reglab/housing_qa huggingface dataset:
NC Gen Stat § 131D-4.3 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.3 - Adult care home rules.

 131D-4.3. Adult care home rules.(a) Pursuant to G.S. 143B-165, the North Carolina Medical Care Commission shall adopt rules to ensure at a minimum, but shall not be limited to, the provision of each of the following by adult care homes:(1) Repealed by Session Laws 2000-111, s. 1.(2) A minimum of 80 hours of training for personal care aides. The training for aides shall be comparable to State-approved Certified Nurse Aide I training.The facility may exempt from the 80-hour training requirement any personal care aides who are or have been either licensed as a health care professional or listed on the Nurse Aide Registry.(3) Monitoring and supervision of residents.(4) Oversight and quality of care as stated in G.S. 131D-4.1.(5) Adult care homes shall comply with all of the following staffing requirements:a. First shift (morning): 0.4 hours of aide duty for each resident (licensed capacity or resident census), or 8.0 hours of aide duty per each 20 residents (licensed capacity or resident census) plus 3.0 hours for all other residents, whichever is greater;b. Second shift (afternoon): 0.4 hours of aide duty for each resident (licensed capacity or resident census), or 8.0 hours of aide duty per each 20 residents plus 3.0 hours for all other residents (licensed capacity or resident census), whichever is greater;c. Third shift (evening): 8.0 hours of aide duty per 30 or fewer residents (licensed capacity or resident census).The facility shall provide staff to meet the needs of the facility's residents. Each facility shall post in a conspicuous place information about required staffing that enables residents and their families to ascertain each day the number of direct care staff and supervisors that are required by law to be on duty for each shift for that day.(b) Rules to implement this section shall be adopted as emergency rules in accordance with Chapter 150B of the General Statutes.(c) The Department may suspend or revoke a facility's license, subject to the provisions of Chapter 150B, to enforce compliance by a facility with this section or to punish noncompliance.  (1995, c. 449, s. 3; c. 535, s. 10; 1997-443, s. 11A.118(a); 1998-212, s. 12.16B(a); 2000-111, s. 1; 2001-85, s. 1; 2001-487, s. 85(a); 2017-184, s. 3.)
NC Gen Stat § 131D-4.4 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.4 - Adult care home minimum safety requirements; smoking prohibited inside long-term care facilities; penalty.

 131D-4.4. Adult care home minimum safety requirements; smoking prohibited inside long-term care facilities; penalty.(a) In addition to other requirements established by this Article or by rules adopted pursuant to this Article or other provisions of law, every adult care home shall provide to each resident the care, safety, and services necessary to enable the resident to attain and maintain the highest practicable level of physical, emotional, and social well-being in accordance with:(1) The resident's individual assessment and plan of care; and(2) Rules and standards relating to quality of care and safety adopted under this Chapter.(b) Smoking is prohibited inside long-term care facilities. As used in this section:(1) "Long-term care facilities" include adult care homes, nursing homes, skilled nursing facilities, facilities licensed under Chapter 122C of the General Statutes, and other licensed facilities that provide long-term care services.(2) "Smoking" means the use or possession of any lighted cigar, cigarette, pipe, or other lighted smoking product.(3) "Inside" means a fully enclosed area.(c) The person who owns, manages, operates, or otherwise controls a long-term care facility where smoking is prohibited under this section shall:(1) Conspicuously post signs clearly stating that smoking is prohibited inside the facility. The signs may include the international "No Smoking" symbol, which consists of a pictorial representation of a burning cigarette enclosed in a red circle with a red bar across it.(2) Direct any person who is smoking inside the facility to extinguish the lighted smoking product.(3) Provide written notice to individuals upon admittance that smoking is prohibited inside the facility and obtain the signature of the individual or the individual's representative acknowledging receipt of the notice.(d) The Department may impose an administrative penalty not to exceed two hundred dollars ($200.00) for each violation on any person who owns, manages, operates, or otherwise controls the long-term care facility and fails to comply with subsection (c) of this section. A violation of this section constitutes a civil offense only and is not a crime. (1999-334, s. 1.1; 2007-459, s. 1.)
NC Gen Stat § 131D-4.4A (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.4A - Adult care home infection prevention requirements.

