Fraser Health Authority



INSPECTION REPORT
Health Protection
MBEK-BH7SXQ
PREMISES NAME
Pacifica Retirement Residence
Tel: (604) 535-9194
Fax: (604) 535-1663
PREMISES ADDRESS
2525 King George Blvd
Surrey, BC V4P 0C8
INSPECTION DATE
October 22, 2019
TIME SPENT
0.66 hours
OPERATOR (Person in Charge)
Rob Gillis
NEXT INSPECTION DATE
6 Months
INSPECTION TYPE
Follow-Up
ACTION TAKENFOOD SAFETY & SANITATION
ADMINISTRATIVE
Information Provided
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: Low (≤15) Total Score = 3
Critical Hazards: There are no critical hazards.
Non-Critical Hazards: Total Number: 1
309 - Chemicals, cleansers, & similar agents stored or labeled improperly [s. 27]
Observation (CORRECTED DURING INSPECTION): Repeat violation. Chemical spray bottles were observed again to have no labels or faded labels. Some chemical spray bottles contained quaternary ammonium compounds (quats) sanitizer while others contained bleach water (chlorine) sanitizer.
Corrective Action(s): Bottles labeled at time of inspection. Bottles were all refilled with the same type of sanitizer (quats at a concentration of 200 ppm). Reminder: Improperly or unlabeled chemicals may lead to accidental mixing and/or misuse.
Violation Score: 3

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

Follow up to Rpt # MBEK-BH2U53.
Quaternary ammonium compounds (quats) sanitizer available from dispenser, in buckets, and in spray bottles at 200 ppm. Quats test strips available on site.
Temperature logs available for cold holding units. Note: Temperature logs do not account for some cooler(s)/freezer(s) in the kitchen area.
No dishwasher logs available at time of inspection. If unable to locate logs, it is recommended to start a new log.