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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

EJON-CW9STF

FACILITY NAME Eightieth Avenue House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 0904190
FACILITY ADDRESS 11448 80th Ave			FACILITY PHONE (604) 597-0437
CITY Delta	POSTAL CODE V4C 1X3		MANAGER Pramjeet Singh (Julie)

INSPECTION DATE September 29, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2
ARRIVAL 12:30 PM	DEPARTURE 02:00 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE 4

Introduction

ROUTINE INSPECTION 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. 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.

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: 31020 - RCR s.14(1) - A licensee must ensure that a person in care who requires a mobility aid may access, in a manner appropriate to the needs of the person in care, all areas intended for use by persons in care. Observation: During the inspection of the lower level bathroom, and in discussion with staff, it was noted that the shower stall is not accessible to the person in care who requires a mobility aid. The shower on the lower level is for the primary use of this person in care, and no other bathing facility is available to them. To ensure hygiene, staff have been showering the person in care in the bathroom area, however, no floor drain is available, and the shower must be done quickly. Corrective Action(s): Please ensure that the person in care who requires a mobility aid may access all areas intended for use by the person in care. Date to be Corrected: Please provide a plan as to how this contravention will be addressed by October 31, 2023.

Comments

This LO would like to thank the manager and staff for their assistance in completing this routine inspection. Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to Licensing	No action required
Due Date Oct 31, 2023

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