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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-BAHPF5
FACILITY NAME
Oriole Lodge		SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
0703865
FACILITY ADDRESS
32539 Oriole Cres		FACILITY PHONE
(604) 504-7549
CITY
Abbotsford		POSTAL CODE
V2T 4C7		MANAGER
Rubyna Tatlock
INSPECTION DATE
March 13, 2019		ADDITIONAL INSP. DATE (multi-day)
March 22, 2019		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
10:00 AM		DEPARTURE
11:30 AM		ARRIVAL
09:30 AM		DEPARTURE
12:00 PM		ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
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
· Staffing
· 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 https://www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)
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
RECORDS AND REPORTING: 39580 - RCR s.91(1)(a) - A licensee must ensure that all records referred to in this regulation (a) are current.
Observation: Review of the disaster plan, determined an update to contact/ manager information was not updated when the change occurred.
Corrective Action(s): Ensure all records are current
Date to be Corrected: April 23, 2019
Comments
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 23, 2019
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.