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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NTJN-B6KRNN
FACILITY NAME
Bakerview Court		SERVICE TYPES
140 Community Living
FACILITY LICENSE #
0982907
FACILITY ADDRESS
18919 62A Ave		FACILITY PHONE
(604) 576-1255
CITY
Surrey		POSTAL CODE
V3S 8S4		MANAGER
Amanda Trudeau-Rai
INSPECTION DATE
November 16, 2018		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
10:30 AM		DEPARTURE
01:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Residential Care Regulation (RCR) and the relevant Director of Licensing Standards of Practice (DOLSP). Evidence for this report was based on the Licensing Officer’s observations, review of the facility records and information provided by the facility staff at the time of inspection.
The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at www.fraserhealth.ca/residentialcare for:
· Additional resources and
· Links to the Legislation (CCALA & RCR)
If you have any questions regarding this report feel free to contact the area Licensing Officer.
Contraventions
Previous Inspection - Contraventions observed on FIR #NTJN-B3MPA7 have been corrected except for those noted on supplementary pages.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
NUTRITION AND FOOD SERVICES: 37090 - RCR s.62(2)(d) - A licensee must ensure that each menu provides (d) for substitutions to be made that are from the same food group and have a similar nutritional value.
Observation: Review of the substitution list found that "leftovers" was substituted for the main meal. It was discussed with the Manager that substitution should indicate what the meal is to determine if they are from the same good group and have a similar nutrition value.
Corrective Action(s): Ensure that the menu provides for substitutions to be made that are from the same food group and have a similar nutritional value.
Date to be Corrected: December 17, 2018
Comments

This LO would like to thank the staff for their time and assistance in completing this follow up inspection.

This report was reviewed and discussed with the staff. A copy of this report was left at the facility.

Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Dec 17, 2018
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.