The first thing that many families face in hiring a private caregiver is whether to use someone referred to them by a friend or to hire from an agency.
The questions are: How well do you know the person? Who is responsible if there is an untoward incident? How has the caregiver been screened? Were professional references verified? Clinical skills competency testing is generally conducted by the agencies. Some agencies use nationally accredited and validated skill tests.
Factors to consider on hiring a private caregiver:
- Carefully examine licenses and certifications. Agencies should be conducting prime source verification with the proper authorities: U.S. Office of the Inspector General (OIG), Racketeer-Influenced and Corrupt Organizations (RICO) and State Boards documentation should be readily available to you, the client.
- Ask for a criminal history background check (CHBC) or documented drug clearance. Federal law requires nationally certified agencies to conduct CHBC tests. Drug screening is done according to employer or agency policy.
- Ask for proof of insurance. Professional and Commercial General Liability Insurance is important protection for the patient, family and their personal valuables.
The management of an agency should be readily available 24/7 when problems arise.
An agency with a professional Registered Nurse or Nurse Practitioner in charge will have well established quality control of services rendered. And an agency can replace a caregiver who becomes ill or unable to work.
Kahu Malama Nurses, 1357 Kapiolani Blvd., Suite 850
808-951-0111 | www.kahumalama.com

As we enter the fall season we are so happy to bring you the wonderful story of a true gentleman and caring Director of the Hawai‘I County Office on Aging, Alan Parker. Alan “talksstory” about the people who mentored him and the plantation values that allowed him to be successful. We are grateful to Alan Parker and his whole office for their support and the many dedicated volunteers who assist all our seniors on Hawai‘I Island. A special mahalo to Jolean Yamada, Nic Los Banos and Pauline Fukunaga who were efficient point persons for our magazine staff.
With this issue, I am also honored to introduce you to our new Associate Editor Katherine Kama’ema’e Smith from Maui. She brings so much energy, heartfelt feelings for our culture, stories of the islands and love for life and for our seniors. Katherine is a baby boomer on Medicare, who managed her mom’s last years and knows both the challenges and joys of caregiving.

Caring for our aging loved ones doesn’t have to be a strain on our daily lives. Not when Catholic Charities Hawai‘i Premium Senior Services Program (PSS) offers seniors and their families a way to maintain independence and get relief for busy caregivers.



The van driver used an address list generated from the Hawaii County of Aging database and charted on a map using GPS coordinates. One by one, seniors were slowly checked off. We went to single-family houses, apartment buildings, and rooms above shops. Some seniors had already moved out. Those who remained were in various stages of planning or moving. The personal canvassing process is time consuming, but seniors were welcoming, and glad that the county was checking on them.
It’s hard for people who don’t live in Hawai‘I County to imagine taking lava flows in stride, but Pahoa ancestors always lived with Pele in their backyards. Sometimes lava stops before it reaches a house; sometimes it continues to the sea and flows for weeks or years. The flows are fickle and unpredictable, sometimes destroying an entire forest, but flowing around, sparing a single tree.