Delta Christian School

• RECORDS AND REPORTING

  A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.

  Observation. There is a child in care who requires a care plan but does not have a care plan in place.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before March 3, 2026

  19220 - CCLR s.58(1)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.

  Observation. There are some children in care who do not have photos. Manager has had difficulty obtaining photos from parents.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before March 3, 2026

  19160 - CCLR s.57(2)(i)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Immunization status was not obtained for multiple employees.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before March 3, 2026

  12090 - CCLR s.19(1)(f)

• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].

  Observation. Fire drill records were not available for review from the previous academic year.

  Corrective action. Ensure all records are available for review.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.

  Observation. Staff records were not available for review.

  Corrective action. Ensure all records are available for review.

  19340 - CCLR s.59(c)

• LICENSING

  A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.

  Observation. Manager's name was not posted onsite.

  Corrective action. Ensure that the name of the manager is displayed in a prominent place within the facility.

  10050 - CCLR s.11(1)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].

  Observation. LO observed and discussed the following with the manager: Only 1 fire drill has been practiced and recorded. Fire drills must be practiced monthly and emergency plan yearly.

  Corrective action. Ensure that monthly fire drills and yearly emergency drill is practiced and recorded,.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Care plan not developed in consultation with the parent for a child requiring extra support.

  Corrective action. Ensure that all children files are complete.

  19250 - CCLR s.58(2)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Staff files were not available for review.

  Corrective action. Ensure that all staff files are complete and available for review.

  12090 - CCLR s.19(1)(f)
• STAFFING

  A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.

  Observation. Staff files were not available for review. The manager stated that all staff have their valid First Aid certification.

  Corrective action. Ensure that all staff files are complete.

  12210 - CCLR s.23(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (c) a record of the person's work history.

  Observation. Staff files were not available on site for review.

  Corrective action. Ensure that all staff files are complete and available for review.

  12060 - CCLR s.19(1)(c)

No violations recorded at this inspection.