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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JSAT-CF5NBF

FACILITY NAME
Firth Residence
SERVICE TYPES
125 Substance Use
FACILITY LICENSE #
DANN-A5XVZ3
FACILITY ADDRESS
Removed at operator's request
FACILITY PHONE
Removed at operator's request
CITY
Abbotsford
POSTAL CODE
Removed at operator's request
MANAGER
Removed at operator's request

INSPECTION DATE
June 01, 2022
ADDITIONAL INSP. DATE (multi-day)
June 06, 2022
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
09:30 AM
DEPARTURE
12:00 PM
ARRIVAL
01:00 PM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
10

Introduction

An unscheduled routine inspection was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and 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: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: -In the laundry room, there was clothing that was said to be donated, cluttering the counter area, with so garments that had fallen on the floor and outside the doorway. Of concern is that items that are considered clean, can be contaminated when not contained. This was corrected by the 2nd day of inspection.
-In the PICs bathrooms, the ceiling tiles were noted to have some staining, lifting, and in one room when the bathroom fan was turned on, the ceiling tile was sucked up when the fan was engaged.
-In the kitchen, cupboard doors were noted to have the finish peeling off, cupboard doors and drawers are difficult to open and close, and in poor repair.
-In the upper lounge area, movies and games were stored on the floor, making the area difficult to clean.
Corrective Action(s): Please ensure all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: June 13, 2022


Comments

Discussion between Licensing officer and manager:
-Staffing requirements were reviewed as a checklist from HR
-emergency water supply
-Proposed kitchen expansion (meeting to take place in the near future)
-approved exemption RE: dinning space
-water temperatures

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.