reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0304 - PLANS AND SPECIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  When construction or remodeling of an adult care home is planned, two copies of
				  Construction Documents and specifications shall be submitted by the applicant
				  or appointed representative to the Division for review and approval. As a
				  preliminary step to avoid last minute difficulty with final plan approval,
				  Schematic Design Drawings and Design Development Drawings may be submitted for
				  approval prior to the required submission of Construction Documents.
(b) Approval of Construction Documents and
				  specifications shall be obtained from the Division prior to licensure. Approval
				  of Construction Documents shall expire after one year unless a building permit
				  for the construction has been obtained.
(c) If an approval expires, renewed approval
				  shall be issued by the Division, provided revised Construction Documents
				  meeting all current regulations, codes and standards are submitted by the
				  applicant or appointed representative and reviewed by the Division.
(d) Any changes made during construction
				  shall require the approval of the Division to assure that licensing
				  requirements are maintained.
(e)
				  Completed construction or remodeling shall conform to the requirements of this
				  Section including the operation of all building systems and shall be approved
				  in writing by the Division prior to licensure or occupancy. Within 90 days
				  following licensure, the owner or licensee shall submit documentation to the
				  Division that "as built" drawings have been received from the
				  builder.
(f) The applicant or
				  designated agent shall notify the Division when actual construction or
				  remodeling starts and at points when construction is 50 percent, 75 percent and
				  90 percent complete and upon final completion.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Temporary
					 Adoption Eff. July 1, 2004;
Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0305 - PHYSICAL ENVIRONMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult care
				  home shall provide living arrangements to meet the individual needs of the
				  residents, the live-in staff and other live-in persons.
(b) The requirements for each living room and
				  recreational area are:
(1) Each living room
				  and recreational area shall be located off a lobby or corridor. At least 50
				  percent of required living and recreational areas shall be enclosed with walls
				  and doors;
(2) In buildings with a
				  licensed capacity of 15 or less, there shall be a minimum area of 250 square
				  feet;
(3) In buildings with a
				  licensed capacity of 16 or more, there shall be a minimum of 16 square feet per
				  resident; and
(4) Each living room
				  and recreational area shall have windows.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0306 - HOUSEKEEPING AND FURNISHINGS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult
				  care homes shall:
(1) have walls, ceilings,
				  and floors or floor coverings kept clean and in good repair;
(2) have no chronic unpleasant
				  odors;
(3) have furniture clean and
				  in good repair;
(4) have a North
				  Carolina Division of Environmental Health approved sanitation classification at
				  all times in facilities with 12 beds or less and North Carolina Division of
				  Environmental Health sanitation scores of 85 or above at all times in
				  facilities with 13 beds or more;
(5) be maintained in an uncluttered, clean
				  and orderly manner, free of all obstructions and hazards;
(6) have a supply of bath soap, clean towels,
				  washcloths, sheets, pillow cases, blankets, and additional coverings adequate
				  for resident use on hand at all times;
(7) make available the following items as
				  needed through any means other than charge to the personal funds of recipients
				  of State-County Special Assistance:
(A)
				  protective sheets and clean, absorbent, soft and smooth pads;
(B) bedpans, urinals, hot water bottles, and
				  ice caps; and
(C) bedside commodes,
				  walkers, and wheelchairs;
(8) have television and radio, each in good
				  working order;
(9) have curtains,
				  draperies or blinds at windows in resident use areas to provide for resident
				  privacy;
(10) have recreational
				  equipment, supplies for games, books, magazines and a current newspaper
				  available for residents;
(11) have
				  a clock that has numbers at least 11/2 inches tall in an area commonly used by
				  the residents; and
(12) have at
				  least one telephone that does not depend on electricity or cellular service to
				  operate.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0307 - FIRE ALARM SYSTEM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The fire alarm
				  system in adult care homes shall be able to transmit the fire alarm signal
				  automatically to the local emergency fire department dispatch center, either
				  directly or through a central station monitoring company connection.
