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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
FBES-CY2VDQ
FACILITY NAME
Harmony Court Care Centre		SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
GLAE-5RPUZ9
FACILITY ADDRESS
7195 Canada Way		FACILITY PHONE
(604) 527-3300
CITY
Burnaby		POSTAL CODE
V5E 3R7		MANAGER
Teena Love
INSPECTION DATE
November 29, 2023		ADDITIONAL INSP. DATE (multi-day)
November 30, 2023		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5.5
ARRIVAL
12:50 PM		DEPARTURE
02:15 PM		ARRIVAL
10:50 AM		DEPARTURE
02:50 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). 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 except for those noted on supplementary pages.
Observed Violations
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: A medication found inside the medication cart has no date when it was opened, this medication can be stored outside the fridge for 28 days. Medication safety and advisory committee policy requires staff to document effectiveness of PRN medication administered. PRN medication effectiveness were not recorded to 4 persons in care.
Corrective Action(s): A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: December 14, 2023
Comments

Thank you to all the staff for their assistance and cooperation in the completion of this focused routine inspection.

The Licensee is in process and awaiting confirmation for support services staff's CRC renewal and CRC sharing consent.
A discussion with leadership to continue the documentation of person in care's dental consults, tray service monitoring and assessment as required.

The findings were discussed with the facility leadership and the report was written and signed at the site.
The copy of the report and risk assessment were provided via email.

Please submit a written response to this routine inspection to Licensing by December 14, 2023.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Dec 14, 2023
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.