Fraser Health Authority



INSPECTION REPORT
Health Protection
PKUR-D2USMH
PREMISES NAME
Peace Arch Hospital - Weatherby/Hogg Pavilion
Tel: (604) 535-4500
Fax: (604) 541-5846
PREMISES ADDRESS
15521 Russell Ave
White Rock, BC V4B 2R4
INSPECTION DATE
February 27, 2024
TIME SPENT
1 hour
OPERATOR (Person in Charge)
NEXT INSPECTION DATE
February 29, 2024
INSPECTION TYPE
Routine
ACTION TAKENFOOD SAFETY & SANITATION
ADMINISTRATIVE
Replied to Referring Agency
ENFORCEMENT
Require Corrections
Comply
In Use
Food Safety Training [s. 10]
Yes
Food Safety Plan [s. 23]
Yes
Yes
Sanitation Plan [s. 24]
Yes
Yes
HAZARD RATING FOR YOUR FACILITY: Moderate (16-29) Total Score = 25
Critical Hazards: Total Number: 2
205 - Cold potentially hazardous food stored/displayed above 4 °C. [s. 14(2)]
Observation (CORRECTED DURING INSPECTION): Two door cooler located at third floor servery had an ambient air temperature of 9.5 C and internal temperature of cold foods that require reheating before service was 6.5 C.
Corrective Action(s): Staff were instructed to re-locate food back to main kitchen walk-in cooler.
Violation Score: 5

302 - Equipment/utensils/food contact surfaces not properly washed and sanitized [s. 17(2)]
Observation (CORRECTED DURING INSPECTION): Surface sanitizer at the third floor servery registered at 0 ppm quats.
Corrective Action(s): Ensure each servery is equipped with sanitizer that registers at 200 ppm Quats (bottles should be re-filled daily and tested).
Violation Score: 5

Non-Critical Hazards: Total Number: 3
304 - Premises not free of pests [s. 26(a)]
Observation: Rodent droppings observed on first floor servery on bottom shelf near oven.
Rodent droppings observed on boxes and along the wall in storage closet in the main kitchen/dishwashing area.
Corrective Action(s): Remove droppings and sanitize area. Inspect for droppings daily.
Sanitize all surfaces prior to use.
Keep all food in pest proof containers.
Discard any contaminated food/boxes.
Correct immedietely.
Violation Score: 9

306 - Food premises not maintained in a sanitary condition [s. 17(1)]
Observation: Build-up of food debris noted between cooking equipment and counter and two door cooler and counter on third floor servery.
Corrective Action(s): Increase frequency of cleaning.
Gaps between equipment should be sealed if it is difficult to clean between these areas.
Sealing gaps may prevent debris/dust from accumulating and may prevent pest harborage.
Violation Score: 3

308 - Equipment/utensils/food contact surfaces are not in good working order [s. 16(b)]
Observation: 1. Two door cooler at third floor servery had an ambient air temperature of 9.5 C
2. Two door cooler gasket falling off at second floor servery.
Corrective Action(s): 1. Repair cooler so that it is 4 C or below. Correct immediately.
2. Repair gasket as soon as possible.
Violation Score: 3

Follow Up to "Critical" Violations Noted on Previous Inspections (if applicable): No corrections entered
Comments

Routine Inspection

First Floor Servery
-Hand sink fully equipped.
-Coolers at 4 C or below.
-Food is reheated to a minimum temperature of 71 C and verified with a probe thermomter.
**Cleaning in corners required.
**Lining on cupboard is coming off.
**Do not keep unlabelled chemicals on-site.
Food service was wrapping up at the time of inspection

Second Floor Servery
-Hand sink fully equipped.
-Coolers at 4 C or below.
-Food is reheated to a minimum temperature of 71 C and verified with a probe thermomter.
**Baseboard around hand sink is coming apart
**Two-door cooler door gasket is falling apart.
Food service was wrapping up at the time of inspection

Third Floor Servery
-Hand sink fully equipped.
-Coolers at 4 C or below.
-Food is reheated to a minimum temperature of 71 C and verified with a probe thermomter.
**Debris between oven and counter and two-door cooler and counter
**Sanitizer registered 0 ppm.
**Two-door door cooler at 9.5C - see above.
Food service had finished at the time of inspection.

Main Kitchen/ Dishwashing area:
-Hand sink fully equipped.
-Walk-in cooler at 4 C or below.
-High temperature dishwasher registered 71 C on plate surface after two runs. Note: Staff must be verifying temperatures before using.
**Storage closet has rodent droppings.