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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

FBES-CDMS5P

FACILITY NAME Goodlad House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 3283073
FACILITY ADDRESS 7912 Goodlad St			FACILITY PHONE (604) 521-0947
CITY Burnaby	POSTAL CODE V5E 2H9		MANAGER Emily Seselja

INSPECTION DATE April 19, 2022	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 3
ARRIVAL 09:45 AM	DEPARTURE 12:45 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 & 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 https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing#.W2NubJioupo for: · Additional resources and · Links to the Legislation (CCALA & RCR)

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: 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: Furniture in the PICs living area was missing a door with rough edges, it was only covered with cardboard. The PIC's shower curtain rod requires proper reattachment to the wall. Corrective Action(s): Please ensure that all furniture and equipment for use by the persons in care are maintained in a good state of repair. Date to be Corrected: May 3, 2022 RECORDS AND REPORTING: 39470 - RCR s.87(c) - A licensee must keep a record of the following matters respecting food services: (c) the results of monitoring, by the licensee, of food services and nutrition care. Observation: Review of the menu and nutrition monitoring records found there to be missing a menu checklist. Corrective Action(s): Please ensure to keep a record of nutritional monitoring, with respect to menu auditing. Date to be Corrected: May 3, 2022

Comments

Thank you for the staff for their assistance and cooperation with the completion of this routine inspection. Discussed with the team leader regarding proper storage of emergency food supplies. The report was written off-site and therefore not signed. The findings were discussed with the facility team leader 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 May 3, 2022.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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