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30th Street Group Home

1201 30 St NE Salmon Arm BC V1E 2B6 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

30th Street Group Home has been inspected 8 times by Interior Health Authority since December 6, 2019. The most recent inspection, on March 27, 2026, recorded 1 infraction.

1 of 8 inspections on record found no infractions at all. In the past 12 months there were 2 inspections with 4 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 15 times across 6 separate inspections, most recently on February 24, 2026. For example: 5 - Are incidents and notifications reported and records retained as required?

  • 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 25, 2022. 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 4 times across 4 separate inspections, most recently on March 27, 2026. For example: 1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?

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.

8 inspections

  1. Routine Inspection

    1 infraction

    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): During a review of weekly menus, it was observed that not every snack contained at least two food groups as described in Canada's Food Guide. When each snack does not contain at least two food groups this increases risk to persons in care's overall health and nutritional status. Submit by April 23, 2026, evidence that within all weekly menus, each snack contains at least two food groups as described in Canada's Food Guide.
      • R5.1D - Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
  2. Substantiated complaint

    3 infractions

    • R4.5 - Are incidents and notifications reported and records retained as required?
      • Observation(s): Substantiated Finding - RCR s. 77(2)(a)(b)(c)(d): - Allegation of a repeated failure to submit incident reports to Community Living British Columbia (CLBC) by the Licensee. Evidence reviewed details that following each allegation of harmful actions/reportable incidents, which occurred between May and September of 2025, the Licensee did not immediately notify the following parties: * Parent or representative, or contact person, of the person in care. * Medical practitioner or nurse practitioner responsible for the care of the person in care. * Medical health officer, in the form and in the manner required by the medical health officer. * Funding program - CLBC. Without immediately notifying the required parties when PICs are involved in reportable incidents, there is risk of the Licensee to be in non compliance with legislative standards, and increased risk to the health, safety, and dignity of PICs. The Licensee submitted a corrective action plan, on February 27, 2026, identifying mitigating measures implemented to ensure the required parties are notified when PICs are involved in reportable incidents.
      • R4.5E - Immediately notify the parent, representative or contact person if a person in care is involved in a reportable incident; 77( 2 )(a)
      • R4.5F - Immediately notify the medical or nurse practitioner responsible for the person in care involved in a reportable incident; 77( 2 )(b)
      • R4.5G - Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
      • R4.5H - Immediately notify the funding program, if any, if a person in care is involved in a reportable incident; 77( 2 )(d)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Substantiated Finding - RCR s. 68(4): - Allegation that an employee attempted to administer a PRN (as needed) pain medication to a person in care (PIC) without administering the PIC's regularly scheduled pain medication as directed by Medication Safety and Advisory Committee (MSAC) policy. Evidence reviewed details that the employee assigned to administer 0700 h medications did not follow MSAC policy by not administering the regularly scheduled 0700 h medications for this PIC. The accused staff member details they did not review the PIC's Medication Administration Records (MAR) to determine whether the regularly scheduled pain medication had been administered prior to telephoning the program manager to receive permission to administer the PRN medication. Instruction was provided by the program manager to not administer the PRN medication. The procedure for "omitted medications" was also not followed as directed by MSAC policy. When employees do not follow MSAC policy there is increased risk of medication error incidents for persons in care. The Licensee submitted a corrective action plan, on February 27, 2026, identifying mitigating measures implemented to ensure employees adhere to MSAC policy. Unsubstantiated Finding - RCR s. 68(4): - Allegation that an employee administered a PRN medication, to a PIC for behaviours, prior to utilizing de-escalation or redirection methods, at exactly 0700 h which was the start of the employee's shift. Evidence reviewed details that the employee arrived on shift prior to 0700 h, utilized de-escalation and redirection methods to assist the PIC, and followed MSAC policy. The PRN medication for behaviours was subsequently administered at 0700 h.
      • R3.1AA - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • 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): Substantiated Finding - RCR s. 82: - An employee did not follow a PIC's behavioural care plan during an incident in July 2025. Evidence reviewed details that the employee did not use the tone of voice required, during the incident, as instructed by the PIC's behavioural care plan. Employees that do not follow the terms and conditions of a PIC's behavioural care plan, increase risk of behaviours and injury to PICs. The Licensee submitted a corrective action plan, on February 27, 2026, identifying mitigating measures implemented to ensure employees follow the terms and conditions of PIC's behavioural care plans.
      • R10.3M - Ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person's care plan; 82
  3. Routine Inspection

