Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 148.1 - CERTIFICATION OF ADULT FOSTER HOMES
Subchapter 6 - HOUSING AND SANITATION
Section 11-148.1-57 - Requirements

Universal Citation: HI Admin Rules 11-148.1-57

Current through January, 2025

(a) The adult foster home shall be kept in sanitary and safe condition. The adult foster home shall comply with all applicable state and county housing and sanitation laws.

(b) The adult foster home shall comply with the following safety standards:

(1) Approved building plans that meet state and county standards shall be submitted to the certifying agency for any construction and renovation projects on the adult foster home;

(2) There shall be an adequate number of bedrooms for all household members;

(3) In a shared bedroom designated for two adults with I/DD, the bedroom space in the adult foster home shall be not less than fifty square feet for each adult with I/DD;

(4) The home shall have emergency evacuation and disaster preparedness plans;

(5) The adult foster home shall have at least two emergency exits;

(6) For an adult with I/DD who uses a wheelchair, the adult foster home shall be wheelchair accessible. Access to the adult with I/DD's bedroom, bathroom, corridors, all common family areas, and two exits shall have a clear opening of at least thirty-four inches in width. Wheelchair ramps shall comply with the Americans with Disability Act Accessibility Guidelines (ADAAG) and shall be covered with a non-slip surface. Hand rails and grab bars may be required for safety and shall be ADAAG compliant.

(7) The home shall be free from fire hazards. The home shall:
(A) Have functional fire extinguishers in good working order and that are in accordance with the manufacturer's specifications;

(B) Conduct and document monthly fire drills; and

(C) Provide assistance for each adult with I/DD who cannot evacuate on their own.

(8) Poison and other chemicals shall be clearly labeled and securely stored; and

(9) The adult foster home shall submit to the certifying agency evidence of gun registration in accordance with state and county standards. Unloaded firearms must be stored in a locked cabinet, safe, gun vault or storage case. Ammunition should be stored and locked in a location separate from firearms.

(c) The adult foster home shall comply with the following sanitation standards:

(1) Hot and cold running water shall be available throughout the adult foster home and the waste from the running water shall be connected to an approved sewage system or other approved method;

(2) The home shall have an approved source of potable water supply;

(3) The home shall have acceptable facilities for the proper disposal of sewage with all plumbing connected to a public sewage system or other approved method. Where there is an adequate water supply, the adult foster home shall have sanitary flush toilets. In areas where an adequate water supply is not available, a sanitary privy or other approved method shall be used;

(4) The home shall have an operable washing machine available for use;

(5) The adult foster home shall be free from rodent and insect infestation;

(6) The home shall have proper facilities for the disposal of garbage and refuse;

(7) There shall be only one kitchen per residence unless approved in accordance with state and county standards;

(8) Preparation of food shall be in a clean and sanitary kitchen;

(9) All eating and drinking utensils shall be thoroughly washed with dish soap and hot water after each usage; and

(10) Perishable food shall be stored in a refrigerator.

(d) The adult foster home shall be integrated and located in the community and shall not isolate or limit the ability of the adult with I/DD to interact with the broader community.

Disclaimer: These regulations may not be the most recent version. Hawaii may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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