(b) Any applicable fire safety requirements
				  required by city ordinances or county building inspectors shall be
				  provided.
(c) In a facility
				  licensed before April 1, 1984 and constructed prior to January 1, 1975, the
				  building, in addition to meeting the requirements of the North Carolina State
				  Building Code in effect at the time the building was constructed, shall be
				  provided with the following:
(1) A fire alarm
				  system with pull stations within five feet of each exit and sounding devices
				  which are audible throughout the building;
(2) Products of combustion (smoke) U/L listed
				  detectors in all corridors. The detectors shall be no more than 60 feet from
				  each other and no more than 30 feet from any end wall;
(3) Heat detectors or products of combustion
				  detectors in all storage rooms, kitchens, living rooms, dining rooms and
				  laundries;
(4) All detection
				  systems interconnected with the fire alarm system; and
(5) Emergency power for the fire alarm
				  system, heat detection system, and products of combustion detection with
				  automatic start generator or trickle charge battery system capable of operating
				  the fire alarm systems for 24 hours and able to sound the alarm for five
				  minutes at the end of that time. Emergency egress lights and exit signs shall
				  be powered from an automatic start generator or a U/L approved trickle charge
				  battery system capable of operation for 1-1/2 hours when normal power
				  fails.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0308 - FIRE EXTINGUISHERS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) At least one
				  five pound or larger (net charge) A-B-C type fire extinguisher is required for
				  each 2,500 square feet of floor area or fraction thereof.
(b) One five pound or larger (net charge)
				  A-B-C or CO/2 type is required in the kitchen and, where applicable, in the
				  maintenance shop.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 1990; April 1, 1987; April 1, 1984;
Recodified
					 from Rule.0306 Eff. July 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0309 - PLAN FOR EVACUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A written fire
				  evacuation plan (including a diagrammed drawing) which has the written approval
				  of the local Code Enforcement Official shall be prepared in large print and
				  posted in a central location on each floor of an adult care home. The plan
				  shall be reviewed with each resident on admission and shall be a part of the
				  orientation for all new staff.
(b)
				  There shall be rehearsals of the fire plan quarterly on each shift in
				  accordance with the requirement of the local Fire Prevention Code Enforcement
				  Official.
(c) Records of rehearsals
				  shall be maintained and copies furnished to the county department of social
				  services annually. The records shall include the date and time of the
				  rehearsals, the shift, staff members present, and a short description of what
				  the rehearsal involved.
(d) A
				  written disaster plan, which has the written approval of or has been documented
				  as submitted to the local emergency management agency and the local agency
				  designated to coordinate special needs sheltering during disasters, shall be
				  prepared and updated at least annually and shall be maintained in the
				  facility.
(e) A facility that
				  elects to be designated as a special care shelter during an impending disaster
				  or emergency event shall follow the guidelines established by the latest
				  Division of Social Services' State of North Carolina Disaster Plan which is
				  available at no cost from the N.C. Division of Social Services, 2401 Mail
				  Service Center, Raleigh, NC 27699-2401. The facility shall contact the Division
				  of Health Service Regulation to determine which licensure rules may be waived
				  according to
				  G.S.
				  131D-7 to allow for emergency care shelter
				  placements prior to sheltering during the emergency event.
(f) This Rule shall apply to new and existing
				  facilities.
Authority G.S.
					 131D.2.16; 143B-165;
Eff. January 1, 1977;
Readopted
					 Eff. October 31, 1977;
Amended Eff. April 1, 1987; April 1,
					 1984;
Recodified from Rule.0307 Eff. July 1, 2004;
Temporary Amendment Eff. July 1, 2004;
Amended Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0310 - ELECTRICAL OUTLETS

Current through Register Vol. 39, No. 2, July 15, 2024
All adult care home electrical outlets in wet locations at
					 sinks, bathrooms and outside of building shall have ground fault
					 interrupters.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. April 1, 1984;
Recodified from Rule.0308 Eff. July 1,
					 2004;
Temporary Amendment July 1, 2004;
Amended Eff.
