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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
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FACILITY NAME
Coopershawk Court
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982800
FACILITY ADDRESS
8041 Coopershawk Ct
FACILITY PHONE
(604) 590-3901
CITY
Surrey
POSTAL CODE
V3W 0V1
MANAGER
Saveta Bikicki

INSPECTION DATE
March 13, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
10:00 AM
DEPARTURE
01:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED

Introduction

ROUTINE INSPECTION REPORT

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

Observed Violations
MEDICATION: 36130 - RCR s.70(4)(a) - A licensee may permit a person in care to self-administer medications if a plan for self-medication is (a) approved by the medication safety and advisory committee and the medical practitioner or nurse practitioner who prescribed or ordered the medication.
Observation: In review of the medication care plans for persons in care, it was noted that 1 person in care is self-administering medications. Although a care plan is in place for this plan, there is no approval from the medical practitioner or the Medication Safety and Advisory Committee (MSAC).
Corrective Action(s): Please ensure if persons in care are self-administering medications that approval has been received by the ordering medical practitioner and the MSAC.
Date to be Corrected: April 15, 2018


Comments

This LO would like to thank the Manager for her time and 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
Apr 13, 2018

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