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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

VDAN-AFH2S9

FACILITY NAME Decaire House		SERVICE TYPES 140 Community Living	FACILITY LICENSE # 1081056
FACILITY ADDRESS 498 Decaire St			FACILITY PHONE (604) 939-6106
CITY Coquitlam	POSTAL CODE V3K 5A3		MANAGER Marcela Vancl

INSPECTION DATE November 07, 2016	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 3.25
ARRIVAL 02:15 PM	DEPARTURE 05:30 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# CHILDREN ENROLLED 3

Introduction

This is an unannounced annual Routine Inspection to assess the facility compliance with the Residents' Bill of Rights (RBR), the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulations (RCR). The Facility is assessed for the following systems; Licensing Physical Facility Staffing Policies and Procedures Care and Supervision Hygiene and Communicable Disease Control Medication Nutrition and Food Services Program Records and Reporting

Contraventions

Previous Inspection - Contraventions observed on FIR #VDAN-A57RUZ 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: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair. Observation: A kitchen cupboard door is missing under the counter, the drain in the tub bathroom was slow to empty, and a piece of furniture, dresser, was observed to be very scuffed from being hit by a ceiling lift controller. Corrective Action(s): Please provide a plan that will ensure that all equipment and furnishings are maintained in a good state of repair. Date to be Corrected: November 21, 2016

Comments

There were 4 staff present for the inspection. The staff who was assisting with the inspection is new to the site and has been orientating for 1 week. She informed writer that she and the manager both attended the most recent workshop for Nutrition Planning which occurred at the Poirier Recreation Centre last week. The staff stated she and the present manager are in the midst of re-working the menu, reviewing the audits and don't expect to be finished for 2 weeks. The Canada Food Guide was reviewed with the staff from the perspective of licensing to identify numbers of food groups for meals and snacks. A copy was left with the staff. There were some deficiencies noted for numbers of food groups in the current menu, but these are expected to be corrected during the review. New blinds are noted to replace damaged blinds from last year. The staff records were not available for inspection by the LO. A check list was left for the staff qualification and a request to forward to the manager/head office and forward the information to this LO. The information received will be reviewed for compliance with the legislation. There are 3 regular residents living in the facility at present with one respite resident who stays occasionally. I want to thank the staff for assistance with this inspection. This home appears clean and well organized.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to Licensing	No action required
Due Date Nov 21, 2016

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