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Kilohana Admissions Procedures
Persons interested in the Kilohana Adult Day Care Program should inquire at 5829 Mahimahi Street, Honolulu, HI 96821 Telephone (808) 373-2700, during office hours Monday to Friday, 7:30 a.m. – 5:30 p.m., except recognized holidays.
The applicant and/or family will be fully informed about the Adult Day Care Program’s activities, objectives, expectations, limitations and costs. They will be given opportunity to inspect the facility and make inquiries.
Application
The submission of the following information and forms are required for consideration of an applicant’s acceptance into the Day Care Program:
1. Application form -Click Here to Download
2. Physical examination report -Click Here to Download
- Each applicant will have a physical examination by a licensed physician prior to admission to the program. The physician’s report will contain information regarding the applicant’s medical diagnosis and medication list, including a TB clearance and instructions concerning any special care required by the client while at the program.
- An annual physical examination or statement of health, including a TB clearance, is required after the individual becomes a client at the program.
3. Assessment completed by Day Care Program Director
4. Authorization for Health Information -AES Consent to Disclose
AES Participant Consent
5. Diet Order Request -Click Here to Download
6. Non-refundable $50 registration fee
Following submission of the above, an appointment for an interview and further evaluation will be scheduled to include the Day Care Program Director, the applicant and family members or caregivers. The personal interview is conducted to secure pertinent information on the applicant’s overall behavior as well as to acquaint the applicant and family about Kilohana Adult Day Care Program’s program, policies and administration.
An applicant is then accepted into the Day Care Program if, in the sole determination of the Program Director, acceptance into the program is appropriate for the applicant and Kilohana Adult Day Care Program.
If, in the Program Director’s sole determination, a subsequent determination is made that a client is no longer deemed acceptable for the program, the client will be disenrolled.