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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AROE-C5ZPBC
FACILITY NAME
Magnolia Gardens		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
MLAO-9ZTU77
FACILITY ADDRESS
5840 Glover Rd		FACILITY PHONE
(604) 514-1210
CITY
Langley		POSTAL CODE
V3A 9K3		MANAGER
Sue Wilson
INSPECTION DATE
July 27, 2021		ADDITIONAL INSP. DATE (multi-day)
August 18, 2021		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
12:00 PM		DEPARTURE
02:00 PM		ARRIVAL
10:00 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 contact the geographic area Licensing Officer.
Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected.
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: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: During the inspection it was noted that:

-The servery counter is worn down to the wood
-The servery cupboard doors have worn down paint around the handles- discussion with the DOC noted that this is up for replacement in 2022
-The nursing station laminate is broken and chipped on the corners
-The men's resident washroom at the front of the building has damage to the drywall
-The carpet in the hallways is stained and worn - discussion with the DOC noted that this is up for replacement in 2022
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair
Date to be Corrected: September 1 , 2021
Comments

Thank you to the team and management for their time and support during the routine inspection

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
Sep 01, 2021
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.