Section R9-33-104. Application and Inspection

A.      For a license to operate a group home, an applicant shall sub- mit to the Department a completed application packet that con- tains:

1.        An application form provided by the Department that includes:

a.        The applicant’s name;

b.        The proposed group home’s name, if any;

c.        The address and telephone number of the proposed group home;

d.        The applicant’s address and telephone number, if different from the address or telephone number of the proposed group home;

e.        The applicant’s e-mail address;

f.         The name and contact information of an individual acting on behalf of the applicant according to R9-33- 103, if applicable;

g.        Whether the applicant agrees to allow the Depart- ment to submit supplemental requests for informa- tion under R9-33-108(C)(3);

h.        Whether the applicant is a current service provider or intends to become a service provider;

i.         The fire risk prevention level at which the applicant anticipates operating the group home; and

j.         The applicant’s signature and the date signed;

2.        A copy of the applicant’s:

a.        U.S. passport, current or expired;

b.        Birth certificate;

c.        Naturalization documents; or

d.        Documentation of legal resident alien status;

3.        A copy of the applicant’s:

a.        Current service provider contract with the Division indicating that services are to be provided at the address of the proposed group home; or

b.        Documentation from the Division demonstrating that the applicant has a service provider contract pending for providing services at the address of the proposed group home; and

4.        A copy of the applicant’s accreditation report issued by a nationally recognized accreditation organization, if appli- cable.

B.       An applicant or licensee shall allow the Department immediate access to all areas of the premises, a resident, record, or vehi- cle used to transport a resident, according to A.R.S. § 41-1009.

C.      Upon receipt of the application packet in subsection (A), the Department shall issue or deny a license to an applicant as pro- vided in R9-33-108.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 910, effective February 11, 2002 (Supp. 02-1). R9-33-104 renumbered to R9-33-105; new R9-33-104 renumbered from R9-33-103 and amended by final rulemaking at 18

A.A.R. 3295, effective February 3, 2013 (Supp. 12-4).