Section R4-33-402. Requirements for a Temporary Certificate

A.      To be eligible for a temporary certificate as an assisted living facility manager, an individual shall:

1.        Meet the requirements under R4-33-401 except for the requirement at R4-33-401(3);

2.        Have the owner of an assisted living facility that intends to appoint the applicant as manager if the applicant is suc- cessful in obtaining a temporary certificate submit to the Board a Letter of Intent to Appoint on a form that is avail- able from the Board. The owner of the assisted living facility shall include the following in the Letter of Intent to Appoint:

a.         Name of the owner of the assisted living facility;

b.        Name and address of the assisted living facility;

c.         Name of the applicant;

d.        An affirmation of intent to appoint the applicant;

e.         Reason for requesting a temporary certificate for the applicant;

f.         License number of the assisted living facility; and

g.        Notarized signature of the owner of the assisted liv- ing facility;

3.        Not have held an Arizona temporary certificate as an assisted living facility manager within the past three years; and

4.        Not have failed the Arizona examination before applying for the temporary certificate.

B.       At the Board’s request, an applicant for a temporary certificate shall appear or be available by telephone for an interview with the Board.

C.      A temporary certificate is valid for 150 days and is not renew- able. Before expiration of the temporary certificate, the tempo- rary certificate holder shall obtain a certificate under A.R.S. § 36-446.04 and this Article or discontinue as manager of the assisted living facility.

D.      If a temporary certificate holder fails the Arizona examination during the term of the temporary certificate, the temporary cer- tificate is automatically revoked and the former temporary cer- tificate holder shall discontinue as manager of the assisted living facility.

Historical Note

Section R4-33-402 renumbered from R4-33-302 by final rulemaking at 5 A.A.R. 423, effective January 15, 1999 (Supp. 99-1). Former R4-33-402 renumbered to R4-33- 401; new R4-33-402 renumbered from R4-33-410 and amended by final rulemaking at 12 A.A.R. 4075, effec- tive December 4, 2006 (Supp. 06-4). R4-33-402(A)(1) citation to R4-33-401(A)(3) corrected to R4-33-401(3) at the request of the Department, see Office File No. M10- 416 filed October 18, 2010 (Supp. 09-4). Amended by

final rulemaking at 21 A.A.R. 543, effective June 6, 2015

(Supp. 15-2).