 131D-4.4A. Adult care home infection prevention requirements.(a) As used in this section, "adult care home staff" means any employee of an adult care home involved in direct resident care.(b) In order to prevent transmission of HIV, hepatitis B, hepatitis C, and other bloodborne pathogens, each adult care home shall do all of the following, beginning January 1, 2012:(1) Implement a written infection control policy consistent with the federal Centers for Disease Control and Prevention guidelines on infection control that addresses at least all of the following:a. Proper disposal of single-use equipment used to puncture skin, mucous membranes, and other tissues, and proper disinfection of reusable patient care items that are used for multiple residents.b. Sanitation of rooms and equipment, including cleaning procedures, agents, and schedules.c. Accessibility of infection control devices and supplies.d. Blood and bodily fluid precautions.e. Procedures to be followed when adult care home staff is exposed to blood or other body fluids of another person in a manner that poses a significant risk of transmission of HIV, hepatitis B, hepatitis C, or other bloodborne pathogens.f. Procedures to prohibit adult care home staff with exudative lesions or weeping dermatitis from engaging in direct resident care that involves the potential for contact between the resident, equipment, or devices and the lesion or dermatitis until the condition resolves.(2) Require and monitor compliance with the facility's infection control policy.(3) Update the infection control policy as necessary to prevent the transmission of HIV, hepatitis B, hepatitis C, and other bloodborne pathogens.(4) Designate one on-site staff member for each noncontiguous facility who is knowledgeable about the federal Centers for Disease Control and Prevention guidelines on infection control to direct the facility's infection control activities and ensure that all adult care staff is trained in the facility's infection control policy. Beginning October 1, 2013, any nonsupervisory staff member designated to direct the facility's infection control activities shall complete the infection control course developed by the Department pursuant to G.S. 131D-4.5C.  (2011-99, s. 3.)
NC Gen Stat § 131D-4.4B (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.4B - Guidelines for reporting suspected communicable disease outbreaks.

 131D-4.4B. Guidelines for reporting suspected communicable disease outbreaks.The Department shall develop guidelines prescribing the manner in which an adult care home is to report a suspected communicable disease outbreak within the facility to the local health department.  (2011-99, s. 3.)
NC Gen Stat § 131D-4.5 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.5 - Rules adopted by Medical Care Commission.

 131D-4.5. Rules adopted by Medical Care Commission.The Medical Care Commission shall adopt rules as follows:(1) Establishing minimum medication administration standards for adult care homes. The rules shall include the minimum staffing and training requirements for medication aides and standards for professional supervision of adult care homes' medication controls. The requirements shall (i) include compliance with G.S. 131D-4.5B and (ii) be designed to reduce the medication error rate in adult care homes to an acceptable level. The requirements shall include, but need not be limited to, all of the following:a. Training for medication aides, including periodic refresher training.b. Standards for management of complex medication regimens.c. Oversight by licensed professionals.d. Measures to ensure proper storage of medication.(2) Establishing training requirements for adult care home staff in behavioral interventions. The training shall include appropriate responses to behavioral problems posed by adult care residents. The training shall emphasize safety and humane care and shall specifically include alternatives to the use of restraints.(3) Establishing minimum training and education qualifications for supervisors in adult care homes and specifying the safety responsibilities of supervisors. The minimum training qualifications shall include compliance with G.S. 131D-4.5C.(4) Specifying the qualifications of staff who shall be on duty in adult care homes during various portions of the day in order to assure safe and quality care for the residents. The rules shall take into account varied resident needs and population mixes.(5) Implementing the due process and appeal rights for discharge and transfer of residents in adult care homes afforded by G.S. 131D-21. The rules shall offer protections to residents for safe and orderly transfer and discharge.(6) Establishing procedures for determining the compliance history of adult care homes' principals and affiliates. The rules shall include criteria for refusing to license facilities which have a history of, or have principals or affiliates with a history of, noncompliance with State law, or disregard for the health, safety, and welfare of residents.(7) For the licensure of special care units in accordance with G.S. 131D-4.6, and for disclosures required to be made under G.S. 131D-8.(8) For time limited provisional licenses and for granting extensions for provisional licenses.(9) For the issuance of certificates to adult care homes as authorized under G.S. 131D-10.  (1999-334, s. 1.1; 2000-111, s. 2; 2007-544, s. 3(a); 2011-99, ss. 1, 2; 2011-272, s. 2.)
NC Gen Stat § 131D-4.5A (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.5A - Fees for medication aides.

 131D-4.5A. Fees for medication aides.The Department may impose a fee, not to exceed twenty-five dollars ($25.00), on an applicant seeking certification as an assisted living home medication aide to cover the costs of testing and materials in administering a certification examination.  (2010-31, s. 10.36A(a).)
NC Gen Stat § 131D-4.5B (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.5B - Adult care home medication aides; training and competency evaluation requirements.

