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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

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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 October 13, 2022	ADDITIONAL INSP. DATE (multi-day) October 14, 2022		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 3.5
ARRIVAL 12:45 PM	DEPARTURE 02:45 PM	ARRIVAL 01:15 PM	DEPARTURE 02:15 PM	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE

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). 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 for Additional resources and Links to the Legislation (CCALA & RCR) Residential Care Regulation Community Care and Assisted Living Act

Contraventions

Previous Inspection -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations

STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee. Observation: Two signatures/codes missing in the medication administration record to one person in care. Corrective Action(s): Please ensure that all employees comply with the policies and procedures of the medication safety and advisory committee. Date to be Corrected: October 27, 2022 CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan. Observation: One of 4 persons in care's care plan was last reviewed in February 25, 2021. Corrective Action(s): A licensee must ensure that each care plan is reviewed at least once each year. Date to be Corrected: October 31, 2021

Comments

Thank you to all the staff for their assistance and cooperation with the completion of this routine inspection. The facility appeared to be well-maintained except for minor scuffs and scratches noted on walls, doors and door frames. The findings were discussed with the facility leadership while the licensing officer was on site. The copy of the report and risk assessment were provided via email. Please submit a written response to this routine inspection to Licensing by October 31, 2022.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Provide a written response to Licensing	No action required
Due Date Oct 31, 2022

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