Inspection Reports
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​In April of 2018, changes to the Community Care and Assisted Living Act (CCALA) were developed to provide the public with a broader range of online information as they search for care for their loved ones. These amendments apply to child daycare and to residential community care facilities, and require health authorities to post business information and inspections for licensed care facilities. Also posted, will be information regarding substantiated complaints of illegally operating care facilities.

Inspection report postings include summary information about routine and follow up inspection reports, information about substantiated complaints for all licensed care providers as well as reports for those found to be operating in contravention of the CCALA. This information will be posted on health authority public websites for five years.

Licensing Officers conduct routine inspections of community care facilities to ensure compliance with the CCALA. The frequency of inspection is determined by using provincially accepted risk tool: FAQs for the Inspection and Risk Assessment Process.

At each inspection, the Licensing Officer reviews all aspects of the facility, records, policies, programming and care delivery. Greater detail of the categories of inspection observations are described as:

Care and supervision: Licensees are required to ensure adequate care and supervision of individuals. Licensees and their care staff must create, maintain and follow care plans for each individual.

Hygiene and communicable disease control: Licensees are required to maintain an acceptable level of hygiene in their facility. Licensing officers audit handwashing and hygienic practices which prevent the spread of communicable diseases.

Licensing: This category includes a number of administrative requirements for the operation of a licenced care facility. Licensees have a continuing duty to inform their licensing officer of any significant changes to the structure or operation of the community care facility.

Medication: Licensees are required to store, administer and record the medications of individuals in accordance with the regulations and as established by the facility’s Medication Safety and Advisory committee.

Nutrition and food services: Licensees must ensure safe food preparation and appropriate nutritional content of meals. Texture modifications and assistance with feeding is to be provided as needed. 

Physical facility, equipment and furnishings: Licensees are required to maintain the facility, equipment, furnishings in clean and good repair. Licensing officers assess these aspects of the care centre to ensure that it is safe and free from hazards.

Policies and procedures: Licensees are required to have written policies and procedures to guide staff in all matters regarding the care and supervision of individuals. Licensees must communicate these expectations and ensure that they are implemented by all care staff.

Program: Licensees must provide individuals with access to indoor and outdoor recreational areas. An ongoing program of physical, social and recreational activities, that meets the needs of individuals, must be available to all people without charge.

Records and reporting: Licensees must maintain a variety of records and documentation in the operation of the care facility. Licensing officers assess documentation and record keeping to ensure compliance with expected requirements in the legislation.

Staffing: Licensees must ensure that there that there are adequate numbers of staff with the necessary training and experience to provide for the care, supervision and activity needs of the individuals. Licensing officers verify that all employees meet the health and competency standards needed to carry out their duties effectively.

Typically a recorded observation is made when a licensing officer identifies an area of non-compliance during an inspection. When a facility is in non-compliance it means that they are not operating according to legislated requirements.  bservations are discussed with the facility operator and depending on the level of risk associated with the issue, an action plan to resolve the matter is completed.

Resources

 

MoH     PCQO