Please review Article 2 of the Board Rules: https://nciaboard.az.gov/about/board-directory-rules

ARTICLE 2. NURSING CARE INSTITUTION ADMINISTRATOR LICENSING
R4-33-201 Requirements for Initial License by Examination
To be eligible to receive an initial license by examination as a nursing care institution administrator,
an individual shall:
1. Education and training.
a. Hold a minimum of a baccalaureate degree from an accredited college or university and
successfully complete an AIT program;
b. Hold a minimum of a master’s degree in either a health-related field or business
administration from an accredited college or university; or
c. Hold a minimum of an associate of arts degree in nursing from an accredited college or
university and:
i. Be currently licensed as a registered nurse under A.R.S. § 32-1632,
ii. Have worked as a registered nurse for five of the last seven years, and
iii. Successfully complete an AIT program.
2. Examination.
a. Obtain the scaled passing scores on both the NAB core of knowledge and line of service
examinations or qualify with NAB as a Health Services Executive, and
b. Obtain a score of at least 80 percent on the Arizona examination;
3. Fingerprint clearance card. Have a valid fingerprint clearance card issued under A.R.S. Title
41, Chapter 12, Article 3.1; and
4. Application. Submit all applicable information required under R4-33-204.
R4-33-202. Requirements for Initial License by Reciprocity
To be eligible for an initial license by reciprocity as a nursing care institution administrator, an
individual shall:
1. Substantially equivalent educational requirement.
a. Hold a minimum of a baccalaureate degree from an accredited college or university, or
b. Hold ACHCA certification;
2. Substantially equivalent examination requirement.
a. Hold a valid and current license as a nursing care institution administrator.
i Issued at least two years ago
ii Issured by a state or territory, and
iii Obtained by passing the NAB examination; or
b. Have evidence of qualification by NAB as a Health Services Executive; and
c. Obtain a score of at least 80 percent on the Arizona examination;
3. Never have had a nursing care administrator license suspended, revoked, or otherwise
restricted by any state or territory;
4. Fingerprint clearance card. Have a valid fingerprint clearance card issued under A.R.S. Title
41, Chapter 12, Article 3.1; and
5. Application.
a. Submit all applicable information required under R4-33-204,
b. Have submitted directly to the Board a certified copy of the valid and current license
issued by a state or territory, and
c. Have submitted directly to the Board by NAB:
i The examination score referenced under subsection (2)(a), or
ii Evidence of qualification as a Health Services Executive.

R4-33-203. Requirements for Temporary License
A. To be eligible for a temporary license as a nursing care institution administrator, an individual
shall:
1. Meet the requirements specified in R4-33-201 or R4-33-202 except for the requirement at
R4-33-201(2) or R4-33-202(2)(c);2. Have the owner of an a nursing care institution that intends to appoint the applicant as
administrator if the applicant is successful in obtaining a temporary license submit to the
Board a Letter of Intent to Appoint on a form that is available from the Board. The owner of
the nursing care institution shall include the following in the Letter of Intent to Appoint:
a. Name of the owner of the nursing care institution;
b. Name and address of the nursing care institution;
c. Name of the applicant;
d. An affirmation of intent to appoint the applicant;
e. Reason for requesting a temporary license for the applicant;
f. License number of the nursing care institution; and
g. Signature of the owner of the nursing care institution affirming the information provided
is true and complete;
3. Not have held an Arizona temporary license as a nursing care institution administrator within
the past three years; and
4. Not have failed the Arizona or NAB examination before applying for a temporary license.
B. At the Board's request, an applicant for a temporary license shall appear or be available by
telephone for an interview with the Board.
C. A temporary license is valid for 150 days and is not renewable. Before expiration of the
temporary license, the temporary licensee shall become licensed under A.R.S. § 36-446.04 and
this Article or discontinue as administrator of the nursing care institution.
D. If a temporary licensee fails the Arizona or NAB examination during the term of the temporary
license, the temporary license is automatically revoked and the former licensee shall discontinue
as administrator of the nursing care institution.

Important Rules to Review for Administrators:

• R4-33-204. Initial Application
• R4-33-205. Administration of Examinations; License Issuance
• R4-33-206. Renewal Application
• R4-33-207. Inactive Status
• R4-33-208. Standards of Conduct; Disciplinary Action
• R4-33-210. Licensure following Revocation
• R4-33-211. Notice of Appointment
• R4-33-212. Appointment as Administrator of Multiple Nursing Care Institutions

This information is provided as a courtesy and should be independently verified against the current rules and statutes, as information is subject to change.

