Hamilton High Street Residence - Long Term Care

23100 Garripie Ave, Richmond BC V6V 0B9 · Long Term Care

13 inspections

1. RoutineDec 30, 2025

   2 infractions

   • Persons in care who make prepayments are provided written terms and conditions under which a refund may be made [CCALA Sec 19; Bill of Rights 4(d)]
   • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
2. RoutineJun 27, 2024

   1 infraction

   • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
3. RoutineFeb 15, 2024

   6 infractions

   • There are employees who can communicate effectively at all times with all the persons in care [RCR Sec 42(3)]
   • The facility has written policies and procedures as prescribed by the regulation [RCR Sec 85(2)(b-l)]
   • 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)]
   • 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)]
   • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
     • Does not include an oral health care plan.
   • 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]
4. RoutineOct 19, 2023

   15 infractions

   • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
   • There is an emergency plan displayed in a prominent place that sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for evacuation and how persons in care will be cared for [RCR Sec 51(1),(4)]
   • There are written and implemented policies and procedures to guide staff in the care and supervision of the persons in care [RCR Sec 85(1)(a), (d)]
   • The written policies and procedures are reviewed and revised if necessary at least once each year [RCR Sec 85(1)(b)]
   • A facility providing Long Term Care has a fall prevention policy and procedure with the required elements [RCR Sec 85(2a)]
     • The policy and procedure does not include a plan for preventing persons in care from falling.
   • The facility has written policies and procedures as prescribed by the regulation [RCR Sec 85(2)(b-l)]
     • There is no written policy and procedure on the orientation of new managers and employees, including orientation respecting the policies and procedures of the community care facility, the regulations and the Act.
     • There is no written policy and procedure regarding continuing education of managers and employees.
     • There is no written policy and procedure regarding how persons in care, their parents or representatives and contact persons may express concerns, make complaints and resolve disputes under section 60 [dispute resolution].
     • There is no written policy and procedure on access to persons in care by persons who are not employees of the community care facility.
     • There is no written policy and procedure regarding release of vulnerable adults from the community care facility if a person who is not authorized to remove the person in care from the community care facility requests the release of the person in care.
     • There is no written policy and procedure regarding release of vulnerable adults from the community care facility, including if a person who is authorized to remove the person in care from the community care facility appears to be incapable of providing safe care to the person in care.
     • There is no written policy and procedure to monitor the nutrition of a person in care.
     • There is no written policy and procedure to monitor of the medication of a person in care.
     • There is no written policy and procedure for the use of restraints in an emergency.
     • There is no written policy and procedure for responding to reportable incidents.
     • There is no written policy and procedure on the steps to be taken if a person in care leaves, or may have left, the community care facility without notification of an employee.
     • There is no written policy and procedure on the appropriate manner and schedule of record keeping.
     • The care facility has no written policy to address hydration in hot weather.
   • 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 facility has no resident or family council and has met the requirements of the regulation by providing an opportunity to meet with the licensee at least twice a year [RCR Sec 59(a); Bill of Rights 3(b)]
     • There has been no opportunity to meet at least twice a year to promote the collective interests of the persons in care.
   • Care plans take into account the persons in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences [RCR Sec 81(2)(b); Bill of Rights 1(b)]
   • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
     • Does not include a medication plan, including self-administered medication if approved under section 70(4)[administration of medication].
     • Does not address if there is agreement to the use of restraints under section 74 (1) (b) [when restraints may be used], the type or nature of restraint and the frequency of reassessment.
     • Does not include an oral health care plan.
     • Does not include a nutrition plan that assesses a person in care's nutrition status.
     • Does not specify the nutrition to be provided to the person in care, including any therapeutic diets.
     • Does not include a recreation and leisure plan.
     • Does not include an assessment of the nature of the risk of falling presented by the person in care.
     • Does not include a fall prevention plan.
     • Does not include a plan for following up on any falls suffered by a person in care.
     • Does not include if a person in care has been determined to be at risk of leaving without notification of an employee, a plan to prevent the person in care from leaving.
     • Does not include if a person in care has been determined to be at risk of leaving without notification of an employee, a plan to locate the person in care.
     • Does not include behavioural intervention, if applicable.
     • Does not include if a person in care is released on leave under the Mental Health Act or is admitted to the community care facility under an enactment or court order, any condition or requirement.
   • 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.
   • Reportable incidents have been reported with appropriate notifications [RCR Sec 77(2)(a)(b)(d);DOLSOP Preventing Opioid Overdose]
   • Care plans are developed within 30 days of admission for admissions of 30 days or more [RCR Sec 81(1); Bill of Rights 1(a); DOLSOP Advanced Directives]
     • Care plans are not developed within 30 days.
     • Does not include documentation of advanced care plan conversation(s) (DOLSOP)
   • 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 reason for the use of the restraint is not recorded.
     • 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 type or nature of the restraint used is not recorded.
     • Employee compliance with the requirements of Division 5 [Use of Restraints] of Part 5 is not recorded.
     • The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.
   • The MSAC establishes and reviews training, orientation programs, and policies and procedures [RCR Sec 68(3);DOLSOP Preventing Opioid Overdose]
5. Routine Follow-upSep 21, 2023

