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4th Street Home

2304 4 St N Cranbrook BC V1C 5V9 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

4th Street Home has been inspected 8 times by Interior Health Authority since August 25, 2015. The most recent inspection, on September 4, 2025, recorded 4 infractions.

None of the 8 inspections on record were free of infractions. No inspections are on record from the past 12 months. All recorded findings relate to upkeep, equipment or paperwork rather than direct health risks.

The number of infractions per inspection has stayed roughly the same over time.

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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 13 times across 7 separate inspections, most recently on September 4, 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 3 times across 3 separate inspections, most recently on September 4, 2025. For example: 1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?

  • Food safety training and certificationLower risk

    Many jurisdictions require a trained or certified person on site, such as a certified food handler. These findings mean the training record or the trained person was missing at the time. They do not by themselves mean anything was handled unsafely.

    Recorded once on September 4, 2025. For example: RB1.22 - Is personal privacy respected and records and personal information kept confidential?

  • 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 June 2, 2023. 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

    4 infractions

    • RB1.22 - Is personal privacy respected and records and personal information kept confidential?
      • Observation(s): During the inspection of the physical facility, it was noted that one person in care's personal information was accessible on an open desk in a common area accessible by persons in care, and visitors. The binder containing personal information was relocated during the inspection to a secure locked cupboard. It was also identified that financial reconciliation records were currently stored off site at the managers personal residence. The financial reconciliation records were confirmed to have been returned to the facility on September 5th, 2025.
      • RB1.22A - Respect personal privacy and keep records and personal information confidential.
    • 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 one person in care's personal information was accessible on an open desk in a common area accessible by persons in care, and visitors. The binder containing personal information was relocated during the inspection to a secure locked cupboard. It was also identified that financial reconciliation records were currently stored off site at the managers personal residence. The financial reconciliation records were confirmed to have been returned to the facility on September 5th, 2025. Failure to secure personal information poses a risk to confidentiality and privacy of persons in care. Submit by September 24, 2025, a written plan outlining how the contravention related to ensuring confidentiality of records and personal information of persons in care has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring of Section 93 of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • 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
    • R4.6 - Are facility records current and complete?
      • Observation(s): During a review of records for persons in care, it was identified that documentation respecting money and valuables for four persons in care was not available on site. The manager confirmed that these records were currently being stored off site at her personal residence. When records respecting money and valuables are not maintained on site, there is a risk that the records may not be readily available to staff or Licensing for review. This creates potential for incomplete oversight, reduced accountability, and increased risk of loss or mismanagement of persons in care's funds and valuables. Submit by September 24, 2025, a written plan outlining how the contravention related to ensuring records for each person in care respecting money and valuables has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring of Section 91(2)(a) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R4.6N - Keep the following records in a single place at the facility: Records for each person in care [section 78], records respecting money and valuables of persons in care [section 79], short term care plan on admission [section 80], care plan for more than 30 day stay [section 81], policies and procedures [section 85], repayment agreements (section 85.1) record of minor and reportable incidents [section 88] and record of complaints and compliance [section 89]; 91( 2 )(a) (Show More)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): During a review of the physical facility, it was noted that areas of the environment require repair and maintenance. Observations included chipping paint, scratched and chipped door frames, and a hole in the drywall within one bedroom. In addition, the driveway was observed to have uneven concrete, which poses a potential tripping hazard. Failure to maintain all rooms and common areas in a good state of repair poses potential risk of unsafe conditions and does not support the health, safety and dignity of persons in care. Submit by September 24, 2025, a written plan outlining how the contravention related to ensuring all rooms and common areas are in a good state of repair has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring of Section 22(1)(b) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  2. 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 system to ensure the physical environment and care services provided are monitored on a regular basis is ineffective. During the inspection monthly audits were reviewed. One of the audits identified a first aide kit that required updating. Licensing Officer reviewed the first aide kit which was noted to have not been updated to restock, or remove expired items. Education and information regarding self-monitoring and corrective actions were provided to the manager at the time of the inspection.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R4.6 - Are facility records current and complete?
      • Observation(s): The system to ensure all records are current is ineffective. During the inspection facility records were reviewed. The form currently being utilized to record fridge and freezer temperatures is not the current form developed by NEXUS. The form being used at the time of this inspection also contained inaccurate corrective measure instructions for staff if the temperatures were identified to be out of the acceptable range.
      • R4.6L - Ensure all records are current; 91( 1 )(a)
  3. Routine Inspection

