Section R9-10-107. Renewal License Application

A.      A licensee applying to renew a health care institution license shall submit an application packet to the Department at least 60 calendar days but not more than 120 calendar days before the expiration date of the current license that contains:

1.        A renewal application in a format provided by the Department including:

a.         The health care institution’s:

i.         Name, license number, mailing address, tele- phone number, and e-mail address; and

ii.        Class or subclass;

b.        Whether the applicant agrees to allow the Depart- ment to submit supplemental requests for informa- tion under R9-10-108;

c.         Owner information including:

i.         The owner's name, address, telephone number, and e-mail address;

ii.        Whether the owner is a sole proprietorship, a corporation, a partnership, a limited liability partnership, a limited liability company, or a governmental agency;

iii.      If the owner is a partnership or a limited liabil- ity partnership, the name of each partner;

iv.       If the owner is a limited liability company, the name of the designated manager or, if no man- ager is designated, the names of any two mem- bers of the limited liability company;

v.        If the owner is a corporation, the name and title of each corporate officer;

vi.       If the owner is a governmental agency, the name and title of the individual in charge of the governmental agency or the individual desig- nated in writing by the individual in charge of the governmental agency;

vii.     Whether the owner or any person with 10% or more business interest in the health care institu- tion has had a license to operate a health care institution denied, revoked, or suspended since the previous license application was submitted; the reason for the denial, suspension, or revoca- tion; the date of the denial, suspension, or revo- cation; and the name and address of the licensing agency that denied, suspended, or revoked the license;

viii.    Whether the owner or any person with 10% or more business interest in the health care institu- tion has had a health care professional license or certificate denied, revoked, or suspended since the previous license application was sub- mitted; the reason for the denial, suspension, or revocation; the date of the denial, suspension, or revocation; and the name and address of the licensing agency that denied, suspended, or revoked the license or certificate; and

ix.       The name, title, address, and telephone number of the owner's statutory agent or the individual designated by the owner to accept service of process and subpoenas;

d.        The name and address of the governing authority;

e.         The chief administrative officer's:

i.         Name,

ii.        Title,

iii.      Highest educational degree, and

iv.       Work experience related to the health care insti- tution class or subclass for which licensing is requested; and

f.         Signature required in A.R.S. § 36-422(B);

2.        The health care institution’s scope of services;

3.        If the health care institution is located in a leased facility, a copy of the lease showing the rights and responsibilities of the parties and exclusive rights of possession of the leased facility; and

4.        The applicable application and licensing fees required by R9-10-106.

B.       A licensee may submit a health care institution's current accreditation report from a nationally recognized accrediting organization as part of the application packet in subsection (A).

C.      If a licensee submits a health care institution’s current accredi- tation report from a nationally recognized accrediting organi- zation, the Department shall not conduct an onsite compliance inspection of the health care institution during the time the accreditation report is valid.

D.      The Department shall approve or deny a renewal license according to R9-10-108.

E.       The Department shall issue a renewal license for:

1.        One year; or

2.        Three years, if:

a.         A licensee’s health care institution is a hospital accredited by a nationally recognized accreditation organization, and

b.        The licensee submits a copy of the hospital’s current accreditation report.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 3559, effective August 1, 2002 (Supp. 02-3). Amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at

20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13;

effective July 1, 2014 (Supp. 14-2).