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25th Avenue

635 25th Ave S Creston BC V0B 1G0 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

25th Avenue has been inspected 9 times by Interior Health Authority since August 6, 2015. The most recent inspection, on July 29, 2026, found no infractions.

1 of 9 inspections on record found no infractions at all. In the past 12 months there was 1 inspection with 0 infractions recorded. All recorded findings relate to upkeep, equipment or paperwork rather than direct health risks.

Recent inspections have recorded fewer infractions than earlier ones, so the record is improving.

What these findings mean

Health authorities word their findings differently, so we group them by what they mean for the people in care. Higher-risk findings are the ones that could directly make someone sick, and they matter more here because young children, older adults and people who are unwell are more vulnerable to infection.

  • Permits, records and postingLower risk

    Operating permits, required signage, written procedures and logs. These findings are administrative: the documentation was missing or out of date at the time of inspection.

    Recorded 7 times across 5 separate inspections, most recently on June 27, 2025. For example: 1 - Are person in care records current, complete and kept confidential?

  • Equipment and utensilsLower risk

    Equipment has to be made of cleanable materials, kept in good repair and stored properly. These findings are mostly about upkeep, like a cracked surface or worn part. They are generally lower risk but show how well the place is maintained.

    Recorded 2 times across 2 separate inspections, most recently on August 11, 2016. For example: 1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?

  • Other findingsLower risk

    Findings that do not fit the categories above, such as follow-ups that confirm an earlier violation was corrected, or requirements specific to this type of facility.

    Recorded 7 times across 5 separate inspections, most recently on April 26, 2024. For example: 1 - Are medications stored, handled, and administered appropriately?

About this data

These results come from Interior Health Authority, which inspects food premises and other public facilities in this area. We republish the authority's public disclosure data and refresh it regularly; the official record is the final word.

9 inspections

  1. Routine Inspection

    0 infractions

  2. Routine Inspection

    2 infractions

    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): During the inspection of the physical facility, it was noted that person in care records were accessible in an unlocked cabinet in a common area accessible by persons in care, and visitors. Historical bank statements belonging to persons in care were noted to be accessible in the unlocked cabinet. Failure to secure personal information poses a risk to the confidentiality and privacy of persons in care. This contravention was addressed during the inspection, with the immediate removal of personal records and their placement in a locked room accessible only to employees. The licensee will submit a plan by July 11, 2025, outlining the system that will be implemented to ensure that all person in care records are securely stored in accordance with regulatory requirements. The plan should detail how records will be protected from unauthorized access, including the procedures for secure storage, staff access protocols, and any monitoring or review processes that will support ongoing compliance.
      • R4.1V - Keep the records and personal information of persons in care confidential to the greatest extent possible while maintaining the health, safety and dignity of persons in care; 93
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): During a review of medication care plans, medication administration records (MARs) and overall care plans, it was noted that one person in care's medication care plan did not reflect the most current information. Specifically, the MAR included a sticky note indicating that pills were to be crushed; however, this instruction was not documented in the medication care plan, nor was the note dated or signed. The presence of an undated and unsigned sticky note on the medication administration record (MAR) indicating instructions, without corresponding documentation in the medication care plan, poses a risk to safe medication practices. This contravention was addressed and corrected during the inspection. The medication care plan was updated to include the current instructions regarding medication administration, ensuring alignment with the information previously noted on the MAR. The undocumented sticky note was removed, and the proper documentation process was followed. The licensee will submit a plan by July 11, 2025, outlining the system that will be implemented to ensure ongoing compliance with documentation requirements related to medication care plans and administration records. The plan should describe the processes in place to ensure that any changes to medication instructions are accurately documented, properly authorized, and consistently communicated to relevant staff, and any monitoring or review processes that will support ongoing compliance.
      • R10.3B - Care plans must include a plan to address medication, including self-medication; 81( 3 )(a)(i)
  3. Routine Inspection

