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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
VDAN-B8USHT

FACILITY NAME
Community Living Society - Neville House
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
SFOY-745SMR
FACILITY ADDRESS
5678 Neville St
FACILITY PHONE
(604) 432-6567
CITY
Burnaby
POSTAL CODE
V5J 2H9
MANAGER
D'Alquen Jackson

INSPECTION DATE
January 28, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
11:15 AM
DEPARTURE
02:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
3

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 www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)
If you have any questions regarding this report feel free to contact me at 604 918 7526, fax 604 918 7520

Contraventions
Previous Inspection - Contraventions observed on FIR #VDAN-AQFNL4 have been corrected.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: One topical ointment was found 1 month expired.
Corrective Action(s): Please provide a plan that will ensure that all medicated products are current and not outdated.
Date to be Corrected: Feb. 1, 2019


Comments

This facility is clean, residents rooms express their personalities. There are very active programs for the PIC's. I want to thank the manager for assistance with this inspection

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Feb 01, 2019

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