Maricopa v. Rana ( 2020 )


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  •                                     IN THE
    ARIZONA COURT OF APPEALS
    DIVISION ONE
    MARICOPA COUNTY, Plaintiff/Appellee,
    v.
    TARIQ M. RANA, et al., Defendants/Appellants.
    No. 1 CA-CV 18-0256
    FILED 2-25-2020
    Appeal from the Superior Court in Maricopa County
    No. CV 2017-012602
    The Honorable Randall H. Warner, Judge
    VACATED AND REMANDED
    COUNSEL
    Scharff PLC, Phoenix
    By Spencer G. Scharff
    Counsel for Defendants/Appellants
    Maricopa County Attorney’s Office, Civil Services Div., Phoenix
    By Wayne J. Peck, Joseph Branco, D. Chad McBride
    Counsel for Plaintiff/Appellee
    Arizona Center for Disability Law, Tucson
    By Rose A. Daly-Rooney, Maya S. Abela
    Counsel for Amicus Curiae
    MARICOPA v. RANA, et al.
    Opinion of the Court
    OPINION
    Judge Michael J. Brown delivered the opinion of the Court, in which
    Presiding Judge Diane M. Johnsen and Judge Jennifer M. Perkins joined.
    B R O W N, Judge:
    ¶1           Tariq M. and Shahnaza Rana (“Ranas”), and their lessee,
    Ascend Behavioral Health and Wellness, LLC (“Ascend”),1 appeal the
    superior court’s judgment granting Maricopa County’s request to
    permanently enjoin alleged violations of the County’s zoning ordinance
    (“MCZO”) relating to group homes. The Ranas argue their group home
    does not violate the MCZO. They raise other issues that we address in a
    separate memorandum decision. For the following reasons, we vacate the
    judgment and remand for further proceedings.
    BACKGROUND
    ¶2             The Ranas own a nine-bedroom house located on 1.25 acres
    in an unincorporated area of the County where group homes are an as-of-
    right use.2 The applicable zoning regulations limit such homes to no more
    than ten residents and provide that if licensing is required by the State of
    Arizona, proof of such licensure must be provided before the use is
    established. MCZO §§ 201, 501.2(4), 503.2. The MCZO defines a “group
    home” as follows:
    A dwelling unit shared as their primary residence by minors,
    handicapped or elderly persons, living together as a single
    housekeeping unit, in a long term, family-like environment in
    which staff persons provide on-site care, training, or support
    for the residents. Such homes or services provided therein
    shall be licensed by, certified by, approved by, registered
    with, funded by or through, or under contract with the State.
    1      For ease of reference, we refer to the Ranas and Ascend collectively
    as “the Ranas,” unless otherwise noted.
    2      Absent material revisions after the relevant date, we cite the current
    version of a statute, ordinance, or administrative rule.
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    (Group homes shall not include homes for the developmentally
    disabled, defined as persons afflicted with autism, cerebral
    palsy, epilepsy or mental retardation, as regulated by Arizona
    Revised Statutes, § 36-582.)
    MCZO § 201.
    ¶3            In 2014, the Ranas submitted an application to the County for
    approval to use the house as an assisted living group home (“the Home”)
    for the elderly. After administrative review, the County issued a “zoning
    clearance,” which is “a permit or authorization . . . indicating that a
    proposed building, structure or use of land meets all the standards
    contained in this ordinance.” MCZO § 201. The zoning clearance stated that
    before the Ranas could begin operating the group home, they were required
    to submit a copy of their “State of Arizona license.”
