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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

NBIH-B5DQZA

FACILITY NAME Beckman House		SERVICE TYPES 120 Mental Health	FACILITY LICENSE # AKLN-6BVM5L
FACILITY ADDRESS 12032 216th St			FACILITY PHONE (604) 466-3370
CITY Maple Ridge	POSTAL CODE V2X 5J3		MANAGER Nicole Perron

INSPECTION DATE October 09, 2018	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2.5
ARRIVAL 10:15 AM	DEPARTURE 12:45 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# CHILDREN ENROLLED

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 · 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 Community Care Facilities Licensing website at https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo

Contraventions

Previous Inspection - Contraventions observed on FIR #NBIH-ANTTXA 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: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius. Observation: The hot water in one of the PIC's bathrooms was observed to be 54 Celsius. Corrective Action(s): Please ensure that water accessible to the PIC's is not heated to more than 49 Celsius. Date to be Corrected: October 31 2018

Comments

During the inspection it was noted that the flooring in a currently empty bedroom and bathroom was in need of replacement. Approval was already in place for the replacement of the bedroom flooring, the manager spoke with her head office and arranged approval for the bathroom as well while the LO was in attendance. Staffing files are not kept on site, the manager will arrange for these to be delivered from the head office so the LO can come back to the facility to review them at a later date. Due to technical difficulties electronic signatures were not available for the inspection report. The printed report was signed by the LO and manager instead.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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