Bethesda Penticton Home
Confidential · Residential Care - Licensing
Inspection summary
Bethesda Penticton Home has been inspected 7 times by Interior Health Authority since September 4, 2015. The most recent inspection, on June 26, 2025, recorded 3 infractions.
None of the 7 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 8 times across 7 separate inspections, most recently on June 26, 2025. 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 June 26, 2025. 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 6 times across 4 separate inspections, most recently on April 5, 2022. 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.
7 inspections
- Routine Inspection
3 infractions
- R4.5 - Are incidents and notifications reported and records retained as required?
- Observation(s): Upon discussion with Manager, it was determined that two service delivery problems were not reported to Licensing. A roof repair that was in progress and being completed during inspection was not reported. A submission of a reportable incident was requested and submitted. A second incident from 2024 where construction occurred in the home and persons in care were moved to a hotel, was also noted to not have been reported to Licensing. If reportable incidents involving a person in care are not reported as required, the risks to persons in care can be significant. Timely and proper reporting ensures transparency, safety, and accountability, which are essential to maintaining quality of care. Submit by July 18, 2025, a plan detailing the system that will be put into place to ensure all reportable incidents are submitted as required. The plan must include the system for ongoing monitoring to ensure sustained compliance with the 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)
- R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
- Observation(s): Upon discussion with Manager, it was determined staff are not aware of the legislative requirements of water temperature and there is no system in place to ensure water temperatures are being regularly monitored and recorded. Without regular monitoring of water temperatures, hot water may exceed safe levels leading to possible burn injuries. Without records, it cannot be proven that safe temperatures were maintained; therefore, increasing risk of harm to persons in care. Submit by July 18, 2025, a plan detailing the system that will be put into place to ensure water temperature is monitored to ensure it does not exceed the legislative requirement. The plan must include the system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
- R1.1W - Regularly monitor the physical environment and the care and services provided; 61
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Smoking on site by construction worker was observed during inspection. This presents a potential risk to persons in care, including fire hazards and exposure to second-hand smoke. Submit by July 18, 2025, a plan detailing the system that will be put into place to ensure no one other than persons in care smoke while on the property. The plan must include the system for ongoing monitoring to ensure sustained compliance with the legislative requirements. Observed cleaning supplies left unlocked in the staff area, kitchen and tub rooms which were accessible to persons in care. Unsecured hazardous materials pose a significant risk of harm to persons in care through accidental exposure, ingestion or injury. Submit by July 18, 2025, a plan detailing the system that will be put into place to ensure cleaning supplies are not accessible to persons in care. The plan must include the system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
- R7.1M - Ensure that no one other than a person in care engages in a restricted activity while on the premises of the facility; 23(2)(a).
- 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)
- R4.5 - Are incidents and notifications reported and records retained as required?
- 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): A review of care plans indicated that the recreation and leisure plans had not been updated as required. This was self identified by the manager who is having the required training to update.
- 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)
- R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
- Routine Inspection
2 infractions
- R7.2 - Is the environment maintained to prevent falls?
- Observation(s): Licensing Officer observed the laundry room which did not have a slip resistant floor surface.
- R7.2R - Laundry facilities must have a slip resistant floor surface if used by persons in care; 35( 2 )(a)
- R4.6 - Are facility records current and complete?
- Observation(s): Licensing observed that the electronic record keeping system used by the Licensee did not contain current care plan records.
- R4.6L - Ensure all records are current; 91( 1 )(a)
- R7.2 - Is the environment maintained to prevent falls?
- Routine Inspection
3 infractions
- R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
- Observation(s): One written consent was not obtained by a medical practitioner for the use of restraint.
- 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)
- RB1.10 - Is there an annual opportunity for persons in care and family members to establish and participate in a council to represent their interests?
- Observation(s): See question R10.2 that has been noted on this report.
- R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
- Observation(s): It is reported that the last family and resident council was conducted over a year ago. The council date is unknown at this time.
- R10.2R - Provide at least an annual opportunity for persons in care and their parents or representatives, family members and contact persons to establish councils or similar organizations to represent the interests of persons in care; 59(a)
- R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
- Monitoring
1 infraction
- 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): Not required as Community Living Home
- 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?
- Monitoring
2 infractions
- RB1.10 - Is there an annual opportunity for persons in care and family members to establish and participate in a council to represent their interests?
- Observation(s): January 26, 2017 - The facility does not have a system in place to ensure compliance with retaining records from the family and resident council meetings. The facility is currently not holding family/resident council meetings. The new manager is unsure of the last time a council meeting was held, and she was unable to locate a documented record of a council meeting.
- R4.6 - Are facility records current and complete?
- Observation(s): January 26, 2017 - The facility does not have a system in place to ensure compliance with retaining records from the family and resident council meetings. The facility is currently not holding family/resident council meetings. The new manager is unsure of the last time a council meeting was held, and she was unable to locate a documented record of a council meeting.
- R4.6H - Retain records of compliance with family and resident council required in section 59; 89( 2 )(b)
- RB1.10 - Is there an annual opportunity for persons in care and family members to establish and participate in a council to represent their interests?
- Monitoring
4 infractions
- 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): Inconsistent emergency evacuation map, as noted between map posted in hallway and map in emergency procedure. Emergency evacuation map not posted in prominent location.
- Update emergency plans if there is any change in the facility; 51 ( 2 )
- Display a copy of the emergency plan in a prominent place; 51 ( 4 )
- 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): Snacks do not consistently contain items from 2 food groups.
- 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): Fish noted thawing in the fridge uncovered.
- 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): Inside cutlery drawers and clean utensil trays noted to have crumbs/debris.
- Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(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?