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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

SYUU-CC6N3U

FACILITY NAME Hunter Park Residence		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 0982344
FACILITY ADDRESS 19977 45A Ave			FACILITY PHONE (604) 220-4526
CITY Langley City	POSTAL CODE V3A 8C7		MANAGER Barb Winthrop

INSPECTION DATE March 02, 2022	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 3
ARRIVAL 10:30 AM	DEPARTURE 01:00 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/residentialcare 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: 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: The sliding track of a PIC's closet door is not in place. Leadership is aware of the issue and will addressed in the near future. Corrective Action(s): Please ensure all rooms are in a good state of repair Date to be Corrected: May 2, 2022 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: PRN effectiveness was not recorded on the MAR record form. Corrective Action(s): Please ensure PRN effectiveness is recorded as part of the Policies and Procedures of the Medication Safety and Advisory Committee. Date to be Corrected: March 5, 2022

Comments

Please provide a written response to the coded contraventions by March 14, 2022. Due to the Infection prevention measures, the inspection report was not written on site but discussed at the time of the inspection. Copy of the report was sent via email to Leadership. Thank you for your assistance during the inspection.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Provide a written response to Licensing	No action required
Due Date Mar 14, 2022

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