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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NBIH-AS3RMR
FACILITY NAME
Crossroads Inlet Centre Hospice		SERVICE TYPES
110 Hospice Care
FACILITY LICENSE #
KSER-5RBRRL
FACILITY ADDRESS
101 Noons Creek Dr		FACILITY PHONE
(604) 949-2270
CITY
Port Moody		POSTAL CODE
V3H 5J1		MANAGER
Barbara Morningstar
INSPECTION DATE
October 12, 2017		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
11:00 AM		DEPARTURE
02:45 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
· 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)
If you have any questions regarding this report feel free to contact me at 604-949-7714 or by email at nicholas.birch@fraserhealth.ca

Contraventions
Previous Inspection - Contraventions observed on FIR #SCLY-AFY289 have been corrected.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
LICENSING: 30050 - RCR s.8(3)(a) - If the manager of a community care facility resigns, or is or expects to be absent for at least 30 consecutive days, the licensee must (a) notify a medical health officer.
Observation: The Executive Director stated that the previous manager left her position at the facility around the end of May 2017. Licensing has not received notification of this change as of the date of inspection. The ED stated that the position has been covered by herself in the interim and the aim is to have it filled on a permanent basis within the next 3 weeks.
Corrective Action(s): Please ensure that is the manager of the facility resigns, or is (or expects to be) absent for at least 30 consecutive days licensing is notified.
Date to be Corrected: November 3 2017


Comments
Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Nov 03, 2017
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.