Please review Article 4 of the Board Rules: https://nciaboard.az.gov/about/board-directory-rules

ARTICLE 4 ASSISTED LIVING FACILITY MANAGER CERTIFICATION

R4-33-401. Requirements for Initial Certification by Examination

A. Except as provided in subsection (B), an individual who wishes to receive an initial certificate by
examination as an assisted living facility manager shall:
1. Education:
a. Earn a high school diploma or G.E.D, or hold a license in good standing issued under
A.R.S. Title 32, Chapter 13, 15 or 17 or Article 2
b. Complete an assisted living facility caregiver training program that is approved by the
Board under Article 7 of this Chapter, and
c. Complete an assisted living facility manager training program that is approved by the
Board under Article 6 of this Chapter.
2. Work experience. Complete at least 2,080 hours of paid work experience in a health-related
field within the five years before application;
3. Examination. Obtain a score of at least 75 percent on the Arizona examination;
4. Training. Complete an adult cardiopulmonary resuscitation and basic first-aid training
program;
5. Fingerprint clearance card. Have a valid fingerprint clearance card issued under A.R.S. Title
41, Chapter 12, Article 3.1; and
6. Submit all applicable information required under R4-33-403.
B. An individual who holds a license in good standing issued under A.R.S. Title 32, Chapter
13, 15, or 17 or 4 A.A.C. 33, Article 2 is exempt from the requirements specified in
subsections (A)(1)(b) and (4).
R4-33-402. Requirements for a Temporary Certificate
A. To be eligible for a temporary certificate as an assisted living facility manager, an individual
shall:
1. Meet the requirements under R4-33-401 except for the requirement at R4-33-401(3);
2. Have the owner of an assisted living facility that intends to appoint the applicant as manager
if the applicant is successful in obtaining a temporary certificate submit to the Board a Letter
of Intent to Appoint, on a form that is available from the Board. The owner of the assisted
living facility shall include the following in the Letter of Intent to Appoint:
a. Name of the owner of the assisted living facility;
b. Name and address of the assisted living facility;
c. Name of the applicant;
d. An affirmation of intent to appoint the applicant;
e. Reason for requesting a temporary certificate for the applicant;
f. License number of the assisted living facility; and
g. Signature of the owner of the assisted living facility affirming the information provided is
true and complete;
3. Not have held an Arizona temporary certificate as an assisted living facility manager within
the past three years; and
4. Not have failed the Arizona examination before applying for the temporary certificate.
B. At the Board’s request, an applicant for a temporary certificate shall appear or be available by
telephone for an interview with the Board.
C. A temporary certificate is valid for 150 days and is not renewable. Before expiration of the
temporary certificate, the temporary certificate holder shall obtain a certificate under A.R.S. § 36-
446.04 and this Article or discontinue as manager of the assisted living facility.
D. If a temporary certificate holder fails the Arizona examination during the term of the temporary
certificate, the temporary certificate is automatically revoked and the former temporary certificate
holder shall discontinue as manager of the assisted living facility.

Important Rules to Review for Managers:

• R4-33-403. Initial Application
• R4-33-404. Administration of Examination; Certificate Issuance
• R4-33-405. Renewal Application
• R4-33-406. Inactive Status
• R4-33-407. Standards of Conduct; Disciplinary Action
• R4-33-408. Referral Requirements
• R4-33-409. Certification following Revocation
• R4-33-410. Notice of Appointment
• R4-33-411. Appointment as Manager of Multiple Assisted Living Facilities

This information is provided as a courtesy and should be independently verified against the current rules and statutes, as information is subject to change. 

Please review Article 5 of the Board Rules for Continuing Education Requirements https://nciaboard.az.gov/about/board-directory-rules

