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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KBOI-B2ER9H
FACILITY NAME
Goodlad House		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
3283073
FACILITY ADDRESS
7912 Goodlad St		FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Robert LaMarre
INSPECTION DATE
July 06, 2018		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
11:00 AM		DEPARTURE
01:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up		# CHILDREN ENROLLED
Introduction

A scheduled follow up inspection to Routine Inspection dated March 15, 2018 was conducted. Areas of non-compliance identified at the Routine Inspection were reviewed for compliance. The Team Leader and Residential Services Facilitator were available for the inspection.

Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected except for those noted on supplementary pages.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
POLICIES AND PROCEDURES: 33150 - RCR s.68(3(b)(ii) - The medication safety and advisory committee must establish and review as required (b) policies and procedures in respect of (ii) the immediate response to and reporting of medication errors and adverse reactions to medications.
Observation: The annual pharmacy review and minutes of the MSAC were available for review. The minutes included evidence of medication review, the pharmacy audit and policy review. The minutes did not include evidence to show that the medication training and orientation program was reviewed or that medication errors or adverse reactions to medications were reviewed.
Corrective Action(s): Ensure that MSAC minutes reflect all of the legislative requirements in RCR 68(3)
Date to be Corrected: December 31, 2018
Comments

Thank you to the Goodlad team for all the work since the routine inspection to correct the contraventions identified. The Team Leader confirmed that the Policy and Procedure Committee reviews the policies annually. The Table of Contents on the online version of policies states "Published Feb 9, 2018". The Team Leader will send email confirmation that the policies were all reviewed by that date. It is recommended that the table of contents be updated to reflect this review. The Procedures manual does show March 6, 2018 as a summary of updates.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
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