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Inglewood Care Centre - Long Term Care

725 Inglewood Ave, West Vancouver BC V7T 1X5 · Long Term Care

Official record from Vancouver Coastal →

Inspection summary

Inglewood Care Centre - Long Term Care has been inspected 8 times by Vancouver Coastal Health since October 7, 2021. The most recent inspection, on September 24, 2025, recorded 3 infractions.

1 of 8 inspections on record found no infractions at all. No inspections are on record from the past 12 months. The higher-risk findings here relate to: Handwashing and staff hygiene, Food temperature control and Cleaning and sanitizing.

Recent inspections have recorded fewer infractions than earlier ones, so the record is improving.

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.

  • Handwashing and staff hygieneHigher risk

    Hand hygiene is the most important way to stop germs spreading between children, residents and staff. Inspectors check that sinks are stocked and easy to reach, that staff wash their hands when required (for example after diapering or before handling food), and that sick staff stay away from work.

    Recorded 7 times on December 15, 2021. For example: Hand-washing signs are prominently placed, including all staff areas.

  • Food temperature controlHigher risk

    Inspectors check that anything that has to be kept at a set temperature, such as chilled or hot food, or equipment like sterilizers, stays in its safe range and that accurate thermometers are on hand. With food, temperature problems are one of the most common causes of food poisoning.

    Recorded once on December 15, 2021. For example: Common use medical equipment is cleaned or disinfected in between clients (e.g. wheelchairs, BP cuffs, lifting belts, lifts, thermometers, stethoscopes, slings, etc.)

  • Cleaning and sanitizingHigher risk

    Surfaces, dishes and tools that touch food or people must be cleaned and then sanitized or disinfected. Inspectors check sanitizer strength, dishwasher temperatures and how cleaning is done. Poor sanitizing lets germs survive from one use to the next.

    Recorded once on December 15, 2021. For example: Dishwashing practices adhere to the Food Premises Regulation, including monitoring sheets.

  • 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 14 times across 5 separate inspections, most recently on September 24, 2025. For example: Weekly menu posted in each dining area for Long Term Care. [RCR Sec 62(4)]

  • Building, plumbing and upkeepLower risk

    Floors, walls and ceilings must be clean and in good repair, with working lighting, ventilation, plumbing, hot and cold water, and washrooms. These are rarely an immediate health risk on their own, but persistent problems can lead to pest or sanitation issues.

    Recorded 11 times across 2 separate inspections, most recently on September 24, 2025. For example: Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]

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.

8 inspections

  1. Routine

    3 infractions

    • Weekly menu posted in each dining area for Long Term Care. [RCR Sec 62(4)]
    • 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)]
    • Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]
      • Rooms and common areas are not maintained in a good state of repair.
      • Rooms and common areas are not maintained in a safe and clean condition.
  2. Routine

    0 infractions

  3. Routine

    1 infraction

    • 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 is no written agreement to the use of a restraint by the person in care or their representative.
  4. Routine

    2 infractions

    • 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)]
    • Personal preferences and cultural background are considered in food preparation and service [RCR Sec 63(2)]
  5. Routine

    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.
    • 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)]
    • 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)]
      • A restraint was used when it was not necessary to protect the person in care or others from imminent serious physical harm.
      • There is no written agreement to the use of a restraint by the person in care or their representative.
    • Restraints are not used unless it is necessary to protect the person in care or others from serious physical harm, are minimal as possible; safety, physical, emotional dignity is monitored and the regulation is followed [RCR Sec 73(1),(2)]
      • All alternatives to the use of the restraint have not been considered and either implemented or rejected.
      • The use of the restraint, its type and the duration for which it is used is not documented in the care plan of the person in care.
      • A restraint was inappropriately used.
    • 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)]
      • Did not use CAPs to inform care planning.
    • 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.
      • The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.
    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
  6. Routine

    10 infractions

    • Employees have access to reliable communications equipment in an emergency [RCR Sec 51(5)]
    • Employees on duty are sufficient in numbers, training, experience, and organized in an appropriate pattern to meet the needs of the persons in care and assist in activities of daily living. [RCR Sec 42(1);DOLSOP Opioid Overdose Prevention]
    • 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.
    • 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)]
      • Policies and procedures are not implemented by staff.
    • Restraints are not used unless it is necessary to protect the person in care or others from serious physical harm, are minimal as possible; safety, physical, emotional dignity is monitored and the regulation is followed [RCR Sec 73(1),(2)]
      • The use of the restraint, its type and the duration for which it is used is not documented in the care plan of the person in care.
      • The safety, physical and emotional dignity of the person in care is not monitored throughout the use of the restraint, and assessed after the use of the restraint.
    • 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 implementation of care plans is monitored on a regular basis to ensure proper implementation [RCR Sec 81(4)(a)]
    • Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
    • 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 alternatives that were considered to the use of the restraint, and which, if any, were implemented or rejected is not recorded.
    • The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
  7. Routine Follow-up

