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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-CPBPSL
FACILITY NAME
Phoenix Center Quibble Creek		SERVICE TYPES
125 Substance Use
FACILITY LICENSE #
KPUL-BAMULH
FACILITY ADDRESS
13670 94A Ave		FACILITY PHONE
(604) 583-7166
CITY
Surrey		POSTAL CODE
V3V 1N1		MANAGER
Angela Bodaly
INSPECTION DATE
February 17, 2023		ADDITIONAL INSP. DATE (multi-day)
February 22, 2023		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
11:30 AM		DEPARTURE
12:30 PM		ARRIVAL
12:00 PM		DEPARTURE
03:00 PM		ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

Routine Inspection Report

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (C.C.A.L.A.), the Residential Care Regulation (R.C.R.), and the relevant Director of Licensing Standards of Practice (D.L.S.P.). 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
- Policies and Procedures
- Care and Supervision
- Hygiene and Communicable Disease Control
- Medication
- Nutrition and Food Services
- Program
- Records and Reporting

As part of this routine inspection a facility risk assessment tool is completed. The risk assessment includes contraventions 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
LICENSING: 30160 - RCR s.11(1)(b) - A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility (b) the most recent routine inspection record made under section 9 (1)(d) of the Act.
Observation: During inspection of the physical facility, it was confirmed that the previous routine inspection report was not posted.
Corrective Action(s): Please ensure the most recent routine inspection is posted for person in care awareness.
Date to be Corrected: March 10, 2023

POLICIES AND PROCEDURES: 33030 - RCR s.48(1)(c)(i) - Before admitting a person to a community care facility, a licensee must advise the person, or the person's parent or representative, of (c) how the person, or the person's parent or representative, may express concerns or make complaints to (i) a medical health officer.
Observation: In review of admission information (welcome/informational package), it was confirmed that persons in care are not provided with information regarding how to express a concern or make a complaint to the Medical Health Officer (Community Care Facilities Licensing).
Corrective Action(s): Please ensure all new admissions are provided with information regarding how to express a concern or make a complaint to Community Care Facilities Licensing (CCFL).
Date to be Corrected: March 10, 2023
Comments

This Licensing Officer would like to thank the Manager and Staff for their assistance in completing this routine inspection.

Please provide a response to Licensing by March 10, 2023 as to how the identified contravention in this report will be addressed.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

(Please post this inspection in a prominent place in the care facility.)
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 10, 2023
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.