reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0302 - DESIGN AND CONSTRUCTION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Any building
				  licensed for the first time as a family care home shall meet the applicable
				  requirements of the North Carolina State Building Code. All new construction,
				  additions and renovations to existing buildings shall meet the requirements of
				  the North Carolina State Building Code for One and Two Family Dwellings and
				  Residential Care Facilities if applicable. All applicable volumes of The North
				  Carolina State Building Code, which is incorporated by reference, including all
				  subsequent amendments, may be purchased from the Department of Insurance
				  Engineering Division located at 322 Chapanoke Road, Suite 200, Raleigh, North
				  Carolina 27603 at a cost of three hundred eighty dollars ($380.00).
(b) Each home shall be planned, constructed,
				  equipped and maintained to provide the services offered in the home.
(c) Any existing building converted from
				  another use to a family care home shall meet all the requirements of a new
				  facility.
(d) Any existing licensed
				  home when the license is terminated for more than 60 days shall meet all
				  requirements of a new home prior to being relicensed.
(e) Any existing licensed home that plans to
				  have new construction, remodeling or physical changes done to the facility
				  shall have drawings submitted by the owner or his appointed representative to
				  the Division of Health Service Regulation for review and approval prior to
				  commencement of the work.
(f) If
				  the building is two stories in height, it shall meet the following
				  requirements:
(1) Each floor shall be less
				  than 2500 square feet in area if existing construction or, if new construction,
				  shall not exceed the allowable area for R-4 occupancy in the North Carolina
				  State Building Code;
(2) Aged or
				  disabled persons are not to be housed on any floor above or below grade
				  level;
(3) Required resident
				  facilities are not to be located on any floor above or below grade level;
				  and
(4) A complete fire alarm
				  system with pull stations on each floor and sounding devices which are audible
				  throughout the building shall be provided. The fire alarm system shall be able
				  to transmit an automatic signal to the local emergency fire department dispatch
				  center, either directly or through a central station monitoring company
				  connection.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0303 - LOCATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A family care
				  home shall be in a location approved by local zoning boards.
(b) The home shall be located so that hazards
				  to the occupants are minimized.
(c)
				  The site of the home shall:
(1) be accessible
				  by streets, roads and highways and be maintained for motor vehicles and
				  emergency vehicle access;
(2) be
				  accessible to fire fighting and other emergency services;
(3) have a water supply, sewage disposal
				  system, garbage disposal system and trash disposal system approved by the local
				  health department having jurisdiction;
(4) meet all local ordinances; and
(5) be free from exposure to pollutants known
				  to the applicant or licensee.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0304 - LIVING ARRANGEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
A family care home shall provide living arrangements to
					 meet the individual needs of the residents, the live-in staff and other live-in
					 persons.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984;
Recodified from
					 10A NCAC
					 13G.0303 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0305 - LIVING ROOM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Family care
				  homes licensed on or after April 1, 1984 shall have a living room area of at
				  least 200 square feet.
(b) All
				  living rooms shall have operable windows to meet the North Carolina State
				  Building Code and be lighted to provide 30 foot candles of light at floor
				  level.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; July 1, 1990; April 1, 1984;
Recodified
					 from 10A
					 NCAC 13G.0304 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0306 - DINING ROOM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Family care
				  homes licensed on or after April 1, 1984 shall have a dining room or area of at
				  least 120 square feet. The dining room may be used for other activities during
				  the day.
(b) When the dining area
				  is used in combination with a kitchen, an area five feet wide shall be allowed
				  as work space in front of the kitchen work areas. The work space shall not be
				  used as the dining area.
(c) The
				  dining room shall have operable windows and be lighted to provide 30 foot
				  candles of light at floor level.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; July 1, 1990; April 1, 1984;
Recodified
					 from 10A
					 NCAC 13G.0305 Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0307 - KITCHEN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The kitchen in
				  a family care home shall be large enough to provide for the preparation and
				  preservation of food and the washing of dishes.
(b) The cooking unit shall be mechanically
				  ventilated to the outside or be an unvented, recirculating fan provided with
				  any special filter per manufacturers' instructions for ventless use.
(c) The kitchen floor shall have a
				  non-slippery water-resistant covering.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Amended Eff. April 22, 1977;
Readopted
					 Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1,
					 1984;
Recodified from
					 10A NCAC
					 13G.0306 Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0308 - BEDROOMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) There shall be
				  bedrooms sufficient in number and size to meet the individual needs according
				  to age and sex of the residents, the administrator or supervisor-in-charge,
				  other live-in staff and any other persons living in a family care home.
