Ariz. Admin. Code § R9-5-201 - Application for a License
A. An
applicant for a license shall:
1. Be at least
21 years of age;
2. If an
individual, be a U.S. citizen or legal resident alien and a resident of
Arizona;
3. If a corporation,
association, or limited liability company, be a domestic entity or a foreign
entity qualified to do business in Arizona;
4. If a partnership, have at least one
partner who is a U.S. citizen or legal resident alien and a resident of
Arizona;
5. Submit to the
Department an application packet containing:
d.
e. A
copy of the form required in A.R.S. §
36-883.02(C);
e.
f. A
certificate issued by the Department showing that the applicant has completed
at least four hours of Department-provided training that included the
Department's role in licensing and regulating child care facilities under
A.R.S. Title 36, Chapter 7.1, Article 1, and this Chapter;
f.
g.
Except as provided in subsection (A)(5)(j), a site plan of the facility drawn
to scale showing:
g.
h. Except as provided
in subsection (A)(5)(j), a floor plan of each building to be used for child
care services drawn to scale showing:
h.
i. Except as provided
in subsection (A)(5)(j):
i.
j. For
an applicant providing child care services to three-year-old, four-year-old,
five-year-old, or school-age children in a facility located in a public school,
a set of final construction drawings or a school map showing:
j.
k. If the facility is located within one-fourth of a
mile of agricultural land:
l.
m. If
the applicant is a business organization, a form provided by the Department
that contains:
m.
n. If the applicant is
a public school, a form provided by the Department that contains:
n.
o. If the applicant is a charter school, a form
provided by the Department that contains:
o.
p. If
the applicant is a governmental agency, a form provided by the Department that
contains:
a. An application on a form provided by the
Department that contains:
i. The applicant's
name;
ii. The applicant's date of
birth;
iii. The facility's name,
street address, city, state, zip code, mailing address, and telephone
number;
iv. The requested service
classifications;
v. Whether the
applicant agrees to allow the Department to submit supplemental requests for
information;
vi. A statement that
the applicant has read and will comply with A.R.S. Title 36, Chapter 7.1,
Article 1 and this Chapter;
vii. A
statement that the information provided in the application packet is accurate
and complete; and
viii. The
applicant's signature and date the applicant signed the application;
b. A copy of the applicant's:
i. U.S. passport,
ii. Birth certificate,
iii. Naturalization documents, or
iv. Documentation of legal resident alien
status;
c. A copy of the
applicant's valid fingerprint clearance card, both front and back, issued
according to A.R.S. Title 41, Chapter 12, Article 3.1;
d. A copy of the applicant's valid background
check document according to A.R.S. §
46-811(A);
i. The drawing
scale;
ii. The boundary dimensions
of the property upon which the facility's physical plant is located;
iii. If more than one building is used for
the facility, the location and perimeter dimensions of each building;
iv. The location of each driveway on the
property;
v. The location and
boundary dimensions of each parking lot on the property;
vi. The location and perimeter dimensions of
each outdoor activity area;
vii.
The location, type, and height of each fence and gate; and
viii. If applicable, the location of any
swimming pool on the property;
i. The
drawing scale;
ii. The length and
width dimensions for each indoor activity area;
iii. The requested licensed capacity and
applicable service classification for each indoor activity area;
iv. The location of each diaper changing
area;
v. The location of each hand
washing, utility, and three-compartment sink, toilet, urinal, and drinking
fountain; and
vi. The location and
type of fire alarm system;
i. A copy of a
certificate of occupancy issued for the facility by the local
jurisdiction;
ii. Documentation
from the local jurisdiction that the facility was approved for occupancy;
or
iii. If the documents in
subsections (A)(5)(i)(i) and (ii) are not available, the seal of an architect
registered as prescribed in A.R.S. §
32-121
on the site plan required in subsection (A)(5)(g) and the floor plan required
in subsection (A)(5)(h) verifying compliance with current local building and
fire codes, local zoning requirements, and this Chapter;
i. The location of each school
building;
ii. The location and
dimensions of each outdoor activity area to be used by enrolled
children;
iii. The length and width
dimensions for each indoor activity area;
iv. The requested licensed capacity and
applicable service classification for each indoor activity area; and
v. The location of each hand-washing sink,
toilet, urinal, and drinking fountain to be used by enrolled
children;
i. The names and
addresses of the owners or lessees of each parcel of agricultural land located
within one-fourth mile of the facility, and
ii. A copy of an agreement complying with
A.R.S. §
36-882
for each parcel of agricultural land;
i. The name, street address,
city, state, and zip code of the business organization;
ii. The type of business
organization;
iii. The name, date
of birth, title, street address, city, state, and zip code of each controlling
person;
iv. A copy of the business
organization's articles of incorporation, articles of organization, partnership
documents, or joint venture documents, if applicable;
v. Documentation of good standing issued by
the Arizona Corporation Commission and dated no earlier than three months
before the date of the application; and
vi. A statement signed by the applicant
stating:
(1) That each controlling person has
not been denied a certificate or license to operate a child care group home or
child care facility in this state or another state, and
(2) That each controlling person has not had
a certificate or license to operate a child care group home or child care
facility revoked in this state or another state for endangering the health and
safety of children;
i. The name of the school district;
ii. The name, title, street address, city,
state, and zip code of each responsible party, if the responsible party is an
individual, or each individual in the group, if the responsible party is a
group of individuals;
iii. A
statement signed by the applicant stating:
(1)
That each individual in subsection (A)(5)(n)(ii) has not been denied a
certificate or license to operate a child care group home or child care
facility in this state or another state, and
(2) That each individual in subsection
(A)(5)(n)(ii) has not had a certificate or license to operate a child care
group home or child care facility revoked in this state or another state for
endangering the health and safety of children; and
iv. A letter from the school district
governing board or school district superintendent designating a signatory, if
applicable;
i.
The name, title, street address, city, state, and zip code of each responsible
party, if the responsible party is an individual, or each individual in the
group, if the responsible party is a group of individuals;
ii. A statement signed by the applicant
stating:
(1) That each individual in
subsection (A)(5)(o)(i) has not been denied a certificate or license to operate
a child care group home or child care facility in this state or another state,
and
(2) That each individual in
subsection (A)(5)(o)(i) has not had a certificate or license to operate a child
care group home or child care facility revoked in this state or another state
for endangering the health and safety of children; and
iii. A letter from the school district
governing board in which the charter school is located, the Arizona State Board
of Education, or the Arizona State Board for Charter Schools, approving the
applicant to operate the charter school; and
i. The name, title, street address,
city, state, and zip code of each responsible party, if the responsible party
is an individual, or each individual in the group, if the responsible party is
a group of individuals;
ii. A
statement signed by the applicant stating:
(1)
That each individual in subsection (A)(5)(p)(i) has not been denied a
certificate or license to operate a child care group home or child care
facility in this state or another state, and
(2) That each individual in subsection
(A)(5)(p)(i) has not had a certificate or license to operate a child care group
home or child care facility revoked in this state or another state for
endangering the health and safety of children; and
iii. A letter from the individual in the
senior leadership position with the agency designating a
signatory.
B. The Department requires a separate license
and a separate application for:
1. Each
facility owned by the same person at a different location, and
2. Each facility owned by a different person
at the same location.
C.
The Department does not require a separate application and license for a
structure that is:
1. Located so that the
structure and the facility:
a. Share the same
street address, or
b. Can be
enclosed by a single unbroken boundary line that does not encompass property
owned or leased by another,
2. Under the same ownership as the facility,
and
3. Intended to be used as a
part of the facility.
Notes
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