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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKAS-CRGPGV

FACILITY NAME
Twenty Sixth Avenue Home
SERVICE TYPES
104 Specialized Residential Care Home
FACILITY LICENSE #
0982534
FACILITY ADDRESS
27134 26th Ave
FACILITY PHONE
(604) 856-6097
CITY
Aldergrove
POSTAL CODE
V4W 3N6
MANAGER
Baldeep Randhawa

INSPECTION DATE
May 03, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
12:15 PM
DEPARTURE
01:45 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
4

Introduction

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 as part of a routine inspection:
- 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.

Visit the CCFL website at https://www.fraserhealth.ca/residentialcare for:
-Additional resources and
-Links to the Legislation (CCALA & RCR)

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of 2 Persons in care(PICs) charts determined that both were missing evidence of monthly weights over the last 12 months; 1 PICs chart did not have evidence of 3 weights and the other PICs chart did not have evidence of 5 weights..
Corrective Action(s): Please ensure that each person in care is weighed at least once each month.
Date to be Corrected: May 17, 2023


Comments

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

Please provide a written response by May 17, 2023 indicating the corrective actions taken and/or time line and plan for compliance with legislative requirements.

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

(Please note: this inspection report was reviewed with the staff on site and signed It was then sent with the corresponding risk assessment to the Manager/ Licensee via email.)

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 17, 2023

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