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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

KBEL-C99QRC

FACILITY NAME Hylan Home		SERVICE TYPES 150 Acquired Injury	FACILITY LICENSE # 0782552
FACILITY ADDRESS 32223 Hylan Ave			FACILITY PHONE ()
CITY	POSTAL CODE		MANAGER Lydia Valle Nguyen

INSPECTION DATE November 30, 2021	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 1
ARRIVAL 09:30 AM	DEPARTURE 10:30 AM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Follow-up					# OBSERVED IN CARE

Introduction

An unscheduled follow up to the routine inspection KBEL-C49PGT was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulation(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.

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: 31320 - RCR s.22(3) - A licensee must ensure that all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices are inspected and maintained on a regular basis. Observation: Facility contains exercise equipment that is used by persons in care within their rehabilitation program. The plan provided to CCFL after the routine inspection stated that the equipment would be routinely inspected by staff using a checklist, however no checklist has been created and the plan has not been implemented. Corrective Action(s): Please ensure that the exercise equipment is inspected and maintained on a regular basis. Date to be Corrected: December 12, 2021 PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials. Observation: One cupboard previously used for chemical storage was no longer to be used, however was found unlocked and containing a chemical cleaner. Corrective Action(s): Please ensure that all chemicals and cleaning agents are secured at all times. Date to be Corrected: December 12, 2021

Comments

In discussion with the facility Manger, it was confirmed that the facility policy regarding Reportable Incidents was incomplete. Please refer to Schedule D in the Residential Care Regulation to ensure all matters are correctly reported to the CCFL as required.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to Licensing	No action required
Due Date Dec 13, 2021

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