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

FACILITY NAME
Amica White Rock
SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
TBIU-B38N9X
FACILITY ADDRESS
15333 16th Ave
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Tamara Quinn

INSPECTION DATE
March 15, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.75
ARRIVAL
09:30 AM
DEPARTURE
12:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE

Introduction

This is a follow-up inspection completed with the General Manager, Director of Wellness and Resident Services Coordinator to the routine inspection report #CRAU-C6QMWE (completed on September 7, 2021).

Staffing:

An internal audit of the personnel files has been completed and character references, performance appraisals, and immunizations are all up to date for all the staff. Regarding copies of educational credentials, this is received for new hired staff. For long term staff, for example for Care Aides, their BC Care Aide Registry in good standing is kept on file and staff are bringing in copies of their educational credentials. Please refer to the following section of the Residential Care Regulation:

Character and skill requirements
37   (1)A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first obtained all of the following:
(d)copies of any diplomas, certificates or other evidence of the person's training and skills
Nutrition and Food Services:
- The Dietitian has completed in-services for the staff who prepare and deliver the food. The Dietitian was in the process of putting together a formal education calendar for the year 2022 (includes assisted eating techniques). This was received via e-mail on March 15, 2022.
- Nutrition audits are documented and a schedule as to when they are to be completed appears to be followed.
- Satisfaction with the food surveys, the Dietitian has formulated an action plan to address areas where improvement is required.
- The Dietitian showed the Licensing Officer other systems related to nutrition and food services that have been updated and/or implemented (e.g., assessments schedule).
- Weight documentation is kept up to date and if there is fluctuations of 2 lbs. (pounds), then the person(s) in care are re-weighed.

Contraventions
Previous Inspection -
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: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: The hot water temperature was randomly measured at a ensuite washroom sink in a bedroom and the reading was 51.7 degrees Celsius.
Corrective Action(s): Please ensure that water accessible to a person in care, from any source, is not heated to more than 49 degrees Celsius.
Date to be Corrected: Morning of March 16, 2022 with notification to the Licensing Officer as to how this has been addressed and the temperature reading after this has been looked into.


Comments

Due to the Covid-19 pandemic, the findings were reviewed and discussed with the General Manager, Director of Wellness, and Resident Services Coordinator at the time of the inspection. The hot water temperature must be addressed by the morning of March 16, 2022 and please ensure your Licensing Officer is made aware of how this item will be addressed and what the temperature reading is after this has been looked into. This inspection report was written off-site and then emailed on March 15, 2022 to the General Manager for review and to finalize the report once they were in agreement to the wording. As a result of the pandemic, signature for the Facility Management is not included. If there are further questions related to this follow-up inspection 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 16, 2022

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