    ¶4             The Ranas then leased the Home to Ascend, which in turn
    obtained a license from the Arizona Department of Health Services in May
    2016 to operate a “behavioral health residential facility,” defined by state
    regulations as a “health care institution that provides treatment to an
    individual experiencing a behavioral health issue” that “[l]imits the
    individual’s ability to be independent” or “[c]auses the individual to
    require treatment to maintain or enhance independence.” See A.A.C. R9-
    10-101(36); see also A.R.S. § 36-407(A).3
    ¶5            In January 2017, the County issued a “Notice and Order to
    Comply,” alleging the Ranas were operating “a group home for adjudicated
    persons or a drug rehabilitation home without a special use permit” in
    violation of the MCZO. Several months later, the Ranas entered into a
    compliance agreement with the County that stated they had violated the
    MCZO by operating “a group care facility for a variety of patient residents”
    where the approved permit “only permits care for the elderly.”4 The Ranas
    3      Under a regulation issued by the Arizona Department of Health
    Services, “‘[b]ehavioral health services’ means the assessment, diagnosis, or
    treatment of an individual’s mental, emotional, psychiatric, psychological,
    psychosocial, or substance abuse issues.” A.A.C. R9-1-301(1).
    4      The term “group care facility” was added to the MCZO in May 2017
    as a catch-all term to refer to any “dwelling unit shared as their primary
    residence by any class of patient residents under supervised care who do
    not qualify as a group home.” MCZO § 201. This amendment changed only
    the label, not the substance, of the Ranas’ alleged zoning violations.
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    agreed to stop “all supervised care . . . for other than up to ten (10) elderly
    patient residents and to use the Home in accordance with pertinent zoning
    regulations.”
    ¶6             Around the same time, the Ranas sought approval to use the
    Home to provide group care for six to ten disabled residents. The County
    approved the application but required Ascend to submit a “State of Arizona
    license” to the County before commencing operation as a group home for
    disabled individuals. The County’s approval was also subject to the earlier
    compliance agreement, including the requirement that “[Ascend] maintain
    a log of the number of patient residents indicating each age and condition,”
    as well as “vehicles on site by license plate and drivers, who must be either
    a caregiver, family, or visitor of a caregiver or patient resident.” Ascend
    was also required to ensure that residents would be long-term, meaning
    they would live in the Home for at least one year.
    ¶7           After an inspection, the County informed the Ranas they were
    not complying with the second zoning approval and were again violating
    the MCZO. The County then filed suit under A.R.S. § 11-815(H), which
    allows a county attorney to seek an injunction to “prevent, abate or remove”
    any use or proposed use of land that violates a zoning ordinance.
    ¶8             The superior court held a trial on the County’s request for a
    permanent injunction, hearing testimony from Ascend’s executive director
    and Carol Johnson, the County’s Planning and Development Director. The
    court ruled in the County’s favor, finding that based on the totality of
    circumstances, the residents of the Home did not live in a “family-like
    environment,” in part because Ascend was operating the Home too much
    like a traditional in-patient treatment facility. The court also found that in
    the absence of a special use permit, the MCZO does not allow “a facility
    whose main purpose is to provide treatment to residents” because the word
    “treatment” is not included in the MCZO’s group home definition.
    ¶9           After entry of a final judgment outlining the general terms of
    the permanent injunction, the Ranas timely appealed. The superior court
    stayed the injunction pending appeal, subject to several conditions,
    including the prohibition of (1) any on-site staff meetings for employees
    other than those working at the Home and (2) any non-emergency “in-
    home treatment,” which the court “defined as any physical, psychological,
    or mental health treatment or therapy from any licensed professional.”
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    DISCUSSION
    ¶10            Reviewing a permanent injunction, we accept the superior
    court’s factual findings unless they are clearly erroneous, Nordstrom, Inc. v.
    Maricopa Cty., 
    207 Ariz. 553
    , 558, ¶ 18 (App. 2004), but review its legal
    conclusions de novo, City of Tucson v. Clear Channel Outdoor, Inc., 
    218 Ariz. 172
    , 178, ¶ 5 (App. 2008).
    ¶11           The normal rules of statutory construction generally apply to
    zoning ordinances. See Ariz. Found. for Neurology & Psychiatry v. Sienerth, 
    13 Ariz. App. 472
    , 475 (1970). Unless the context suggests otherwise, we give
    undefined words their common meaning, often drawing on authoritative
    dictionaries to do so. Stout v. Taylor, 
    233 Ariz. 275
    , 278, ¶ 12 (App. 2013).
