The director may suspend, revoke, deny, or refuse to issue a license for failure to comply with the requirements of this chapter, any provision of chapter 321, HRS, or any term of condition of a license issued pursuant to this chapter. The director's decision to suspend, revoke, deny, or refuse to issue a license shall become final, unless not later than twenty days after receipt of the director's decision, the home care agency submits a written request for a hearing in accordance with chapter 91, HRS, chapter 11-1, and this chapter.
Haw. Code R. § 11-700-5