 131D-4.5B. Adult care home medication aides; training and competency evaluation requirements.(a) By January 1, 2012, the Division of Health Service Regulation shall develop a mandatory, annual in-service training program for adult care home medication aides on infection control, safe practices for injections and any other procedures during which bleeding typically occurs, and glucose monitoring. Each medication aide who successfully completes the in-service training program shall receive partial credit, in an amount determined by the Department, toward the continuing education requirements for adult care home medication aides established by the Commission pursuant to G.S. 131D-4.5.(b) Beginning October 1, 2013, an adult care home is prohibited from allowing staff to perform any unsupervised medication aide duties unless that individual has previously worked as a medication aide during the previous 24 months in an adult care home or successfully completed all of the following:(1) A five-hour training program developed by the Department that includes training and instruction in all of the following:a. The key principles of medication administration.b. The federal Centers for Disease Control and Prevention guidelines on infection control and, if applicable, safe injection practices and procedures for monitoring or testing in which bleeding occurs or the potential for bleeding exists.(2) A clinical skills evaluation consistent with 10A NCAC 13F .0503 and 10A NCAC 13G .0503.(3) Within 60 days from the date of hire, the individual must have completed the following:a. An additional 10-hour training program developed by the Department that includes training and instruction in all of the following:1. The key principles of medication administration.2. The federal Centers of Disease Control and Prevention guidelines on infection control and, if applicable, safe injection practices and procedures for monitoring or testing in which bleeding occurs or the potential for bleeding exists.b. An examination developed and administered by the Division of Health Service Regulation in accordance with subsection (c) of this section.(c) By October 1, 2012, the Division of Health Service Regulation shall develop and administer an examination for individuals seeking employment as a medication aide in an adult care home.  (2011-99, s. 5.)
NC Gen Stat § 131D-4.5C (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.5C - Adult care home supervisors; infection control training requirements.

 131D-4.5C. Adult care home supervisors; infection control training requirements.By December 1, 2011, the Department shall develop a mandatory, annual course for adult care home supervisors on federal Centers for Disease Control and Prevention guidelines on infection control. Each supervisor that successfully completes the mandatory infection control course shall receive credit, in an amount determined by the Department, toward the continuing education requirements for adult care home supervisors established by the Commission pursuant to G.S. 131D-4.5.  (2011-99, s. 5.)
NC Gen Stat § 131D-4.6 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.6 - Licensure of special care units.

 131D-4.6. Licensure of special care units.(a) As used in this section, the term "special care unit" means a wing or hallway within an adult care home, or a program provided by an adult care home, that is designated especially for residents with Alzheimer's disease or other dementias, a mental health disability, or other special needs disease or condition as determined by the Medical Care Commission.(b) An adult care home that holds itself out to the public as providing a special care unit shall be licensed as such and shall, in addition to other licensing requirements for adult care homes, meet the standards established under rules adopted by the Medical Care Commission.(c) An adult care home that holds itself out to the public as providing a special care unit without being licensed as a special care unit is subject to licensure actions and penalties provided under Part 1 of this Article, as well as any other action permitted by law.  (1999-334, s. 1.1; 2009-462, s. 4(f).)
NC Gen Stat § 131D-4.7 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-4.7 - Adult care home specialist fund.

 131D-4.7. Adult care home specialist fund.There is established the adult care home specialist fund. The fund shall be maintained in and by the Department for the purpose of assisting county departments of social services in paying salaries of adult care home specialists. (1999-334, s. 1.1.)
NC Gen Stat § 131D-7 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-7 - Waiver of rules for certain adult care homes providing shelter or services during disaster or emergency.

 131D-7. Waiver of rules for certain adult care homes providing shelter or services during disaster or emergency.(a) The Division of Health Service Regulation may temporarily waive, during disasters or emergencies declared in accordance with Article 1A of Chapter 166A of the General Statutes, any rules of the Commission pertaining to adult care homes to the extent necessary to allow the adult care home to provide temporary shelter and temporary services requested by the emergency management agency. The Division may identify, in advance of a declared disaster or emergency, rules that may be waived, and the extent the rules may be waived, upon a disaster or emergency being declared in accordance with Article 1A of Chapter 166A of the General Statutes. The Division may also waive rules under this subsection during a declared disaster or emergency upon the request of an emergency management agency and may rescind the waiver if, after investigation, the Division determines the waiver poses an unreasonable risk to the health, safety, or welfare of any of the persons occupying the adult care home. The emergency management agency requesting temporary shelter or temporary services shall notify the Division within 72 hours of the time the preapproved waivers are deemed by the emergency management agency to apply.(b) As used in this section, "emergency management agency" is as defined in G.S. 166A-19.3.  (1999-307, s. 2; 2007-182, s. 1; 2012-12, s. 2(s).)
NC Gen Stat § 131D-7.1 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-7.1 - (Effective April 1, 2022) Secretary to establish visitation protocols during declared disasters and emergencies.