					 July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0311 - OTHER REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The building
				  and all fire safety, electrical, mechanical, and plumbing equipment in an adult
				  care home shall be maintained in a safe and operating condition.
(b) There shall be a heating system
				  sufficient to maintain 75 degrees F (24 degrees C) under winter design
				  conditions. In addition, the following shall apply to heaters and cooking
				  appliances.
(1) Built-in electric heaters, if
				  used, shall be installed or protected so as to avoid burn hazards to residents
				  and room furnishings.
(2) Unvented
				  fuel burning room heaters and portable electric heaters are
				  prohibited.
(3) Fireplaces,
				  fireplace inserts and wood stoves shall be designed or installed so as to avoid
				  a burn hazard to residents. Fireplace inserts and wood stoves shall be U.L.
				  listed.
(4) Ovens, ranges and cook
				  tops located in resident activity or recreational areas shall not be used
				  except under facility staff supervision. The degree of staff supervision shall
				  be based on the facility's assessment of the capabilities of each resident. The
				  operation of the equipment shall have a locking feature provided, that shall be
				  controlled by staff.
(5) Ovens,
				  ranges and cook tops located in resident rooms shall have a locking feature
				  provided, controlled by staff, to limit the use of the equipment by residents
				  who have been assessed by the facility to be incapable of operating the
				  equipment in a safe manner.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0300 - PHYSICAL PLANT › Section 13F .0312 - REPEALED - BUILDING CODE AND SANITATION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-2;
					 143B-165; S.L.2002-0160;
					 2003-0284;
Eff. January 1, 1977;
Readopted Eff. October
					 31, 1977;
Recodified from Rule.0310 Eff. July 1, 2004;
Temporary Repeal Eff. July 1, 2004;
Repealed Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0401 - CERTIFICATION OF ADMINISTRATOR (TRANSFERRED TO 10A NCAC 13F.1701)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0402 - QUALIFICATIONS OF ADMINISTRATOR-IN-CHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
The administrator-in-charge, who is responsible to the
					 administrator for carrying out the program in an adult care home in the absence
					 of the administrator, shall meet the following requirements:
(1) be 21 years or older;
(2) be a high school graduate or certified
				  under the G.E.D. program or have passed an alternative examination established
				  by the Department;
(3) have six
				  months training or experience related to management or supervision in long term
				  care or health care settings or be a licensed health professional, licensed
				  nursing home administrator or certified assisted living administrator;
				  and
(4) earn 12 hours a year of
				  continuing education credits related to the management of adult care homes or
				  care of aged and disabled persons.
Authority G.S.
					 131D.2.16; 131D-4.5; 143B-165;
Eff. January 1, 1977;
Readopted Eff. October 31, 1977;
Temporary Amendment Eff. December
					 1, 1999;
Amended Eff. July 1, 2000;
Temporary Amendment
					 Eff. July 1, 2003;
Amended Eff. June 1,
					 2004.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0403 - QUALIFICATIONS OF MEDICATION STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult care
				  home staff who administer medications, hereafter referred to as medication
				  aides, and their direct supervisors shall complete training, clinical skills
				  validation, and pass the written examination as set forth in
				  G.S.
				  131D-4.5B. Persons authorized by state
				  occupational licensure laws to administer medications are exempt from this
				  requirement.
(b) Medication aides
				  and their direct supervisors, except persons authorized by state occupational
				  licensure laws to administer medications, shall complete six hours of
				  continuing education annually related to medication administration.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 131D-4.5B;
					 143B-165;
Temporary
					 Adoption Eff. January 1, 2000; December 1, 1999;
Eff. July 1,
					 2000;
Temporary Amendment Eff. July 1, 2004;
Amended
					 Eff. July 1, 2005;
Readopted Eff. July 1,
					 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0404 - QUALIFICATIONS OF ACTIVITY DIRECTOR

Current through Register Vol. 39, No. 2, July 15, 2024
Adult care homes shall have an activity director who meets
					 the following qualifications:
(1) The
				  activity director hired after September 30, 2022 shall meet a minimum
				  educational requirement by being a high school graduate or certified under the
				  GED Program.
