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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KDHL-BAFSRF
FACILITY NAME
Grant St. West
SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0782159
FACILITY ADDRESS
2375 Grant St
FACILITY PHONE
(
604
)
864-6448
CITY
Abbotsford
POSTAL CODE
V2T 2M8
MANAGER
Louise Duck
INSPECTION DATE
March 18, 2019
ADDITIONAL INSP. DATE (multi-day)
March 19, 2019
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
11:00 AM
DEPARTURE
02:00 PM
ARRIVAL
01:00 PM
DEPARTURE
02:30 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). 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.
The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Polices & 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/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.
Observed Violations
No violations were found during the inspection.
Comments
The performance reviews and staffing checklist were not reviewed during this inspection. These items will be reviewed at head office as part of a follow up inspection.
Action Required by Licensee/Manager
Action Required by Licensing Staff
No action required
No action
required
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.