 131D-7.1. (Effective April 1, 2022) Secretary to establish visitation protocols during declared disasters and emergencies.(a) As used in this section and in G.S. 131D-7.2, the following terms have the following meanings:(1) Disaster declaration. - As defined in G.S. 166A-19.3(3).(2) Emergency. - As defined in G.S. 166A-19.3(6).(3) Facility. - An adult care home, including a family care home, licensed under this Article.(4) Normal visitation policy. - The visitation policy that was in effect at a facility on January 1, 2020.(b) The Secretary shall, in consultation with licensed operators of adult care homes, including family care homes, and any other stakeholders the Secretary deems relevant, establish visitation protocols for residents of these facilities that will become effective during a disaster declaration or emergency that results in the suspension or curtailment of a facility's normal visitation policy for any reason. The visitation protocols shall provide for at least the following:(1) Each resident shall have the right to designate one preapproved visitor and one preapproved alternate visitor. The preapproved visitor, or if the preapproved visitor is unavailable, the preapproved alternate visitor, shall be allowed to visit the resident at least twice per month during any period of time during which the facility's normal visitation policy is suspended or curtailed for any reason during the declared disaster or emergency.(2) Prior to admission, each facility shall explain and provide to each resident written notification of the visitation protocols established by the Secretary under this section.(3) Visitation under these protocols shall be subject to Centers for Medicare and Medicaid Services directives and to the guidelines, conditions, and limitations established by the facility as part of its normal visitation policy.  (2021-145, s. 3(a).)
NC Gen Stat § 131D-7.2 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-7.2 - (Effective April 1, 2022) Resident visitation rights for adult care homes, including family care homes, during a disaster declaration or emergency.

 131D-7.2. (Effective April 1, 2022) Resident visitation rights for adult care homes, including family care homes, during a disaster declaration or emergency.Notwithstanding any provision of this Part, Chapter 166A of the General Statutes, or any other provision of law to the contrary, the visitation protocols established by the Secretary under G.S. 131D-7.1 shall be in effect during any period of time when (i) there is a declared disaster or emergency and (ii) an adult care home, including a family care home, licensed under this Article suspends or restricts the normal visitation policy for any reason.  (2021-145, s. 3(a).)
NC Gen Stat § 131D-8 (2021)
2021 North Carolina General Statutes|Chapter 131D - Inspection and Licensing of Facilities|Article 1 - Adult Care Homes.|§ 131D-8 - Adult care home special care units; disclosure of information required.

 131D-8. Adult care home special care units; disclosure of information required.(a) An adult care home licensed under this Part that provides care for persons in special care units as defined in G.S. 131D-4.6 shall disclose the form of care or treatment provided that distinguishes the special care unit as being especially designed for residents with Alzheimer's disease or other dementias, a mental health disability, or other special needs disease or condition. The disclosure shall be in writing and shall be made to all of the following:(1) The Department as part of its licensing procedures.(2) Each person seeking placement within a special care unit, or the person's authorized representative, prior to entering into an agreement with the person to provide special care.(3) The Office of State Long-Term Care Ombudsman, annually, or more often if requested.(b) Information that must be disclosed in writing shall include, but is not limited to, all of the following:(1) A statement of the overall philosophy and mission of the licensed facility and how it reflects the special needs of residents with Alzheimer's disease or other dementias, a mental health disability, or other special needs disease or condition.(2) The process and criteria for placement, transfer, or discharge to or from the special care unit.(3) The process used for assessment and establishment of the plan of care and its implementation, including how the plan of care is responsive to changes in the resident's condition.(4) Staffing ratios and how they meet the resident's need for increased care and supervision.(5) Staff training that is dementia-specific.(6) Physical environment and design features that specifically address the needs of residents with Alzheimer's disease or other dementias.(7) Frequency and type of programs and activities for residents of the special care unit.(8) Involvement of families in resident care, and availability of family support programs.(9) Additional costs and fees to the resident for special care.(c) As part of its license renewal procedures and inspections, the Department shall examine for accuracy the written disclosure of each adult care home subject to this section. Substantial changes to written disclosures shall be reported to the Department at the time the change is made.(d) Nothing in this section shall be construed as prohibiting an adult care home that does not offer a special care unit from admitting a person with Alzheimer's disease or other dementias, a mental health disability, or other special needs disease or condition. The disclosures required under this section apply only to an adult care home that advertises, markets, or otherwise promotes itself as providing a special care unit for persons with Alzheimer's disease or other dementias.(e) As used in this section, the term "special care unit" has the same meaning as applies under G.S. 131D-4.6. (1999-334, s. 2.1; 1999-456, s. 61(a).)