Down's Residence
1304 43 Ave Vernon BC V1T 8B2 · Residential Care - Licensing
Inspection summary
Down's Residence has been inspected 6 times by Interior Health Authority since February 24, 2021. The most recent inspection, on January 15, 2026, recorded 3 infractions.
None of the 6 inspections on record were free of infractions. In the past 12 months there were 2 inspections with 5 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 These findings are administrative: the documentation was missing or out of date at the time of inspection.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 10 times across 6 separate inspections, most recently on January 15, 2026. For example:
2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
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 once on December 14, 2023. 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 5 separate inspections, most recently on January 15, 2026. For example:
3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
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.
6 inspections
- Routine Inspection
3 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): The system to ensure that medication administration records are completed is ineffective. A review of Medication Administrative Record's (MAR) identified missing signatures indicating time and date for the administration of medication. Failure to chart or administer medication as prescribed can potentially affect the health and safety of persons in care. This was also a contravention on the last routine inspection. Submit by January 30, 2026, the plan that will be implemented to ensure ongoing compliance with Section 78(2)(b) of the Residential Care Regulation. The plan must include your process for ongoing monitoring of the updated system.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): The system to ensure that persons in care are weighed monthly is ineffective. A review of checklists identified several missing monthly weights. The absence of documented monthly weights increases the risk of inaccurate nutritional monitoring of persons in care. Submit by January 30, 2026, the plan that will be implemented to ensure ongoing compliance with Section 83(4)(a) of the Residential Care Regulation. The plan must include your process for ongoing monitoring of the updated system.
- 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)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): The system to ensure food is safely stored is ineffective, It was observed that fridge and freezer temperature checks were sporadically missing. Not ensuring that storing of food within the correct temperature range may compromise the health and safety of persons in care. Submit by January 30, 2026, the plan that will be implemented to ensure ongoing compliance with Section 63(1) of the Residential Care Regulation. The plan must include your process for ongoing monitoring of the updated system.
- R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Substantiated complaint
2 infractions
- R4.6 - Are facility records current and complete?
- Observation(s): Allegation: Concerns that menu and substitution documentation was incomplete. A licensee must keep a record of the following matters respecting food service: menus and menu substitutions. A review of the menu identified changes that were not recorded on the substitution list. Findings: substantiated Submit a correction action plan by November 28, 2025, indicating what systems are in place to ensure that food service records are complete and accurate to ensure compliance with RCR, section 87(b). Allegation: Concerns that documentation regarding food monitoring was incomplete. A licensee must keep a record of the following matters respecting food service: the results of monitoring, by the licensee, of food services and nutrition care. The Licensee acknowledged that the facility had only completed a food survey by means of the family council meeting, there was no documented client food satisfaction surveys. Findings: substantiated Submit a correction action plan by November 28, 2025, indicating what systems are in place to ensure that food monitoring documentation is recorded to be in compliance with RCR, section 87(c).
- R4.6C - Retain food services records of menus and menu substitutions; 87(b)
- R4.6D - Retain the results of monitoring of food services and nutrition care; 87(c)
- R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): Allegation: Concerns that food substitutions were not of the same food groups. A licensee must ensure that each menu provides for substitutions to be made that are from the same food group and have a similar nutritional value. A review of the substitution list identified substitutions that were not of the same food group. Findings: substantiated Submit a correction action plan by November 28, 2025, indicating what systems are in place to ensure that food substitutions are made from the same food group and have a similar nutritional value to be in compliance with RCR, section 62(2)(d).
- R5.1I - Provide substitutions from the same food group and have a similar nutritional value; 62( 2 )(d)
- R4.6 - Are facility records current and complete?
- Routine Inspection
2 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): The system to ensure that Medication Administration Records show all medications administered is in effective as evident by a prescribed medication, 1 tab daily at bedtime, having no signature indicating it was not administered on two consecutive nights. The system to ensure that Medication Administration Records show the date, amount and time a medication was administered is in effective. A review of a PRN medication which was noted for its effectiveness had no signature indicating time and date in which it was administered.
- R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- 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 to ensure that the care and supervision of persons in care is consistent with the terms of the care plan is ineffective. A review of the Bowel movement records identified several missed days which were not recorded.
- 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
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
5 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 system to ensure that Emergency plans set out how persons in care will continue to be cared for in case of an evacuation is ineffective. No emergency location was identified, the last written agreement for a hotel was dated 2020 and the plan identifies contacting rental companies for transportation with no written agreement in place.
- R2.1F - Emergency plans must set out procedures to prepare for, mitigate, respond to and recover from any emergency including evacuation procedures; 51( 1 )(a)
- R4.6 - Are facility records current and complete?
- Observation(s): The system to ensure that menus substitutions are recorded is ineffective as observed by incomplete charting. The last recorded substitution was in June 2023.
- R4.6C - Retain food services records of menus and menu substitutions; 87(b)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): The system to ensure that temperature checks for freezers located in the basement was ineffective. There is no system to record the temperatures.
- R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The system to ensure safe storage of hazard materials is ineffective. Chemicals were observed stored in an unlocked cupboard in a washroom accessible to persons in care.
- R7.1AI- Provide appropriately furnished and equipped areas for administrative work and other staff use; 35( 1 )(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 system to ensure that Care Plans are reviewed at least once each year is ineffective. It was observed that Care plans have been updated although the revisions took longer than a year to complete.
- 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)
- 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?
- Routine Inspection
2 infractions
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): Licensing reviewed emergency plans. Monthly fire drills were inconsistently practiced and there is no system in place to ensure all employees are participating.
- R3.1W - Employees must be trained in the implementation of emergency plans and the use of any equipment noted in the plan; 51 ( 3 )
- R4.6 - Are facility records current and complete?
- Observation(s): Licensing reviewed menu and food records. There is no system in place to record menu substitutions.
- R4.6C - Retain food services records of menus and menu substitutions; 87(b)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Routine Inspection
2 infractions
- R7.2 - Is the environment maintained to prevent falls?
- Observation(s): During the inspection, it was observed the laundry facilities were not equipped with 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)
- 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 Manager of Care informed Licensing person's in care or representatives are not advised how to make concerns and complaints to Licensing Direct prior to admission. -The Manager of Care informed Licensing person's in care or representatives are not advised how to make concerns and complaints to Patient Care Quality Review Board prior to admission.
- R2.1C - Prior to admission, advise how the person, their parent or representative may express concerns or make complaints to licensing; 48( 1 )(c)(i)
- R2.1D - Prior to admission, advise how the person, their parent or representative may express concerns or make complaints to the Patient Care Quality Review Board Act; 48( 1 )(c)(ii)
- R7.2 - Is the environment maintained to prevent falls?
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