HAWAII BAPTIST ACADEMY AFTER SCHOOL ENRICHMENT PROGRAM

2024

1. High risk12/6/2024

   HAR §17-896-17 — Staff-child ratio

   Please submit an update DHS 954 Child Care Center Staff and Volunteer List and a DHS 957 Staff Sequence Form to show that each group has proper staff-child ratio's and sequence. In the 4/5/6 group, aides cannot constitute for more than one-third of the required staff child ratio. For 70 children, 4 staff are required. One-third of this is one. Therefore, there shall be at minimum, three (3) program leaders and one (1) aide for this group. Currently, there is one (1) qualified program leader and four (4) aides. Both forms are enclosed. As a reminder, staff child ratio is one 1 staff member for every 20 children and aides cannot constitute for more than one-thrid of the required staff child ratio. Correction: Worker received updated DHS 954 Child Care Center Staff and Volunteer List and a DHS 957 Staff Sequence Form that shows each group has proper staff-child ratio and sequence.

   Corrected at inspection
2. Medium-High risk12/6/2024

   HAR §17-896-3 — Employment history check

   Please submit employment history checks for the following employees: XXXXX As a reminder each employee must have a DHS 959 and 959A completed for the past 3 years of employment. Employment History Instructions: 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 second date it was mailed. If forms are not returned after the second try, we will accept the self-certification. Correction: Worker verified that this has been cleared by provider.

   Corrected at inspection
3. High risk12/6/2024

   HAR §17-896-3 — Child care abuse/neglect check

   Please submit completed DHS 948 Authorization for Background Check and to Release Information forms for the following employees whose annual clearances has expired immediately: XXXXX When we receive the completed forms and all background checks are cleared, this requirement will be met. Correction: These staff are cleared.

   Corrected at inspection
4. Medium-High risk12/6/2024

   HAR §17-896-16 — Staff training, experience, and personal qualifications

   17-896.1-35 (b) Each caregiver, substitute, and volunteer within forty-five days of hire, shall complete initial training that is approved by the department in health and safety standards. Please have the following staff submit their initial health and safety assessments to PATCH immediately: XXXXX Failure to do so will result in the individuals being excluded from providing child care until the training requirement is met. The Worker sent the assessment to the director on December 11, 2024. This requirement will be met once the assessment is recorded in the system by PATCH. Correction: All staff have current health and safety training completed.

   Corrected at inspection
5. High risk12/6/2024

   HAR §17-896-21 — One caregiver with current certificates during operating hours

   Worker received twelve (12) First aid and child CPR certificates. To ensure that there is a staff member who is certified in first aid and child CPR present during all child caring hours of operation, please submit updated DHS 957 Staff Sequence Form to ensure all hours of operation are covered. Correction: Worker received updated DHS 957 Staff Sequence Form that shows all hours are covered by at least one employee.

   Corrected at inspection
6. Medium-High risk12/6/2024

   HAR §17-896-34 — Food service permit dated:

   A current food establishment permit is required to be submitted. We understand that the Department of Health (DOH) may not be issuing food establishment permits at this time. If your permit expired, the green placard issued by the DOH along with the satisfactory food inspection report with no violations can be substituted for the permit. Correction: Worker received current Food Establishment Permit that expires 03/04/2025.

   Corrected at inspection
7. Medium-High risk12/6/2024

   HAR §17-896-28 — Personal health habits for staff

   Please submit physical exams DHS 984 Medical Report and TB clearances for the following staff members: -XXXXX (TB and Physical Exam) -XXXXX (Physical Exam) -XXXXX (TB and Physical Exam) -XXXXX (TB Exam) -XXXXX (TB and Physical Exam) -XXXXX (Physical Exam) -XXXXX (TB and Physical Exam) -XXXXX (Physical Exam) -XXXXX (TB) -XXXXX (TB) -XXXXX (Physical Exam) -XXXXX (Physical Exam) -XXXXX (Physical Exam) -XXXXX (TB and Physical Exam) -XXXXX (Physical Exam) -XXXXX (Physical Exam) Correction: Deficiency duplicated and updated.

   Corrected 9/22/2025
8. High risk12/6/2024

   HAR §17-896-3 — Child care abuse/neglect check

   Please submit completed DHS 948 Authorization for Background Check and to Release Information forms for the following employees whose annual clearances has expired immediately: XXXXX When we receive the completed forms and all background checks are cleared, this requirement will be met. Correction: Duplicated in error.

   Corrected at inspection