I'm not a nurse but I can tell you that quality childcare can be expensive and tough to come by. I noticed that a lot of resident families use grandparents for care but that doesn't generally work for transplants. There is a hotline set up by the state to provide referrals. I can't remember what it's called but if you search for keiki afterschool hotline you should find it. You're lucky your child is older tho, I'll tell ya that. Care for kids under 5 is crazy expensive and impossible to find.