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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AKUR-BL2PA8
FACILITY NAME
Porter Lane		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
1081182
FACILITY ADDRESS
1107 Como Lake Ave		FACILITY PHONE
(604) 939-5047
CITY
Coquitlam		POSTAL CODE
V3J 3N9		MANAGER
Marcela Vancl
INSPECTION DATE
January 21, 2020		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
11:00 AM		DEPARTURE
02:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DOLSOP). 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 · Hygiene and Communicable Disease Control
· Physical Facility · Medication
· Staffing · Nutrition and Food Services
· Policies and Procedures · Program
· Care and Supervision · Records and Reporting

As part of this 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 and 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: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: It was noted during physical inspection of the facility that there are many scruffs, dents and scratches in the paints around the walls and door frames caused by wheelchairs.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in good state of repair.
Date to be Corrected: February 7th, 2020.

POLICIES AND PROCEDURES: 33170 - RCR s.74(1)(b)(i) - Subject to subsection (2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (i) the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care.
Observation: It was noted during a PIC (patient in care) file review who uses restraint has no signed consent from PIC, parent or representative.
Corrective Action(s): Please ensure that consent for restraint use is obtained from PIC, parent or representative who is closest to and actively involved in the life of the person in care.
Date to be Corrected: February 7th, 2020
Comments

The Licensing Officer (LO) would like to thank the Manager for her time and assistance in completing this routine inspection. Please submit safety plans for any painting work to be done to address these contraventions.
This report was reviewed and discussed with manager. A copy of this report was left at the facility.
Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.
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 07, 2020
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.