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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-AGDTUT

FACILITY NAME
Mountain View Home
SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
0703654
FACILITY ADDRESS
5133 Boundary Rd
FACILITY PHONE
(604) 823-6712
CITY
Abbotsford
POSTAL CODE
V3G 2N4
MANAGER
Katherine Newby

INSPECTION DATE
December 06, 2016
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5
ARRIVAL
10:00 AM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED

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
· 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 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 - Contraventions observed on FIR # have been corrected.
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: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: In an audit of 4 bedrooms, 2 bedroom closet doors, were difficult to open.
Corrective Action(s): Ensure all furniture and equipment is maintained in a good state of repair.
Date to be Corrected: January 6, 2017

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation (CORRECTED DURING INSPECTION): In the resident lounge, a portable heater was located within one foot of the christmas tree and coffee table, causing a potential safety concern.
Corrective Action(s): Ensure all areas are maintained in a safe condition. This heater was removed from the area promptly when the concern was identified.
Date to be Corrected:

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31780 - RCR s.35(2)(a) - A licensee must ensure that laundry facilities (a) if used by persons in care, have a slip resistant floor surface.
Observation: The laundry room did not have a slip resistant surface. The laundry is used by supervised persons in care as part of their work program.
Corrective Action(s): Ensure their is a slip resistant surface in the laundry facility
Date to be Corrected: January 6, 2017


Comments

The manager and licensee were unavailable for this inspection and this inspection was conducted with the assistance of the nurse and staff on duty. The staffing portion of this inspection was not completed at today's unscheduled inspection and will be completed during a follow up inspection.

There is currently 21 persons in care residing at the home.

The following was discussed:
- It is recommended that the Hairdressing Room be labelled as such. At present it is labelled as "Bathroom" but not used in this manner.
- One person in care's bathroom sink taps for cold and hot water were reversed. It is recommended to be switched as appropriate.
- Four bags of the same item in one freezer had only one bag labelled. It is recommended that all of the bags be labelled as the bag with the label may be discarded sooner and the information not transferred to the other bags.
- Family Council meetings are in the process of being conducted and developed.

Fire inspection and drills were documented in meeting notes as conducted but evidence was not available. This will also be reviewed at the follow up inspection.

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
Jan 06, 2017

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