GRAND WAILEA KEIKI CLUB

HAR §17-896.1-12 — Evidence of liability coverage

Director to submit verification of a current liability insurance. Correction: Worker received copy of current insurance.

HAR §17-896.1-61 — Facility shall complete practice drills for various emergency situations at regular intervals, or whenever a new procedure has been added

Director to complete a practice drill for other emergency situations and submit verification. Correction: Drill completed and worker verified.

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>

Director to contact MFD for an annual fire inspection and submit a completed inspection report. Correction: Fire inspection reported dated 2/12/26 received; on file.

HAR §17-896-3 — Employment history check

Director to submit self-certification of employment and employment history forms for two staff. Correction: Worker received completed employment forms for both staff.

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

Director to submit current Pediatric First Aid CPR certifications from an approved DHS Listing of Agencies. Correction: Worker received certifications for three staff (5/7/25); on file.

HAR §17-896-27 — Provisions for substitutes

Director to submit completed medical form (physical and TB clearance/assessment) for two staff. Correction: Worker received completed medical forms for both staff.

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

Director to post the no smoking sign on the outside of the main door. Correction: Worker verified no smoking sign posted on door via pictured email.