IOLANI AFTER SCHOOL ENRICHMENT

HAR §17-896.1-25 — Staff provides supervision at all times

Worker observed staff providing proper supervision at all times during the after school program's visit, and also reviewed this rule with director. Worker will return to conduct an observation visit to verify that proper supervision is being provided during before school hours.

HAR §17-896.1-55 — TB clearance

Please submit TB clearance for all before school staff.

HAR §17-896.1-55 — Physical exam clearance

Please submit physical exam clearance for all before school staff.

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)

Whoever was identified on the DHS 954 Child Care Center Staff and Volunteer Listing form for the before school staff shall be fingerprinted with the Department of Human Services (DHS). Please schedule fingerprint appointments for those staff.

HAR §17-896.1-11 — Specific hours of operation

After School Programs Family Handbook p. 15 - 2:15 pm - 5:30 pm on school days. Please amend the Family Handbook to include before school hours of operation.

HAR §17-896.1-11 — Type of childcare services offered

After School Programs Family Handbook p. 15 -After School Care services are provided from the hours of 2:15 pm - 5:30 pm on school days for currently enrolled `Iolani students. Please amend the Family Handbook to include before school care.

HAR §17-896.1-17 — Roster/attendance records

Worker observed one hundred and forty-eight (148) children in attendance at the time of visit, out of two hundred and six (206) enrolled. Please ensure all students in before school care are enrolled on your roster, and that attendance is being taken for the before school program.

HAR §17-896.1-17 — List of staff members and position

Please submit a DHS 954 Child Care Center Staff and Volunteer Listing form for the before school staff.

HAR §17-896.1-35 — Caregivers qualified for the age group with which they work

Worker verified that all after school staff have proper qualifications. Please submit resumes for the staff who is identified on the DHS 954 Child Care Center Staff and Volunteer Listing form for the before school program.

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

Worker verified that all current staff have completed initial health and safety training. Please have all before school staff complete initial health and safety assessment and submit to People Attentive to Children (PATCH).

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

Please have XXXXX complete remaining health and safety training hours and submit training certificates to People Attentive to Children (PATCH).

HAR §17-896.1-43 — One caregiver with current pediatric first aid certificate and child CPR during operating hours

Worker verified that twenty one (21) staff members have current pediatric first aid certificate and child cardiopulmonary resuscitation (CPR) certificates, which covers all hours of operation. Please submit current pediatric first aid certificate and child cardiopulmonary resuscitation (CPR) certificates for any before school staff.

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

§17-896.1-35(d) . . . each caregiver shall complete on-going training appropriate to the age of children the caregiver serves within twelve months from the date the initial training was received and recorded by the department, and then annually thereafter. (1) Each caregiver staff member shall complete at least sixteen hours of department-approved training annually in at least two of the topic areas in subsection (e). Child Care Licensing (CCL) Worker Derik Tamanaha verified that five (5) staff members XXXXX did not meet health and safety training requirements at the time of visit done on April 2, 2025, and one (1) staff member's XXXXX training has expired since the visit and before publishing this report. Special Programs Coordinator XXXXX reported to Worker Tamanaha that all trainings had been previously submitted to People Attentive to Children (PATCH) for approval, however, Worker cannot verify this as they have not shown up on the system. Once it shows up as updated on the system, this deficiency will be met. 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 by November 30, 2025, we will have to exclude these staff members and they will not be able to count towards the staff-child ratio until they do, which may affect your Before and After School (BAS) license. Correction: Worker verified that all staff members have current health and safety training reflected in our system.

HAR §17-896-3 — DHS 959A Self-Certification of Employoment and DHS 959 Employment History Clearance Forms

Please submit completed DHS 959A Self-Certification of Employment form and completed DHS 959 Employment History Clearance Form(s) for the following staff members: 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 that two attempts were made on the DHS 959A. DHS forms are downloadable via View official inspection document Correction: Worker received the completed DHS 959A Self-Certification of Employment forms and DHS 959 Employment History Clearance forms for the following staff members: XXXXX on 11/26/24. Worker received the DHS 959A Self-Certification of Employment forms and DHS 959 Employment History Clearance forms for XXXXX.

HAR §17-896-27 — Staff's physical exam and TB clearances

Please submit the DHS 984 Medical Report form to include the physical exam (PE) clearance and TB clearance within 1 year from employment date for these staff members including XXXXX. Correction: Per DHS 974A Notification of Changes form received on 12/11/24, XXXXX are no longer with the program effective 11/26/2024 and 11/08/24, respectively.

HAR §17-896-27 — Physical Exam and TB Clearance for BAS staff members

Please submit the DHS 984 Medical Report form to include the physical exam (PE) clearance and TB clearance within 1 year from employment date for these staff members: 1. Darwin Do (PE and TB clearance) 2. Andrew Kim (PE and TB clearance) 3. Kadielyn Kurokawa (PE and TB clearance) 4. Annaliese Leatherman (PE clearance only) 5. Chadlyn Remedios (PE clearance only) 6. Camryn Villano (PE clearance only) Correction: DHS visually verified the DHS 984 PE and TB clearances for the (6) staff members and meet the child care licensing requirements. Please submit the DHS 984 Medical Report form to include the physical exam (PE) clearance and TB clearance within 1 year from employment date for these staff members including Aizen Chung, Callie Nishikawa and Michaela Ziacita.