(2) The activity
				  director hired after September 30, 2022 shall complete, within nine months of
				  employment or assignment to this position, the basic activity course for
				  assisted living activity directors offered by community colleges or a
				  comparable activity course as determined by the Department based on
				  instructional hours and content. An activity director shall be exempt from the
				  required basic activity course if one or more of the following applies:
(a) be a licensed recreational therapist or
				  be eligible for certification as a therapeutic recreation specialist as defined
				  by the North Carolina Recreational Therapy Licensure Act in accordance with
				  G.S. 90C;
(b) have two years of
				  experience working in programming for an adult recreation or activities program
				  within the last five years, one year of which was full-time in an activities
				  program for patients or residents in a health care or long term care
				  setting;
(c) be a licensed
				  occupational therapist or licensed occupational therapy assistant in accordance
				  with G.S. 90, Article 18D; or
(d)
				  be certified as an Activity Director by the National Certification Council for
				  Activity Professionals.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0405 - QUALIFICATIONS OF FOOD SERVICE SUPERVISOR

Current through Register Vol. 39, No. 2, July 15, 2024
Each facility shall have a food service supervisor that is
					 experienced in food service in commercial, healthcare, or congregate care
					 settings who shall consult with a licensed dietitian/nutritionist as necessary
					 to meet the dietary needs of the residents in accordance with Rule.0904 of this
					 Subchapter.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. April 1, 1987; April 1, 1984;
Readopted Eff. February
					 1, 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0406 - TEST FOR TUBERCULOSIS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon employment
				  or moving into an adult care home, theadministrator,all otherstaff,and any
				  persons living in the adult care homeshall be tested for tuberculosis disease
				  in compliance with control measures adopted by the Commission for Public Health
				  as specified in
				  10A NCAC
				  41A.0205, which is hereby incorporated by
				  reference, including subsequent amendments.
(b) There shall be documentation on file in
				  the adult care home that the administrator, all other staff, and any persons
				  living in the adult care home are free of tuberculosis disease.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Temporary Amendment Eff. September 1, 2003; July 1, 2003;
Amended
					 Eff. June 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6, 2018;
Amended Eff. July
					 1, 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0400 - STAFF QUALIFICATIONS › Section 13F .0407 - OTHER STAFF QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Each staff person at an adult care home shall:
(1) have a job description that reflects the
				  position's duties and responsibilities and is signed by the administrator and
				  the employee;
(2) be able to
				  implement all of the adult care home's accident, fire safety, and emergency
				  procedures for the protection of the residents;
(3) be informed of the confidential nature of
				  resident information and shall protect and preserve the information from
				  unauthorized use and disclosure, in accordance with
				  G.S.
				  131D-21(6) and
				  131D-21.1;
(4) not hinder or interfere with the exercise
				  of the rights guaranteed under the Declaration of Residents' Rights in
				  G.S.
				  131D-21;
(5) have no findings listed on the North
				  Carolina Health Care Personnel Registry according to
				  G.S.
				  131E-256;
(6) have documented annual immunization
				  against influenza virus according to
				  G.S.
				  131D-9, and exceptions as provided in the law
				  shall be documented in the staff person's personnel record;
(7) have a criminal background check
				  completed in accordance with
				  G.S.
				  131D-40 and results available in the staff
				  person's personnel file;
(8) have
				  an examination and screening for the presence of controlled substances
				  completed in accordance with
				  G.S.
