LE JARDIN ACADEMY PRESCHOOL

2025

1. High risk12/24/2025

   HAR §17-892.2-35 — On-going Health and Safety Training

   XXXXX must complete on-going health and safety training immediately. Currently, she has 10 out of 16 hours credited in 4 topic areas. Her health and safety training period expired 10/09/2025. Please submit all 16 hours of training certificates to People Attentive to Children (PATCH) for processing immediately. Additionally, all new caregiving hires, including substitutes, must complete the assessment with 100% accuracy and submit to PATCH within 45 days of hire. XXXXX must complete the initial basic health and safety assessment. Please have these staff members complete the assessment and submit to PATCH for processing. Please take note of the following reminders: XXXXX annual health and safety training period will soon expire on 02/26/2026. She currently has 0 out of 16 hours credited. XXXXX annual health and safety training period will soon expire on 02/11/2026. She currently has 10 out of 16 hours in 6 topic areas credited. Note: PATCH is taking up to 8 weeks to process on-going health and safety training certificates. To avoid disruption in staff training requirements, please submit all 16 hours of certificates to PATCH prior to each staff member's training expiration. Correction: All staff have current health and safety training periods.

   Corrected at inspection
2. Medium-High risk12/24/2025

   HAR §17-892.2-3 — Employment History Check

   Please provide the DHS 959A Self-Certification of Employment forms for XXXXX. Please ensure that all 36 months prior to each of their start dates are recorded. If there are returned DHS 959 Employment History Clearance forms, please also provide those to the Worker for review. 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. Please visit the following for the required forms: View official inspection document Correction: The Worker received satisfactory employment history clearances for the listed staff.

   Corrected at inspection
3. Medium-High risk12/24/2025

   HAR §17-892.2-55 — Medical Report and TB Clearance

   Please provide the completed DHS 984 Medical Report and TB clearance for XXXXX which shall be dated within 1 year of her date of hire, 11/25/2025. Correction: The Worker received the DHS 984 Medical Report and TB clearance for XXXXX.

   Corrected at inspection
4. High risk12/24/2025

   HAR §17-892.2-3 — Annual Background Check

   Please have XXXXX complete a new DHS 948 Authorization for Background Check and to Release Findings form with all sections of pages 1 and 2 fully completed. The previous copy did not have XXXXX social security number fully listed. The following have soon-to-be expiring background clearances. Please have the following staff also complete a DHS 948 form: XXXXX Please provide these DHS 948's to the Worker for processing. Correction: The Worker received the DHS 948 Authorization for Background Check and to Release Findings forms for the listed staff. All staff currently have completed the background check and have current clearance status.

   Corrected at inspection