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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-AWNPMH
FACILITY NAME
Hylan Home		SERVICE TYPES
150 Acquired Injury
FACILITY LICENSE #
0782552
FACILITY ADDRESS
32223 Hylan Ave		FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Lydia Valle Nguyen
INSPECTION DATE
March 08, 2018		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
09:30 AM		DEPARTURE
12:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up		# CHILDREN ENROLLED
Introduction

A follow up inspection 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 # have been corrected except for those noted on supplementary pages.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: Review of policy binder containing policies related to Personnel, Environmental, Support services, and Nutrition reflect a review date of May 2016. Discussion with the manager was stated that policies are current but was missed for signing off.
Review of the Fire Safety plan requires an update with information regarding persons in care - a change which occurred approximately 3 weeks ago.
Corrective Action(s): Ensure policies and procedures are reviewed at least once a year.
Date to be Corrected: April 6, 2018
Comments

The following systems were reviewed at this inspection:
- Policies and Procedures, including emergency plans -2 fire drills a year now occur with the Fire Safety Company.
- Physical facility - one bedroom that was previously in use.
- Admission package - reflecting all fees and charges to persons in care.
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 06, 2018
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Click here for a description of each "Category" of violation displayed.