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Orchardview Group Home

3231 30 St NE Salmon Arm BC V1E 3L1 · Residential Care - Licensing

9 inspections

  1. Routine Inspection

    0 infractions

  2. Routine Inspection

    0 infractions

  3. Routine Inspection

    0 infractions

  4. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Upon the physical inspection of the facility Licensing observed: -The concrete stairs to the front door to be pitted and uneven. This is a reoccurring contravention from the May 27, 2019. -Some walls throughout the facility have damage requiring repair and paint. This is a reoccurring contravention from the May 27, 2019.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  5. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Upon physical inspection of the premises, many items were noted inside and outside of the home that were not in a good state of repair and do not meet the needs of and provide for the health, safety and dignity of the persons in care. These items (below) were all identified as being an issue since 2018, with no immediate plans for remediation. - The outside staircase in the back of the house (which is used as an emergency exit) is very unstable and rotting. The lower part of the staircase swayed from side to side as we walked up. The railings on the staircase are not stable as well. - There is a cement pad near the base of the outside staircase which has lifted up and poses as a tripping hazard. The raised edges were marked with paint which is now fading, indicating that this has been an issue for a while. - The front steps to the house are pitting, with large divots on each step. The unevenness of the steps can be a tripping/slipping hazard. This main entrance of the house is an emergency exit. - The manager stated that persons in care are not allowed to use the backyard (grass) area as large branches from the pine tree are dead and falling off. The manager stated that this measure was taken to mitigate risk of injury to persons in care. Although the large deck above the carport satisfies the space requirements of the legislation, there is nothing in place to prevent persons in care from accessing the area where large branches have been noted to fall. - The fence, which is not used for security measures is in disrepair with many panels hanging off and string being used to tie it up. - The basement of the home which can be accessed by persons in care has holes from last year from ant remediation. Also drywall was removed for the ant infestation. Although vapour barrier is applied, the drywall has not been repaired and the holes have not been filled and painted over since last year's ant infestation. - The upstairs bathroom had a handrail that was moved. The holes from the old handrail have been patched over but not repainted. During inspection of a person in care's bedroom, it was noted that the edge of the window sill was removed for the ant remediation and has not been fixed. Also, on an adjacent wall, there were large patches in the drywall/paint and the walls have not been repainted. The furnace vent in front of the closet was also not properly fixed in place. The laminate flooring surrounding the vent was loose.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • R7.1T - Each bedroom must meet the needs of and provide for the health, safety and dignity of the occupant; 26 ( 1 )
  6. Monitoring

    2 infractions

    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The system for ensuring Criminal Record Checks are obtained is ineffective. The Licensing Officer reviewed staff records and found an RCMP criminal record check on file. The RCMP criminal record check is not accepted by Licensing. Criminal Record Checks are to be completed by the Government of British Columbia. A sharing request form had been submitted to the Government of British Columbia, but a copy of the check had not been approved for sharing. Follow up had not been completed in obtaining the Criminal Record Check.
      • R3.1B - Ensure criminal record checks are obtained for all employed persons; 37( 1 )(a)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): An uneven edge with corrosion of the pavement was noted in the driveway which the persons in care access to enter and leave the facility. This could pose as a tripping hazard to persons in care. The manager is to come up with a temporary fix to decrease the risk of harm to persons in care until repairs to the driveway can be completed.
      • R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
  7. Monitoring

    3 infractions

    • 6.1 Do employee records have evidence of continued compliance with the Province’s immunization and tuberculosis control programs?
      • Observation(s): The manager provided a staff spread sheet and several staff records were also reviewed during the inspection. One staff record was missing immunization and tuberculosis records. This remains outstanding from the previous inspection.
      • Ensure there is evidence that employees have continued compliance with the Province’s immunization and tuberculosis control programs; 39 ( 1 )
    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The manager provided the Licensing Officer with a spread sheet which indicated there were over due performance evaluations on several staff members.
      • 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)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Holes noted in the wall of the bathroom on the main floor. Screen coming off of the door to the patio.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  8. Monitoring

    8 infractions

    • 6.1 Do employee records have evidence of continued compliance with the Province’s immunization and tuberculosis control programs?
      • Observation(s): A sampling of staff records were reviewed during the inspection. Two staff records did not have tuberculosis screens on file and one record did not have immunization documentation on file.
      • Ensure there is evidence that employees have continued compliance with the Province’s immunization and tuberculosis control programs; 39 ( 1 )
    • 25 - Are care plans developed within 30 days of admission for admissions of 30 days or more?
      • Observation(s): As mentioned previously in the inspection, there was no care plan developed for a person in care residing in the facility for greater than 30 days.
    • 2.1 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 effectiveness of PRN medications is not always documented on the Medication Administration Record.
      • Ensure policies are implemented by employees; 85( 1 )(d)
    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): A sampling of staff records were reviewed. One staff record did not have a Criminal Record Check on file. One staff record only had one reference check and another staff record did not have any reference checks. This remains outstanding from the previous inspection.
      • Ensure criminal record checks are obtained for all employed persons; 37( 1 )(a)
      • Obtain character references for all employed persons; 37( 1 )(b)
    • 4.1 Are person in care records current, complete and kept confidential?
      • Observation(s): A care plan was not developed for a person in care residing in the facility for greater than 30 days.
      • Ensure a care plan is developed within 30 days for persons in care admitted for more than 30 days; 81.1; Director of Licensing Standards of Practice: Advance Directives and Care Plans
    • 4.6 Are facility records current and complete?
      • Observation(s): It was noted during the inspection that the menu was not being followed. There is no record showing any menu substitutions.
      • Retain food services records of menus and menu substitutions; 87(b)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The couch in the living room is stained and soiled. Follow up date for this item is January 26, 2016. There are dishwashing pucks with noted hazards accessible in a cupboard underneath the sink in the kitchen.
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
    • 10.3 Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): There was no oral care plan developed for a person in care residing at the facility for over 30 days. There was no nutrition plan for a person in care residing at the facility for over 30 days. Oral care plan for person in care had not been reviewed for greater than 1 year. This item was outstanding from past inspection reports. The manager reviewed the care plan during the inspection. Corrected during the inspection.
      • Care plans must includes an oral health care plan; 81( 3 )(b)
      • Ensure the care plan includes a nutrition plan that assesses nutrition status and specifies nutrition to be provided, including the requirement of any therapeutic diets; 81( 3 )(c)(i), (ii)
      • 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)
  9. Monitoring

