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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-AUVVLA
FACILITY NAME
The Waterford		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
0983055
FACILITY ADDRESS
1345 56th St		FACILITY PHONE
(604) 943-5954
CITY
Delta		POSTAL CODE
V4L 2P9		MANAGER
Lara Fares
INSPECTION DATE
January 04, 2018		ADDITIONAL INSP. DATE (multi-day)
January 10, 2018		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
8
ARRIVAL
01:20 PM		DEPARTURE
03:30 PM		ARRIVAL
10:15 AM		DEPARTURE
04:00 PM		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
· 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)
Contraventions
Previous Inspection - Contraventions observed on FIR # 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: Review of 4 person in care water temperatures in their personal bathrooms. 3 of 4 temperatures read at 50 degrees celsius.
Corrective Action(s): Ensure water temperature accessible to a person in caare, is not heated to more than 49 degrees Celsius.
Date to be Corrected: February 9, 2017
Comments

Review of Recreation care plans, discussion with the recreation staff was had around information being readily available to all staff to ensure preferences and interest in activities is met and revisions made accordingly. The staff discussed this being incorporated onto each person in care's Activity of Daily Living Forms that are in their bedrooms.

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 09, 2018
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.