    3 infractions

    • R4.5 - Are incidents and notifications reported and records retained as required?
      • Observation(s): The system to ensure Licensing is immediately notified of reportable incidents as per legislative requirements is ineffective. During a random review of progress notes it was identified that multiple reportable incidents had not be reported to Licensing as per legislative requirements.
      • 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)
    • 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 system to ensure policies are implemented by employees is ineffective. It was noted during the inspection that the policy for uploading documents was inconsistently implemented.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): It was identified one of the two daily snacks on the menu did not contain two food groups. described in Canada's Food Guide. This contravention was corrected during the inspection.
      • 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)
  4. Routine Inspection

    2 infractions

    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): It was identified during the inspection that performance evaluations were not been completed according to the scheduled review dates . The manager is currently developing a plan to complete performance evaluations. It was noted that probationary evaluations were completed as scheduled.
      • 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)
    • 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): The system for ensuring each care plan is reviewed at least yearly is ineffective. It was noted that care plans did not have current dates to evidence a review or modification.
      • 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)
  5. Routine Inspection

    2 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): It was noted that in the 'Client, Family, & Support Network Handbook', information on how to contact licensing was not present, nor did the facility have any written policy or procedure on how a person in care, or their representative may contact Licensing. Please inform licensing of what systems will be utilized to ensure persons in care and their representatives are informed of how to contact Licensing/MHO. PRN charting indicated reason for medication, but not always the effectiveness of PRN's were documented. Facility policy indicates staff are to chart the reason and results of PRN medications. Please inform licensing of what systems/audits will be put in place to ensure charting is completed as per facility policy.
      • 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)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Facility procedure is to audit daily fridge temperatures. Auditing indicated that fridge temperatures were not consistently tracked as per the facility policy. This was a noted contravention during the last routine monitoring inspection. Please inform licensing what systems/audit will be put in place to track the recording of fridge temperatures.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
  6. Monitoring

    3 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 not the results. Facility policy indicates staff are to chart the reason and result of PRN medications. Inform licensing of what systems/audits will be put in place to ensure charting is completed.
      • R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Facility procedure is to audit daily fridge and freezer temperatures. Auditing indicated that the temperatures of both fridges were consistently out of the optimal food safe range of 0-4 degrees Celsius. Inform licensing on what changes will be made to current fridge monitoring system to ensure temperatures are in the optimal range.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • 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): Recreation care plans observed during this inspection included activities and goals while PIC's are away from the home, please update plans to include activities specific to each PIC that can occur at the facility. Charting should reflect details on how PIC's are meeting the goals identified in their plans. Include in your response how this is audited to ensure goals are being met.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  7. Monitoring

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Licensing observed the backyard fence has been secured but in is noted to be in need of painting. Fence maintenance is an ongoing non compliance since previous inspection. Residential Supervisor reports this has been noted on monthly CSCL inspection, has been approved by CSCL to be replaced with chain link fence and will be done in the spring 2017.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  8. Monitoring

    7 infractions

    • 4.5 Are incidents and notifications reported and records retained as required?
      • Observation(s): Person in care was transferred to hospital due to unexpected illness; not incident report was sent to licensing.
      • Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
    • 2.1 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): Emergency evacuation procedures need to be individualized to this site and include specifics for planned evacuation, such as would occur with some advanced notice in the event of wildfire. Emergency exit map is faded and marked-up, making it unclear.
      • Emergency plans must set out procedures to prepare for, mitigate, respond to and recover from any emergency including evacuation procedures; 51( 1 )(a)
      • Display a copy of the emergency plan in a prominent place; 51 ( 4 )
    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Emergency eye wash not readily accessible, located behind locked door.
      • First aid supplies must be readily accessible to all employees, including while care is provided off the facility premises; 43 ( 2 )
    • 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Snacks offered do not consistently contain items from 2 food groups.
      • Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Re-usable hand towels in person in care washrooms stored communally, not labelled. ONGOING ISSUE Inadequate monitoring and logging of food fridge temperatures. Thermometer present in food fridge not providing accurate reading.
      • Establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene; 54 ( 1 )
      • Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Unlocked storage garage containing chemicals, tools and other hazardous products. Over-toilet shelving unit loose/unstable. Backyard fence has multiple loose and broken boards.
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
      • Ensure the outside activity area is secured by a fence or other means, if necessary to protect the health and safety of persons in care; 36 ( 2 )
    • 10.3 Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Care plan for person in care not updated- last review indicated as May 2014. - ONGOING ISSUE
      • 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)

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