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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

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FACILITY NAME Brookswood Court		SERVICE TYPES 120 Mental Health	FACILITY LICENSE # 0801030
FACILITY ADDRESS 3830 200th St			FACILITY PHONE (604) 534-3996
CITY Langley	POSTAL CODE V3A 1K2		MANAGER Sharan Gill

INSPECTION DATE October 19, 2023	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 1.25
ARRIVAL 01:15 PM	DEPARTURE 02:30 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Routine					# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (C.C.A.L.A.), the Residential Care Regulation (R.C.R.), and the relevant Director of Licensing Standards of Practice (D.L.S.P.). 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 as part of a routine inspection: - Licensing - Physical Facility - Staffing - Policies and Procedures - Care and Supervision - Hygiene and Communicable Disease Control - Medication - Nutrition and Food Services - Program - Records and Reporting As part of this routine inspection, a facility risk assessment tool is completed. The risk assessment includes contraventions identified during the routine inspection, and a 3-year historical review of the facility's compliance and operation. Visit the CCFL website at https://www.fraserhealth.ca/residentialcare for: -Additional resources and -Links to the Legislation (CCALA & RCR)

Contraventions

Previous Inspection -

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: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide. Observation (CORRECTED DURING INSPECTION): Review of the 4 week posted menu found that 4 or 5 snacks each week did not list 2 food groups. Corrective Action(s): Please ensure that each menu provides for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide Date to be Corrected:

Comments

This Licensing Officer would like to thank the Manager and Staff for their assistance completing this routine inspection. No further response is required as the contravention that was identified during inspection was corrected immediately. Please contact your Licensing Officer if you have any questions or concerns regarding this inspection report. (Please note: this inspection report was reviewed with the staff on site and signed It was then sent to the Manager via email.

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

Click here for FAQ About Inspections. Click here for a description of each "Category" of violation displayed.