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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JBAY-BZWTA7
FACILITY NAME
Quadling House A		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
AKLN-6AGNK5
FACILITY ADDRESS
A - 820 Quadling Ave		FACILITY PHONE
(604) 936-8456
CITY
Coquitlam		POSTAL CODE
V3K 2A4		MANAGER
Parminder Kaur Palak
INSPECTION DATE
April 09, 2021		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.5
ARRIVAL
09:05 AM		DEPARTURE
01:35 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
4
Introduction

An unscheduled routine inspection was completed to assess compliance with the: Community Care and Assisted Living Act (CCALA), the Residential
Care Regulation (RCR), and the relevant Director of Licensing Standards of Practice (DOLSOP). 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.

Care systems reviewed during inspections include:
Licensing
Physical Facility
Staffing
Policies and Procedures
Care and Supervision
Hygiene and Communicable Disease Control
Medication
Nutrition and Food Services
Program
Records & 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).
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: An inspection of the physical facility found that there was a hole in the drywall (approximately 5 cm in diameter) in the facility's living room on the main floor. Additionally, in the TV room upstairs, a window was observed to have a crack (approximately 45 cm long) on the inside pane which the facility currently has a plan to replace.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: May 14, 2021

POLICIES AND PROCEDURES: 33060 - RCR s.51(1)(a) - A licensee must have (a) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for the evacuation of persons in care.
Observation: A review of the facility's emergency supplies found that the supply of food and water was insufficient to support persons in care and staff for 3 days.
Corrective Action(s): Ensure that an emergency plan prepares for and is able to respond to and recover from any emergency including procedures for the evacuation of persons in care.
Date to be Corrected: April 26, 2021

HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: A review of persons in care admission records found that two persons in care did not have evidence of TB status.
Corrective Action(s): Ensure that all persons admitted comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: April 26, 2021

RECORDS AND REPORTING: 39430 - RCR s.86(c) - A licensee must keep the following records in respect of each employee: (c) compliance with the Province's immunization and tuberculosis control programs.
Observation: A review of employee records found that one employee did not have evidence of immunization and TB status.
Corrective Action(s): Ensure that records for each employee are in compliance with the Province's immunization and tuberculosis control programs.
Date to be Corrected: April 26, 2021


Comments

Please submit a written response by April 26, 2021 indicating the corrective action taken and/or timeline and plan for compliance with legislative requirements.

Licensing officer completed a COVID-19 Prevention Checklist with the site and provided the facility with a blank copy of the checklist to support the facility's COVID-19 readiness. The completed checklist was placed on the facility's physical file.

This inspection report was not signed by management as it was reviewed with the management over the telephone and sent via email to the site to reduce the amount of time the licensing officer had to spend on site as per COVID-19 prevention measures.
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
Apr 26, 2021
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.