to the tree.
Corrective Action(s): Please ensure all common areas are maintained in a safe condition.
Date to be Corrected: July 22, 2021


Comments

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

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. 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
Jul 08, 2021

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