				  131D-45 and results available in the staff
				  person's personnel file;
(9)
				  maintain a current driver's license if responsible for transportation of
				  residents; and
(10) be willing to
				  cooperate with state and local inspectors when determining and maintaining
				  compliance with the rules of this Subchapter.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0501 - PERSONAL CARE TRAINING AND COMPETENCY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  facility shall assure that staff who provide or directly supervise staff who
				  provide personal care to residents complete an 80-hour personal care training
				  and competency evaluation program established by the Department. For the
				  purpose of this Rule, "directly supervise" means being on duty in the facility
				  to oversee or direct the performance of staff duties. A copy of the 80-hour
				  training and competency evaluation program is available online at
				  https://info.ncdhhs.gov/dhsr/acls/training/index.html#80hr, at no cost. The
				  80-hour personal care training and competency evaluation program curriculum
				  shall include:
(1) observation and
				  documentation skills;
(2) basic
				  nursing skills, including special health-related tasks;
(3) activities of daily living and personal
				  care skills;
(4) cognitive,
				  behavioral, and social care;
(5)
				  basic restorative services; and
(6)
				  residents' rights as established by
				  G.S.
				  131D-21.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0502 - REPEALED - PERSONAL CARE TRAINING CONTENT AND INSTRUCTORS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-2.16;
					 131D-4.3;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. January 1, 1996;
Eff. May 1, 1997;
Temporary Amendment Eff. December 1, 1999;
Amended Eff. July 1,
					 2000;
Temporary Amendment Eff. September 1, 2003;
Amended Eff. June 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6, 2018;
Repealed Eff.
					 October 1, 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0503 - MEDICATION ADMINISTRATION COMPETENCY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  competency evaluation for medication administration required in Rule.0403 of
				  this Subchapter shall consist of a written examination and a clinical skills
				  validation to determine competency in the following areas:
(1) medical abbreviations and
				  terminology;
(2) transcription of
				  medication orders;
(3) obtaining
				  and documenting vital signs;
(4)
				  procedures and tasks involved with the preparation and administration of oral
				  (including liquid, sublingual and inhaler), topical (including transdermal),
				  ophthalmic, otic, and nasal medications;
(5) infection control procedures;
(6) documentation of medication
				  administration;
(7) monitoring for
				  reactions to medications and procedures to follow when there appears to be a
				  change in the resident's condition or health status based on those
				  reactions;
(8) medication storage
				  and disposition;
(9) rules
				  pertaining to medication administration in adult care facilities; and
(10) the facility's medication administration
				  policy and procedures.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0504 - COMPETENCY EVALUATION AND VALIDATION FOR LICENSED HEALTH PROFESSIONAL SUPPORT TASKS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When a resident requires one or more of
				  the personal care tasks listed in Subparagraphs (a)(1) through (a)(28) of Rule
				  .0903 of this Subchapter, the task may be delegated to non-licensed staff or
				  licensed staff not practicing in their licensed capacity after a licensed
				  health professional has validated the staff person is competent to perform the
				  task.
(b) The licensed health
				  professional shall evaluate the staff person's knowledge, skills, and abilities
				  that relate to the performance of each personal care task. The licensed health
				  professional shall validate that the staff person has the knowledge, skills,
				  and abilities and can demonstrate the performance of the task(s) prior to the
				  task(s) being performed on a resident.
