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Alexis Home

1561 Alexis Ave Kamloops BC V2B 4L1 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

Alexis Home has been inspected 11 times by Interior Health Authority since January 7, 2015. The most recent inspection, on May 28, 2026, recorded 2 infractions.

None of the 11 inspections on record were free of infractions. In the past 12 months there was 1 inspection with 2 infractions recorded. 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 15 times across 9 separate inspections, most recently on May 28, 2026. 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 7 times across 7 separate inspections, most recently on October 9, 2024. 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 12 times across 8 separate inspections, most recently on May 28, 2026. For example: 2 - Is the environment maintained to prevent falls?

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.

11 inspections

  1. Routine Inspection

    2 infractions

    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): A review of fridge and freezer temperature documentation indicates that several entries for freezer temperatures are out of range with no corrective actions documented. Corrective actions that are not completed for out of range fridge and freezer temperatures increases risk to persons in care as the fridges and freezers are not maintained in a safe condition to store food for persons in care. Submit by June 6, 2026, evidence that for all fridges and freezers that contain food for consumption by persons in care, where temperatures fall out of range, corrective actions are completed and documented.
      • R7.2O - Furniture and equipment for use by persons in care must be maintained in a safe and clean condition; 21(d)
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): A review of monthly weight records for persons in care (PIC) reveals that monthly weight entries are missing for three PICs and no documentation of why the weights were not completed. The absence of recorded monthly weights increases risk to persons in care's overall health and nutritional status. Submit by June 16, 2026, evidence that all persons in care are weighed and that weights are recorded at least once each month.
      • R4.1U - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
  2. Routine Inspection

    2 infractions

    • R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
      • Observation(s): On a review of restraint documentation, for two persons in care, agreements to the use of restraints given in writing by the required parties were missing. Without agreements to the use of restraints given in writing there is potential for restraints to be used in error. Submit by May 16, 2025, evidence that for all persons in care who use restraints, restraint documentation is completed.
      • 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)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): During a review of PRN (as needed) medication documentation, it was observed that some PRN medications that were administered were not recorded on the PRN medication record. When PRN medications are not documented completely, there is risk of medication error. Submit by May 16, 2025, evidence that for all persons in care who require PRN medications, PRN documentation is completed. ______________________________________________ During a review of Medication Administration Records, it was observed that medications for one person in care were signed by a staff member as being given at least one hour prior to the scheduled administration time. It was confirmed that the medication was not administered. When employees sign for medications prior to the scheduled administration time, it increases risk for missing the administration of those medications. Submit by May 16, 2025, evidence that for all persons in care scheduled medications are not signed for prior to being administered.
      • R3.1AA - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
  3. Routine Inspection Follow-up

    1 infraction

    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The system to ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation, is ineffective. On a review of three staff files, the performance review for one staff member was not completed on an annual basis as directed by facility policy. The system to ensure that employees are 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, is ineffective. On a review of three staff files, the ongoing education respecting the preparation and delivery of food, for one staff member, was not completed at the frequency directed by facility policy.
      • R3.1N - 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)
      • R3.1U - 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)
  4. Routine Inspection

