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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY

KDHL-AWLSLW

FACILITY NAME House 4		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 0968012
FACILITY ADDRESS 4 - 3800 72nd St			FACILITY PHONE (604) 946-0051
CITY Delta	POSTAL CODE V4K 3N2		MANAGER George Cook

INSPECTION DATE February 28, 2018	ADDITIONAL INSP. DATE (multi-day) March 06, 2018		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 6
ARRIVAL 09:00 AM	DEPARTURE 12:00 PM	ARRIVAL 10:30 AM	DEPARTURE 01:30 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 - 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: 31780 - RCR s.35(2)(a) - A licensee must ensure that laundry facilities (a) if used by persons in care, have a slip resistant floor surface.
Observation: Observation and discussion with the manager - laundry area accessible to persons in care does not have a slip resistant floor surface.
Corrective Action(s): Ensure that laundry facilities, accessible and/or used by persons in care, have a slip resistant floor surface.
Date to be Corrected: April 6, 2018

Comments

Licensing would like to acknowledge:
- Menu audits for all weeks of the spring/summer and fall/winter are in the process of being completed.
- There is a maintenance plan in place for various areas of wear and tear in the home.
- The manager maintains a "Residential Licensing Report" - which meets the intent of staff record requirements.
- Licensing has provided The Structural Change Bulletin for reference should any planned renovations occur.

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

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