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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

FBES-CUKSDA

FACILITY NAME Edmonds House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 3203599
FACILITY ADDRESS 7731 Wedgewood St			FACILITY PHONE (604) 521-7857
CITY Burnaby	POSTAL CODE V5E 2E5		MANAGER Ronald Cuevas

INSPECTION DATE August 10, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 1.5
ARRIVAL 12:45 PM	DEPARTURE 01:55 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE 5

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). 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 · Policies & 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 https://www.fraserhealth.ca/health-topics-a-to-z/residential-care-licensing Residential Care Regulation Community Care and Assisted Living Act

Contraventions

Previous Inspection -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice.

Observed Violations

No violations were found during the inspection.

Comments

Thank you to all the staff for their assistance and cooperation with the completion of this focused routine inspection. A discussion with the leadership on staff appraisal to be completed on September 2023. No contravention was identified, all key indicators were met. The contraventions in 2022 routine inspection were addressed. The copy of the report and risk assessment were provided via email.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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