Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Complaint Investigation

Inspection Information

Facility Type

Residential Care - 400

Received Date

14-Jun-2022

Subject

["Nutrition and Food Service (Includes issues such as consistency, quantity, quality, feeding assistance, timing, etc.)"]

Contraventions: A summary of the new contraventions found during the inspections are listed below.

Code

Category/Description

3050 - RCR 62(2)(c)(iv) 
 

A licensee must ensure that each menu provides a variety of foods, taking into consideration the texture, colour and matters that affect food safety, taste and visual appeal,

Observation: Through the investigation process, Licensing determined that the Licensee did not ensure that each menu provided a variety of foods, taking into consideration the texture, colour and matters that affected food safety, taste and visual appeal.

Corrective action: Ensure that each menu provides a variety of foods, taking into consideration the texture, colour and matters that affect food safety, taste and visual appeal. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 28, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included education provided to dietary staff and cooks regarding food substitutions and Health Canada's Food Guide, a presence of Managers on the floor during meal times and meal audits were to be completed every three weeks. The corrective action plan was reviewed and accepted by Licensing. On November 1, 2022, Licensing received confirmation that education was provided on August 10, 2022 to staff, meal audits were conducted monthly by Managers and on January 5, 2023, Licensing received results of two surveys, completed by persons in care, which included questions related to the food served.

3050 - RCR 66(1) 
 

A licensee must ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada’s Food Guide and the person in care’s nutrition plan.

Observation: Through the investigation process, Licensing determined that the Licensee did not ensure that each person in care received adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan.

Corrective action: Ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 28, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included education provided to dietary staff and cooks regarding food substitutions and Health Canada's Food Guide, a presence of Managers on the floor during meal times and meal audits were to be completed every three weeks. The corrective action plan was reviewed and accepted by Licensing. On November 1, 2022, Licensing received confirmation that education was provided on August 10, 2022 to staff, meal audits were conducted monthly by Managers and on January 5, 2023, Licensing received results of two surveys, completed by persons in care, which included questions related to the food served.