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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JSTT-CTTVED

FACILITY NAME
917 Foster
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
1081567
FACILITY ADDRESS
917 Foster Ave
FACILITY PHONE
(604) 313-4532
CITY
Coquitlam
POSTAL CODE
V3J 2L8
MANAGER
Tanya Goodine

INSPECTION DATE
July 18, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
09:45 AM
DEPARTURE
12:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was completed to assess compliance with the: Community Care and Assisted Living Act (CCALA), the Residential
Care Regulation (RCR), and the relevant Director of Licensing Standards of Practice (DOLSOP). 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.

Care systems reviewed during inspections include:
· Licensing
· Physical Facility
· Staffing
· Policies and Procedures
· Care and Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records & 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).

Contraventions
Previous Inspection -
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: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: Hot water temperatures were checked in both bathrooms accessible to the person's in care. Temperatures were observed at 54.1 Celsius and 55.4 Celsius. Staff do regularly monitor the water using a laser thermometer and have considered changing their thermometer.
Corrective Action(s): A licensee must ensure that water accessible to a person in care, is not heated to more than 49'Celsius
Date to be Corrected: July 25 2023


Comments

Thank you to all staff that helped in assisting with this inspection day.

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
Jul 25, 2023

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