KAMAAINA KIDS HONOLULU TODDLER PROGRAM

2026

1. Medium-High risk1/8/2026

   HAR §17-895.1-40 — Written evidence of agreement for health consultation (private physician, non-profit health organization, community health consultation service, or health advisory group

   Submit an agreement letter with your program's health consultant. Correction: 2-4-26: Worker Received a copy of a Health Consultant Agreement Letter from the Public Health Nurse (PHN), effective 1-8-25 to 1-8-27. A copy has been placed on file.

   Corrected at inspection
2. High risk1/8/2026

   HAR §17-895.1-3 — Background checks according with chapter 17-801 (criminal history, sex offender registry, child abuse/neglect, adult abuse perpetrator, employment history check, and other information)

   Submit completed DHS 948 Authorization for Background Check and to Release Information forms for the following staff who are either expired, or are expiring within the next 60 days: XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX * * * * * * * * * * * * * * * * * * * * * * * ** Also, submit completed employment history for new staff member XXXXX which includes the DHS 959 Employment History and DHS 959A Self-Certification of Employment forms. Employment History Instructions: All employees 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 (EH) form and have the former and/or current employer complete and sign part II. Please complete the following information on the form DHS 959A: the date EH mailed and the date EH returned. Keep copies of all forms mailed out to former employers. If EH forms are not returned after the first try, mail out again in a few weeks and log the date of the second mailing. If forms are not returned after the second try, we will accept the written self-certification that two mailed attempts were recorded on the DHS 959A. Forms can be found on our website below: View official inspection document Correction: 4-9-26: Worker verified that all staff now hold current (not expired) annual background check clearances. 2-4-26: Worker received DHS 948 Forms for all staff listed above and are currently in Rec'd /Pending status. 2-4-26: The employment history deficiency has been satisfied because XXXXX has been removed from the active staff listing because the Worker received a DHS 974A Notification Form requesting her termination, received on 2-4-26. Copy on file.

   Corrected at inspection
3. High risk1/8/2026

   HAR §17-895.1-12 — Evidence of liability coverage

   Please submit a copy of a Certificate of Liability Insurance (COI) that shows that the policy has been renewed. Note: Current Policy paperwork that was received shows a January 31, 2026 expiration date. Correction: Worker received a copy of a current (not expired) Certificate of Liability Insurance (COI) with an expiration date of 1-31-27. Copy on file.

   Corrected at inspection
4. Medium risk1/8/2026

   HAR §17-895.1-17 — List of staff, position, training

   Submit a completed copy of a DHS 954 Child Care Center Staff and Volunteer Listing form for your program. Correction: Worker received a copy of a completed DHS Staff listing , copy on file.

   Corrected at inspection
5. High risk1/8/2026

   HAR §17-895.1-35 — Caregivers, substitutes, and volunteers must complete initial health and safety training within 45 days of hire and provide written evidence of completion

   Please have the following staff update their expired, or soon to expire Health & Safety Training with PATCH immediately: XXXXX XXXXX XXXXX XXXXX XXXXX 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: 4-9-26: Worker verified that all staff are up to date on their Health & Safety Training Requirements at this time.

   Corrected at inspection
6. Medium-High risk1/8/2026

   HAR §17-895.1-43 — One caregiver with current certificates during all operating hours; infant CPR when caring for infant children

   Please submit evidence of First Aid and Child/Infant/ Adult CPR for all staff members. NOTE: Because your IT Program now accepts children under 12 months of age, your staff needs to be trained in "Infant" CPR. Correction: 2-4-26: Worker visually verified copies of American Heart Association (AHA) Heartsaver First Aid CPR AED for Pediatric Total /Child/infants/Adults for which covers all hours of the child care day: XXXXX exp 11-2027 XXXXX exp 6-2026 XXXXX exp 7-2026 XXXXX exp 9-2027 XXXXX exp 11-2027 XXXXX exp 9-2027 XXXXX exp 9-2027

   Corrected at inspection
7. Medium risk1/8/2026

   HAR §17-895.1-47 — Annual nutrition review dated: <date>

   Please submit a copy of a Menu Review completed by a nutrition consultant or an appropriate community resource. Correction: Worker received a copy of a satisfactory Menu Review by XXXXX dated 9-25-25. Copy on file.

   Corrected at inspection
8. Medium-High risk1/8/2026

   HAR §17-895.1-55 — Physical exam clearance

   Submit evidence of a satisfactory physical examination for new staff member XXXXX. Please use the DHS 984 Medical Report. Forms can be found on our website below: View official inspection document Correction: 2-4-26: This deficiency has been satisfied because XXXXX has been removed from the active staff listing because the Worker received a DHS 974A Notification Form requesting her termination, received on 2-4-26. Copy on file.

   Corrected at inspection
9. Medium-High risk1/8/2026

   HAR §17-895.1-55 — TB clearance

   Submit evidence of a negative TB test result or TB Risk Assessment for new staff member XXXXX. Correction: 2-4-26: This deficiency has been satisfied because XXXXX has been removed from the active staff listing because the Worker received a DHS 974A Notification Form requesting her termination, received on 2-4-26. Copy on file.

   Corrected at inspection
10. Medium-High risk1/8/2026

    HAR §17-895.1-71 — Written fire inspection report documenting fire warning device inspected initially and annually by a fire inspector report dated: <date>

    Submit a copy of a current satisfactory Honolulu Fire Department (HFD) Fire Inspection Report for your Program. Correction: Worker received a copy of a Satisfactory Fire inspection Report by XXXXX. Copy on file.

    Corrected at inspection
11. Medium risk1/8/2026

    HAR §17-895.1-96 — All employees, household members and volunteers complete training in safe sleep practices that is approved by the department, upon 30 days of hire or residency, and on an annual basis

    Have the following staff update their expired, or soon to expire Safe Sleep Training with PATCH immediately: XXXXX XXXXX XXXXX XXXXX XXXXX NEEDS INITIAL SAFE SLEEP TRAINING Correction: Worker confirmed on the HANA system that all staff are now up to date in regard to their Safe Sleep Training.

    Corrected at inspection