A. In addition to
the license application requirements in A.R.S. §
36-422 and
R9-10-105, an applicant for a
license as a behavioral health residential facility shall include on the
application:
1. Whether the applicant is
planning to provide:
a. Behavioral health
services to individuals under 18 years of age, including the licensed capacity
requested;
b. Behavioral health
services to individuals 18 years of age and older, including the licensed
capacity requested; or
c. Respite
services;
2. Whether the
applicant is requesting authorization to provide an outdoor behavioral health
care program, including:
a. The requested
licensed capacity for providing the outdoor behavioral health care program to
individuals 12 to 17 years of age, and
b. The requested licensed capacity for
providing the outdoor behavioral health care program to individuals 18 to 24
years of age;
3. Whether
the applicant is requesting authorization to provide:
a. Court-ordered evaluation,
b. Court-ordered treatment,
a.c.
Behavioral health services to individuals 18 years of age or older whose
behavioral health issue limits the individuals' ability to function
independently, or
b.d. Personal care
services;
4. Whether the
applicant is requesting authorization to provide recidivism reduction services
as an adult residential care institution, including the requested licensed
capacity for providing recidivism reduction services;
5. For a behavioral health residential
facility requesting authorization to provide respite services, the requested
number of individuals the behavioral health residential facility plans to admit
for respite services who:
a. Are included in
the requested licensed capacities in subsections (A)(1)(a) and (b),
b. Are under 18 years of age and who do not
stay overnight in the behavioral health residential facility, and
c. Are 18 years of age and older and who do
not stay overnight in the behavioral health residential facility; and
6. For an outdoor behavioral
health care program, a copy of the outdoor behavioral health care program's
current accreditation report.