MONTESSORI COMMUNITY SCHOOL AFTER SCHOOL PROGRAM

2026

1. Medium-High risk3/2/2026

   HAR §17-896.1-35 — All caregivers, substitutes, and volunteers shall complete initial health and safety training within 45 days of hire

   Please Submit Initial Health & Safety Assessment tests to PATCH (completed, with -0- errors) for: XXXXX XXXXX XXXXX

   Not corrected
2. Medium-High risk3/2/2026

   HAR §17-896.1-61 — Written evidence of fire warning device or system has been inspected initially and annually and approved by a by fire inspector. Report dated: <date>

   Worker received a copy of a Fire Inspection Report dated 10-31-25 with deficiencies listed. Please submit a copy of a Fire Inspection Report which shows that the current deficiencies have been corrected.

   Not corrected
3. Medium-High risk3/2/2026

   HAR §17-896.1-61 — Providing for the needs of children with disabilities and children with special needs during an emergency

   Please add a written policy to your Disaster Plan which pertains to Providing for the needs of children with disabilities and children with special needs during an emergency.

   Not corrected
4. High risk3/2/2026

   HAR §17-896.1-61 — Continuity of operations during and after an emergency

   Please add a written policy to your Disaster Plan which pertains to Continuity of operations during and after an emergency

   Not corrected
5. Medium-High risk3/2/2026

   HAR §17-896.1-61 — Communications and reunification with families during and after an emergency

   Please add a written policy to your Disaster Plan which pertains to Communications and reunification with families during and after an emergency.

   Not corrected
6. Medium-Low risk3/2/2026

   HAR §17-896.1-61 — Sheltering in place at the child care facility

   Please add a written policy to your Disaster Plan pertaining to Sheltering in place at the child care facility in case of a natural disaster.

   Not corrected
7. Medium-High risk3/2/2026

   HAR §17-896.1-55 — TB clearance

   Please submit evidence of a negative TB test result on a DHS 984 Medical Report Form or TB Risk Assessment on a "TB Document F: State of Hawaii TB Clearance Form" taken within 12 months of their date of hire for: XXXXX XXXXX XXXXX XXXXX [Andrea Blackwell Correction: Worker visually verified negative TB test results or TB Assessments for the following staff: XXXXX XXXXX XXXXX XXXXX XXXXX Deficiency satisfied.

   Corrected at inspection
8. Medium-High risk3/2/2026

   HAR §17-896.1-55 — Physical exam clearance

   Please submit evidence of a satisfactory employment physical examination on a DHS 984 Medical Report Form, taken within 12 months of their date of hire for: XXXXX XXXXX XXXXX XXXXX XXXXX

   Not corrected
9. High risk3/2/2026

   HAR §17-896.1-35 — Caregivers shall complete at least 16 hours of ongoing training in at least 2 of the department approved topic areas

   The following staff member is expired in regard to her required, on-going Health and Safety Training: XXXXX Please submit the required training certificates for the above named staff to PATCH IMMEDIATELY if you haven't already done so. We are reminding you that all caregiving staff need at least 16 hours of department approved training on an ANNUAL basis in at least two topic areas and substitutes need at least 10 hours of training. If they do not complete this requirement, staff may be excluded and these staff members will not be able to count towards the staff-child ratio until they do, which may affect your preschool's ability to meet the required staff child ratio and sequencing requirements Correction: Worker received a DHS 974A Notification of Change Form signed and dated 3-31-26 by Director XXXXX stating that XXXXX has left employment on 1-1-26. Deficiency satisfied.

   Corrected at inspection
10. Medium-Low risk3/2/2026

    HAR §17-896.1-11 — Suspension and expulsion of children which includes conditions under which suspension or expulsion shall occur, sufficient time before suspension or expulsion is carried out for parents to secure alternative child care, written notice,

    Please submit a written policy regarding Suspension and Expulsion of Children which includes conditions under which suspension or expulsion shall occur, sufficient time before suspension or expulsion is carried out for parents to secure alternative child care, written notice, and records to parents.

    Not corrected
11. High risk3/2/2026

    HAR §17-896.1-11 — Mandated reporting of suspected child abuse or neglect

    Please submit a revised written policy regarding Mandated Reporting to include the Department's contact information: State of Hawaii Department of Human Services (DHS): Oahu: 808-832-5300 (available 24 Hours)

    Not corrected
12. Medium-Low risk3/2/2026

    HAR §17-896.1-11 — Grievances, including department's information for parents to file complaints

    Please submit written policies regarding Grievances and they shall include the Department's contact information in order for families to file a complaint: Child Care Licensing Unit 1 677 Queen Street, Room 400A Honolulu, HI 96812 808-587-5266

    Not corrected
13. Medium-High risk3/2/2026

    HAR §17-896.1-11 — Sanitation practices

    Please submit a written policy regarding current sanitation policies/practices for your facility.

    Not corrected
14. High risk3/2/2026

    HAR §17-896.1-3 — Background checks according with chapter 17-801 (criminal history, sex offender registry, child abuse/neglect, adult abuse perpetrator, employment history check, and other information)

    Please submit satisfactory Employment History for the following staff: XXXXX XXXXX XXXXX XXXXX XXXXX Employment History Instructions Required individuals shall complete the form DHS 959A "Self Certification of Employment" and list the places of employment within the past three (3) years including periods of unemployment, self-employment, and periods of school attendance. For every place of employment listed, complete and sign Part I of the DHS 959 "Employment History Clearance Form" (EHC) and have the former and/or current employer complete and sign part II. Please complete the following information on the form DHS 959A: Date EHC mailed and Date EHC returned. Keep copies of all forms mailed out to former employers. If EHC forms are not returned after the first try, mail out the copy again and log the 2nd date mailed. If forms are not returned after the second try, we will accept the self-certification. ----------------------------------------------------------------------------------------------------------------------------------------------- Background Check Clearances (no action required at this time) Worker verified that XXXXX was fingerprinted on 3-12-26 at CCLU1, and his initial clearance is being processed at this time. Worker verified that XXXXX has been fingerprinted at CCLU1 on 3-19-26 and her initial clearance is being processed at this time. All other staff hold current (not expired) annual background clearance checks at this time. This part of the deficiencies shall be satisfied once all the staff clearances have been completed and the staff cleared. Correction: 4-8-26: Worker received copies of satisfactory employment history forms for the following staff members: XXXXX XXXXX XXXXX XXXXX XXXXX

    Not corrected