Honolulu Waldorf School After School Care

The health and safety training period has expired for the following staff members:

XXXXX.

We understand that you have submitted health and safety training certificates to People Attentive to Children (PATCH) for processing. Health and safety training must be current and reflected in our system for this deficiency to be corrected.

Please note that training certificates currently takes at least 4 weeks or more to be processed by PATCH. Going forward, please adjust your deadlines accordingly.

All caregiving staff who provide direct care, require sixteen (16) hours of department approved training on an ANNUAL basis in at least two topic areas. Substitutes require at least ten (10) hours of training.

Staff members who do not meet this requirement may affect your license to operate an After School program. Staff who do not meet the required qualifications may be excluded from providing child care. If excluding these staff members affects the required staff-to-child ratio, we may reassess your licensed maximum capacity.

We understand that you have submitted a menu to Hawaii Child Care Nutrition Program (HCCNP) for review. Please submit the completed review to the department when you receive approval.

Please submit a DHS 984 Medical Report form for XXXXX, which shows satisfactory physical exam and TB results.

Please visit the following for the required DHS forms:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

Please submit a DHS 954 Child Care Center Staff and Volunteer Listing, and DHS 957 Staff Sequence form.

Please visit the following for the DHS required form:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

Please submit the current Adult and Pediatric First Aid/CPR certificates for the staff members at Honolulu Waldorf School After School Care.

All providers shall comply with the new Before and After School Hawaii Administrative Rules (HAR) effective December 31, 2024. Please note the following:

HAR §17-896.1-35 (b) Each caregiver, substitutes, and volunteer within forty-five days of hire shall complete their initial (Health & Safety) training.

Please submit the initial Health & Safety training assessment to PATCH for XXXXX.

All providers shall comply with the new Before and After School Hawaii Administrative Rules (HAR) effective December 31, 2024. Please note the following:

HAR §17-896.1-11 Statement of Operation Policies (shall be included in the program's statement of operation's policies/ parent handbook)

(20) Grievances which shall include the department's information for parents to file complaints

Child Care Licensing Unit 1

677 Queen Street, Room 400A

Honolulu, Hawaii 96813

(808) 587-5266

Please submit your program's updated Parent Handbook, which shall include the new Before and After School rules listed above.

Please schedule a fingerprinting appointment with the department for staff member XXXXX.

Please visit the following for the required DHS form:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

Child Care Licensing (CCL) Worker conducted a telephone licensing desk review with the director for Honolulu Waldorf School After School Care. The Worker discussed the Hawaii Administrative Rules and pertinent documents that are still required to be submitted with the director.

An observation of the children in care and the child care areas are still required, as the program is slated to open their Summer Fun program on June 9, 2025.

Please submit the employment history check clearances (DHS 959 Employment History Form and DHS 959A Self-Certification of Employment form) for the following new staff members for the last three (3) years from their date of hire:

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.

Please visit the following for the required forms:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

Please schedule a fingerprinting appointment with the department immediately for staff member XXXXX. We've attached a DHS 948 Authorization for Background Check and to Release Information for your use.

Also, please see the attached DHS 961A for instructions.

Please include in the Parent Handbook the ages of children accepted.

Please include in the Parent Handbook the maximum number of children permitted by license.

Please include in the Parent Handbook a statement informing the parents/guardians the program's liability insurance coverage.

Please submit a DHS 954 Child Care Center Staff and Volunteer Listing.

Please visit the following for the DHS required form:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

Please submit the admission forms that that require sufficient information and instruction to be received from parents or guardians that enable caregiver to care for the child, which includes the following information:

1.) Child name, DOB, address;

2.) Parent/guardian name and address;

3.) Parent/guardian contact information;

4.) Name, address and phone numbers of person to assume responsibility when parents/guardians are not available; and

5.) Name address and phone numbers of person authorized to take child from facility

Please submit a copy of your Summer Fun program's daily schedule of activities, and menu of the snacks served.

Please submit a daily schedule of the Summer Fun program's activities, which indicates that twenty-five percent of the program time is spent in gross motor activities to promote physical activities.

Please submit a DHS 954 Child Care Center Staff and Volunteer Listing. Once we receive the DHS 954, we will verify if each staff member meets the qualifications for their listed role.

Please visit the following for the DHS required form:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms

Please provide a written agreement with a physician or public health nurse, who has agreed to be your program's health consultant.

Please submit the current Adult and Pediatric First Aid/CPR certificates for the staff members at Honolulu Waldorf School After School Care.

Please submit a DHS 984 Medical Report form for XXXXX, which shows satisfactory physical exam and TB results.

Please visit the following for the required DHS forms:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

All providers shall comply with the new Before and After School Hawaii Administrative Rules (HAR) effective December 31, 2024. Please note the following:

HAR §17-896.1-61 Disaster Plan for emergencies (a) Written procedures shall address the following: (shall be include in the program's statement of operations policies/parent handbook)

(7) Providing for the needs of children with disabilities and children with special needs during an emergency

(8) Providing for the needs of children with chronic medical conditions during an emergency

Please update your parent handbook or submit documents showing that the above requirements are met.

Please submit a copy of the school's current food establishment inspection report and green pass placard.

Please provide a daily schedule to verify that 25% of the program time allows for gross motor activities.

Due to staff member, XXXXX being newly listed as a Program Leader with the Before and After School Care program, we will need her resume to verify that she qualifies as a Leader.

Please provider XXXXX resume.

Please provide completed DHS 959 Employment History Clearance and DHS 959A Self-Certification of Employment forms for Aide, 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.

Please visit the following for the required forms:

http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/

Worker reminded the Director that fire drills should be conducted throughout the year for After School Care. Please provide a drill log to show two (2) recent drills conducted. Worker received a log showing one (1) fire drill was conducted on April 15, 2024.

Please provide the program's daily schedule.