Arizona Administrative Code
Title 4 - PROFESSIONS AND OCCUPATIONS
Chapter 33 - BOARD OF EXAMINERS OF NURSING CARE ADMINISTRATORS AND ASSISTED LIVING FACILITY MANAGERS
Article 4 - ASSISTED LIVING FACILITY MANAGER CERTIFICATION
Section R4-33-405 - Renewal Application

Universal Citation: AZ Admin Code R 4-33-405

Current through Register Vol. 30, No. 38, September 20, 2024

A. The Board shall provide a certificate holder with notice of the need for certificate renewal. Failure to receive notice of the need for certificate renewal does not excuse a certificate holder's failure to renew timely.

B. A manager certificate expires at midnight 30 days after the manager's birthday in each odd-numbered year.

C. To renew a manager certificate, the certificate holder shall submit the following information to the Board, on or before expiration of the biennial period, on a renewal application, which is available from the Board:

1. Current address;

2. Current home and business telephone numbers;

3. Whether within the last 24 months the certificate holder was convicted of or pled guilty or no contest to a criminal offense, other than a minor traffic violation, in any court and if so, attach a copy of the original arrest record and final court judgment;

4. Whether within the last 24 months the certificate holder was denied a professional license or had a professional license revoked, suspended, placed on probation, limited, or restricted in any way by a state or federal regulatory authority and if so, the kind of license, license number, issuing authority, nature of the regulatory action, and date;

5. An affirmation that the number of hours of continuing education required under R4-33-501 has been completed;

6. An affirmation that the certificate holder complies with the disclosure requirements under R4-33-408; and

7. The certificate holder's dated signature affirming the information provided is true and complete.

D. In addition to the renewal application required under subsection (C), a certificate holder shall submit:

1. A photocopy of the front and back of the certificate holder's fingerprint clearance card;

2. Documentation described in A.R.S. § 41-1080(A) unless the documentation previously submitted under R4-33-403(B)(11) established U.S. citizenship or was a non-expiring work authorization issued by the federal government; and

3. The renewal fee required under R4-33-104.

E. An individual whose certificate expires because of failure to renew timely may apply for renewal by complying with subsections (C) and (D) if:

1. The individual pays the late renewal fee prescribed under R4-33-104,

2. The individual affirms that the individual has not acted as an assisted living facility manager since the certificate expired , and

3. The individual's certificate has not been surrendered, suspended, or revoked.

F. An individual whose certificate expires because of failure to renew timely and who does not comply with subsection (E) may obtain a manager certificate only by complying with R4-33-401.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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