R4-33-501. Continuing Education Requirement
A. Continuing education is a prerequisite of license or certificate renewal.
1. A licensed administrator shall obtain 50 credit hours of Board-approved continuing education
during each biennial period. During the biennial period in which an administrator is initially
licensed, the administrator shall obtain two credit hours of Board-approved continuing
education for each month or part of a month remaining in the biennial period.
2. A certified manager shall obtain 24 credit hours of Board-approved continuing education
during each biennial period. During the biennial period in which a manager is initially
certified, the manager shall obtain one credit hour of Board-approved continuing education
for each month or part of a month remaining in the biennial period.
B. The Board shall award credit hours in an approved continuing education as follows:
1. Seminar or workshop. One credit hour of continuing education for each contact hour;
2. Course at an accredited educational institution. Fifteen credit hours of continuing education
for each semester hour;
3. Attendance at a business meeting of a national health care organization or of a state
association affiliated with a national health care organization. One-half credit hour of
continuing education for each business meeting attended;
4. Self-study, online, or correspondence course. Approved credit hours of continuing education
requested by the course provider;
5. Serving as a preceptor. Two credit hours of continuing education for each month that an
administrator serves as an AIT preceptor; and
6. Teaching a Board-approved continuing education. One credit hour of continuing education
for each hour taught.
C. The Board shall limit the number of hours of Board-approved continuing education awarded as
follows:
1. No more than 40 percent of the required hours may be obtained using self-study, online, or
correspondence courses;
2. No more than 50 percent of the required hours may be obtained from serving as an AIT
preceptor;
3. Hours may be obtained for teaching a particular continuing education only once during each
biennial period; and
4. Hours that exceed the minimum required for a biennial period may not be carried over to a
subsequent biennial period.
D. An administrator or manager shall obtain a certificate or other evidence of attendance from the
provider of each continuing education attended that includes the following:
1. Name of the administrator or manager;
2. License or certificate number of the administrator or manager;
3. Name of the continuing education;
4. Name of the continuing education provider;
5. Date, time, and location of the continuing education; and
6. Number of credit hours in the continuing education.
E. An administrator or manager shall maintain the evidence of attendance described in subsection
(D) for three years and make the evidence available to the Board under R4-33-503 and as
otherwise required under this Chapter.
F. To obtain an extension of time under A.R.S. § 36-446.07(G) to complete the continuing education
requirement, an administrator or manager shall submit to the Board a written request that includes
the following:
1. Ending date of the requested extension,
2. Continuing education completed during the current biennial period and the documentation
required under subsection (D),
3. Proof of registration for additional continuing education that is sufficient to enable the
administrator or manager to fulfill the continuing education requirement before the end of the
requested extension, and
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4. Administrator’s or manager’s attestation that the continuing education obtained under the
extension will be reported only to fulfill the current renewal requirement and will not be
reported on a subsequent renewal application.
G. The Board shall grant an extension of time within seven days after receiving a request for an
extension of time if the request:
1. Specifies an ending date no later than October 31,
2. Includes the required documentation and attestation,
3. Is submitted no sooner than April 30, and
4. Will facilitate the safe and professional regulation of nursing care institutions or assisted
living facilities in this state.
R4-33-502. Approval of Continuing Education
A. The Board shall approve any continuing education approved by NAB or the ACHCA.
B. The Board shall approve a continuing education only if it is taught by a qualified instructor and
addresses at least one of the following subject areas:
1. Laws regarding environmental health and safety,
2. Principles of management,
3. Psychology and principles of patient or resident care,
4. Personal and social care,
5. Therapeutic and supportive care and services in long-term or assisted care,
6. Community health and social resources,
7. Quality assurance,
8. Ethics, and
9. Recordkeeping.
C. To obtain the Board’s approval of a continuing education, an administrator, manager, or
continuing education provider shall:
1. Submit a form, which is available from the Board, containing the following information:
a. Title of the continuing education;
b. Name and address of the continuing education provider;
c. Name, telephone and fax numbers, and e-mail address of a contact person for the
continuing education provider;
d. Date, time, and place at which the continuing education will be taught;
e. Whether the continuing education is intended for administrators or managers;
f. Subject matter of the continuing education;
g. Teaching methods and learning activities that will be used;
h. Learning objectives;
i. Description of how learning objectives will be evaluated;
j. Whether an examination will be given;
k. Number of continuing education hours requested; and
2. Signature of the person requesting approval of the continuing education.
3. Submit the following documents:
a. Copy of any examination that will be given to those who attend the continuing education;
b. Curriculum vitae of each instructor;
c. Agenda of the continuing education showing the hours of instruction;
d. Certificate of attendance that meets the requirements in R4-33-501(D);
e. Copy of any brochure prepared regarding the continuing education; and
f. Fee required under R4-33-104.
D. The Board’s approval of a continuing education is valid for one year unless there is a change in
subject matter, instructor, or hours of instruction. At the end of one year or when there is a change
in subject matter, instructor, or hours of instruction, the continuing education provider shall apply
again for approval.

R4-33-503. Audit of Compliance and Sanction for Noncompliance with Continuing Education
Requirement
A. The Board may audit a licensee or certificate holder for compliance with the continuing
education requirement at any time.
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B. When notice of the need to renew a license or certificate is provided, the Board shall also provide
notice of an audit of continuing education records to a random sample of administrators or
managers. An administrator or manager subject to a continuing education audit shall submit the
documentation required under R4-33-501(D) at the same time that the administrator or manager
submits the renewal application required under R4-33-206 or R4-33-405. If an administrator or
manager fails to submit the required documentation with the renewal application on or before
June 30, the license or certificate expires unless the administrator or manager obtains an
extension of time in which to complete the continuing education requirement under R4-33-504.

This information is provided as a courtesy and should be independently verified against the current rules and statutes, as information is subject to change.