Kama`aina Kids is a private, nonprofit organization dedicated to serving children and their families through quality child care programs. Care services include preschool programs, before and after school programs, day camps, environmental education programs, enrichment programs and hotel programs. Established in 1987 by Ray Sanborn and Mark Nishiyama, Kama'aina Kids started with 45 children in a single program. On April 1, 1993, Kama'aina Kids and Hawaii Child Centers merged to form one of the largest child-care organizations in Hawaii. Kama'aina Kids' programs serve nearly 4,000 children. The organization is accredited by the National Association for the Education of Young Children and the American Camping Association. Kama'aina Kids' staff receives American Red Cross First Aid and CPR certification and a thorough background check. The organization provides extensive training in safety procedures, risk management and child development.