(c) Evaluation and validation of competency
				  shall be performed by the following licensed health professionals in accordance
				  with his or her North Carolina occupational licensing laws:
(1) A registered nurse shall validate the
				  competency of staff who perform any of the personal care tasks specified in
				  Subparagraphs (a)(1) through (a)(28) of Rule.0903 of this Subchapter;
(2) In lieu of a registered nurse, a licensed
				  respiratory care practitioner may validate the competency of staff who perform
				  personal care tasks specified in Subparagraphs (a)(6), (a)(11), (a)(16),
				  (a)(18), (a)(19), and (a)(21) of Rule.0903 of this Subchapter;
(3) In lieu of a registered nurse, a licensed
				  pharmacist may validate the competency of staff who perform the personal care
				  tasks specified in Subparagraph (a)(8) and (a)(11) of Rule.0903 of this
				  Subchapter. An immunizing pharmacist may validate the competency of staff who
				  perform the personal care task specified in Subparagraph (a)(15) of Rule.0903
				  of this Subchapter; and
(4) In lieu
				  of a registered nurse, an occupational therapist or physical therapist may
				  validate the competency of staff who perform personal care tasks specified in
				  Subparagraphs (a)(17) and (a)(22) through (a)(27) of Rule.0903 of this
				  Subchapter.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0505 - TRAINING ON CARE OF DIABETIC RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
An adult care home shall assure that training on the care
					 of residents with diabetes is provided to unlicensed staff prior to the
					 administration of insulin as follows:
(1) Training shall be provided by a
				  registered nurse, registered pharmacist or prescribing practitioner.
(2) Training shall include at least the
				  following:
(a) basic facts about diabetes and
				  care involved in the management of diabetes;
(b) insulin action;
(c) insulin storage;
(d) mixing, measuring and injection
				  techniques for insulin administration;
(e) treatment and prevention of hypoglycemia
				  and hyperglycemia, including signs and symptoms;
(f) blood glucose monitoring; universal
				  precautions;
(g) universal
				  precautions;
(h) appropriate
				  administration times; and
(i)
				  sliding scale insulin administration.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0506 - TRAINING ON PHYSICAL RESTRAINTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An
				  adult care home shall assure that all staff responsible for caring for
				  residents with medical symptoms that warrant restraints are trained on the use
				  of alternatives to physical restraint use and on the care of residents who are
				  physically restrained.
(b) Training
				  shall be provided by a registered nurse and shall include the following:
(1) alternatives to physical
				  restraints;
(2) types of physical
				  restraints;
(3) medical symptoms
				  that warrant physical restraint;
(4) negative outcomes from using physical
				  restraints;
(5) correct application
				  of physical restraints;
(6)
				  monitoring and caring for residents who are restrained; and
(7) the process of reducing restraint time by
				  using alternatives.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0507 - TRAINING ON CARDIO-PULMONARY RESUSCITATION

Current through Register Vol. 39, No. 2, July 15, 2024
Each adult care home shall have at least one staff person
					 on the premises at all times who has completed within the last 24 months a
					 course on cardio-pulmonary resuscitation and choking management, including the
					 Heimlich maneuver, provided by the American Heart Association, American Red
					 Cross, National Safety Council, American Safety and Health Institute or Medic
					 First Aid, or by a trainer with documented certification as a trainer on these
					 procedures from one of these organizations. The staff person trained according
					 to this Rule shall have access at all times in the facility to a one-way valve
					 pocket mask for use in performing cardio-pulmonary
					 resuscitation.
Authority 131D-2.16;
					 131D-4.5; 143B-165;
Temporary Adoption Eff. September 1,
					 2003;
Eff. June 1, 2004;
Amended Eff. July 1,
					 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0508 - ASSESSMENT TRAINING

Current through Register Vol. 39, No. 2, July 15, 2024
The person or persons designated by the administrator to
					 perform resident assessments as required by Rule.0801 of this Subchapter shall
					 read the Resident Assessment Self-Instructional Manual for Adult Care Homes
					 established by the Department and certify completion by signature on the last
					 page of the manual before performing the required resident assessments.
					 Registered nurses are exempt from this requirement. The Resident Assessment
					 Self-Instructional Manual for Adult Care Homes is herein incorporated by
					 reference including subsequent amendments and editions and is available on the
					 Adult Care Licensure website,
https://info.ncdhhs.gov/dhsr/acls/pdf/assessmentmanual.pdf
,
					 at no cost.
Authority
					 G.S.
					 131D-2.15;
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. September 1, 2003;
Eff. June 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6, 2018;
Amended Eff.
