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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EJON-BAHNYA

FACILITY NAME
CRESST - South Fraser
SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
0982826
FACILITY ADDRESS
13525 98th Ave
FACILITY PHONE
(604) 587-4220
CITY
Surrey
POSTAL CODE
V3T 1B9
MANAGER
Angela Donohoe

INSPECTION DATE
March 22, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
09:00 AM
DEPARTURE
11:15 AM
ARRIVAL
DEPARTURE
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 (CCALA), the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP). 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 the inspection.

The following areas were reviewed:

o Licensing
o Physical Facility
o Staffing
o Policies and Procedures
o Care and Supervision
o Hygiene and Communicable Disease Control
o Medication
o Nutrition and Food Services
o Programming
o Records and Reporting

As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes noncompliance identified during the routine inspection, and a 3 year 'historical' review of the facility's compliance and operations.

Please visit the Community Care Facilities Licensing website at http://www.fraserhealth.ca/health-info/health-topics/residential-care-licensing/

[For additional resources, and links to the legislation (CCALA and 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
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 review of the laundry facility, it was noted that the washing machine is missing the knob to allow persons in care to select a proper wash setting. It was stated by the manager that staff have had to use pliers to start the machine. It was confirmed that persons in care are not able to operate the machine in this condition. The washing machine was also noted to be visibly rusting and corroding on several surface areas.
Corrective Action(s): Please ensure that equipment for use by persons in care are maintained in a good state of repair.
Date to be Corrected: May 22, 2019


Comments

This LO would like to thank the manager for her assistance in completing this routine inspection.

This report was reviewed and discussed with the Manager.

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

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
May 22, 2019

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