R9-33-104. Application and Inspection

A. For a license to operate a group home or behavioral-supported group home, an applicant shall submit to the Department a completed application that contains: 1. An application in a Department provided format that includes: a. The applicant’s name; b. The proposed group home’s or behavioral-supported group home’s name, if any; c. The address and telephone number of the proposed group home or behavioral-supported group home; d. The applicant’s address and telephone number, if different from the address or telephone number of the proposed group home or behavioral-supported group home; e. The applicant’s email 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 Department to submit supplemental requests for information under R9-33-108(C)(4); 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 or behavioral-supported 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 behavioral-supported 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 or behavioral-supported group home; and 4. A copy of the applicant’s accreditation report issued by a nationally recognized accreditation organization, if applicable. B. An applicant or licensee shall allow the Department immediate access to all areas of the premises, a resident, record, or vehicle used to transport a resident, according to A.R.S. § 41-1009.