Seagull School Aina Haina

Please submit photographic evidence of a clean, non-porous surface that is used while changing the children's diapers.

Please submit a DHS 948 Authorization for Background Check and to Release Findings form for XXXXX.

*Please use the new DHS 948 form Authorization for Background Check and to Release Findings form with the date of 06/2024*.

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In addition, please submit the completed employment history for staff members 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 the 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.

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Forms can be found on our website below:

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

Please submit the initial Health & Safety assessment to People Attentive to Children (PATCH) for XXXXX. Attached

Please submit the on-going Health & Safety trainings to People Attentive to Children (PATCH) for XXXXX.

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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.

*Note: Failure to complete the required training will result in the employees being excluded from providing child care until they complete the required training. If you don't have enough staff due to this, this will affect your license. Please have them complete the training immediately.*

Please submit photographic evidence that the broken fence in the outdoor play area has been repaired.

Please submit photographic evidence that the aloe plant in the outdoor play area has either been blocked off or removed.

Please submit a copy of a current food establishment permit.

All staff members shall be registered with the Hawaii DHS Early Childhood Registry through PATCH. The following staff member XXXXX is not registered.

Please contact PATCH for registry information.

§17-892.2-35 Staff training, experience, and personal qualifications. (c) Each caregiver, substitute, and volunteer within forty-five days of hire, shall complete initial training that is approved by the department in health and safety standards . . . .

The health and safety training for XXXXX has expired. XXXXX reported on 02/24/25 that trainings were submitted to PATCH. Once XXXXX health and safety training is updated in the system, this deficiency will be satisfied and we can issue a regular license.

Please submit a new DHS 948 Authorization for Background Check and to Release Findings for XXXXX.

We are also awaiting the criminal history check clearance results for XXXXX.

Once the clearance form for XXXXX is received and the clearance for XXXXX is complete, this deficiency will be satisfied.

Please submit a new DHS 948 Authorization for Background Check and to Release Findings for XXXXX.

We are also awaiting the child abuse/neglect check clearance results for XXXXX.

Once the clearance form for XXXXX is received and the clearance for XXXXX is complete, this deficiency will be satisfied.

Staff members XXXXX does not have registry qualifications. Please have them complete Form-1 and submit to PATCH Registry.

We received the DHS 948 clearance form for XXXXX and XXXXX on 11/26/24 and are awaiting the results of the child and adult abuse neglect checks. We are also awaiting the child and adult abuse neglect check results for XXXXX.

We have received the annual clearance forms for XXXXX and XXXXX on 11/26/24 and are awaiting the criminal history check results. We are also awaiting the criminal history check results for XXXXX.

Although all staff are qualified, we still require a current staff employment sequence form (DHS 957) to be submitted.

Please submit a DHS 957 Staff Sequence form which meets licensing requirements. Attached.

The staff sequence submitted via email on 10/22/24 meets the staff-child ratio but not the staff employment sequence because XXXXX does not have registry qualifications.

Please submit Form-1 to PATCH so XXXXX is qualified through the PATCH registry.

Once XXXXX is qualified as an Aide, the staff sequence should meet licensing requirements.

However, please submit a new staff sequence form (DHS 957) so we may ensure the staff-child ratio and staff employment sequence meets licensing requirements.

We conducted an initial inspection visit on 02/22/24 and met with Regional Director, XXXXX. We will need to return to conduct an observation of children in care.

We will also verify that staff-child ratio and staff employment sequence are being met when we return to conduct the observation of children in care.