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Brandt's Creek Mews

2081 Cross Rd Kelowna BC V1V 2G2 · Residential Care - Licensing

Official record from Interior Health →

Inspection summary

Brandt's Creek Mews has been inspected 5 times by Interior Health Authority since August 5, 2021. The most recent inspection, on July 7, 2025, recorded 3 infractions.

None of the 5 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 5 times across 4 separate inspections, most recently on July 7, 2025. 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 March 12, 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 8 times across 4 separate inspections, most recently on July 7, 2025. For example: 1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?

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.

5 inspections

  1. Routine Inspection

    3 infractions

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): Through discussions with the Regional Manager, it was determined that Licensing was not informed when a former manager resigned. When Licensing is not provided with changes to the site's leadership's contact information it may increase risk to persons in care heath and safety, as it delays timely communications should questions or concerns arise. Submit by July 28, 2025, a plan detailing the system that will be put into place to ensure Licensing is notified of all future management changes. The plan must include a system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
      • R1.1E - Notify licensing if the manager resigns or expects to be absent for at least 30 consecutive days; 8( 3 )(a)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Observed that employee evaluations were not up to date; with some annual evaluations not completed since 2023. When an employee's performance is not regularly reviewed it increases risk to person in care's health and safety, as there is no evidence they continue to meet the requirements of working with vulnerable individuals in their care. Submit by July 28, 2025, a plan detailing the system that will be put into place to ensure employee performance evaluations are being completed as required. The plan must include the system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
      • 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)
    • R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): Observed person in care's weights and names written in a public area. Having personal information visible presents a risk to person in care's dignity. When this was brought to the attention of the Licensee, the Director of Care removed the information from the public area. Submit by July 28, 2025, a plan detailing the system on how the environment will be monitored to ensure person in care's private information is not accessible. The plan must include the system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
      • R10.2F - Ensure respect for personal privacy of each person in care, including privacy of each person’s bedroom, belongings and storage area; 53
  2. Substantiated complaint

    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): Contravention arising from investigation: Residential Care Regulation section 85 (1)(d). During the investigation, a Managed Risk Agreement for a person in care was reviewed as well as the facility policy for Managed Risk Agreement's. It was determined that the facility policy was not followed when there was noted non-compliance with the Managed Risk Agreement.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): Allegation: The Licensee is in non-compliance with Residential Care Regulation section 50 (1) as it relates to a person in care not being sufficiently monitored while out of the facility independently. Findings: UNSUBSTANTIATED. During the investigation, the care plan for a person in care was reviewed and it was determined that there was a plan in place for monitoring as well as a plan on when a reassessment may be required. Through review of the care plan and progress notes and correspondence with the Licensee it was noted that there were no concerns which would require a reassessment of the monitoring that was in place. Contravention arising from investigation: Residential Care Regulation section 56 (1)(2). During the investigation, the process for persons leaving the facility was reviewed and it was determined that not all persons who leave the facility temporarily are provided with written documentation as required by the legislation.
      • R10.2A - Monitor the health and safety of each person in care regularly to determine if their needs continue to be met; 50 ( 1 )
      • R10.2L - Ensure there is written documentation (name, facility name, emergency contact information) in possession of persons who temporarily leave the facility (Does not apply to Child and Youth Residential who are capable of self identification); 56( 1 ) ( 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): Contravention arising from investigation: Residential Care Regulation section 81 (3)(f)(ii). During the investigation a care plan of a person in care was reviewed and it was determined that there was no plan in place to locate a person in care who was assessed to be at risk of leaving the facility. Allegation: The Licensee is in non-compliance with Residential Care Regulation section 82 as it relates to a care plan not being followed. Findings: SUBSTANTIATED. During the investigation, a care plan was reviewed and it was confirmed by the Licensee and through correspondence between staff and the complainant that, in at least one instance, the care plan was not followed.
      • R10.3G - Ensure the care plan for persons at risk of leaving the facility includes a plan to prevent the person in care from leaving and if the person leaves without notification, a plan to locate the person in care; 81( 3 )(f)(i)(ii)
      • 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

