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Prince Avenue Home

101 Prince Ave Castlegar BC V1N 1C7 · Residential Care - Licensing

7 inspections

  1. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The system for ensuring that the outdoor area is maintained in a good state appeared to be ineffective. Licensing Officer noted the lawn in the front and back of the facility to be overgrown. Lack of yard maintenance may negativity impact the dignity of the persons in care who reside at the facility. Submit by May 29, 2025, a written plan outlining how the contravention related to maintenance of the yard has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring and maintenance of the outdoor areas as per Section 21 (1)(b) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  2. Routine Inspection

    6 infractions

    • RB1.19 - Are rights of adult persons in care displayed in a form and in the manner acceptable to the minister?
      • Observation(s): See RB1.21A.
      • RB1.19A - Display the rights of adult persons in care in a form and manner acceptable to the minister.
    • RB1.21 - Are rights of persons in care prominently displayed in the facility?
      • Observation(s): The system to ensure that the rights of adult persons in care are displayed in a prominent place in the community care facility is ineffective. This was evidenced by the Bill of Rights not being displayed at all within the facility.
      • RB1.21A - Display prominently the rights of persons in care.
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The system to ensure that all employees comply with the policies and procedures of the medication safety advisory committee is ineffective. A review of medication administration records identified several instances where PRN (as needed) medication effectiveness was not documented.
      • R3.1AA - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • R4.6 - Are facility records current and complete?
      • Observation(s): The system to ensure that a record of menu substitutions is kept is ineffective. Facility staff reported that no record of menu substitutions is kept.
      • R4.6C - Retain food services records of menus and menu substitutions; 87(b)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): The system to ensure that a menu is developed for at least a four week period is ineffective. Facility staff reported that a four week menu was not developed.
      • R5.1B - Develop a menu for persons in care accommodated for greater than 6 weeks, for at least each 4 week period; 62( 1 )(b)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The system to ensure that common areas are maintained in a good state of repair is ineffective. An uneven area on the concrete walkway near the back door was observed, posing a tripping hazard. Additionally, a door mat located at an exterior entrance was observed to have a rolled edge, posing a tripping hazard. *Door mat removed and corrected during inspection. The system to ensure that no one other than a person in care engages in a restricted activity while on the premises of the facility is ineffective. An ashtray with discarded cigarette butts was observed within the outdoor deck space. It was reported by the facility manager that none of the persons in care, who reside at the facility, engage in this type of restricted activity. The system to ensure secure, safe and adequate storage areas for hazardous materials is ineffective. A can of bug repellant was observed in an unlocked cabinet and accessible to persons in care. Additionally, several knives were observed in an unlocked drawer in the kitchen and accessible to persons in care. *Bug spray corrected during inspection.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • R7.1M - Ensure that no one other than a person in care engages in a restricted activity while on the premises of the facility; 23(2)(a).
      • R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
  3. Routine Inspection

    3 infractions

    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): During the inspection it was noted that both laundry facilities were utilized, and accessible to person in care, and did not have slip resistant floor.
      • R7.2R - Laundry facilities must have a slip resistant floor surface if used by persons in care; 35( 2 )(a)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): It was identified during the inspection that there is currently no system in place to monitor fridge and freezer temperatures to ensure safe storage of food.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • 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 licensee does not currently have a system in place to ensure persons in care who leave the facility independently have a plan in place.
      • R10.3A - Develop a care plan with the participation of the person in care to the extent reasonable practical or the parent or representative and takes into account the unique abilities, physical, social and emotional needs, cultural and spiritual preferences of the person in care; 81( 2 )(a)(i)(ii)(b) (Show More)
  4. Routine Inspection

    2 infractions

    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The effectiveness of PRN medications is not being documented.
      • R3.1X - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • 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 for ensuring that all persons in care have their nutritional statuses reviewed regularly appeared to be ineffective. The last nutritional assessments completed for some residents were conducted in 2017.
      • R10.3O - Ensure reasonable steps are taken when a nutritional plan is developed without the assistance of a dietician to assess specific nutritional needs including considering whether the person is at risk of being inadequately nourished because of a physical or mental condition, a history of issues that affect eating or any other relevant factor; 83( 1 )(b)(i)(ii)(iii) (Show More)
  5. Monitoring

    3 infractions

    • R6.2 - Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): There is not a system in place to record resident's immunization status. In a random review of resident records, LO noted TB screenings in place but of all the charts reviewed, there were zero records of influenza vaccination status.
      • R6.2A - Ensure that all persons admitted comply with the Province’s immunization and tuberculosis control programs; 49 ( 1 )
      • R6.2B - Keep clear and up to date records of the immunization status of each person in care; Director of Licensing Standards of Practice: Immunization of Adult Persons in Residential Care
    • 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): In review of the emergency response manual, LO noted that there was specific information listed for two previous residents. There had recently been two admissions, and their information had not been updated in the manual at the time of the inspection. The house supervisor addressed this immediately during the inspection.
      • R2.1H - Update emergency plans if there is any change in the facility; 51 ( 2 )
    • 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): There does not seem to be an effective method in place to ensure that staff follow care plans. LO noted that one resident had a swallow assessment completed indicating that the resident should not be eating specific items as they are potential choking hazards for the person in care. In review of this person in care's menu, it was noted that they were given one of the items contraindicated in the swallow assessment over five different times. As this was identified as a high risk to the resident at the time of the inspection, the house supervisor removed this food item from the house. Licensing is now seeking to understand what process or system will be implemented to ensure that all staff follow care plans.
      • 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
  6. Monitoring

    3 infractions

    • 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): It was observed while reviewing the Policy and Procedure manual for the Licensee that some policies and procedures have not been reviewed within the past year. Some policy review dates noted went as far back as 2011 (review dates ranged from 2011 to 2015).
      • Review and, if necessary, revise policies and procedures at least once a year; 85( 1 )(b)
    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): Person in care's personal care products (shampoos, body wash, etc) were not stored separately in the bathroom at the time of visit.
      • Establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene; 54 ( 1 )
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): It was noted at the time of inspection that both garages, where potentially hazardous items are stored, are accessible to persons in care. During the inspection, cleaning supplies stored under the kitchen sink and in the downstairs bathroom cabinets were noted to be accessible to persons in care. These were removed and made inaccessible at time of inspection (CDI). In one person in care's room, a medicated ointment (Absorbine Junior) not prescribed by physician or pharmacist was found sitting on an end table in the sitting room area. The Manager removed this at time of inspection (CDI).
      • 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)
      • Ensure all medications are safely and securely stored; 69( 3 )(a)
  7. Monitoring

    3 infractions

    • 7.2 Is the environment maintained to prevent falls?
      • Observation(s): The downstairs bathtub did not have slip resistant material on the bottom.
      • Ensure bathrooms have slip resistant material on the bottom of each bathtub and shower; 30(b)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): One resident's bedroom had scrapes/scratches on their wall where paint was missing. The deck surface has paint peeling off in numerous areas. Please provide a plan to licensing by the above date as to when these issues will be addressed.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
    • 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): Although all residents have a medication care plan in place, they were not dated, and therefore LO could not ascertain if they had been reviewed. Food satisfaction audits are being completed, however there was no evidence of recent nutritional screening/audits having been conducted.
      • 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)
      • Ensure reasonable steps are taken when a nutritional plan is developed without the assistance of a dietician to assess specific nutritional needs including considering whether the person is at risk of being inadequately nourished because of a physical or mental condition, a history of issues that affect eating or any other relevant factor; 83( 1 )(b)(i)(ii)(iii) (Show More)