    We apply unambiguous text without further inquiry. State v. Burbey, 
    243 Ariz. 145
    , 147, ¶ 7 (2017). But if conflicting reasonable interpretations exist
    after examining the text, context, and related laws, Glazer v. State, 
    244 Ariz. 612
    , 614, ¶ 12 (2018), we may use secondary tools, such as the law’s subject
    matter, historical background, and purposes, 
    Burbey, 243 Ariz. at 147
    , ¶ 7.
    We must also recognize that because zoning ordinances “exist in derogation
    of property rights,” they will be strictly construed in favor of the property
    owner. Kubby v. Hammond, 
    68 Ariz. 17
    , 22 (1948); County of Cochise v. Faria,
    
    221 Ariz. 619
    , 623, ¶ 10 (App. 2009).
    A.     “Family-Like Environment”
    ¶12             As noted above, the ordinance defines a “group home” as a
    “dwelling unit shared as [a] primary residence by minors, handicapped or
    elderly persons, living together as a single housekeeping unit, in a long
    term, family-like environment in which staff persons provide on-site care,
    training, or support for the residents.” MCZO § 201 (emphasis added). The
    superior court found that Ascend did not maintain a “family-like
    environment” in the Home, but instead, treated it “largely as a treatment
    facility that just happens to be in a neighborhood.” The court noted that
    Ascend held staff meetings at the Home for employees of other group
    homes and transported residents of other Ascend group homes there for
    group events and to receive care. The court also pointed to rules Ascend
    imposed on residents of the Home, which it found “significantly regulate
    the lives of residents and restrict their freedom.”
    ¶13          The Ranas argue that a “family-like environment” necessarily
    contemplates something similar to, but broader than, the meaning of the
    word “family.” See generally -like, American Heritage Dictionary (5th ed.
    2011) (“Resembling or characteristic of . . . .”). Without denying that Ascend
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    sometimes used the Home for staff meetings or to provide events or care
    for residents of its other facilities, the Ranas argue that Ascend nevertheless
    maintained a “family-like” atmosphere for the several residents of the
    Home. Although it offers no analysis of the text of the ordinance, and relies
    almost entirely on Johnson’s testimony, the County argues substantial
    evidence supports the superior court’s conclusion that Ascend conducted
    activities at the Home in ways that went beyond a “family-like
    environment.”
    ¶14            We must first consider whether the MCZO itself includes any
    provisions that guide our understanding of the group home definition. The
    MCZO does not define “family-like environment,” but does define
    “family” to include “a group of not more than five (5) persons, who need
    not be related, living together as a single housekeeping unit in a dwelling
    unit.” MCZO § 201. This definition, however, simply replicates a
    requirement already present in the group home definition—that residents
    live in a “single housekeeping unit,” and thus it sheds little light on what
    the MCZO might mean by the phrase “family-like environment.” Further,
    the definition does not apply to zoning clearances issued for more than five
    people, like the situation here, making its application even more narrow.
    We therefore turn to the common meaning of “family-like environment,”
    and, given the relative scarcity of authorities defining the term, we begin
    by considering authorities defining the word “family” to inform our
    understanding of the broader phrase.5
    5       The County does not dispute that all of the residents considered the
    Home as their primary residence, intended to stay there long term, and fell
    within the ordinance’s definition of handicapped (each was diagnosed as
    seriously mentally ill). See MCZO § 201 (“Handicapped” refers to “[a]
    person who: 1) has a physical or mental impairment which substantially
    limits one or more of such person’s major life activities; [and] 2) has a record
    of having impairment.”). And neither side makes any meaningful
    argument that the term “single housekeeping unit” informs the definition
    of a “family-like environment” or otherwise affects whether the Home was
    operated in violation of the MCZO. The County relies on Johnson, who
    testified that a single housekeeping unit would “mirror[]” a “family-like
    environment,” “so there are shared chores, and responsibilities for the
    maintenance and upkeep . . . of the home [and] there is free association.”
    Because these factors are generally included among those we analyze to
    discern the meaning of “family-like environment,” we do not separately
    address the phrase “single housekeeping unit.”
