Adult Developmental Home Licensing in Arizona

What is an Adult Developmental Home?

An Adult Developmental Home (ADH) is an Arizona DDD-licensed residence where a caregiver provides full-time, in-home support for one or two adults with developmental disabilities. Instead of a group home or institutional placement, ADH residents live as members of a family — yours — in a private home where they have their own bedroom, share meals, and participate in daily life.

The defining feature of an ADH (and what distinguishes it from a Child Developmental Home) is that the people in your care are adults with full legal rights. They have the right to make reasonable choices about their own lives — what to eat, what to wear, how to spend their money, who to spend time with — and your role is to support those choices, not control them.

What ADH providers do

Daily life in an ADH looks like daily life in any household, with adjustments for the support each member needs. As a licensed ADH provider, you:

• Provide a stable home and bedroom for one to two adults placed by Arizona DDD
• Coordinate medical, dental, and behavioral health care — including transportation to appointments
• Support each member's individual goals — work, day program, community activities, hobbies
• Respect each member's rights and choices — including the right to privacy, relationships, and self-direction
• Participate in case planning — IPP/ISP meetings, medical reviews, and team coordination
• Use approved support strategies — Article 9 training is required and covers rights, behavior support, and incident reporting

Eligibility and home requirements

Arizona DDD has specific requirements every ADH applicant must meet:

• Pass a Level 1 Fingerprint Clearance through Arizona DPS (every adult in the household)
• Pass APS, CPS, and Adam Walsh Act registry checks
• Be at least 21 years old
• Have a valid Arizona driver's license or a transportation plan
• Pass a home life-safety inspection (working smoke/CO detectors, fenced pools, locked firearms)
• Complete Article 9, CPR, and First Aid certification
• Demonstrate understanding of adult rights and self-determination during the home study

You don't need to own your home — renters can apply with written landlord approval. Apartment placements are reviewed case-by-case during the home study.

How Caregiving Solutions supports your ADH licensing

The Arizona DDD application packet is roughly 50 pages of forms, narratives, and attestations. Most independent applicants get partway through and stall on the home study narrative. Caregiving Solutions exists to handle that paperwork load so you can focus on preparing your home.

Specifically, we provide:

• Article 9, CPR, and First Aid training coordination — scheduled around your work
• Fingerprint clearance card guidance — including the "good cause" appeals process when applicable
• The full LCR-1054A application packet — broken into a step-by-step online application that auto-saves your progress
• Home study coordination — Tracy schedules and conducts the home visit
• Life-safety inspection prep — checklist and walkthrough so you pass on the first try
• Direct submission to Arizona DDD on your behalf
• Ongoing post-licensing support — quarterly check-ins, training renewals, and placement coordination

How ADH compensation works

ADH providers are reimbursed by Arizona DDD on a daily rate per member placed, plus separate room-and-board reimbursement. Exact amounts vary based on the support level each member needs (rates are higher for members requiring more intensive support). Caregiving Solutions reviews exact compensation with you during your application call.

How to start your ADH application

Begin with our 3-step pre-qualification form on the homepage. It takes less than 5 minutes and asks the questions Arizona DDD will ask you anyway — felony history, fingerprint clearance status, household composition, and your motivation for becoming a provider.

Savannah reviews every application within 1 business day. If you're a good fit, she'll call you to walk through the next steps and schedule your training.