Ariz. Admin. Code § R6-6-1101 - Application for License

A. Married or single persons desiring to be licensed as an adult developmental home shall make written application for a license to the Division on the prescribed forms.

B. The license applicant and any adult member of the household shall be fingerprinted for a criminal history record check as prescribed by the Division. Any adult living on the premises, not residing in the home, may be required to be fingerprinted for a criminal history record check.

C. The license applicant and any adult member of the household shall authorize the Division to perform a background check through Adult Protective Services and Child Protective Services referral files. Any adult living on the premises may be required to authorize a background check through Adult Protective Services and Child Protective Services referral files.

D. The license applicant and all members of the license applicant's household shall participate in interviews with the Division and the home-study process as required by the Division. The home-study process shall include:

1. Interviews with all members of the license applicant's household.

2. Interviews with other knowledgeable parties as the Division determines appropriate.

3. Inspection of the home and grounds by the Arizona Department of Health Services and the Division for compliance with this Article.

E. To be eligible for licensure as an adult developmental home provider, the license applicant shall:

1. Be at least 21 years of age,

2. Have income or resources independent of the Division room-and-board payments to meet the needs of the license applicant's family unit,

3Not have employment that conflicts with the care and supervision of adults placed by the Division,

4. Be of reputable and honest character, and

5. The license applicant shall submit documentation that each child living in the home has received the immunizations appropriate to the child's age and state of health unless the license applicant has submitted a signed statement that the children have not been immunized because of affiliation with a religion which is opposed to such immunizations or because the license applicant is opposed to such immunizations.

F. The license applicant and members of the household shall cooperate with the Division in obtaining information regarding the license applicant or household members necessary to determine if the home meets licensing standards. Such cooperation shall include, but is not limited to:

1. Providing releases of information;

2. Authorizing release of medical records; and

3. Submitting to psychological, psychiatric, drug testing, or other evaluations as required by the Division.

G. The license applicant shall provide the Division with a minimum of three references who are familiar with the family and are not related to the license applicant by blood or marriage. The Division may contact the references for further information regarding the license applicant's character and ability to care for individuals with developmental disabilities.

H. The Division may require the license applicant to submit references from current or previous employers.

I. All members of the household shall agree with the decision to be licensed as an adult developmental home.

J. The license applicant shall demonstrate an understanding of and the ability to meet the emotional, physical, social, developmental, educational, and intellectual needs of individuals with developmental disabilities.

K. The license applicant shall demonstrate the ability to provide encouragement, guidance, and support; to be sensitive to the needs of the individuals with developmental disabilities; and to protect individuals with developmental disabilities from harm.

L. The applicant shall not have any medical or emotional problems that may prevent the person from properly caring for adults with developmental disabilities or may negatively impact on clients in the home.

1. Following approval of the home study by the Division, the license applicant shall submit, on forms prescribed by the Division, written statements from a licensed medical practitioner for each adult living in the home. The statement shall include, at a minimum:

a. Confirmation that the physician has examined the adult within the last six months,

b. A description of the person's general physical and emotional health,

c. A list of all regularly prescribed medications and the purpose of the medication, and

d. Identification of any medical or emotional problems that may prevent the person from caring for adults with developmental disabilities or may impact on clients in the home.

2. The Division may require the license applicant to submit physician statements as described in this Section regarding the physical and emotional health of other adults living on the premises.

M. The license applicant shall attend prelicensure training as required by R6-6-1105.

Notes

Ariz. Admin. Code § R6-6-1101

Former Section R6-6-1101 repealed effective September 18, 1987. New Section R6-6-1101 adopted effective August 30, 1994, under an exemption from the provisions of A.R.S. Title 41, Chapter 6 (Supp. 94-3).