LICENSING: 30010 - RCR s.8(1) - Licensees and applicants for licences must notify a medical health officer immediately of any change in the information provided under section 7.
Observation: A new manager has been designated May 2016. Licensing was not notified of change.
Corrective Action(s): Ensure Licensing is immediately notified of any changes in the information provided under section 7 of the Residential Care Regulations. . Licensing will provide The Amendment Form, Licensee Declaration Form to the manager, as well as the Licensed Residential Care bulletin for Change of Facility Manager requirements. These are also available under resources tab at www.fraserhealth.ca/residentialcare.
Date to be Corrected: December 23, 2016
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: Kitchen table is worn throughout the surface of the table. The wheelchair ramp in the tub room continues to be rusted, in turn causing transfer of rust stains on the floor of the tub room.
Corrective Action(s): Ensure all furniture and equipment for use by persons in care are maintained in a god state of repair.
Date to be Corrected: December 23, 2016
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: 3 of 4 bedrooms have noticeable wear and tear. 1 bedroom has a wall paper partly detached from the wall, and all 3 bedrooms have various levels of scratches/ indents in the walls, some indents exposing jiprock, which will cannot be cleaned or sanitized.
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: December 23, 2016.
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31330 - RCR s.23(a) - A licensee must ensure that (a) no one other than a person in care smokes while on the premises of a community care facility.
Observation: There is a structure on facility premises (back of property) that is used as smoking site for staff. Smoking policy also states that employees will not smoke on site.
Corrective Action(s): Ensure no persons other than persons in care smoke on site.
Date to be Corrected: December 23, 2016
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: For 1 person in care, there was no evidence of confirmation compliance with the Province's Tuberculosis program upon admission.
Corrective Action(s): Ensure compliance with the Province's tuberculosis programs.
Date to be Corrected: December 23, 2016.
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