Encore OS — Documentation

Cross-References:

REGULATORY_COMPLIANCE_TRACKER.md — Master compliance tracker

docs/compliance/AUTHORITATIVE_REFERENCES.md — Authoritative External References — Recovery Housing and Governance

Overview

This document tracks regulatory compliance obligations for recovery housing operations in Arizona. Recovery residences (sober living homes) are subject to Arizona DHS licensure, NARR quality standards, Fair Housing Act protections, fire/safety codes, and data privacy requirements (HIPAA / 42 CFR Part 2) when handling resident SUD records.

1. Arizona DHS Licensure (ARS 36-2061 through 36-2068, AAC Title 9 Chapter 12)

#	Requirement	Responsible Spec	Status	Notes
DHS-01	Licensure before operation — Obtain DHS sober living home license before accepting residents	RH-06	⏳ Not Started	Application: $500 +$ 100/bed; floor plans, zoning attestation required
DHS-02	Minimum standards (AAC R9-12-201 through R9-12-207) — Comply with administration, residency agreements, resident rights, records, services, emergency/safety, and physical plant	RH-01, RH-06	🟡 Partial	RH-01 tracks property and bed inventory; RH-06 tracks inspections
DHS-03	Substance-free environment — Maintain alcohol-free and drug-free housing; mandatory resident abstinence	RH-04	🟡 Partial	Drug testing tracking in RH-04; policy enforcement
DHS-04	Medication-assisted treatment (MAT) — Cannot prohibit residents from continuing MAT per ARS 36-2062	RH-01	📋 Policy	Organizational policy; system must not flag MAT as violation
DHS-05	Residency agreements — Written agreement covering house rules, fees, discharge conditions	RH-02	🟡 Partial	Resident agreement templates in RH-02
DHS-06	Resident records — Maintain intake records, emergency contacts, discharge information	RH-02	🟡 Partial	Resident profile data in RH-02
DHS-07	DHS inspections — Submit to routine and complaint-driven inspections	RH-06	🟡 Partial	Inspection tracking in RH-06; license renewal workflow
DHS-08	Civil penalties — Up to $500/day per violation for noncompliance; license suspension/revocation	RH-06	📋 Awareness	Track inspection findings and corrective actions

2. NARR Quality Standards (National Alliance for Recovery Residences)

#	Requirement	Responsible Spec	Status	Notes
NARR-01	Level classification (I–IV) — Self-classify home per NARR National Standard 3.0 based on staffing, governance, and services	RH-01, RH-11	⏳ Not Started	Store NARR level in property record; affects compliance requirements — see RH-11
NARR-02	AzRHA certification — Optional Arizona Recovery Housing Association certification (expedites DHS licensing)	RH-06, RH-11	⏳ Not Started	Track AzRHA certification status and renewal — see RH-11
NARR-03	Peer-operated governance — Resident participation in house governance (Levels I-II); professional management (Levels III-IV)	RH-01	📋 Operational	Document governance structure per level
NARR-04	Recovery support — Provide or facilitate access to recovery support services per level	RH-05	🟡 Partial	Recovery program tracking in RH-05
NARR-05	Administrative standards — Policies for admission, discharge, grievance, safety	RH-01, RH-02	🟡 Partial	Policies managed in system; ensure NARR alignment

3. Fair Housing Act / ADA

#	Requirement	Responsible Spec	Status	Notes
FH-01	Non-discrimination — Cannot deny housing based on disability (including SUD recovery status)	RH-02	📋 Policy	Organizational policy; system must not discriminate in waitlist/placement
FH-02	Reasonable accommodations — Modify policies/practices to accommodate disabled residents	RH-02	📋 Policy	Track accommodation requests and outcomes
FH-03	Zoning protection — Local governments cannot apply zoning to exclude group homes for disabled persons	RH-01	📋 Awareness	Document zoning compliance per property; track any challenges
FH-04	ADA physical accessibility — Common areas and a proportion of units must be accessible per ADA	RH-01	⏳ Not Started	Track accessibility features per property in RH-01

4. Fire and Life Safety

#	Requirement	Responsible Spec	Status	Notes
FS-01	Local fire codes — Comply with municipal fire codes; submit floor plans showing egress	RH-01, RH-06, RH-10	⏳ Not Started	Track fire inspection dates and findings per property — see RH-10
FS-02	Smoke/CO detectors — Install and maintain per Arizona building code	RH-01	📋 Operational	Maintenance tracking in RH-01
FS-03	Emergency evacuation plan — Posted evacuation plan; periodic fire drills	RH-06	⏳ Not Started	Track drill dates; inspection readiness
FS-04	NFPA compliance — National Fire Protection Association standards for residential occupancies	RH-01	📋 Operational	Existing building compliance; document per property

5. Arizona Title 36 (Public Health and Safety)

#	Requirement	Responsible Spec	Status	Notes
T36-01	Patient rights (ARS 36-504 et seq.) — Rights to privacy, dignity, least restrictive treatment	RH-02	📋 Policy	Applies when housing intersects with behavioral health treatment
T36-02	Voluntary vs involuntary status — Residents are voluntary; cannot restrict departure	RH-02	📋 Policy	System must not enforce involuntary retention
T36-03	Grievance procedures — Residents have right to file grievances without retaliation	RH-09	⏳ Not Started	Implement grievance tracking workflow — see RH-09
T36-04	Personal property rights — Residents retain rights to personal property and financial management	RH-02	📋 Policy	Fee structure transparency; no property seizure

