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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CRAU-BADNLZ

FACILITY NAME
13330 - 20A Avenue
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982206
FACILITY ADDRESS
13330 20A Ave
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Gigi Rojas

INSPECTION DATE
March 18, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
09:45 AM
DEPARTURE
11:15 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE
4

Introduction

The writer followed-up with the Manager to the routine inspection report # CRAU - B8ERZU (completed on January 14, 2019).

Contraventions
Previous Inspection - Not Applicable
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: As per routine inspection report # CRAU - B8ERZU completed on January 14, 2019, the Manager stated the Licensee's Handyperson will do the touch up painting while BC Housing will complete the entire painting, but no date has been set yet.
Corrective Action(s): Please touch base with the Licensee's Handyperson and BC Housing as to proposed dates for completion.
Date to be Corrected: Please provide a written response by the timeline noted in this report.


Comments

Policies and Procedures:

- Fire drills for January and February 2019 seen by the writer.

Medications:

- Overall PRN medication charting with the effects/results appear to be noted except for one. Specifics provided during the inspection and the Manager will follow-up on this. Given overall the PRN charting is noted with effects/results this was not made a contravention.

Physical Plant:

- Front living area floor vent has been repaired as it was cracked previously.

- Fire extinguisher by the tub room is now noted with a up to date service tag.

- Concrete pathway that is uneven discussed with the Manager. Red cones have been placed around the area that is uneven until such time this is addressed. The Manager stated this uneven area is near the adjacent home (licenced home at 13333-20th Avenue, Surrey) that is nearby and the Manager will follow-up with that home's Manager. Until such time this is fully addressed, if issues arise, please ensure appropriate health and safety measures are implemented to ensure the health and safety of all persons in care.

- Hot water temperature randomly checked at the sink in the shower room. The temperature was noted to be at 49.8 degrees Celsius. The Manager showed the writer an e-mail dated March 13, 2019 sent to BC Housing around this issue and during the inspection the Manager called BC Housing and BC Housing will be installing a device to maintain the hot water temperature at 49 degrees Celsius during the week of March 18, 2019. Please let the writer know when this is completed.

Thank you for your time to complete this inspection and if there are any questions related to this report, please contact your Licensing Officer.

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
Mar 25, 2019

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Click here for a description of each "Category" of violation displayed.