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Carolina House - Acquired Injury

4096 Carolina St, Vancouver BC V5V 4B7 · Acquired Injury

Inspection summary

Carolina House - Acquired Injury has been inspected 11 times by Vancouver Coastal Health since April 27, 2022. The most recent inspection, on September 14, 2026, recorded 2 infractions.

1 of 11 inspections on record found no infractions at all. In the past 12 months there were 3 inspections with 10 infractions recorded. The higher-risk findings here relate to: Chemicals and toxic substances and Food source, labelling and allergens.

Recent inspections have recorded more infractions than earlier ones, so it is worth reading the latest reports closely.

What these findings mean

Health authorities word their findings differently, so we group them by what they mean for your health. Higher-risk findings are the ones inspectors treat as critical, because they can directly make someone sick.

  • Chemicals and toxic substancesHigher risk

    Cleaning products, disinfectants and pesticides must be labelled and stored safely, away from food and from surfaces people touch. Inspectors flag chemicals that could contaminate food or harm people, as well as pest treatments applied without proper supervision.

    Recorded once on March 23, 2026. For example: There are secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials [RCR Sec 35(1)(c)]

  • Food source, labelling and allergensHigher risk

    Food and other products must come from approved sources, stay in labelled containers and be thrown out when spoiled, expired or damaged. Labelling also matters for allergies: an unlabelled container can hide an allergen.

    Recorded once on September 3, 2025. For example: Medications remain in the original labelled container or package provided by the dispensing pharmacy until administered [RCR Sec 69(2)]

  • 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 March 23, 2026. For example: Monthly weights are taken and recorded, if missing, the reason is documented. [RCR Sec 83(4)(a),(5)(a)]

  • 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 9 times across 9 separate inspections, most recently on September 14, 2026. For example: Employees have experience, competence and training to ensure food is safely prepared, handled and meets the nutritional needs [RCR Sec (44)(1)(a)]

  • 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 December 8, 2025. For example: Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]

About this data

These results come from Vancouver Coastal Health, 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

    2 infractions

    • Employee performance is reviewed regularly to ensure that they continue to meet the requirements of this regulation and demonstrates the competence required for their duties [RCR Sec 40(1),(3)]
      • Employee performance is not reviewed regularly.
    • Employees have experience, competence and training to ensure food is safely prepared, handled and meets the nutritional needs [RCR Sec (44)(1)(a)]
  2. Routine

    5 infractions

    • Monthly weights are taken and recorded, if missing, the reason is documented. [RCR Sec 83(4)(a),(5)(a)]
      • Monthly weights are not taken.
      • The reason for the monthly weight missing is not recorded.
    • There are secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials [RCR Sec 35(1)(c)]
    • A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
      • There was no agreement in writing from the person in care or their representative.
    • Employee performance is reviewed regularly to ensure that they continue to meet the requirements of this regulation and demonstrates the competence required for their duties [RCR Sec 40(1),(3)]
      • Employee performance is not reviewed regularly.
    • Employees have experience, competence and training to ensure food is safely prepared, handled and meets the nutritional needs [RCR Sec (44)(1)(a)]
  3. Routine Follow-up

    3 infractions

    • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
      • Employees have not been trained in the emergency plan.
      • Employees have not been trained in the use of emergency equipment.
    • A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
      • There was no agreement in writing from the person in care or their representative.
    • Employees have experience, competence and training to ensure food is safely prepared, handled and meets the nutritional needs [RCR Sec (44)(1)(a)]
  4. Routine

    8 infractions

    • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
      • Employees have not been trained in the emergency plan.
      • Employees have not been trained in the use of emergency equipment.
    • There is a suitable ongoing planned program of physical, social and recreational activities that meets the objectives of the care plan [RCR Sec 55(1)(a); Bill of Rights 2(c)]
    • Persons in care are encouraged to participate in the facility's program of activities and to take advantage of opportunities available in the community [RCR Sec 55(1)(b); Bill of Rights 2(c)]
    • Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
      • Care plan(s) are not reviewed at least once a year.
    • For facilities with 24 or fewer persons in care the nutrition plan(s) is reviewed on a regular basis. [RCR Sec 83(3)(a)]
    • Medications remain in the original labelled container or package provided by the dispensing pharmacy until administered [RCR Sec 69(2)]
    • A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
      • There was no agreement in writing from the person in care or their representative.
    • Employees have experience, competence and training to ensure food is safely prepared, handled and meets the nutritional needs [RCR Sec (44)(1)(a)]
  5. Routine Follow-up

    1 infraction

    • Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
      • There is lack of immediate access to an employee who is certified in first aid and CPR.
  6. Routine Follow-up

    2 infractions

    • Employee files contain the records required by this regulation [RCR Sec 86]
      • Does not contain criminal record check results.
    • Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
  7. Routine Follow-up

    2 infractions

    • Employee files contain the records required by this regulation [RCR Sec 86]
      • Does not contain criminal record check results.
    • Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
  8. Routine

    5 infractions

    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
    • A restraint used under section 74(1)(b) that continues either continuously or intermittently for more than 24 hours is reassessed within the specified time consulting with those who agreed to the use of the restraint [RCR Sec 75(3)]
    • A pharmacist packages and records all medications on the medication administration record [RCR Sec 69(1)]
      • A pharmacist does not package all medication.
    • Employee files contain the records required by this regulation [RCR Sec 86]
      • Does not contain criminal record check results.
    • Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
  9. Routine Follow-up

    0 infractions

  10. Routine

    1 infraction

    • For facilities with 24 or fewer persons in care the nutrition plan(s) is reviewed on a regular basis. [RCR Sec 83(3)(a)]
  11. Routine

    3 infractions

    • The facility has a written a policy and procedure for obtaining consent, in accordance with Part 3 of the Health Care (Consent) and Care Facility (Admission) Act, before admitting an adult to the community care facility. [RCR Sec 85(2)(m)]
    • The written policies and procedures are reviewed and revised if necessary at least once each year [RCR Sec 85(1)(b)]
    • If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
      • The result of any reassessment of the use of the restraint is not recorded.
      • The alternatives that were considered to the use of the restraint, and which, if any, were implemented or rejected is not recorded.
      • The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.

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