    7 infractions

    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): The system to ensure that all furniture and equipment for use by persons in care are maintained in a safe and clean condition is ineffective. It was observed that the hand rails on the ramp leading to the front door moved freely when touched, which poses a safety hazard for persons in care.
      • R7.2O - Furniture and equipment for use by persons in care must be maintained in a safe and clean condition; 21(d)
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The system to ensure that a licensee regularly monitors the physical environment of the community care facility, and the care and services provided by it, to ensure that the requirements of the Act and the Residential Care Regulation are being met, is ineffective. This is evidenced by the number of contraventions identified during this routine inspection.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • 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 that policies are implemented by employees is ineffective as evidenced by the following: - During a review of restraint monitoring documentation, for two persons in care, it was observed that documentation was not completed as directed by facility policy and procedure. - During a review of monthly fire drill documentation, it was observed that not all fire drills were completed as directed by facility policy and procedure.
      • 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 system to ensure that all employees comply with the policies and procedures of the medication safety and advisory committee is ineffective. A review of medication administration records identified several instances where PRN (as needed) medication effectiveness was not documented. *This is an ongoing contravention.
      • R3.1AA - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): The system to ensure that anything that must be recorded in a care plan under the Residential Care Regulation must be recorded in the short term care plan until a care plan is developed, is ineffective. It was observed that, within one person in care's short term care plan, an oral health care plan was missing. The system to ensure that a licensee ensures that each person in care is weighed at least once each month is ineffective. On review of facility documentation, monthly weights were missing for several persons in care.
      • R4.1S - Ensure a short term care plan developed on admission includes anything that must be recorded in a care plan; 80 ( 2 )
      • R4.1U - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): The system to ensure that each menu provides for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups as described in Canada's Food Guide, is ineffective. A review of the menu identified that not every meal contained 3 food groups.
      • R5.1C - Provide for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups described in Canada's Food Guide; 62( 2 )(a)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): They system to ensure that all rooms and common areas are maintained in a good state of repair is ineffective. It was observed that several areas of the concrete driveway and walkway, at the front of the facility, have eroded away creating an uneven surface. *This is an ongoing contravention. The system to ensure that all rooms and common areas are maintained in a safe and clean condition is ineffective. Sharp, broken tile was observed in the living room on the lower level, which poses a safety hazard to persons in care.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
  5. Routine Inspection Follow-up

    4 infractions

    • R4.3 - Is documentation concerning restraints adequate?
      • Observation(s): A record of restraint monitoring for those persons in care with restraints was present and being utilized. However, all documents reviewed showed multiple times of the day without any documentation attached, usually around 2000 to 0700. It was reported to Licensing these times were not documented due to the person in care is not in their restraints. It was discussed with the manager and employees of how to document times when a person in care is not in restraints could be documented.
      • R4.3E - Keep a record of the result of any reassessment for the use of the restraint in the persons care plan; 84(e)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): A review of the PRN form that had been initiated since the last inspection shows staff have been writing the response to PRN administration for some medications as "monitoring". It is reported that this practice has developed due to the nature of some of the medication and not having an effect within a shift or two. Using "monitoring" as a term for the effect of an PRN remains unclear as to the overall effect of the medication administration, and does not comply with facility policy.
      • R3.1X - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • R4.6 - Are facility records current and complete?
      • Observation(s): The facility did not have a written document available during the inspection to show the results of monitoring of food services, and nutrition care (i.e. Menu Audits).
      • R4.6D - Retain the results of monitoring of food services and nutrition care; 87(c)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Several areas were noted during the inspection that were not in a good state of repair: -Small gouges were present in flooring in one of the bathrooms, exposing the sub floor beneath -One bathroom had several gouges in the walls, and several areas of putty applied but not sanded, and there were missing base boards. The sealant at the base of the tub was cracked and discolored flooring present. The Manager informed Licensing that the bathroom is part of a plan of renovation for the facility, which is now in early planning stages -Two holes, square in shape, were noted in the ceiling in two areas of the facility. The manager informed Licensing that these holes were from a flood from a bathroom, which had been flooded more than once, to allow air flow to wet areas -One main area had several floor boards missing, which showed the cement floor underneath. The sharp edges had tape present to reduce chance of injury to persons in care -A smaller hole cut through the drywall, measuring approximately 25 cm by 10 cm was present next to a covered electrical outlet
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  6. Routine Inspection

    1 infraction

    • 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 are in place for each person in care, please ensure each plan is reviewed to include information in regard to recreational needs/wants within the home, current plans give details in general to activities away from the site. Also ensure daily charting gives specific details on the recreational activities that happen each day.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  7. Routine Inspection

    2 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): A Couple of PRN chart entries reviewed during this inspection were found incomplete.
      • R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Two cleaners not in use by staff, were observed in the downstairs portion of the home unsecured, facility policy indicates cleaners should be kept inaccessible when not in use by staff.
      • R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
  8. Monitoring

