Lic.2024-2025.KingFamilyHomes.Amend_10.17.25__Redacted.pdf

3 MB Posted

Attached to
Master Agreement AZ|CTR071466
Contract number
CTR071466
Issued by
Arizona

About this file

Written by GovTribe AI ·

This is an Arizona Department of Child Safety (Office of Licensing and Regulation) license issued to King Family Homes, LLC, located in Maricopa County, Arizona. The document is an amendment to a Child Welfare Residential Group Care facility license, issued on November 23rd, 2024, and valid until November 22nd, 2025.

The license authorizes King Family Homes, LLC to operate a residential group care facility with a capacity of ten (10) children, specifically male children aged eleven to seventeen (11-17) years old. The amendment, effective October 17, 2025, allows for the addition of a new facility (King Family Homes II), which increases the total population to ten (10) children. The facility's administrative office is located at the same address, and the provider ID number is 88-3882301.

View the file

Other files

File Type Posted
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Contract_Extension.pdf PDF
www.commercial.progressive.com_Redacted.pdf PDF
Exhibit XII Bed Hold.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Congregate_Care_Services_Amendment_5.pdf PDF
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XI One on One Supervision.pdf PDF
COI_Redacted.pdf PDF
ADCS_Business_HITECH.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf PDF
Contract_Amendment_6.pdf PDF
Exhibit III - Medication Log.pdf PDF
Contract_Amendment_2.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Lic.KingFamilyHomes.11.25.2024.Amend_Redacted.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Opert.Cert.2024-2025.KingFamilyHomesII.Amend_10.17.25__Redacted.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit IV - Medication Error Report.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
Certificate_6.1.2025_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
King_Family_Homes_-COI_Redacted.pdf PDF
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XV Discharge Summary.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Antoinette_and_Andrew_King_dba_King_Family_Home_Offer_and_Acceptance_Redacted.pdf PDF
Boycott_of_Israel_Redacted.pdf PDF
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Contract_Amendment_Special_Terms1.pdf PDF
Show all 42

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

File details come from the government source that posted it. Updated .