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    ¶15             In various other contexts the word “family” has been defined
    as “a group of individuals living under one roof and usually under one
    head.” See, e.g., Heard v. Farmers Ins. Exchange Co., 
    17 Ariz. App. 193
    , 196
    (1972); Brown v. Stogsdill, 
    140 Ariz. 485
    , 487 (App. 1984) (same); Family,
    Merriam-Webster’s Collegiate Dictionary (11th ed. 2014) (same). Other
    definitions reveal a more restrictive meaning. See Family, The American
    Heritage Dictionary (5th ed. 2011) (“A fundamental social group in society
    typically consisting of one or two parents and their children.”); Family,
    Black’s Law Dictionary (10th ed. 2014) (“A group of persons connected by
    blood, by affinity, or by law, esp. within two or three generations.”); cf.
    Moore v. City of East Cleveland, 
    431 U.S. 494
    (1997) (construing, but striking
    as unconstitutional, a zoning ordinance attempting to limit the definition of
    “family” to, in essence, parents and their children). Dictionaries broadly
    define “environment” as a “[g]eneral set of conditions or circumstances.”
    See, e.g., Environment, The American Heritage Dictionary (5th ed. 2011).
    ¶16            Definitions considered in isolation, however, are of little aid
    in interpreting the term “family-like environment” absent an
    understanding of what group homes are and how zoning ordinances
    typically regulate them. See Adams v. Comm’n on Appellate Court
    Appointments, 
    227 Ariz. 128
    , 135, ¶ 34 (2011) (explaining that a word’s
    meaning cannot be determined in isolation but must be drawn from its
    context). As late as the mid-1970’s, the concept of a group home was
    relatively new. City of White Plains v. Ferraioli, 
    313 N.E.2d 756
    , 757 (N.Y.
    1974). Before that time, for example, communities often sought to exclude
    mentally ill and other disabled persons by housing them in institutions. See
    City of Livonia v. Dep’t of Soc. Servs., 
    378 N.W.2d 402
    , 408 (Mich. 1985)
    (rationale was to “protect[] society from these persons”). More recently,
    authorities came to believe that institutionalization as a one-size-fits-all
    approach was inadequate and sometimes cruel, giving rise to a movement
    to allow “disabled persons who are unable to live with their families . . . to
    reside in homes of normal size, located in normal neighborhoods, that
    provide opportunities for normal societal integration and interaction,” to
    assist “disabled persons to reach their full potential and become
    contributing, productive members of society.” 
    Id. at 408–09.
    Thus, group
    homes now “attempt to prepare their members for independent and
    productive lives in the community.” Arden H. Rathkopf et al., 2 Rathkopf’s
    The Law of Zoning and Planning § 23:24 (4th ed. 2018).
    ¶17            Despite these goals, local zoning authorities and neighboring
    landowners often challenge the establishment of group homes by arguing
    the residents are not a “family” within the meaning of a zoning ordinance
    or a restrictive covenant. 
    Id. at §§
    23:15, 23:24, 23:27. In these cases, when
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    ordinances do not define “family,” as is true of the phrase “family-like
    environment” in the MCZO, courts have generally concluded the word
    “family” includes “so-called ‘functional-families’ of persons living together
    as a relatively stable and bona fide single-housekeeping unit.” 
    Id. at §
    23:9.
    Courts applying this “functional family” standard are likely to consider
    such factors as “whether the household is relatively stable, possess[es] a
    family-like structure of household authority, functions as an integrated
    economic unit, evidences some family-like domestic bond between
    members, and has the potential to impact negatively the family character of
    the residential area.” 
    Id. at 23:15.
    Though some courts “liberally interpret[]
    the standard to include any group home where the residents bear the
    generic character of a relatively permanent functional family unit,” others
    take a more restrictive view, concluding that “the particular operating
    characteristics of a group home” may carry it beyond a “functional family.”
    See 
    id. at §
    23:27 & n.11.
    ¶18           We conclude that the functional family standard, under the
    more restrictive view described above, provides the most reasonable
    meaning that can be ascribed to the phrase “family-like environment” in
    the MCZO. This is in line with the decisions of other courts and is consistent
    with the historical background and purpose of group homes generally. 