    37 infractions

    • Outbreak notification signs are posted at the facility entrance and/or affected units/floors.
    • Hand-washing signs are prominently placed, including all staff areas.
    • Where possible, cohort washrooms. Designate washrooms for the public, care & dietary staff.
    • Designated hand-washing and/or alcohol hand sanitizer available for visitors.
    • Restrictions imposed on new admissions and/or transfers from the facility.
    • Affected units/floors have implemented contact precautions.
    • Notification of all facility departments and independent contractors.
    • Staff has been notified of the outbreak and have been directed to implement the appropriate precautions (work duties and personal protection).
    • Staff have been are reminded to report any incidents of GI Illness in selves or clients.
    • Facility is following exclusion requirements for affected staff.
    • Where possible, staff returning to work after illness are assigned to an affected units/floors.
    • Facility has a policy on the use of PPE. Gowns & gloves etc. are readily available to staff (and visitors).
    • Non-essential staff, volunteers, therapists restricted from the facility and/or affected units/floors.
    • Staffing levels are adequate to respond to GI incidents.
    • Minimizing contact between clients on affected units/floors with unaffected areas.
    • Hospitals and/or other medical facilities receiving or providing treatment to affected & unaffected clients are being notified.
    • Group activities are cancelled e.g. social events, outings, picnics etc.
    • Cohort staff to affected areas where possible/appropriate.
    • Facility has documented procedures for vomitus & fecal incidents, including disinfectant contact times.
    • Care & Housekeeping staff are aware of and are practicing the protocols.
    • Adequate disinfection supplies on the affected units/floors & housekeeping carts (i.e. spill kit).
    • Increased frequency of disinfection of common hand contact surfaces (e.g. handrails, taps, door handles, toilet flushers, bedrails, counters, stair rails etc.)
    • Common use medical equipment is cleaned or disinfected in between clients (e.g. wheelchairs, BP cuffs, lifting belts, lifts, thermometers, stethoscopes, slings, etc.)
    • Appropriate concentration of disinfectant used for vomiting & fecal incidents.
      • Add 1 cup (250ml) of domestic 5 - 6% bleach to 10 cups (2.5 litres) of water i.e. about 5000PPM. The surface must stay wet for at least one minute and then air dry. Accelerated hydrogen peroxide solution (0.5%) with at least a 5 minute contact time.
    • Appropriate concentration of disinfectant used for environmental surfaces.
      • Add 4 teaspoons (20ml) of domestic 5% – 6% bleach to 1 litre of water i.e. about 1000PPM (1:50 sol’n). The surface must stay wet for at least one minute and then air dry. Accelerated hydrogen peroxide solution (0.5%) with at least a 5 minute contact time.
    • No communal foods shared in client and staff areas in the both the affected and non-affected areas of the facility (e.g. candies, chocolates, pastries etc.)
    • No self-service items or water in the common dining or cafeteria areas. Remove menus, napkin holders, condiments, tea, coffee, etc. Use single serve items or have staff dispense.
    • Children’s & staff mealtime tables, chairs are being cleaned and disinfected before and after each use.
    • Dietary staff have a designated washroom & hand-washing facilities separate from other staff.
    • Washrooms are fully-stocked with handwash supplies.
    • Protocol/system is in place to deliver meal service to affected units/floors.
    • Protocol for handling dishware, cutlery etc. from the affected units/floors, including the food carts, is in place.
    • Dishwashing practices adhere to the Food Premises Regulation, including monitoring sheets.
    • Enhanced cleaning & disinfection of resident/patient & staff, tables, chairs and food service stations in the dining areas.
    • Protocol in place for clients requiring assistance with feeding.
    • Enhanced laundry protocols.
    • Details regarding dirty/clean handling and processing (e.g. colour coding for heavily soiled laundry).
  8. Routine

    9 infractions

    • Employees on duty are sufficient in numbers, training, experience, and organized in an appropriate pattern to meet the needs of the persons in care and assist in activities of daily living. [RCR Sec 42(1);DOLSOP Opioid Overdose Prevention]
      • There are insufficient numbers of employees.
    • 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.
    • 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.
      • Persons in care are not advised on how to express concerns or make complaints under the Patient Care Quality Review Board Act.
    • 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)]
      • A restraint was used when it was not necessary to protect the person in care or others from imminent serious physical harm.
      • There is no written agreement to the use of a restraint by the person in care or their representative.
    • 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)]
      • Policies and procedures are not implemented by staff.
    • Restraints are not used unless it is necessary to protect the person in care or others from serious physical harm, are minimal as possible; safety, physical, emotional dignity is monitored and the regulation is followed [RCR Sec 73(1),(2)]
      • All alternatives to the use of the restraint have not been considered and either implemented or rejected.
      • The use of the restraint, its type and the duration for which it is used is not documented in the care plan of the person in care.
      • The safety, physical and emotional dignity of the person in care is not monitored throughout the use of the restraint, and assessed after the use of the restraint.
      • Employees administering the restraint do not follow any instructions in the care plan of the person in care respecting the use of restraints.
    • The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
      • 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 a fall prevention 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]
      • 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 most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]

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