    4 infractions

    • R4.3 - Is documentation concerning restraints adequate?
      • Observation(s): The Licensee's system to ensure that restraint monitoring is being completed as required by the care plan was found to be ineffective. During the inspection, it was noted that in one person in care’s chart, there was evidence that restraint monitoring documentation was being documented at the end of the shift and not during the actual time of monitoring. It was also observed that there were instances where there was no documentation to indicate if and when the restraint had been removed. This was noted as a contravention on the February 23, 2023 inspection report.
      • 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)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The Licensee's system to ensure that employees comply with the policies and procedures of the medication safety and advisory committee was found to be ineffective. During the inspection, it was noted that on one unit there were significant gaps in refrigerator temperature monitoring. In some instances, temperature checks were not being done for days at a time.
      • R3.1X - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The Licensee's system to ensure that cleaning agents are safely and securely stored was found to be ineffective. During the inspection, it was noted that a hazardous cleaning product was stored in an unlocked cupboard and accessible to persons in care. The Licensee's system to ensure that all medications are safely and securely stored was found to be ineffective. During the inspection, a prescribed topical medication was noted to be left unlocked in a person in care's bathroom.
      • 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)
      • R7.1AR - Ensure all medications are safely and securely stored; 69( 3 )(a)
    • R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): The Licensee's system to ensure that ongoing room tray services is reassessed at least once every 30 days, as required by the Residential Care Regulation, was found to be ineffective. During the inspection, it was noted that a person in care's ongoing room tray service had not been reassessed since early in 2023.
      • R10.2V - Provide ongoing room tray service if necessary because of the physical or mental circumstances of the person in care, if indicated in the care plan, approved, and reassessed at least once every 30 days by the person in care's medical or nurse practitioner; 63( 3 )(c)(i)(ii)(iii)(iv)
  4. Routine Inspection

    3 infractions

    • R4.3 - Is documentation concerning restraints adequate?
      • Observation(s): During the inspection it was observed that in one person in care’s chart, there was evidence that restraint monitoring documentation was being completed at the end of the shift and not during the actual time of monitoring. It was also observed that in one person in care’s chart there were several monitoring instances that were not signed as having been monitored.
      • 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)
    • R6.1 - Do employee records have evidence of continued compliance with the Province’s immunization and tuberculosis control programs?
      • Observation(s): The Licensee's system for ensuring employees comply with the Province's immunization and tuberculosis (TB) control programs was found to be ineffective. During the inspection five staff files were reviewed. One file was missing evidence of tuberculosis and immunization screening and a second file was missing evidence of immunization screening.
      • R6.1A - Ensure there is evidence that employees have continued compliance with the Province’s immunization and tuberculosis control programs; 39 ( 1 )
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The Licensee's system for ensuring that all Criminal Record Checks (CRC) are valid is ineffective. During the inspection five staff files were reviewed. Of those files, one CRC was the incorrect type and had no expiry date on it, two CRCs were the correct type, but were expired and three of the five reviewed were not site specific. The Licensee's system to ensure that copies of any diplomas, certificates or other evidence of training and skills have been obtained was found to be ineffective. During the inspection five staff files were reviewed and one file was noted to be missing evidence of the persons training and skills.
      • R3.1B - Ensure criminal record checks are obtained for all employed persons; 37( 1 )(a)
      • R3.1E - Obtain copies of diplomas, certificates or other evidence of training and skills for all employed persons; 37( 1 )(d)
  5. Routine Inspection

    2 infractions

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): August 5, 2021 The Licensee has a system in place to audit the physical environment for compliance however; it was noted during the inspection that the system for ensuring that doors to storage areas containing accessible hazardous materials remain locked was ineffective. The unlocked doors were locked immediately. The Licensee reported that the system for providing a lighter to a person in care who smokes will be changed to ensure safety.
      • 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)
    • 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): August 5, 2021 The Licensee has a system in place to ensure that care plans are in place and updated as per the legislated requirements however; it was noted during the inspection that care planning was not in place for all persons in care who exit the building to smoke or who exit the building independently.
      • R10.3A - Develop a care plan with the participation of the person in care to the extent reasonable practical or the parent or representative and takes into account the unique abilities, physical, social and emotional needs, cultural and spiritual preferences of the person in care; 81( 2 )(a)(i)(ii)(b) (Show More)

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