    Id. at §
    23:27. This standard also remains faithful to the text of the MCZO by
    ensuring that the requirement of a “family-like environment” remains
    meaningful—the ordinance must contemplate some reasonable boundaries
    on what it allows. At the same time, business activities unrelated to the
    goal of readying that particular home’s residents for independence may
    disrupt the residential character of the neighborhood and violate the
    MCZO.
    ¶19             Applying the functional family standard here, various aspects
    of the way Ascend runs the Home support the conclusion that its residents
    live in a “family-like environment.” For example, each resident has a
    separate bedroom and exercises some degree of control over that space,
    shares access and upkeep responsibilities for certain common areas with
    others, and exercises some limited input on what chores he or she is
    assigned. These are factors other courts have cited in similar inquiries. See,
    e.g., City of W. Monroe v. Ouchita Ass’n, 
    402 So. 2d 259
    , 261, 265 (La. Ct. App.
    1981) (people with “common interests, common goals, common problems,
    and . . . receiving some supervisory attention” who all eat and sleep in the
    same home are considered a “one-family dwelling”); Costley v. Caromin
    House, Inc., 
    313 N.W.2d 21
    , 23, 26 (Minn. 1981) (people with mental
    disabilities who live as a family and share all parts of the house except their
    individual bedrooms and who share family functions such as planning
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    outings and performing household duties constitute a “single-family
    dwelling”); Jackson v. Williams, 
    714 P.2d 1017
    , 1024 (Ok. 1985) (a group home
    for five mentally handicapped persons and a housekeeper is a “single-
    family unit” within the meaning of the zoning ordinance).
    ¶20            Staff members are on-site 24 hours a day at the Home, but do
    not sleep there. They serve on a rotating basis, and—at least generally—do
    not provide on-site medical treatment to residents. See City of 
    Livonia, 378 N.W.2d at 431
    –32. Residents also engage in recreational activities, both at
    the Home and in the community at large. See Albert v. Zoning Hearing Bd.,
    
    854 A.2d 401
    , 447 (Pa. 2004) (reasoning that individuals who engaged in
    group activities, including attending “social and religious functions
    together and celebrat[ing] holidays jointly,” functioned as a “caring familial
    unit”) (citation omitted); see also 
    Ferraioli, 313 N.E.2d at 758
    (“[T]he intention
    is that they remain and develop ties to the community.”) (emphasis added).
    Finally, residents have no fixed duration of stay, the ultimate goal of which
    is to help them learn skills that will enable them to live in a more
    independent manner.
    ¶21           At the time of trial, not all of Ascend’s practices were
    consistent with the concept of a functional family. The superior court heard
    evidence that Ascend used the group home for business purposes in a way
    that was not reasonably tied to serving the residents’ needs and could
    “impact . . . negatively the residential character of the neighborhood.”
    Rathkopf et al., at § 23:27; cf. City of 
    Livonia, 378 N.W.2d at 431
    (finding that
    increased traffic and parking problems did not transform the nature of a
    group home from residential to commercial). On one occasion, County
    inspectors saw 25 cars parked outside the Home and observed a staff
    meeting that included employees from other facilities. These meetings
    were taking place on a biweekly basis at the Home until Ascend moved
    them to a different location. Such meetings, and the traffic problems they
    can cause, are different in kind from “a large traditional family with several
    cars and numerous visitors.” See 
    Id. at 431.
    ¶22           Similarly, Ascend sometimes used the Home to host activities
    for residents of its other facilities—who might be complete strangers to the
    Home’s residents and who might require Ascend’s services for different
    reasons. Given that the stability and cohesion of the household is a critical
    feature of the functional family that group homes try to create, see generally
    N. Me. Gen. Hosp. v. Ricker, 
    572 A.2d 479
    , 481–82 (Me. 1990), we conclude
    that Ascend’s practice of bringing residents from its other facilities to the
    Home for activities and care was inconsistent with the MCZO’s
    requirement of a “family-like environment.” We therefore agree with the
    9
    MARICOPA v. RANA, et al.
    Opinion of the Court
    superior court’s decision to enjoin these two practices, which stretch
    beyond the concept of a “family-like environment.”
