1. (a) An applicant for an initial nursing home administrator license by examination shall submit

   1. (1) a completed application on a form provided by the department;
   2. (2) the applicable fees established in 12 AAC 02.290;
   3. (3) official college or university transcripts verifying the applicant's education;
   4. (4) verification of the experience required by 12 AAC 46.010(b);

   5. (5) information on any licensing action in another jurisdiction, including

      1. (A) action to revoke or suspend a license;
      2. (B) any unresolved complaint, review procedure, or disciplinary proceeding; or
      3. (C) a license surrendered while under investigation;
   6. (6) information regarding conviction of a crime related to the grounds for license denial or imposition of disciplinary sanctions in AS 08.70.110(c) and 08.70.155; and
   7. (7) responses to questions, on the form provided by the department, regarding the applicant's professional history, and mental and physical fitness to practice as a nursing home administrator, under the standards established for license denial or imposition of disciplinary sanctions in AS 08.70.110(c) and 08.70.155.
2. (b) An applicant shall file the items set out under (a) of this section with the department for approval to take an examination.
3. (c) An applicant for an initial nursing home administrator license without examination as provided in AS 08.70.11 0(b) shall submit the items set out under (a) of this section and arrange for the submission of verification that the applicant holds a current nursing home administrator license in good standing in another licensing jurisdiction that was issued based upon standards at least equivalent to those in 12 AAC 46.010. Verification must be sent to the department directly from the licensing agency in that jurisdiction.

(Eff. 5/13/77, Register 62; am 12/17/79, Register 73; am 8/17/97, Register 143; am 12/2/99, Register 152; am 4/18/2025, Register 254)