Ariz. Admin. Code § 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:
2. Have the owner of an assisted living
facility that intends to appoint the applicant as manager if the applicant is
successful in obtaining a temporary certificate submit to the Board a Letter of
Intent to Appoint on a form that is available 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 living 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 renewable. Before
expiration of the temporary certificate, the temporary 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 certificate is automatically revoked and
the former temporary certificate holder shall discontinue as manager of the
assisted living facility.
Notes
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