   0 infractions

6. Routine Follow-upMay 11, 2023

   1 infraction

   • Only those persons who will receive safe and adequate care are accommodated as specified on the license. [RCR Sec 46(1), (2)]
     • Number of persons in care exceeds maximum licensed capacity.
7. RoutineFeb 14, 2023

   7 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.
   • Prior to and or on admission persons in care are informed on how to express concerns or make complaints to the medical health officer or the Patient Care Quality Office [RCR Sec 48(1) (c); Bill of Rights 3(e)]
   • Risk of leaving the facility without notification is assessed on admission [RCR Sec 49 (3)]
   • If a person(s) in care may leave the facility without notifying an employee and is not capable of identifying his or herself they are fitted with an identification bracelet or other means not easily removed [RCR Sec 56(3)]
     • Does not indicate the person in care's name.
     • A bracelet or other means have not been provided.
     • Does not indicate the community care facility's name.
     • Does not indicate the emergency contact information.
   • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
     • Does not include a medication plan, including self-administered medication if approved under section 70(4)[administration of medication].
     • Does not include if a person in care has been determined to be at risk of leaving without notification of an employee, a plan to prevent the person in care from leaving.
     • Does not include if a person in care has been determined to be at risk of leaving without notification of an employee, a plan to locate the person in care.
   • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
   • For facilities with 24 or fewer persons in care the nutrition plan(s) is reviewed on a regular basis. [RCR Sec 83(3)(a)]
8. Routine Follow-upDec 8, 2022

   7 infractions

   • A qualified employee is designated to organize and supervise physical, social and recreational activities and has sufficient time to carry out activities [RCR Sec (45)(a)(b)]
   • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
   • 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 medical practitioner or nurse practitioner
     • There is no written agreement to the use of a restraint by the person in care or their representative.
   • 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 MSAC establishes and reviews training, orientation programs, and policies and procedures [RCR Sec 68(3);DOLSOP Preventing Opioid Overdose]
   • Prior to employment the licensee obtained the appropriate information regarding the staff person [RCR Sec 37(1)]
   • 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.
9. Routine Follow-upNov 2, 2022

   12 infractions

   • A qualified employee is designated to organize and supervise physical, social and recreational activities and has sufficient time to carry out activities [RCR Sec (45)(a)(b)]
   • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
   • 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.
     • There was no agreement in writing from the medical practitioner or nurse practitioner
     • There is no written agreement to the use of a restraint by the person in care or their representative.
   • 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)]
   • 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 and, if necessary, modified if there is a substantial change.
   • Menu reflects food preferences and cultural background [RCR Sec 62 (2)(c)(ii)]
     • Menu does not reflect food preferences.
   • Persons in care are assisted in daily oral health care and are encouraged to have a dental exam once a year [RCR Sec 54(3)]
     • Yearly dental exams are not encouraged.
   • When a manager resigns or is absent for more than 30 consecutive days notification to Community Care Facilities Licensing has been given and there is a replacement [RCR Sec 8(3)]
   • The MSAC establishes and reviews training, orientation programs, and policies and procedures [RCR Sec 68(3);DOLSOP Preventing Opioid Overdose]
     • There are no training and orientation programs for employees.
     • There are no policies and procedures for the safe and effective storage, handling and administration of medications.
     • There are no policies and procedures for the immediate response to and reporting of medication errors and adverse reactions to medications.
     • There Is no Naloxone Administration policy developed under the direction of the MSAC.
   • Employee files contain the records required by this regulation [RCR Sec 86]
     • Lacks a record of compliance with the Province's immunization and tuberculosis control programs.
     • Lacks a record of character references.
   • Prior to employment the licensee obtained the appropriate information regarding the staff person [RCR Sec 37(1)]
     • No character references were obtained.
     • The required documentation was not obtained prior to hiring.
     • There is no evidence of compliance with the Province's immunization and TB control programs.
   • Manager or employee(s) is of good character, has the personality, ability and temperament to manage or work with persons in care and has the training, experience and skills necessary to carry out the duties assigned [RCR Sec 37(2);CCALA 7(1)(a)]
10. RoutineSep 15, 2022