    1 infraction

    • R9.1 - Are medications stored, handled, and administered appropriately?
      • Observation(s): The system to ensure self-administration of medication is approved by the medication safety and advisory committee and medical practitioner, and is included in the person's care plan is ineffective. During a chart review it was identified that a person in care is self administering a medication. There is currently no system in place to ensure this is approved by the medication safety and advisory committee, or recorded in the care plan.
      • R9.1G - Permit self-administration of medication when a plan is approved by the medication safety and advisory committee and medical or nurse practitioner, and is included in the person's care plan; 70( 4 )(a)(b)
  4. Routine Inspection

    2 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): The system to ensure the date, amount, and time at which medication is administered is ineffective. Following a review of Medication Administration Records, multiple records did not contain a signature to confirm the date, amount or time a medication was administered.
      • R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Following a review of person in care's charts it was identified that the system to ensure all care plans include a recreation and leisure plan is ineffective.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  5. Routine Inspection

    1 infraction

    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): It was noted during the inspection that there is not currently a monitoring system to ensure new policies are implemented by staff, following the transition to the new licensee.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
  6. Routine Inspection

    3 infractions

    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): The phone number provided in the resident client handbook did not have the correct number provided in order to contact Licensing. Although the facility has a system in place to orientate staff to the Residential Care Regulations, the system has not bee utilized since 2018.
      • R2.1C - Prior to admission, advise how the person, their parent or representative may express concerns or make complaints to licensing; 48( 1 )(c)(i)
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The facility does not have a system in place to demonstrate that employee references have been verified during the hiring process, and kept on file during the term of their employment. The facility has a policy in place to conduct performance reviews at 3 & 6 months for new employees and yearly for long-term employees. It was noted that an employee who had been employed for more than 8 months did not have a performance review on file as per facility policy. It was observed in an employee file that their Food-Safe certification had expired 15-Mar-2001. The system to track re-certification was ineffective.
      • R3.1C - Obtain character references for all employed persons; 37( 1 )(b)
      • R3.1K - Ensure that the performance of each employee is reviewed regularly to ensure that they continue to meet the requirements of this regulation, and demonstrate the competence required for the duties to which they are assigned; 40( 1 )(a)(b)
      • R3.1R - Ensure employees responsible for the preparation and delivery of food receive ongoing education respecting the preparation and delivery of food, nutrition, and if required, assisted eating techniques; 44 ( 1 )(b)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): The facility does not have a system in place to ensure that food stored in the fridge and the freezer are stored properly. There is currently no system in place to track fridge temperatures in order to ensure the food is stored properly.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
  7. Monitoring

    2 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): PRN charting observed indicated reason for medication but the results were not consistently recorded. Inform Licensing of what systems/audits will be put in place to ensure that effectiveness is tracked and charting is completed.
      • R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Performance reviews of staff have not been completed according to facility policy. Inform Licensing of the system that will be put in place to ensure that each employee is reviewed regularly.
      • R3.1K - Ensure that the performance of each employee is reviewed regularly to ensure that they continue to meet the requirements of this regulation, and demonstrate the competence required for the duties to which they are assigned; 40( 1 )(a)(b)
  8. Monitoring

    2 infractions

    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Licensing has noted the CDSCL area staffing spreadsheet shows a new staff who works in the facility, does not have a completed Criminal Record Check (CRC) in place. A health and safety plan was put in place to ensure this staff will not work in the home until this is completed. The health and safety plan was removed on Sept 27th upon the receipt of the documentation confirming the CRC was completed.
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Licensing has noted that the rear deck requires painting and the railing needs repair. There is an ineffective process in place to ensure all common areas are in a good state of repair.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  9. Monitoring

    3 infractions

    • 6.2 Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): Two residents were noted to have an incomplete immunization status in their records.
      • Keep clear and up to date records of the immunization status of each person in care; Director of Licensing Standards of Practice: Immunization of Adult Persons in Residential Care
    • 7.2 Is the environment maintained to prevent falls?
      • Observation(s): There is one resident who helps with the laundry and although they are accompanied by staff when in the laundry room, there is not a slip resistant floor surface.
      • Laundry facilities must have a slip resistant floor surface if used by persons in care; 35( 2 )(a)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The screen on the kitchen window has a tear/hole in the corner.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)

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