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ALPHA House

1681 Bay Ave Trail BC V1R 4R7 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

ALPHA House has been inspected 9 times by Interior Health Authority since January 29, 2015. The most recent inspection, on January 15, 2026, found no infractions.

2 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.

The last 2 inspections in a row found no infractions. 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 12 times across 7 separate inspections, most recently on May 26, 2022. For example: 1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?

  • 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 April 20, 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 5 times across 3 separate inspections, most recently on May 26, 2022. 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.

9 inspections

  1. Routine Inspection

    0 infractions

  2. Routine Inspection

    0 infractions

  3. Routine Inspection

    3 infractions

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): During the inspection it was noted that some systems for monitoring the care and services provided were ineffective. This was noted on daily care checklists being inconsistently recorded that care, or refusal of care, was documented; as well as 2 persons in care having monthly weight records missing.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): The system to ensure a menu is developed for at least a 4 week period was ineffective. It was noted that the menu is currently planned weekly.
      • R5.1B - Develop a menu for persons in care accommodated for greater than 6 weeks, for at least each 4 week period; 62( 1 )(b)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): The system to ensure the temperature of the medication fridge is monitored for safety was ineffective. The documentation of temperatures was inconsistent. This fridge was noted to store formula for tube feeds.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
  4. Routine Inspection

    2 infractions

    • RB1.25 - Are care plans developed within 30 days of admission for admissions of 30 days or more?
      • Observation(s): See R.10.3 above: The system for ensuring that all persons in care have a care plan in place within 30 days of admission appeared to be ineffective. This was evidenced by a person in care not having an oral care plan in place.
    • 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 that all persons in care have a care plan in place within 30 days of admission appeared to be ineffective. This was evidenced by a person in care not having an oral care plan in place.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
  5. Monitoring

    1 infraction

    • R4.5 - Are incidents and notifications reported and records retained as required?
      • Observation(s): The system in place for ensuring all incidents are reported to licensing as required appears to be ineffective. In review of the record of non-reportable incidents, LO noted a report for a person in care who had been sent to the hospital in May of 2018 for a higher level of assessment. This had not been reported to licensing. In a review of the facility file for 2018, LO noted that there had been two incidents reported to licensing - both for falls. In discussion with the manager, LO learned that there were no other incidents that had not been reported as per the requirements of section 77 and the definitions in Schedule D of the RCR.
      • 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)
  6. Monitoring

    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): The emergency response plan noted in the 'Health and Safety' binder was dated as last reviewed in 2013, whereas the emergency response plans posted at the exits of the facility were dated 2017. This was corrected during the inspection.
      • R2.1H - Update emergency plans if there is any change in the facility; 51 ( 2 )
    • 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): One resident's nutritional assessment had not been completed/reviewed since 2014. This was corrected during the inspection.
      • R10.3O - Ensure reasonable steps are taken when a nutritional plan is developed without the assistance of a dietician to assess specific nutritional needs including considering whether the person is at risk of being inadequately nourished because of a physical or mental condition, a history of issues that affect eating or any other relevant factor; 83( 1 )(b)(i)(ii)(iii) (Show More)
  7. Monitoring

    3 infractions

    • 1.1 Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The facility is accommodating more persons in care than the maximum number of persons in care specified on the License. They are currently providing three meals per day, two snacks per day and medication monitoring four times per day to an additional resident. Please notify licensing by the date indicated above as to how you will come into compliance.
      • Accommodate only the number of persons in care specified on the licence; 46( 2 )(b)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): In the larger bathroom, the hole/soft spot remains in the wall. This is an outstanding contravention from the previous inspection. On the wall in one of the hallways, a small area which had been repaired is still not painted. This is a previous contravention from the previous inspection. The kitchen counter next to the stove has been melted/burnt. Please submit a plan to licensing by the above date as to how/when the above noted items will be addressed. There was some food splattered on the ceiling in the kitchen. This was corrected at the time of the inspection.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
    • 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): One resident's health care plan was due for review in October 2015.
      • 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)
  8. Monitoring

    5 infractions

    • 4.5 Are incidents and notifications reported and records retained as required?
      • Observation(s): The two most recent incident reports submitted to licensing were noted to be missing the notification to the funding body and the medical/ or nurse practitioner.
      • Immediately notify the medical or nurse practitioner responsible for the person in care involved in a reportable incident; 77( 2 )(b)
      • Immediately notify the funding program, if any, if a person in care is involved in a reportable incident; 77( 2 )(d)
    • 6.2 Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): All residents were noted to have records of TB screening and influenza vaccines, however, there was no information pertaining to the residents' immunization status.
      • 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
    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): During the inspection, LO observed a situation which required hand hygiene that did not occur.
      • Establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene; 54 ( 1 )
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): There were cob webs noted throughout the facility. There was a hole/soft spot noted in the wall in the large bathroom. On the wall in one of the hallways, is a small area which has been repaired but has not been painted. The barbeque on the patio has two propane tanks which are easily accessible to all persons in care. There was a hose coiled up outside the door of one of the emergency exits. There was a substantial gap noted under a doorway. One of the resident's rooms poses a safety concern. It is in disarray with numerous boxes and items causing extreme clutter. Please submit a plan to licensing by the above noted date explaining how this will be addressed. Numerous cleaners and a box of laundry detergent were in a cupboard which was unlocked. This was corrected during the inspection.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
      • Ensure emergency exits are not obstructed or secured in a manner that may hinder exit in an emergency; 22 ( 2 )
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
    • 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): Following a recent incident, it was noted that an employee had not followed the instructions in the care plan for the specific person in care.
      • 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
  9. Monitoring

    3 infractions

    • 2.2 Are written policies and procedures in place to guide staff in fall prevention?
      • Observation(s): The incident reporting policy was noted to have an incomplete list of the reportable incidents listed in Schedule D of the Residential Care Regulation. CORRECTION DATE: FEBRUARY 27, 2015.
      • Ensure there are written policies and procedures regarding responding to reportable incidents; 85(2) (j)
    • 6.2 Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): Only one resident's chart contained evidence of TB screening. CORRECTION DATE: FEBRUARY 17, 2015. Other than the flu vaccination, licensing officer (LO) could not find any other documentation pertaining to the residents' immunization status. CORRECTION DATE: FEBRUARY 17, 2015.
      • Ensure that all persons admitted comply with the Province’s immunization and tuberculosis control programs; 49 (13)
      • 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
    • 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): The medication care plans were not dated and therefore LO could not ascertain whether or not they were being regularly reviewed. CORRECTION DATE: FEBRUARY 17, 2015.
      • 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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