| Fair Haven Burnaby Lodge - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | November 24, 2022 |
| Reason for Investigation | - Care and supervision |
| Report of Findings |
|---|
| Community Care Facilities Licensing (CCFL) received a complaint on September 12, 2022. The complainant provided the following concerns: - The person in care should not be residing in the secured unit (BSTN unit), as it restricted her movement in the facility without cause. - PIC did not have access to her bedroom and belongings. - The PIC’s care plan was not available for review. - Staff failed to provide adequate supervision of persons in care on September 9, 2022. All areas of the complaint were fully investigated. Evidence was received and reviewed through staff interviews, communications with facility management, and a review of documentation. Licensing determined the following contraventions: Residential Care Regulation Section 74(1)(b)(i)(ii) Residential Care Regulation Section 75(3)(a)(i) |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 33170 - RCR s.74(1)(b)(i) | Subject to subsection 74(2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (i) the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care. Observation: Licensing determined there was no written agreement for use of restraint. Corrective action: Corrective action required. |
| 33180 - RCR s.74(1)(b)(ii) | Subject to subsection 74(2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (ii) the medical practitioner or nurse practitioner responsible for the health of the person in care. Observation: Licensing determined there was no written agreement for use of restraint. Corrective action: Corrective action required. |
| 34550 - RCR s.75(3)(a)(i) | If a restraint is used under section 74(1)(b) and the use of the restraint continues either continuously or intermittently for more than 24 hours, a licensee must (a) reassess the need for the restraint on the earlier of (i) the time specified in the care plan of the person in care. Observation: Licensing determined proper reassessment of the restraint was not conducted. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |
