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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NTJN-BCZNDV
FACILITY NAME
Murrayville Manor
SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
0982850
FACILITY ADDRESS
21616 46th Ave
FACILITY PHONE
(
604
)
530-9033
CITY
Langley
POSTAL CODE
V3A 3J4
MANAGER
Lori Crowley
INSPECTION DATE
June 06, 2019
ADDITIONAL INSP. DATE (multi-day)
June 10, 2019
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
7
ARRIVAL
11:00 AM
DEPARTURE
03:00 PM
ARRIVAL
09:00 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 www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)
If you have any questions regarding this report, please feel free to the area Licensing Officer.
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: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Review of the oxygen tank storage provided found that only two full oxygen tanks were stored but ten new tanks were not in a secure storage stand.
Corrective Action(s): Ensure that all equipment is safely and securely stored..
Date to be Corrected: July 10, 2019
Comments
This LO would like to thank the interim Manger of Care and Staff for their time and assistance in completing this routine inspection.
This report was reviewed and discussed with on-site staff. A copy of this report was left at the facility.
Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report
Action Required by Licensee/Manager
Action Required by Licensing Staff
No action required
No action
required
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.