    3 infractions

    • R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
      • Observation(s): The system to ensure that a licensee may restrain a person in care if there is agreement to the use of restraint given in writing by both the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care, is ineffective. During a review of restraints for persons in care, it was reported that there are no agreements to the use of restraints given in writing, as outlined in this section. The system to ensure that the use of the restraint, its type and the duration for which it is used is documented in the care plan of the person in care, is ineffective. During a review of care plans, it was identified that the type and duration of restraints are not documented in care plans.
      • R2.2A - A restraint may be applied in an emergency or when there is written agreement to the use of a restraint by both the person in care or their representatives, medical practitioner or nurse practitioner; 74( 1 )(a)(b)(i)(ii)
      • R2.2B - Reassess the need for restraint that continues for more than 24 hours and obtain agreement in writing and comply with conditions set out in section 73( 2 ); 75( 2 )(a)(i)(ii)(b)
    • R4.3 - Is documentation concerning restraints adequate?
      • Observation(s): The system to ensure that if a person in care is restrained, a licensee ensures that the duration of the restraint and the monitoring of the person in care during the restraint, is recorded in the care plan of the person in care, is ineffective. During a review of restraint monitoring documentation it was identified that the duration and monitoring, for persons in care during the respective restraints, is not recorded in care plans for persons in care.
      • R4.3D - Keep a record of the duration of the restraint and the monitoring of the person in care during the restraint in the persons care plan; 84(d)
    • R10.4 - Are restraint and fall prevention plans appropriate?
      • Observation(s): The system to ensure that a care plan includes, in the case of a person in care who may be prone to falling, a fall prevention plan which addresses a plan for preventing the person in care from falling, is ineffective. During a review of care plans, it was identified that persons in care's care plans did not include the use of falls prevention tools that assist in minimizing impact in the event of a fall.
      • R10.4P - Ensure there is a fall prevention plan for those in Long Term Care or those prone to falling, which must address an assessment of the nature of the risk of falling presented by the person in care, a plan for preventing the person in care from falling, and a plan for following up on any falls suffered by a person in care; 81( 3 )(e)(i)(ii)(iii) (Show More)
  4. Routine Inspection

    0 infractions

  5. 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 facility policy for expressing concerns, making complaint and resolving disputes does not include how to express concerns or make complaints to Licensing. As a result, persons in care and their representatives are not advised prior to admission.
      • 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)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Upon inspection of a person in care's bathroom, Licensing observed a prescribed bottle of mouth wash not stored securely.
      • R7.1AS - Provide a safe and secure storage area for self-administered medications; 69( 3 )(b)(i)
    • 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): Licensing reviewed care plans. The manager noted that an oral care plan required revision as the schedule for follow up for a person in care had changed.
      • R10.3K - Review and, if necessary, modify each care plan if there is a substantial change in the circumstances of the person in care, or at least once a year, to ensure it continues to meet the needs, preferences, and is compatible with the abilities of the person in care; 81( 4 )(b)(i)(ii)
  6. Routine Inspection

    2 infractions

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The self-monitoring processes have been found to be ineffective. Upon review of the daily task lists, it was found that several items in the task list were not signed. It is unclear if the task was completed or not as it was not signed. There is no monitoring process to ensure that these daily duties are completed as per site policy.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): The process to monitor the safe storage of food is ineffective. The facility records the temperatures of the fridge, freezer and deep freeze once per week. There currently is no plan to ensure that the food is safely stored the remaining days of the week.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
  7. Routine Inspection Follow-up

    1 infraction

    • R4.5 - Are incidents and notifications reported and records retained as required?
      • Observation(s): A Reportable Incident was discussed at the time of this inspection, that was not reported to Licensing. RCR 77(2)(c) was noted during the 06-Dec-2019 inspection. Facility has put policies & procedures in place to address Reportable Incidents while orientating manager and employees to the Residential Regulations following the 06-Dec-2019 inspection.
      • R4.5D - Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
  8. Routine Inspection

    8 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): Effectiveness of PRN's was not recorded in the MARS.
      • R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
    • R4.5 - Are incidents and notifications reported and records retained as required?
      • Observation(s): During discussion with Facility Manager, it was discovered that some reportable incidents were not reported to Licensing.
      • R4.5D - Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
    • RB1.26 - Is a short term care plan developed on admission to guide staff in protecting and promoting the health and safety of the person in care?
      • Observation(s): Newer admission did not have a 30-day care plan in place.
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): LD was not notified of the change in Facility Manager until Dec. 5, 2019, despite new manager being in the role for a significant time prior to Licensing being notified.
      • R1.1E - Notify licensing if the manager resigns or expects to be absent for at least 30 consecutive days; 8( 3 )(a)
    • 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): Facility Manager was not aware of the Residential Care Regulations. Orientation to the Regulations required for Facility Manager and/or employees.
      • R2.1T - Ensure there are written policies and procedures for orientation of new managers and employees, including all policies and procedures of the facility, the regulations and the Act; 85( 2 )(b)
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): Newer admission did not have a 30-day care plan in place. Following 30-days PIC did not have an updated care plan. It was noted that a PIC weight was not taken due to 'no scale' over the course of 2 months. As well, November 2019 weight was not recorded.
      • R4.1O - Ensure a short term care plan is developed on admission that guides caregivers in protecting and promoting the health and safety of the person in care; 80 ( 1 )
      • R4.1Q - Ensure a care plan is developed within 30 days for persons in care admitted for more than 30 days; 81.1; Director of Licensing Standards of Practice: Advance Directives and Care Plans
      • R4.1R - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Door to laundry room was noted to not be locked at time of the inspection. Corrected at time of the inspection.
      • R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
    • 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): PIC did not have a detailed Oral Care Plan. PIC missing nutritional Care Plan. Please ensure that all Persons In Care have a detailed care plan, that meets the Regulation as outlined in section 81.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
      • R10.3N - Develop a nutrition plan for each person in care and review the plan on a regular basis (Applies to a facility with 24 or fewer persons in care); 83( 1 )(a)( 3 )(a)

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