					 October 1, 2022; April 1, 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0509 - FOOD SERVICE ORIENTATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  food service supervisor and adult care home dietary staff who prepare and serve
				  food shall complete a food service orientation training that provides an
				  overview of food service in adult care homes, including the preparation of
				  therapeutic diets, established by the Department or an equivalent that contains
				  at least the same information as required in the training approved by the
				  Department within 30 days of hire. The food service orientation training is
				  available at
https://info.ncdhhs.gov/dhsr/acls/pdf/foodsrvman.pdf
,at no cost.
(b) Licensed
				  dietitian/nutritionists are exempt from this orientation.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. July 1, 2004;
Temporary Adoption Expired March 12,
					 2005;
Eff. June 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6, 2018;
Amended Eff.
					 January 1, 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0510 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0511 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13F .0512 - DOCUMENTATION OF TRAINING AND COMPETENCY VALIDATION

Current through Register Vol. 39, No. 2, July 15, 2024
An adult care home shall maintain documentation of the
					 training and competency validation of staff required by the rules of this
					 Section in the facility and available for review.
Authority 131D-2.16;
					 143B-165;
Temporary Adoption Eff. September 1, 2003;
Eff. June 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0600 - STAFFING › Section 13F .0601 - MANAGEMENT OF FACILITIES WITH A CAPACITY OR CENSUS OF SEVEN TO THIRTY RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult care
				  home administrator shall be responsible for the total operation of an adult
				  care home and shall also be responsible to the Division of Health Service
				  Regulation and the county department of social services for meeting and
				  maintaining the rules of this Subchapter. The co-administrator, when there is
				  one, shall share equal responsibility with the administrator for the operation
				  of the home and for meeting and maintaining the rules of this Subchapter. The
				  term administrator also refers to co-administrator where it is used in this
				  Subchapter.
(b) At all times there
				  shall be one administrator or administrator-in-charge who is directly
				  responsible for assuring that all required duties are carried out in the home
				  and for assuring that at no time is a resident left alone in the home without a
				  staff member. Except for the provisions in Paragraph (c) of this Rule, one of
				  the following arrangements shall be used to manage a facility with a capacity
				  or census of 7 to 30 residents:
(1) The
				  administrator is in the home or within 500 feet of the home with a means of
				  two-way telecommunication with the home at all times;
(2) An administrator-in-charge is in the home
				  or within 500 feet of the home with a means of two-way telecommunication with
				  the home at all times; or
(3) When
				  there is a cluster of licensed homes, each with a capacity of 7 to 12
				  residents, located adjacently on the same site, there shall be at least one
				  staff member, either live-in or on a shift basis in each of these homes. In
				  addition, there shall be at least one administrator or administrator-in-charge
				  who is within 500 feet of each home with a means of two-way telecommunication
				  with each home at all times and directly responsible for assuring that all
				  required duties are carried out in each home.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0600 - STAFFING › Section 13F .0602 - MANAGEMENT OF FACILITIES WITH A CAPACITY OR CENSUS OF 31 TO 80 RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In facilities with a capacity or census
				  of 31 to 80 residents, there shall be an administrator on call, which means
				  able to be contacted by telephone, pager or two-way intercom, at all times when
				  not in the building. (For staffing chart, see Rule.0606 of this
				  Subchapter.)
