RAINBOW SCHOOL HONOLULU

2025

1. High risk11/7/2025

   HAR §17-892.2-3 — 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 a DHS 948 Authorization for Background Check and to Release Findings form for XXXXX . *Please use the new DHS 948 form Authorization for Background Check and to Release Findings form with the date of 06/2024 *. ---------------------------------------------------------- In addition, please submit the employment history check clearances (DHS 959 Employment History Form and DHS 959A Self-Certification of Employment form) for the following new staff members for the last three (3) years from their date of hire: 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 in two weeks and log the 2nd date mailed. If forms are not returned after the second try, we will accept the self-certification. ---------------------------------------------------------- Visit the following for the required form: View official inspection document Correction: The Worker received the DHS 948 Authorization for Background Check and to Release Findings for staff member XXXXX. Also, the Worker received the employment history check clearances (DHS 959 Employment History Form and DHS 959A Self-Certification of Employment form) for staff members XXXXX.

   Corrected at inspection
2. Medium-High risk11/7/2025

   HAR §17-892.2-40 — Written evidence of agreement or contractual agreement for health consultation (private physician, non-profit health organization, community health consultation service, or health advisory board)

   Please provide a written agreement with a physician or public health nurse, who has agreed to be your program's health consultant. Correction: The Worker received a letter from XXXXX, stating that he will serve as the health consultant for Rainbow School Honolulu from November 25, 2025 to November 24, 2027. Refer to the copy on file.

   Corrected at inspection
3. Medium risk11/7/2025

   HAR §17-892.2-35 — All caregivers meet qualifications

   Please contact People Attentive to Children (PATCH) to register the following staff members with the Hawaii DHS Early Childhood Registry: XXXXX . Correction: The Worker verified with People Attentive to Children (PATCH) that staff members XXXXX are now registered with the Hawaii DHS Early Childhood Registry.

   Corrected at inspection
4. Medium-High risk11/7/2025

   HAR §17-892.2-35 — All caregivers, substitutes, and volunteers shall complete initial health and safety training within 45 days of hire

   Please submit the initial Health & Safety assessment to People Attentive to Children (PATCH) for XXXXX . Correction: The Worker verified with People Attentive to Children (PATCH) that staff member XXXXX has completed her initial Health & Safety assessment.

   Corrected at inspection
5. Medium-High risk11/7/2025

   HAR §17-892.2-35 — Caregivers shall complete at least 16 hours of ongoing training in at least 2 of the department approved topic areas

   Please submit the on-going Health & Safety trainings to People Attentive to Children (PATCH) for XXXXX . ---------------------------------------------------------------------- Also, please note that the Health & Safety training periods for XXXXX will be expiring soon. ---------------------------------------------------------------------- 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. *Note: Failure to complete the required training will result in the employees being excluded from providing child care until they complete the required training. If you don't have enough staff due to this, this will affect your license. Please have them complete the training immediately. * Correction: The Worker verified with People Attentive to Children (PATCH) that staff member XXXXX has completed her on-going Health and Safety trainings.

   Corrected at inspection
6. Medium risk11/7/2025

   HAR §17-892.2-36 — Minimum staff employment sequence must be met

   During the visit on November 7, 2025, the Butterflies classroom did not have 1 teacher qualified staff member, as there were 3 aides in the classroom. This does not meet the staff employment sequence. The director informed the Worker that staff member XXXXX has completed the necessary requirements to be teacher qualified, but still must be registered with the Hawaii DHS Early Childhood Registry. Please contact People Attentive to Children (PATCH) to register XXXXX with the Hawaii DHS Early Childhood Registry as a teacher qualified staff member. Correction: The Worker verified with People Attentive to Children (PATCH) that staff member XXXXX is now registered with the Hawaii DHS Early Childhood Registry as a teacher qualified staff member.

   Corrected at inspection
7. Medium-High risk11/7/2025

   HAR §17-892.2-55 — Physical exam clearance

   Please submit evidence of a satisfactory physical examination (DHS 984 Medical Report form), taken within one (1) year of their date of hire, for staff member XXXXX . Visit the following for the required forms: View official inspection document Correction: The Worker received a DHS 948 Medical Report form for staff member XXXXX, which indicates a satisfactory physical examination.

   Corrected at inspection
8. Medium-High risk11/7/2025

   HAR §17-892.2-55 — TB clearance

   Please submit evidence of a negative TB test result/TB Risk Assessment, taken within one (1) year of their date of hire, for staff member XXXXX . Correction: The Worker received evidence of a negative TB test result for staff member XXXXX.

   Corrected at inspection