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A. Routine Inspections
Bylaw 3.4(4) of Part 3 of the Bylaws, Accreditation and Naming, outlines that accredited practice facilities “undergo an inspection on a schedule established by the registrar”. Part 3 is otherwise silent on the timing and method of registrar scheduled inspections of accredited facilities.
When the CVBC was established, the previous schedule of inspecting accredited practice facilities every 5 years continued as set by the previous regulatory body. This routine inspection of an accredited practice facility is done to confirm that practice facilities are maintaining the accreditation standards outlined in Schedule D of the CVBC Bylaws and ensuring related professional practice standards are met.
Review and updating the registrar’s schedule is currently underway. The goal is to create an inspection process that allows focus of finite resources on practice facilities that require additional oversight based on a history of not meeting the standards with significant public risk and/or non-compliance. It will also provide improved oversight for all practice facilities in areas that historically have been deficient in areas such as controlled drug management, medical records, and anesthetic monitoring.
B. PFAC directed inspections
Bylaw 3.18(1) allows the committee to direct an inspection as they deem necessary. This is most likely to occur as the result of a notification under 3.(9), with a significant change to the scope, structure or location of an accredited practice or facility. However, direction of an inspection can also be directed as part of an ongoing process (a follow-up), or when a practice related matter has been referred to PFAC by another committee or the CVBC staff.
The PFAC directed inspection process will be detailed, along with the Routine Inspection process, in a new policy. Registrants will be notified when these changes occur, and this page will also be updated to outline the new processes. Until that time, the CVBC continues to perform routine inspection of accredited practice facilities and will notify Designated Registrants as their practice facility is assigned for inspection to a practice facility inspector.
Inspection of Accredited Practice Facilites is addressed in Bylaw 3.18. Prior to inspection, the CVBC office will request submission of the current Self-Assessment form and ideally, a sample of medical records. This allows inspector review and feedback prior to the inspection occurring. Most of these inspections will take place in person, but in some circumstances, a virtual inspection may take place.
