Opert.Cert.Amendment_12.11.2024.Kylee_s_House_Signed_2_Redacted.pdf

99 KB Posted

Attached to
Master Agreement AZ|CTR071422
Contract number
CTR071422
Issued by
Arizona

About this file

Written by GovTribe AI ·

This is an Operating Certificate issued by the Arizona Department of Child Safety's Office of Licensing and Regulation for Elite Power Group Homes, LLC. The document certifies that the organization has been granted authorization to operate a Child Welfare Residential Group Care Facility named Kylee's House, located in Pinal County, Arizona.

The operating certificate specifies a facility capacity of ten (10) children, specifically male youth aged thirteen to seventeen (13-17) years old. The license is an Amendment type, with an effective date of December 11, 2024, classified as a New Facility. The certificate is valid until September 5, 2025, unless revoked or suspended, and is associated with Provider ID No. 884318741. The facility is authorized to provide Residential Group Care services, with specific conditions noting the age and gender parameters of the youth to be served.

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