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2275 Van Kleeck Ave Armstrong BC V0E 1B1 · Residential Care - Licensing

9 inspections

  1. Routine Inspection

    2 infractions

    • R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
      • Observation(s): A written restraint agreement between the person in care’s decision maker and the medical practitioner was not present for person in care that has physical restraint use documented in care plan. When a written restraint agreement is not completed by all required persons, there is increased risk of inappropriate restraints being implemented and increased risk of injury to person in care. Submit a corrective action plan by May 28, 2026, detailing how the licensee will ensure all persons in care who have been assessed to require a restraint have an annual written agreement completed.
      • R2.2A - A restraint may be applied in an emergency or when there is written agreement to the use of a restraint by both the person in care or their representatives, medical practitioner or nurse practitioner; 74( 1 )(a)(b)(i)(ii)
    • R10.4 - Are restraint and fall prevention plans appropriate?
      • Observation(s): There was no evidence of restraint monitoring or restraint monitoring documentation for person in care that has physical restraint use documented in care plan. Lack of restraint monitoring and documentation has potential to cause physical and emotional harm to persons in care. Submit corrective action plan by May 28, 2026, indicating how the licensee will ensure the safety, and physical and emotional dignity of all persons in care is monitored and documented throughout the use of the restraint.
      • R10.4C - Monitor the safety and physical and emotional dignity of the person in care throughout the use of the restraint and assessed after the use of the restraint, 73( 1 )(c)
  2. Routine Inspection

    0 infractions

  3. Routine Inspection

    0 infractions

  4. Routine Inspection

    0 infractions

  5. Routine Inspection

    0 infractions

  6. Monitoring

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): A large strip of trim was missing from the wall in the living room and hallway area. The manager stated that this item was noted for repair at the end of April but has not been repaired and didn't hear back as to when the item would be repaired. The process the facility has in place to ensure hazardous materials and cleaning agents are secured is ineffective. Cleaning supplies were found unlocked in the cupboard in the laundry area. The cupboard was locked and this item was corrected during the inspection.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • 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)
  7. Monitoring

    3 infractions

    • 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): The system for ensuring compliance with policy and procedure implementation is ineffective. It was noted during the inspection that the last Medication Safety and Advisory Committee meeting minutes were dated January of 2016. As per the policy; the committee is to meet on an annual basis.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The system for ensuring compliance with regular performance evaluations is ineffective. It was noted during the inspection that three employee evaluations were due in January of 2017.
      • 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)
    • R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): The system for ensuring compliance with the menu plan is ineffective. It was noted during the inspection that the menu plan for a snack did not include two food groups described by the Canada's Food Guide. The new menu was reviewed during the inspection and it was noted that several snacks did not include two food groups on the menu plan. The new menu is not in place yet and will be revised before being implemented.
      • 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)
  8. Monitoring

    1 infraction

    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Wall damage noted to several corners and hallways throughout the facility.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  9. Monitoring

    4 infractions

    • 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): There were several missed signatures noted on the Medication Administration Record for regularly scheduled medications.
      • Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78(2)(b)
    • 4.1 Are person in care records current, complete and kept confidential?
      • Observation(s): Monthly weight noted to be missing for the month of February from the records of a person in care. Weight had been completed for March.
      • Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83(4)(a)(c)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): There is an uneven edge across the concrete sidewalk as you come off the driveway entering the front of the facility. There is an electric fan stored on the counter next to the sink in one of the persons in care bathrooms. Safety risk if the fan is ever plugged in from this area as fan is sitting right next to sink.
      • Maintain all rooms and common areas in a good state of repair; 22(1)(b)
      • Maintain all rooms and common areas in a safe and clean condition; 22(1)(c)
    • 9.1 Are medications stored, handled, and administered appropriately?
      • Observation(s): A recent inspection of the medication storage area was completed in December of 2014. The last Medication Safety Advisory Committee minutes were from August of 2013. Meetings are to take place annually.
      • Appoint a supervising pharmacist to serve on the medication safety and advisory committee and inspect medication storage areas; 68(2)(a)(b)