Hawaii survey readiness

What Hawaii Department of Health — Office of Health Care Assurance can ask you for, each line cited — and the ones you can't yet produce.

The building

Hawaii requirements loaded — the rules below are Hawaii’s own.

0 of 28 ready.

28 of the outstanding items are the ones a survey opens with.

One thing we couldn’t confirm.

We have not confirmed Hawaii's drill frequency for this licence class, so no frequency is stated. Open HAR §11-100.1 and read the drill subsections. Also confirm whether the tsunami evacuation duty carries its own drill cadence separate from fire drills.

HawaiiAdult Residential Care Home (ARCH)

What Hawaii Department of Health — Office of Health Care Assurance can ask for, each cited. Checked July 2026.

Goes in the planIs the section written, and does it say what the rule requires?

Hawaii's requirement is CONDITIONAL ON GEOGRAPHY: a facility located in an area subject to tsunami action, flooding or similar disaster must have a plan of evacuation to a place of refuge, and that plan must follow LOCAL CIVIL DEFENSE regulations rather than a state template. Two consequences — you must first establish whether your address sits in a tsunami evacuation zone (Hawaii Emergency Management Agency publishes the maps by island), and if it does, the county civil defense agency, not the Department of Health, defines what an acceptable plan looks like.

Haw. Admin. R. §11-100.1 et seq. · Hawaii Department of Health — Office of Health Care Assurance

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Life-safety systems

The code-based tests a life-safety survey opens with. These are the starred ones — the full schedule is the compliance calendar.

Test record

NFPA 72 Table 14.4.3.2 (supervisory device testing) (2022) · national · keep: Minimum 5 years

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Certificate + inspection report

NFPA 72 §14.4 (annual ITM) (2022) · national · keep: Minimum 5 years

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Test record

NFPA 25 §5.3.3 / §13.7 (2023) · national · keep: Life of system

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Static + residual pressures; compare to prior; >10% drop investigated

NFPA 25 §5.3.3 (main drain quarterly where sole supply passes through backflow preventer or PRV) (2023) · national · keep: Life of system

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Pressures vs prior year

NFPA 25 §13.2.5 (2023) · national · keep: Life of system

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Written record for AHJ

NFPA 80 §5.2.1 (annual, 13 criteria) (2022) · national · keep: 3 years

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Report

NFPA 110 §8.3.1 (2022) · national · keep: Per authority

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Damper log with location, ID, pass/fail and corrective action.

NFPA 80 §19.4 / NFPA 105 Ch. 6 (2022) · national · keep: Until the next test, minimum 3 years

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Written report listing every damper by location with pass/fail

NFPA 80 §19.4 / NFPA 105 Ch. 6 (hospital 6-year interval) (2022) · national · keep: Until the next test, minimum 3 years

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Monthly firefighter service log.

ASME A17.1 §8.6.11.1 (2019) · state-governed · keep: Minimum 3 years

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Trip test report with trip time and water delivery time.

NFPA 25 §13.4.4.2.2 (3-year full trip) (2020) · national · keep: Minimum 3 years

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Tank inspection report.

NFPA 25 §9.2.6 (interior inspection) (2020) · national · keep: Until the next interior inspection

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Smoke control test report with fan and damper positions.

NFPA 92 §8.4.2 (dedicated: semiannual) (2021) · national · keep: Minimum 3 years

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Signed drill sheet: date, time, shift, participants, evacuation time.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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Signed drill sheet.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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Signed drill sheet.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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After-action report and improvement plan.

42 CFR §483.73(d)(2) (—) · national · keep: Minimum 3 years

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Signed HVA.

42 CFR §483.73(a)(1) (—) · national · keep: Minimum 3 years

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Dated plan revision.

42 CFR §483.73(a) (—) · national · keep: Minimum 3 years

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Dated plan revision and team roster.

ASHRAE 188 / CMS QSO-17-30 (2018) · national · keep: Survey cycle

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Readings against control limits.

ASHRAE 188 §7 (2018) · national · keep: Survey cycle

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Receptacle test record by room.

NFPA 99 §6.3.3.2 (12-month interval applies to receptacles not listed hospital grade) (2021) · national · keep: Minimum 3 years

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Rounds log.

NFPA 101 §19.3.6 (2012) · national · keep: Survey cycle

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Barrier log with locations.

NFPA 101 §19.3.7 (2012) · national · keep: Survey cycle

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Photo of posting with date.

29 CFR §1904.32(b)(6) (—) · national · keep: 5 years

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Temperature log by unit.

FDA Food Code §3-501.16 (cold holding, as adopted by your state) (2022) · state-governed · keep: Minimum 1 year

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Inspection report and corrective-action record.

Local AHJ (—) · local · keep: Minimum 3 years

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What Hawaii requires

Adult Residential Care Home (ARCH)Group home / residential care home
  • Tsunami evacuation, but only if you are in the zone. Hawaii's requirement is CONDITIONAL ON GEOGRAPHY: a facility located in an area subject to tsunami action, flooding or similar disaster must have a plan of evacuation to a place of refuge, and that plan must follow LOCAL CIVIL DEFENSE regulations rather than a state template. Two consequences — you must first establish whether your address sits in a tsunami evacuation zone (Hawaii Emergency Management Agency publishes the maps by island), and if it does, the county civil defense agency, not the Department of Health, defines what an acceptable plan looks like. Haw. Admin. R. §11-100.1 et seq.
Hawaii Department of Health — Office of Health Care Assurance · checked July 2026We have not confirmed Hawaii's drill frequency for this licence class, so no frequency is stated. Open HAR §11-100.1 and read the drill subsections. Also confirm whether the tsunami evacuation duty carries its own drill cadence separate from fire drills.

The evidence, and where it comes from

Every item above needs something you can hand over. The Hawaii fire drill log produces the drill record at the frequency this state sets, the emergency plan builder writes the plan itself from the same research, and the compliance calendar puts the life-safety tests on dates. Anything you record against the building shows up on the checklist already ticked.

A self-assessment against published rules, not a compliance determination. CompliMaint issues nothing — Hawaii Department of Health — Office of Health Care Assurance and your authority having jurisdiction do. Requirements we could not verify are absent rather than guessed at.