Hawaii

Residential assisted living licensing rules and official state resources

Licensure term: Adult Residential Care Homes (ARCH), Expanded Adult Residential Care Homes (E-ARCH)
Resident capacity: TYPE 1 ARCH - <5 residents
Staff ratios: Facilities must staff according to residents’ needs. At least one administrator, on-site manager, or responsible staff person must be on the premises 24 hours a day. The minimum on-site, staff-to-resident ratio is 1:15 during waking hours and 1:25 during non-waking hours. Facilities must exceed these minimum ratios, if needed, in order to meet residents’ specific ongoing health, safety, and care needs.
Cost of licensing: ---
Bedroom square footage: Adult residential care homes may have up to four residents sharing a room.
Memory care: In addition to general training requirements, staff in Memory Care Units must be trained in the philosophy of care for residents with dementia and facility-specific policies and procedures.

Full requirements

License Application: Applications are free and may be obtained upon completion of the ARCH Teaching Modules.
Regulatory Agency: State of Hawaii, Department of Health - Office of Health Care Assistance
Contact Phone Number: 404-657-4076 GA HFR Personal Care Home Assistance Line
Contact Email: ---
Licensure Term(s): Adult Residential Care Homes (ARCH), Expanded Adult Residential Care Homes (E-ARCH)
Census Requirements: TYPE 1 ARCH - <5 residents TYPE II ARCH - 6+ residents E-ARCH I and II - same as above but can admit skilled nursing
Qualifications for Caregivers: For E-ARCHs, an RN must train and monitor primary caregivers. All Type II ARCH staff must have 6 hours of annual training on specified topics, including personal care; infection control; pharmacology; medical and behavioral management of residents; diseases and chronic illnesses; and community services and resources.
Staff Ratios: Facilities must staff according to residents’ needs. At least one administrator, on-site manager, or responsible staff person must be on the premises 24 hours a day. The minimum on-site, staff-to-resident ratio is 1:15 during waking hours and 1:25 during non-waking hours. Facilities must exceed these minimum ratios, if needed, in order to meet residents’ specific ongoing health, safety, and care needs.
Cost of Licensing: ---
Square Footage Requirements: Adult residential care homes may have up to four residents sharing a room.
Bathrooms Required: One toilet is required for every eight residents, one sink for every ten residents, and one shower for every 14 residents.
Memory Care Requirements: In addition to general training requirements, staff in Memory Care Units must be trained in the philosophy of care for residents with dementia and facility-specific policies and procedures. Memory care units must be designed to accommodate residents with severe dementia or Alzheimer’s disease in a home-like environment. (See regulations for details.)