Springridge Group Home
788 Springridge Pl Kamloops BC V2E 1C8 · Residential Care - Licensing
11 inspections
- Routine Inspection
2 infractions
- R10.4 - Are restraint and fall prevention plans appropriate?
- Observation(s): A care plan for a person in care (PIC) with falls risk was reviewed, the fall prevention plan was observed as incomplete, as recent changes to fall prevention practices had not been updated in the care plan. Care plans must be up to date to ensure staff are aware of the most current procedures. Submit a corrective action plan by November 28, 2025, detailing what systems will be put in place to ensure care plans are kept up to date.
- R10.4P - Ensure there is a fall prevention plan for those in Long Term Care or those prone to falling, which must address an assessment of the nature of the risk of falling presented by the person in care, a plan for preventing the person in care from falling, and a plan for following up on any falls suffered by a person in care; 81( 3 )(e)(i)(ii)(iii) (Show More)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Shared upstairs bathroom observed to have dents in walls, baseboards scratched, and damage to the door frame. Some door frames in the adjacent hallway gouged and scratched. Damage to walls and baseboards could lead to inadequate disinfection/sanitization practices and potentially diminish the dignity of persons in care. Submit a corrective action plan by November 28, 2025, to indicate what changes will be completed to the upstairs bathroom and adjacent hallway door frames to improve the state of repair.
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R10.4 - Are restraint and fall prevention plans appropriate?
- Routine Inspection
2 infractions
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): Ensure all persons in care who have resided in the home for more than 30 days have a care plan in place specific to their needs.
- R4.1T - 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
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): A washroom downstairs in the facility which is used by persons in care, had a product stored unlocked under the sink which contained potentially hazardous substances. Ensure all potentially hazardous substances are kept inaccessible to persons in care.
- 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)
- R4.1 - Are person in care records current, complete and kept confidential?
- Routine Inspection
4 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): Some missed charting observed for PRN's. This contravention was noted during the last routine inspection at this site.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R4.5 - Are incidents and notifications reported and records retained as required?
- Observation(s): Incident reports submitted to Licensing over the past year were reviewed prior to this inspection, some reports were received 3 days after the incident occurred. Please review facility incident reporting procedures to ensure they align with RCR 77(2)(c)
- R4.5D - Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): Performance evaluations for some staff (4 out of 8) are currently overdue. The overdue evaluations were due early in 2023. Inform Licensing on what systems will be put in place to complete overdue evaluations and keep future ones on schedule.
- R3.1K - 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)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Flooring in one bedroom was observed as peeling away in one section and in a poor state of repair. Inform on what steps will be taken to improve/replace
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
1 infraction
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): Inconsistent charting of PRN reason and effectiveness observed (this was noted in the last routine inspection), several missed charting in MAR also observed.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
2 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): One MAR reviewed showed inconsistent charting of PRN reason and effectiveness.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Flooring in the kitchen observed to be peeling up below the dishwasher.
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
1 infraction
- R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): The current facility menu does not list 2 food groups for snacks, inform Licensing how the facility will meet the intent of this legislation.
- R5.1D - Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
- R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Monitoring
2 infractions
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): Facility refrigerators and freezers have thermometers in place, but they are not checked and charted on a regular basis to ensure food is always stored at an optimal temperature. Inform Licensing on what systems and audits will be put in place in regard to food storage temperature audits.
- 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): Facility has recreation plans in place, ensure daily charting gives details of residents activities including when they have met recreation goals identified in their individual plan.
- R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Monitoring
2 infractions
- R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
- Observation(s): Facility has a physical environment self monitoring process is place but it does not include monitoring hot water temperature, ensure hot water temperature monitoring is added to the self monitoring process.
- R1.1W - Regularly monitor the physical environment and the care and services provided; 61
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Hot water measured at 55 degrees Celsius at the time of this inspection, hot water must be maintained at 49 degrees Celsius in areas accessible to PIC's. This infraction was noted during the last inspection at the facility. Inform licensing that the water has been lowered to 49 Degrees Celsius. Also include in your response what on-going systems/audits will be put in place to ensure hot water is maintained at a maximum of 49 Degrees Celsius.
- R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
- R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
- Monitoring
4 infractions
- 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): Medication administration records observed during this inspection did not always document the reason and result for PRN medications.
- Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
- 4.1 Are person in care records current, complete and kept confidential?
- Observation(s): Charted monthly weights observed during this inspection were sporadic, ensure PIC's are weighed monthly (or more frequently if required) and the results are reviewed and followed up on if a significant change in weight has occurred. This was noted during the last routine inspection and found unresolved during today's inspection.
- Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
- 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): When the facility menu is not followed ensure the substitution is documented.
- Follow the menu or, in unforeseen circumstances, document appropriate substitutions that meet the nutritional requirements of section 62( 2 ); 62 ( 3 )
- 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Hot water measured at 55 degrees Celsius at the time of this inspection, ensure hot water is maintained at no higher than 49 degrees Celsius in any areas accessible to PIC's. Hot water was turned down at the time of inspection, ensure the temperature is monitored on a regular basis. Carpet on the stairs and in the living room has several stains, inform Licensing on how this will be remedied.
- Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
- Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Monitoring
3 infractions
- 9.2 Does the supervising pharmacist consult with employees respecting medication interactions and other problems related to medication?
- Observation(s): The last MSAC meeting was in the Summer of 2014, the facility contacted their pharmacist during this inspection and scheduled a MSAC meeting for Jan 28, 2016. Corrected at the time of inspection.
- Appoint a supervising pharmacist to consult with employees respecting medication interactions and other problems related to medication; 68( 2 )(c)
- 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): Facility policy is to have performance evaluations completed annually, evaluations are all behind at this time, facility indicated reviews could be completed by Feb 29, 2016.
- 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): Damage to trim in several doorways, this item was noted during the Dec 4, 2015 inspection, a plan is in place to have this work completed by Jan 30, 2016.
- Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- 9.2 Does the supervising pharmacist consult with employees respecting medication interactions and other problems related to medication?
- Monitoring
4 infractions
- 4.1 Are person in care records current, complete and kept confidential?
- Observation(s): Charted monthly weights observed during this inspection were sporadic, ensure PIC's are weighed monthly (or more frequently if required) and the results are reviewed and followed up on if a significant change in weight has occurred.
- Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
- 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): Dec 1 through March 31 each year is influenza season, facility has some precautions in place at this time (masks are available, tracking of staff immunization is taking place) but the influenza precautions are not completed as of today December 4, 2015. Masks must be available immediately upon entry into the facility for staff who had not been immunized, ensure educational information is available for visitors to the facility, staff who have not been immunized must wear a mask.
- Develop general facility outbreak prevention and control policies as recommended by the medical health officer; Director of Licensing Standards of Practice: Immunization of Adult Persons in Residential Care
- 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Trim on several doorways in facility is chipped and missing paint, inform Licensing on how/when these doorways will be repaired.
- 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): Both care plans reviewed during today's inspection were last reviewed in the Summer of 2014, ensure care plans are reviewed at least annually.
- 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)
- 4.1 Are person in care records current, complete and kept confidential?