    12 infractions

    • 6.2 Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): Unable to locate immunization information or TB screens in the records of persons in care. The manager stated that this information could have been removed from the charts and archived. This information is to remain in the charts for Licensing to review during inspections. There was old documentation from 2009 in regards to flu vaccines but nothing current was in the persons in care charts.
      • Ensure that all persons admitted comply with the Province’s immunization and tuberculosis control programs; 49 (1)
    • 8.1 Is there an ongoing planned program of physical, social and recreational activities?
      • Observation(s): A smaller calendar in the main dining room had some notations with weekly program specific events or reminders for person in care to attend to such as phone calls to family, weekly off site specific event for one person in care, but the remainder of the calendar was empty. The staff member directed the Licensing Officer to the white board downstairs for the calendar of events. There is a white board in the basement by the office for programs but there were only a few days within the whole month that had any programs written on the calendar. Nothing was written down for weekends when day programs off site are not available. Day programs are provided off site. This infraction remains outstanding from the past inspection.
      • Provide a program of activities, without charge, that is suitable to the needs of persons in care (Does not apply to Hospice); 55(1)(a)(i)
    • 9 - Are persons in care able to have family or a representative participate on the resident or family council on their own behalf?
      • Ensure persons in care are able to have family or a representative participate on the resident or family council on their behalf.
    • 13 - Is there a suitable ongoing planned program of physical, social and recreational activities that meets the objectives of the care plan?
      • Observation(s): Noted in the inspection report.
      • Ensure a suitable ongoing planned program of physical, social and recreational activities that meets the objectives of the care plan.
    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): A sampling of staff records were reviewed and one staff record only had one reference check on file. An expired first aid certificate was noted on one staff record.
      • Obtain character references for all employed persons; 37(1)(b)
      • Ensure that persons in care have immediate access at all times to an employee who holds a valid first aid and CPR certificate from a course that meets requirements of Schedule C, is knowledgeable about each person in care's medical condition, and is capable of effectively communicating with emergency personnel; 43(1)(a)(b)(c) (Show More)
    • 4.6 Are facility records current and complete?
      • Observation(s): The facility does not have any records on file of the family and resident council meetings.
      • Retain records of compliance with family and resident council required in section 59; 89(2)(b)
    • 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): The menu did not contain two snacks a day and each snack did not include two food groups as described in the Canada Food Guide.
      • Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62(2)( c)(i)
    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Fridge temperature logs are not being documented on a regular basis. It was noted during the inspection that the fridge thermometer was reading -4C which is not within the range of food storage. It was questioned as to whether the thermometer was working. Staff are to be checking the fridge temp daily when they wipe out the fridge but there is no indication that the unusual fridge temperature was noted or any follow up completed in regards to the below standard reading. An OH&S person takes monthly readings, but monthly readings would not indicate if daily fluctuations or abnormal readings were happening.
      • Ensure that food is safely prepared, stored, served and handled; 63 (1)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The last document on file for the Sprinkler system testing was over 1 year old. There was a fire inspection completed in 2014 which included the sprinkler, but the testing of the sprinkler pressure is conducted by a specialized company. The storage cupboard underneath the sink in the bathing room in the basement was noted to be initially unlocked as well as cleanser and cleaning spray bottle noted in the bathroom upstairs unattended. This staff member was setting out to do some cleaning. The cleaning supplies was stored and cupboard was locked during the inspection. (CDI-corrected during inspection)
      • Inspect and maintain on a regular basis all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices; 22 (3)
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35(1)(c)
    • 10.1 Does the admission screening ensure the health, safety and dignity of persons in care and the rights of adult persons in care?
      • Observation(s): It was noted during the inspection that bars of soap were left out on the bathtubs. The bathtub in the basement is currently being used by one person in care, but a plan for another person in care to be admitted to a bedroom in the basement is being worked on. The upstairs bathroom noted to have 2 bars of soap on the bathtub. Whose soap belongs to who could not be determined. There are designated drawers for each person in care in each bathroom and in looking, these drawers contain bar soap trays.
      • Promote the health, safety and dignity of persons in care; CCALA 7(1)(b)(i)
    • 10.2 Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): Annual opportunities have not been provided for families to establish or attend a family council meeting or meet as a group.
      • Provide at least an annual opportunity for persons in care and their parents or representatives, family members and contact persons to establish councils or similar organizations to represent the interests of persons in care; 59(a)
      • Provide at least an annual opportunity for councils, or if no council is established, as a group, to meet with the licensee to promote the collective and individual interests of the persons in care and involve the persons in care in decision making on matters that affect their day to day living; 59(b)(i)(ii) (Show More)
    • 10.3 Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Oral care plans have not been reviewed since 2011. This was noted on the last inspection and remains outstanding.
      • Each care plan must be monitored on a regular basis to ensure proper implementation; 81(4)(a)