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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

SBAN-C4EMCP

FACILITY NAME Kiwanis Care Centre		SERVICE TYPES 130 Long Term Care	FACILITY LICENSE # 2501021
FACILITY ADDRESS 35 Clute St			FACILITY PHONE (604) 525-6471
CITY New Westminster	POSTAL CODE V3L 1Z5		MANAGER Lorrie Gerrard

INSPECTION DATE June 25, 2021	ADDITIONAL INSP. DATE (multi-day) June 30, 2021		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 6.5
ARRIVAL 09:30 AM	DEPARTURE 03:30 PM	ARRIVAL 10:00 AM	DEPARTURE 10:30 AM	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: 31050 - RCR s.15(1) - A licensee must ensure that, if necessary for the health and safety of a person in care, windows are secured in a manner that prevents a person in care from falling from, or exiting through, the window. Observation (CORRECTED DURING INSPECTION): During this routine inspection, the large sliding windows in the Rainbow lounge were noted to be unsecured and open in a manner that persons in care could fall through the screens and out of the window. In addition, a large tilting window was open and wide enought for a PIC to exit. Corrective Action(s): Please ensure that these windows are secured in a manner to prevent a PIC from falling out of or exiting these windows. Please ensure that audits of window security is performed as a part of regular physical plant audits. Date to be Corrected: July 31, 2021 PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31270 - RCR s.21(d) - A licensee must ensure that all furniture and equipment for use by persons in care (d) are maintained in a safe and clean condition. Observation: During this routine inspection, it was noted that several PIC's had larger televisions sitting unsecured on cabinets or chest of drawers. These items are a tipping hazard Corrective Action(s): Please ensure that any televisions or other furniture that is capable of falling over is appropriately secured. Date to be Corrected: July 2, 2021

Comments

This Licensing Officer would like to thank the Director of Care (DOC) and staff for their assistance in completing this routine inspection. Comments A review of resident care plans noted that the the "Social History" was being referred to as the Recreation Care Plan, and was not being updated until the first care conference. Please ensure that this information is incorporated into each resident care plan within 30 days of the Person In Care's stay at the facility. It was suggested that when community outings resume that a copy of PIC's MOST is taken by the activity coordinator in case medical intervention is required. The facility has secured the windows in the noted area. Televisions over 32" will be secured (18 rooms approximately exceed that size) to cabinet or wall. Televisions will be secured by the end of July 2021. Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

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

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