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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-AYZUQR

FACILITY NAME
Oriole Lodge
SERVICE TYPES
120 Mental Health
FACILITY LICENSE #
0703865
FACILITY ADDRESS
32539 Oriole Cres
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Mary M. MacKenzie

INSPECTION DATE
May 22, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
02:15 PM
DEPARTURE
03:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# CHILDREN ENROLLED

Introduction

Today's follow up inspection to Routine inspection KDHL-AV3S5T dated January 12 and 16, 2018, was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP).

For resources for licensees, links to the Legislation (CCALA and RCR), and Residential Care Facility Inspection Reports posted online go to: www.fraserhealth.ca/residentialcare

Contraventions
Previous Inspection - Contraventions observed on FIR #KDHL-AV3S5T have been corrected.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice.

Observed Violations
No violations were found during the inspection.

Comments

During this inspection, the Licensing Officer met with the Manager. The following was reviewed and discussed:

- Licensing - Self -monitoring
Systems have been implemented to ensure updates to documentation and information occurs as necessary, with records available for review.

- Physical Facility - Secure place for persons to store valuables, appropriate seating outdoors
Documentation updated and shelter from inclement weather provided.

- Staffing - Performance reviews, MSAC Meetings
Reviews are in process to be completion. Completion date - June 30, 2018
MSAC meetings implemented with set schedule and agenda to meet the intent of legislation

- Policies and Procedures - Emergency plan, policy review and implementation by staff
Emergency/ Disaster plan updated and systems implemented
Checklists and updates to policy have been implemented. Updates have been made to systems, compliance will be monitored by management.

Systems have been implemented to ensure all outstanding items are addressed.

This report was reviewed and discussed with the Manager for this site. All previous contraventions appear to have been addressed appropriately.

Action Required by Licensee/ManagerAction Required by Licensing Staff
No action requiredNo action required

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