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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKAS-CNFPWW

FACILITY NAME
Brookside Lodge
SERVICE TYPES
130 Long Term Care
150 Acquired Injury
FACILITY LICENSE #
TGAL-9KZQCZ
FACILITY ADDRESS
19550 Fraser Hwy
FACILITY PHONE
(604) 530-6595
CITY
Surrey
POSTAL CODE
V3S 6K5
MANAGER
Divya Daniel

INSPECTION DATE
January 24, 2023
ADDITIONAL INSP. DATE (multi-day)
January 26, 2023
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
9
ARRIVAL
11:00 AM
DEPARTURE
04:00 PM
ARRIVAL
08:00 AM
DEPARTURE
12:00 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
109

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (C.C.A.L.A.), the Residential Care Regulation (R.C.R.), and the relevant Director of Licensing Standards of Practice (D.L.S.P.). 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
- Policies and Procedures
- Care and Supervision
- Hygiene and Communicable Disease Control
- Medication
- Nutrition and Food Services
- Program
- Records and Reporting

As part of this routine inspection a facility risk assessment tool is completed. The risk assessment includes contraventions 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/residentialcare for:
-Additional resources and
-Links to the Legislation(CCALA & RCR)

Contraventions
Previous Inspection - Contraventions observed on FIR # 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

This Licensing Officer would like to thank the Managers and Staff for their assistance in completing this routine inspection.

Discussion with the team around Reportable Incident reporting that includes relevant information needed in RIs.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.

(Please note: this inspection report was reviewed with the Manager on site, signed and a copy provided with the corresponding risk assessment.)

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

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