6. Data Privacy (HIPAA / 42 CFR Part 2)

#	Requirement	Responsible Spec	Status	Notes
DP-01	HIPAA applicability — If housing entity is a covered entity or business associate, HIPAA applies to resident health data	RH-02, PF-44	📋 Depends	Determined by organizational structure; pure housing without clinical services may not be covered
DP-02	42 CFR Part 2 — SUD treatment records require specific consent for disclosure; redisclosure prohibited	CL-11, RH-02	🟡 Partial	CL-11 consent management implements Part 2; RH must respect consent boundaries
DP-03	Resident SUD data — Drug test results and SUD treatment status are Part 2 protected	RH-04	⏳ Not Started	Implement access controls on drug test data; audit trail
DP-04	Minimum necessary — Share only minimum necessary resident information for housing operations	RH-02	📋 Policy	Organizational policy; system enforces role-based access

7. Zoning and Land Use

#	Requirement	Responsible Spec	Status	Notes
ZN-01	Local zoning compliance — Attestation of zoning compliance required for DHS licensure	RH-01	⏳ Not Started	Track zoning status per property; store attestation documents
ZN-02	Municipal group home limits — Some municipalities limit number of unrelated persons; Fair Housing may override	RH-01	📋 Awareness	Track applicable municipal ordinances per property location
ZN-03	Neighborhood notification — Some municipalities require notification for group home operations	RH-01	📋 Awareness	Document notification status per property if applicable

8. Authoritative External References

Source	URL	Used By
Arizona DHS: Sober Living Home Licensing	https://www.azdhs.gov/licensing/special/sober-living-homes/index.php	RH-06, RH-01
Arizona DHS: Behavioral Health Facilities Licensing	https://www.azdhs.gov/licensing/bbbl-facilities/index.php	RH-06, RH-03
Arizona DHS: Residential Facilities Licensing	https://www.azdhs.gov/licensing/residential-facilities/	RH-01, RH-06
ARS 36-2061 through 36-2068 (Sober Living Homes)	https://www.azleg.gov/arsDetail/?title=36	RH-06
AAC Title 9, Chapter 12 (Sober Living Home Rules)	https://apps.azsos.gov/public_services/Title_09/9-12.htm	RH-01, RH-06
NARR: National Standard for Recovery Residences 3.0	https://narronline.org/standards/	RH-01, RH-06
Arizona Recovery Housing Association (AzRHA)	https://www.myazrha.org/	RH-06
HUD/DOJ: Fair Housing Act — Group Homes for Persons with Disabilities	https://www.justice.gov/opa/file/912366/dl	RH-01, RH-02
Fair Housing Act	https://www.hud.gov/program_offices/fair_housing_equal_opp/fair_housing_act_overview	RH-01, RH-02
Arizona Title 36 (Public Health and Safety)	https://www.azleg.gov/arsDetail/?title=36	RH-02
NFPA: Life Safety Code	https://www.nfpa.org/codes-and-standards/nfpa-101-standard-development/101	RH-01

9. Periodic Review Schedule

Review	Frequency	Next Due	Owner
DHS license renewal	Per license term	`YYYY-MM-DD`	Operations Director
AzRHA certification renewal	Annually	`YYYY-MM-DD`	Operations Director
Fire inspection compliance	Annually	`YYYY-MM-DD`	Property Manager
NARR level reassessment	Annually	`YYYY-MM-DD`	Program Director
Fair Housing policy review	Annually	`YYYY-MM-DD`	Compliance Officer
Drug testing data access audit	Quarterly	`YYYY-MM-DD`	Privacy Officer

Version History

1.0.0 (2026-02-27)

Initial comprehensive RH recovery housing compliance document
Covers Arizona DHS licensure, NARR standards, Fair Housing, fire/safety, Arizona Title 36, data privacy, zoning
35+ compliance requirements tracked across 7 categories

Last Updated: 2026-02-27 Next Review: 2026-05-27

Compliance Posture

Module Compliance Trackers

ONC Certification

Evidence Packages

RH Recovery Housing Compliance Tracking

Overview

1. Arizona DHS Licensure (ARS 36-2061 through 36-2068, AAC Title 9 Chapter 12)

2. NARR Quality Standards (National Alliance for Recovery Residences)

3. Fair Housing Act / ADA

4. Fire and Life Safety

5. Arizona Title 36 (Public Health and Safety)

6. Data Privacy (HIPAA / 42 CFR Part 2)

7. Zoning and Land Use

8. Authoritative External References

9. Periodic Review Schedule

Version History

1.0.0 (2026-02-27)

​Overview

​1. Arizona DHS Licensure (ARS 36-2061 through 36-2068, AAC Title 9 Chapter 12)

​2. NARR Quality Standards (National Alliance for Recovery Residences)

​3. Fair Housing Act / ADA

​4. Fire and Life Safety

​5. Arizona Title 36 (Public Health and Safety)

​6. Data Privacy (HIPAA / 42 CFR Part 2)

​7. Zoning and Land Use

​8. Authoritative External References

​9. Periodic Review Schedule

​Version History

​1.0.0 (2026-02-27)

Overview

1. Arizona DHS Licensure (ARS 36-2061 through 36-2068, AAC Title 9 Chapter 12)

2. NARR Quality Standards (National Alliance for Recovery Residences)

3. Fair Housing Act / ADA

4. Fire and Life Safety

5. Arizona Title 36 (Public Health and Safety)

6. Data Privacy (HIPAA / 42 CFR Part 2)

7. Zoning and Land Use

8. Authoritative External References

9. Periodic Review Schedule

Version History

1.0.0 (2026-02-27)