(b) When the
				  administrator is not on duty in the facility, there shall be a person
				  designated as administrator-in-charge on duty in the facility who has the
				  responsibility for the overall operation of the facility and meets the
				  qualifications for administrator-in-charge required in Rule.0602 of this
				  Section. The personal care aide supervisor, as required in Rule.0605 of this
				  Subchapter, may serve simultaneously as the administrator-in-charge.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.3;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. January 1, 2000;
Eff. July 1,
					 2000.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0600 - STAFFING › Section 13F .0603 - MANAGEMENT OF FACILITIES WITH A CAPACITY OR CENSUS OF 81 OR MORE RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult care home with a capacity or
				  census of 81 or more residents shall be under the direct control of an
				  administrator, who shall be responsible for the operation, administration,
				  management and supervision of the facility on a full-time basis to assure that
				  all care and services to residents are provided in accordance with all
				  applicable local, state and federal regulations and codes. The administrator
				  shall be on duty in the facility at least eight hours per day, five days per
				  week and shall not serve simultaneously as a personal care aide supervisor or
				  other staff to meet staffing requirements while on duty as an administrator or
				  be an administrator for another adult care home except as follows. If there is
				  more than one facility on a contiguous parcel of land or campus setting, and
				  the combined licensed capacity of the facilities is 200 beds or less, there may
				  be one administrator on duty for all the facilities on the campus. The
				  administrator shall not serve simultaneously as a personal care aide supervisor
				  in this campus setting. For staffing chart, see Rule.0606 of this
				  Subchapter.
(b) When the
				  administrator is not on duty in the facility, there shall be a person
				  designated as administrator-in-charge on duty in the facility who has
				  responsibility for the overall operation of the facility. The supervisor may
				  serve simultaneously as the administrator-in-charge. Each facility on a
				  contiguous parcel of land or campus setting, as described in Paragraph (a) of
				  this Rule, shall have a person designated as the administrator-in-charge in the
				  facility when the administrator is not on duty.
(c) The administrator shall be on call, which
				  means able to be contacted by telephone, pager or two-way intercom at all times
				  when not in the building.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.3;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. January 1, 2000; December 1, 1999;
Eff. July 1,
					 2000;
Amended Eff. July 1, 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0700 - ADMISSION AND DISCHARGE › Section 13F .0701 - ADMISSION OF RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Any adult (18
				  years of age or over) who, because of a temporary or chronic physical condition
				  or mental disability, needs a substitute home may be admitted to an adult care
				  home when, in the opinion of the resident, physician, family or social worker,
				  and the administrator the services and accommodations of the home will meet his
				  particular needs.
(b) People shall
				  not be admitted:
(1) for treatment of mental
				  illness, or alcohol or drug abuse;
(2) for maternity care;
(3) for professional nursing care under
				  continuous medical supervision;
(4)
				  for lodging, when the personal assistance and supervision offered for the aged
				  and disabled are not needed; or
(5)
				  who pose a direct threat to the health or safety of others.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0700 - ADMISSION AND DISCHARGE › Section 13F .0702 - DISCHARGE OF RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  discharge of a resident initiated by the facility shall be according to
				  conditions and procedures specified in Paragraphs (a) through (h) of this Rule.
				  The discharge of a resident initiated by the facility involves the termination
				  of residency by the facility resulting in the resident's move to another
				  location and the facility not holding the bed for the resident based on the
				  facility's bed hold policy.
(b) The
				  discharge of a resident initiated by the facility at the direction of the
				  administrator or their designee shall be based on one of the following reasons:
(1) the discharge is necessary to protect the
				  welfare of the resident and the facility cannot meet the needs of the resident,
				  as documented by the resident's physician, physician assistant, or nurse
				  practitioner in the resident's record;
(2) the health of the resident has improved
				  sufficiently so that the resident is no longer in need of the services provided
				  by the facility, as documented by the resident's physician, physician
				  assistant, or nurse practitioner in the resident's record;
(3) the safety of the resident or other
				  individuals in the facility is endangered as determined by the facility at the
				  direction of the administrator or their designee in consultation with the
				  resident's physician, physician assistant, or nurse practitioner;
(4) the health of the resident or other
				  individuals in the facility is endangered as documented by a physician,
				  physician assistant, or nurse practitioner in the resident's record;
				  or
(5) the resident has failed to
				  pay the costs of services and accommodations by the payment due date according
				  to the resident's contract after receiving written notice of warning of
				  discharge for failure to pay.