    18 infractions

    • A qualified employee is designated to organize and supervise physical, social and recreational activities and has sufficient time to carry out activities [RCR Sec (45)(a)(b)]
    • Employees have been trained in the implementation of the plans and in the use of emergency equipment [RCR Sec 51(3)]
    • Prior to and or on admission persons in care are informed of all charges, fees and other amounts that must be paid for accommodation and other services [RCR Sec 48(1) (a); Bill of Rights 4(c)]
    • Prior to or on admission persons in care are informed of the facility's policies respecting expressing concerns, making complaints and resolving disputes [RCR Sec 48(1)(b)]
    • Prior to and or on admission persons in care are informed on how to express concerns or make complaints to the medical health officer or the Patient Care Quality Office [RCR Sec 48(1) (c); Bill of Rights 3(e)]
      • Persons in care are not advised on how to express concerns or make complaints to the medical health officer.
    • 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.
      • There is no written agreement to the use of a restraint by the person in care or their representative.
    • The written policies and procedures are reviewed and revised if necessary at least once each year [RCR Sec 85(1)(b)]
    • 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)]
    • 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 and, if necessary, modified if there is a substantial change.
    • Menu reflects food preferences and cultural background [RCR Sec 62 (2)(c)(ii)]
      • Menu does not reflect cultural background.
    • Persons in care are assisted in daily oral health care and are encouraged to have a dental exam once a year [RCR Sec 54(3)]
      • Yearly dental exams are not encouraged.
    • When a manager resigns or is absent for more than 30 consecutive days notification to Community Care Facilities Licensing has been given and there is a replacement [RCR Sec 8(3)]
      • Notification has not been given.
    • The emergency plans are updated when there is any change in the facility [RCR Sec 51(2)]
    • Persons in care are encouraged to participate in menu planning, meal preparation, food service and related activities as far as reasonably practical or as per their nutrition plan [RCR Sec 65(1)]
    • Employee files contain the records required by this regulation [RCR Sec 86]
      • Lacks a record of compliance with the Province's immunization and tuberculosis control programs.
    • Prior to employment the licensee obtained the appropriate information regarding the staff person [RCR Sec 37(1)]
    • Manager or employee(s) is of good character, has the personality, ability and temperament to manage or work with persons in care and has the training, experience and skills necessary to carry out the duties assigned [RCR Sec 37(2);CCALA 7(1)(a)]
      • Does not have the training, experience and demonstrated skills necessary to carry out the duties assigned.
    • 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.
11. RoutineMar 1, 2022

    0 infractions

12. Routine Follow-upOct 21, 2021

    0 infractions

13. RoutineSep 29, 2021

    6 infractions

    • Prior to or on admission persons in care are informed of the facility's policies respecting expressing concerns, making complaints and resolving disputes [RCR Sec 48(1)(b)]
    • Prior to and or on admission persons in care are informed on how to express concerns or make complaints to the medical health officer or the Patient Care Quality Office [RCR Sec 48(1) (c); Bill of Rights 3(e)]
    • If a person(s) in care may leave the facility without notifying an employee and is not capable of identifying his or herself they are fitted with an identification bracelet or other means not easily removed [RCR Sec 56(3)]
      • Does not indicate the person in care's name.
      • A bracelet or other means have not been provided.
      • Does not indicate the community care facility's name.
      • Does not indicate the emergency contact information.
    • Care plans take into account the persons in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences [RCR Sec 81(2)(b); Bill of Rights 1(b)]
    • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
    • There is on display in a prominent place notice that electronic surveillance is being used [RCR Sec 19(3)]