    ¶23            We disagree, however, with the superior court’s conclusion
    that the rules posted in the Ascend group home are “more indicative of an
    in-patient treatment facility than a family-like environment” because they
    “so significantly regulate the lives of the residents and restrict their
    freedom.”6 We agree that the rules Ascend imposes on residents include
    significant limitations on how residents may conduct their lives in the
    Home, but as the court also acknowledged, “there is nothing wrong with
    such rules in a facility whose goal is to treat serious mental illness and to
    help residents move toward independence.” That goal, however, would
    traditionally militate in favor of a ”family-like environment.” See Rathkopf
    et al., at § 23:24 (noting mental health professionals have found that
    “family-like residences . . . offer greater rehabilitative potential” than large
    institutions and can benefit society by preparing residents of such homes to
    live independently). And rules are part and parcel of any family home.
    ¶24            We also recognize that group home residents are individuals,
    and the purpose of their stay is to address their individual needs. Whether
    a home serves “minors, handicapped, or elderly persons,” as the MCZO
    specifically allows, such persons may require different rules, or more of
    them. But to the extent rules are required by or suitable for addressing
    residents’ various needs, and the MCZO allows such persons to reside in
    group homes, it is unreasonable to conclude a home violates the MCZO
    because it has those rules. We perceive nothing in the MCZO’s text or
    context that bars a group home operator from employing rules as a tool in
    its effort to reintegrate its residents into society and to learn to live as
    independently as possible.
    B.     “Care, training, or support”
    ¶25           The MCZO defines an allowable group home, in pertinent
    part, as a location where “staff persons provide on-site care, training, or
    6       The superior court explained that inspectors found a list of 38 rules
    posted in the Home. By way of example only, the court pointed to the
    following rules as significantly restricting the residents’ movement and
    activities: They must not lend, borrow, trade or sell personal belongings;
    carry money; use the restroom, kitchen, or visit each other’s rooms without
    permission; wear slippers or pajamas during the day around the Home;
    open their windows; or leave without permission.
    10
    MARICOPA v. RANA, et al.
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    support for the residents.” MCZO § 201 (emphasis added). The definition
    also specifies that the home and the “services provided therein shall be
    licensed by, certified by, approved by, registered with, funded by or
    through, or under contract with the State.” 
    Id. The superior
    court
    concluded that the MCZO does not allow group homes whose “main
    purpose is to provide treatment to residents.” As applied, the court
    reasoned that Ascend violated the MCZO by providing its residents with
    group and individual counseling from licensed professionals.
    ¶26          The Ranas argue the plain language of the group home
    definition does not exclude on-site group and individual counseling
    designed to “improve its residents’ mental health conditions so as to ready
    them for independence” because such activities fall within the common
    meaning of “care” or “training,” which the ordinance specifically allows.
    The County does not dispute that the only forbidden treatment it alleged—
    and the only activities the superior court found to be violative of the
    MCZO—were on-site group and individual counseling. When asked at oral
    argument in the superior court for clarification on what Ascend’s group and
    individual counseling involved, neither party provided further details.
    ¶27            For its part, the County contends that the absence of the word
    “treatment” in the MCZO’s group home definition means that a group
    home requires a special use permit to regularly employ methods aimed at
    improving residents’ medical condition or behavioral health issues. The
    County’s argument relies primarily on the testimony of Johnson (the
    planning and development director), who testified that her department
    considers “care, training, or support” to mean only “assistance with
    activities of daily living,” see A.R.S. § 36-401(38) (defining “[p]ersonal care
    services”), as defined by the Arizona Department of Health Services’
    regulations. Those regulations define “activities of daily living” as
    “ambulating, bathing, toileting, grooming, eating, and getting in or out of a
    bed or a chair.” A.A.C. R9-10-101(5). But the County’s contention
    disregards regulations that separately require behavioral health residential
    licensees to provide “treatment,” A.A.C. R9-10-101(30), defined as “a
    procedure or method to cure, improve, or palliate an individual’s medical
    condition or behavioral health issue,” A.A.C. R9-10-101(236).
    ¶28           To begin with, contrary to the County’s assertion, we do not
    think that the words “care, training, or support” bear technical meanings.
