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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-CY8TCX
FACILITY NAME
Forglen 5452		SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
NGIL-7PBVL2
FACILITY ADDRESS
5452 Forglen Dr		FACILITY PHONE
(604) 435-4110
CITY
Burnaby		POSTAL CODE
V5H 3K7		MANAGER
Nitesh Naidu
INSPECTION DATE
December 05, 2023		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
12:00 PM		DEPARTURE
01:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

An unscheduled routine was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP). 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
· Hygiene and Communicable Disease Control
· Physical Facility
· Medication
· Staffing
· Nutrition and Food Services
· Policies and Procedures
· Program
· Care and Supervision
· Records and Reporting

As part of this 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/long-term-care-licensing#.XXbB7myos2w for:
· Additional resources, and
· Links to the Legislation (CCALA and RCR)
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: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: Water Temperatures measured determined water accessible to persons in care exceeds 49 degrees celsius.
Corrective Action(s): Ensure water temperatures accessible to persons in care does not exceed 49 degrees celsius.
Date to be Corrected: December 21, 2023
Comments

Licensing would like to thank the staff for their assistance during this inspection.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Dec 21, 2023
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.