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I am a certified adult foster home caregiver

A certified caregiver is issued an annual certificate of approval through the Department of Health, Developmental Disabilities Division (DDD) to operate an adult foster home for no more than two adults with a developmental or intellectual disability.

Certified caregivers provide 24-hour care and services in a family-like environment while supporting the foster adult’s independence, choice and right to make decisions.

All certified caregivers must meet the requirements for adult foster care in accordance with Chapter 11-148, Hawaii Administrative Rules.

DDD Certification Unit Contact Information:

Developmental Disabilities Division
Outcomes and Compliance Branch
Certification Unit
2201 Waimano Home Road, Hale A
Pearl City, Hawaii 96782
Telephone: (808) 453-6416
Fax: (808) 453-6217

Training and Education Opportunities

Coming Soon!


The Certification Unit of the Outcomes and Compliance Branch is responsible for monitoring compliance with Chapter 11-148, Hawaii Administrative Rules.  Annual inspections are conducted on each adult foster home to ensure the certified caregiver continues to meet the requirements of this chapter.

When requirements are met and areas of concern are remediated, the certificate of approval is renewed for one year.  DDD is required to post all inspection reports in accordance with Chapter 321-1.8, Hawaii Revised Statutes.

Download AFH Inspection Reports

Home and Community-Based Services (HCBS) Final Rule Requirement:

Current AFHs who have at least one foster adult residing in the home and receiving Medicaid Waiver services must work towards meeting the Centers for Medicare and Medicaid (CMS) HCBS Final rule for Community Integration and the additional requirements for residential settings.

Resources (PDF Format)


AFH Resident Forms (PDF Format)

AFH Caregiver Forms (PDF Format)

Adverse Event Report Form

DDD Certification Forms (PDF Format)