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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KBEL-C3TS6T
FACILITY NAME
Bethesda Chilcotin Home		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
SSTN-98LVEZ
FACILITY ADDRESS
32704 Chilcotin Dr.		FACILITY PHONE
(604) 744-5274
CITY
Abbotsford		POSTAL CODE
V2T 5S5		MANAGER
Lorraine Derksen
INSPECTION DATE
June 09, 2021		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
09:30 AM		DEPARTURE
12:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
4
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 noncompliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.

Visit the CCFL website 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.
Observed Violations
No violations were found during the inspection.
Comments

Licensing and the facility manager had the following discussions:

There are a few small areas on the living room wall that are in the process of being repaired. Final step is painting which will be completed shortly.
During COVID restrictions, the respite suite has not been occupied, items that are no longer in use are being stored in there until disposed of. As restrictions lighten, the suite is hoped to be used again.
Confirmed that when persons in care (PIC) leave the premise, they will be accompanied by staff who are supplied with first aid kits and relevant PIC information in the case of an emergency. This includes short distances off site.
Licensing Officer will provide the manager with updated TB Screening forms.
Action Required by Licensee/ManagerAction Required by Licensing Staff
No action requiredNo action required
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.