Le Jardin Academy Preschool

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.

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:

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

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.

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.