    No language in the MCZO informs the reader that “care” is constrained by
    a statute defining “personal care services,” which itself depends on the
    definition of “activities of a daily living” in a regulation promulgated by a
    state agency. The lone support for that proposition is a brief remark by
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    MARICOPA v. RANA, et al.
    Opinion of the Court
    Johnson during the evidentiary hearing, with no discussion of how the
    County arrived at that position, how long it has held the position, or
    whether it has been reduced to a written policy. What little weight we may
    grant the County’s interpretation under such circumstances is outweighed
    by the fact that the common meaning of these terms, viewed in context,
    contemplates a group home offering residents on-site counseling or therapy
    designed to improve their health conditions. Cf. BSI Holdings, LLC v. Ariz.
    Dept. of Trans., 
    244 Ariz. 17
    , 21, ¶ 17 (2018) (declining to follow an agency’s
    interpretation of a statute where the term did not require technical expertise
    and the agency’s position had not been reduced to written policy).
    ¶29            The common meanings of “care” and “training,” undefined
    by the MCZO, each are broad enough to encompass counseling in the group
    home context. “Care” commonly refers to “attentive assistance or
    treatment of those in need.” Care, The American Heritage Dictionary (5th
    ed. 2011); see also care, New Oxford American Dictionary (3d ed. 2010) (“the
    provision of what is necessary for the health, welfare, maintenance, and
    protection of someone” such as “health care”). “Training” commonly refers
    to a method or process of preparing a person for some activity. See Training,
    The American Heritage Dictionary (5th ed. 2011); accord Merriam-Webster’s
    Collegiate Dictionary (11th ed. 2014); Webster’s New Universal Unabridged
    Dictionary (1983); New Oxford American Dictionary (3d ed. 2010). As
    applied here, group and individual therapy designed to improve residents’
    mental health conditions and to encourage a more independent lifestyle
    falls within either term. Such therapy assists or treats those in need,
    namely, the group home’s residents. And it is a method to help ready the
    residents for an activity—living independently.
    ¶30           Beyond that, and contrary to the County’s contention,
    nothing in these broad dictionary definitions suggests that they do not
    include techniques designed to improve a health condition. See Phelps v.
    Firebird Raceway, Inc., 
    210 Ariz. 403
    , 407, ¶ 18 (2005) (emphasizing that “a
    narrow construction” should not typically be placed on “broad and
    comprehensive language” (quoting Davis v. Boggs, 
    22 Ariz. 497
    , 507 (1921)).
    Indeed, dictionary definitions confirm considerable overlap in the meaning
    of “care” and A.A.C. R9-10-101(236)’s definition of “treatment.” Therefore,
    we see nothing in the common meaning of the words themselves
    compelling the conclusion that “care, training, or support” cannot include
    mental-health counseling. See Cable One, Inc. v. Ariz. Dep’t of Rev., 
    232 Ariz. 275
    , 284, ¶ 42 (App. 2013) (refusing to “read into the statute terms, limits,
    or requirements that are simply not there”).
    12
    MARICOPA v. RANA, et al.
    Opinion of the Court
    ¶31            Several contextual canons also support the Ranas’ argument
    that counseling falls within the meaning of “care” as used in the MCZO.
    First, “a word is known by the company it keeps.” Jarecki v. G.D. Searle &
    Co., 
    367 U.S. 303
    , 307 (1961). Care, training, and support all share an
    obvious commonality—they refer to acts or conduct intended to help or
    assist other persons, cf. Estate of Braden ex rel. Gabaldon v. State, 
    228 Ariz. 323
    ,
    326, ¶ 13 (2011), which comports with the fundamental purpose of group
    homes—to help residents attain skills necessary to live a more independent
    lifestyle. Providing residents with only enough assistance to merely
    maintain the status quo would be slim assistance indeed and obviously
    undermine that purpose.
