Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 33 - BOARD OF EXAMINERS OF NURSING CARE ADMINISTRATORS AND ASSISTED LIVING FACILITY MANAGERS › Article 6 - ASSISTED LIVING FACILITY MANAGER TRAINING PROGRAMS › Section R4-33-604 - Application for Approval of an Assisted Living Facility Manager Training Program

Current through Register Vol. 30, No. 28, July 12, 2024
A. The owner of
				an assisted living facility manager training program shall ensure that no
				training is provided until the program is approved by the Board.
B. To obtain approval of an assisted living
				facility manager training program, the owner of the training program shall
				submit to the Board an application packet that contains the following:
1. Name, address, telephone number, and
				e-mail address of the owner;
2.
				Name, address, telephone and fax numbers, and web site of the training
				program;
3. Form of business
				organization under which the training program is operated and a copy of the
				establishing documents and organizational chart;
4. A statement of whether the training
				program is based within an assisted living facility or other
				location;
5. Name, telephone
				number, and license or certificate number of the program administrator required
				under R4-33-602(B);
6. Name,
				telephone number, and certificate number of each program instructor and
				evidence that each program instructor is qualified under
				R4-33-602(C);
7. A statement of
				whether the training program is accredited and if so, name of the accrediting
				body and date of last review;
8.
				For all assisted living facilities at which the training program will provide
				instruction:
a. Name, address, and telephone
				number of the assisted living facility;
b. Name and telephone number of a contact
				person at the assisted living facility;
c. License number of the assisted living
				facility issued by the Department of Health Services;
d. A statement of whether the license of the
				assisted living facility is in good standing; and
e. Date and results of the most recent
				compliance inspection conducted by the Department of Health Services;
9. Evidence of compliance with
				R4-33-602 and R4-33-603, including the following:
a. Written training program description,
				consistent with R4-33-602(A)(1), and an implementation plan that includes
				timelines;
b. Description of
				instructional facilities, equipment, and tools available, consistent with
				R4-33-602(D);
c. Written
				curriculum, consistent with R4-33-603(B);
d. Skills checklist used to verify whether a
				student has acquired the necessary assisted living facility manager skills,
				consistent with R4-33-602(A)(7)(a);
e. Evaluation form required under
				R4-33-602(A)(7)(b) to enable students to assess the quality of the
				instructional experience provided by the training program;
f. Evidence of completion issued to a student
				under R4-33-602(A)(5);
g. Name of
				textbook used, author, publication date, and publisher;
h. Name of any technology-based materials
				used, producer of the material, and date produced; and
i. Copy
				of written policies and procedures required under R4-33-602(A)(3);
10. Signature of the owner of the
				training program; and
11. The fee
				prescribed under R4-33-104(C)(1).