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): One shelving unit in a bedroom was unstable and could potentially be tipped over, Resolved at the time of inspection. Inform Licensing on what self monitoring procedures are in place to self identify any potential physical risks in the home/site. Furnace/storage room door in the basement section of the facility was unlocked at the time of this inspection, facility policy indicates this door is to be locked to prevent PIC's from accessing a potentially hazardous area. This infraction was resolved at the time of inspection. Inform Licensing on what systems/audits are in place to ensure storage areas throughout the home which may contain potentially hazardous materials are kept inaccessible to PIC's.
      • R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
      • R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
  9. Monitoring

    4 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 upper floor of the facility has labelled cleaners in place, the lower portion of the facility had unlabelled cleaners in use, ensure the facility has cleaning procedures in place which include what cleaners are to be used and if cleaners are mixed by staff the cleaners must be labelled. The facility self monitoring procedures should include auditing of this process.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): A storage unit in a PIC bedroom was unstable and could be easily tipped over, ensure the unit is secured. The facility does have a self monitoring plan, ensure these types items are included during physical reviews of the facility.
      • R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
    • R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): A PIC who has been at the facility does not have a plan in place to encourage them to be examined by a dental health professional.
      • R10.2H - Encourage persons in care to be examined by a dental health care professional at least once every year; 54( 3 )(a)
    • 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 recreation plan for one PIC has not been developed to include specific information regarding the day to day recreational needs for the PIC. Ensure the plan is updated and that a system is in place to ensure new care plans are reviewed/audited on a regular basis.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  10. Monitoring

    4 infractions

    • 1.1 Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): Develop and practice a system to monitor the physical environment and the care and services provided. The self monitoring checks should be available for licensing to review during inspections. This infraction was also noted during the Oct 15, 2015 Risk Management Licensing inspection.
      • Regularly monitor the physical environment and the care and services provided; 61
    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Facility policy is to ensure staff receive annual performance evaluations, several are overdue at this time, inform Licensing when the remaining overdue are completed prior to Jan 15, 2016.
      • 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)
    • 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Posted menu does not include two snacks daily that include at least two food groups. Ensure menus are updated to include snack information.
      • Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Door frames in the upstairs portion of the home have chipped paint and are in need of repair.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  11. Monitoring

    6 infractions

    • 2.2 Are written policies and procedures in place to guide staff in fall prevention?
      • Observation(s): Indications of restraint (Bed rails) currently occurring in home, with no written agreement from representative and medical practitioner. Communication from Manager after entry into inspection indicating approvals were in place, item resolved from inspection as it could not be deleted after entry into system.
    • 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): Ensure PRN effectiveness is documented.
      • Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78(2)(b)
    • 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 plan has not been practiced for over a year, facility must practice the evacuation plan to a second location at least annually to determine if any changes are required. Please document evacuations along with monthly fire drills. Document if any changes were required after practices and how staff were notified of any changes.
      • Emergency plans must set out procedures to prepare for, mitigate, respond to and recover from any emergency including evacuation procedures; 51(1)(a)
    • 4.1 Are person in care records current, complete and kept confidential?
      • Observation(s): Storage of old MAR records in boxes by the front door of the facility, while waiting to be transferred to the home office.
      • 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
    • 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Meal substitutions not documented on a consistent basis. Facility not following posted menu plan, substitutions not consistently documented unable to determine if facility is meeting PIC nutritional care plans.
      • Develop a menu for persons in care accommodated for greater than 6 weeks, for at least each 4 week period; 62(1)(b)
      • Follow the menu or, in unforeseen circumstances, document appropriate substitutions that meet the nutritional requirements of section 62(2); 62 (13)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Basement of facility which currently does not have any PIC's residing has a large hole in wall which occurred in early Dec 2014, ensure the hole is fixed prior to admitting another PIC to this area. Deck off of the dining area must be cleared of snow to allow access to PIC's if wanted, resolved at the time of inspection. Furnace room area in downstairs portion of the home has a door but it does not lock, ensure this room is kept inaccessible to PIC's.
      • Maintain all rooms and common areas in a good state of repair; 22(1)(b)
      • Lounge and recreational areas must be accessible to persons in care at all times except during cleaning and maintenance; 34 (13)
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35(1)(c)

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