    ¶32            Second, when an identical word appears in several places
    within an ordinance or statutory scheme, unless a contrary indication
    appears, we presume it has the same meaning in each provision. State ex
    rel. Brnovich v. Maricopa Cty. Cmty. Coll. Dis. Bd., 
    243 Ariz. 539
    , 542, ¶ 12
    (2018). Thus, a word used in one provision may be used “elsewhere in a
    context that makes its meaning clear.” United Sav. Ass’n of Tex. v. Timbers of
    Inwood Forest Assoc., 
    484 U.S. 365
    , 371 (1988). Contrary to the County’s
    position, other provisions demonstrate that the meaning of “care” includes
    at least some methods to improve a health condition. The MCZO defines a
    “hospital” as “an institution for the diagnosis, treatment, or other care of
    human ailments.” MCZO § 201. That provision uses treatment and care as
    synonyms, both referring to improving or palliating “human ailments.”
    The County’s cited example, a provision stating that animal-patients of
    farm animal clinics “shall not be boarded or lodged except for short periods
    of observation incidental to care or treatment,” MCZO § 1301.1.20.1,
    suggests nothing different because it too uses the words as synonyms. See
    Antonin Scalia & Brian A. Garner, Reading Law: The Interpretation of Legal
    Texts, 122 (2011) (discussing the “synonym-introducing or”).
    ¶33           The County also argues that because these other provisions
    indicate the MCZO uses the word “treatment” whenever it means to
    authorize it, the absence of this word from the group home definition
    compels the inference that it precludes operators from using any treatment
    methods to improve their residents’ conditions. This argument appears to
    invoke the interpretive canon expressio unius, meaning that the expression
    of one item implies the exclusion of others; it is “reasonably understood as
    an expression of all terms included in the statutory grant or prohibition.”
    See City of Surprise v. Ariz. Corp. Comm’n, 
    246 Ariz. 206
    , 211, ¶ 14 (2019).
    Here, however, not only does the common meaning of “care” have
    considerable overlap with the definition of “treatment” that the County
    contends is forbidden, the MCZO itself uses “care” and “treatment” as
    13
    MARICOPA v. RANA, et al.
    Opinion of the Court
    synonyms, or nearly so. The canon is not applicable under these
    circumstances. Wells Fargo Credit Corp. v. Ariz. Prop. & Cas. Ins. Guar. Fund,
    
    165 Ariz. 567
    , 571 (App. 1990) (explaining that expressio unius “does not
    override our obligation to construe a provision of a statute in the context of
    related provisions and in light of its place in the statutory scheme.”).
    ¶34           Finally, the assertion that counseling does not fall within
    “care, training, or support” because it is designed to improve a health
    condition would divorce these words from one of the principal purposes of
    a group home for the mentally disabled. To reiterate, group homes exist to
    provide such persons with meaningful opportunities for a chance at societal
    interaction and integration. Regardless of whether group homes ultimately
    allow such persons to reenter society, at a minimum, group homes
    necessarily try to improve their residents’ disabling conditions. Ascribing
    a meaning to “care, training, or support” that forbids a group home from
    achieving that purpose is simply unreasonable in the context of a provision
    authorizing group homes. Any other interpretation of the ordinance turns
    group homes into smaller versions of institutions that the homes were
    designed to replace. We therefore conclude that group and individual
    counseling designed to enable group home residents to achieve the skills
    needed to foster their independence falls squarely within the meaning of
    “care, training, or support” under the MCZO.
    14
    MARICOPA v. RANA, et al.
    Opinion of the Court
    CONCLUSION
    ¶35           We hold that the superior court properly found that Ascend
    violated the MCZO by holding company-wide staff meetings at the Home
    and using it as a site for meetings and care for residents of its other facilities.
    The court erred, however, in finding that Ascend violated the MCZO by
    enforcing a list of rules on residents of the Home and by providing group
    and individual counseling to the residents. Accordingly, we vacate the
    judgment and remand for entry of an injunction that bars the Ranas and
    Ascend from (1) using the Home to hold staff meetings for personnel who
    do not work there, and (2) using it as a site for events or care for residents
    of its other homes. Otherwise, Ascend may continue using the Home for
    the care of disabled individuals subject to compliance with its state license
    and the MCZO, as construed herein.
    AMY M. WOOD • Clerk of the Court
    FILED: AA
    15