				  Residents are not to share bedrooms with staff or other live-in
				  non-residents.
(b) Only rooms
				  authorized by the Division of Health Service Regulation as bedrooms shall be
				  used for bedrooms.
(c) A room where
				  access is through a bathroom, kitchen or another bedroom shall not be approved
				  for a resident's bedroom.
(d) There
				  shall be a minimum area of 100 square feet, excluding vestibule, closet or
				  wardrobe space, in rooms occupied by one person and a minimum area of 80 square
				  feet per bed, excluding vestibule, closet or wardrobe space, in rooms occupied
				  by two persons.
(e) The total
				  number of residents assigned to a bedroom shall not exceed the number
				  authorized by the Division of Health Service Regulation for that particular
				  bedroom.
(f) A bedroom shall not be
				  occupied by more than two residents.
(g) Each resident bedroom must have one or
				  more operable windows and be lighted to provide 30 foot candles of light at
				  floor level. The window area shall be equivalent to at least eight percent of
				  the floor space. The windows shall have a maximum of 44 inch sill
				  height.
(h) Bedroom closets or
				  wardrobes shall be large enough to provide each resident with a minimum of 48
				  cubic feet of clothing storage space (approximately two feet deep by three feet
				  wide by eight feet high) of which at least one-half shall be for hanging
				  clothes with an adjustable height hanging bar.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; July 1, 1990; April 1, 1984;
Recodified
					 from 10A
					 NCAC 13G.0307 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0309 - BATHROOM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult care
				  homes licensed on or after April 1, 1984, shall have one full bathroom for each
				  five or fewer persons including live-in staff and family.
(b) The bathrooms shall be designed to
				  provide privacy. A bathroom with two or more water closets (commodes) shall
				  have privacy partitions or curtains for each water closet. Each tub or shower
				  shall have privacy partitions or curtains.
(c) Entrance to the bathroom shall not be
				  through a kitchen, another person's bedroom, or another bathroom.
(d) The required residents' bathrooms shall
				  be located so that there is no more than 40 feet from any residents' bedroom
				  door to a resident use bathroom door.
(e) Hand grips shall be installed at all
				  commodes, tubs and showers used by the residents.
(f) Nonskid surfacing or strips must be
				  installed in showers and bath areas.
(g) The bathrooms shall be lighted to provide
				  30 foot candles of light at floor level and have mechanical ventilation at the
				  rate of two cubic feet per minute for each square foot of floor area. These
				  vents shall be vented directly to the outdoors.
(h) The bathroom floor shall have a
				  non-slippery water-resistant covering.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; July 1, 1990; April 1, 1984;
Recodified
					 from 10A
					 NCAC 13G.0308 Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0310 - STORAGE AREAS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Storage areas
				  shall be adequate in size and number for separate storage of clean linens,
				  soiled linens, food and food service supplies, and household supplies and
				  equipment.
(b) There shall be
				  separate locked areas for storing cleaning agents, bleaches, pesticides, and
				  other substances which may be hazardous if ingested, inhaled or handled.
				  Cleaning supplies shall be supervised while in use.
Authority
					 G.S.
					 131D-4.5;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 1990; April 1, 1987; April 1, 1984;
Temporary
					 Amendment Eff. December 1, 1999;
Amended Eff. July 1,
					 2000;
Recodified from
					 10A NCAC
					 13G.0309 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0311 - CORRIDOR

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Corridors shall
				  be a minimum clear width of three feet in family care homes.
(b) Corridors shall be lighted with night
				  lights providing 1 foot-candle power at the floor.
(c) Corridors shall be free of all equipment
				  and other obstructions.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984;
Recodified from
					 10A NCAC
					 13G.0310 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0312 - OUTSIDE ENTRANCE AND EXITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In family
				  care homes, all floor levels shall have at least two exits. If there are only
				  two, the exit or exit access doors shall be so located and constructed to
				  minimize the possibility that both may be blocked by any one fire or other
				  emergency condition.
(b) At least
				  one entrance/exit door shall be a minimum width of three feet and another shall
				  be a minimum width of two feet and eight inches.
(c) At least one principal outside
				  entrance/exit for the residents' use shall be at grade level or accessible by
				  ramp with a one inch rise for each 12 inches of length of the ramp. For the
				  purposes of this Rule, a principal outside entrance/exit is one that is most
				  often used by residents for vehicular access. If the home has any resident that
				  must have physical assistance with evacuation, the home shall have two outside
				  entrances/exits at grade level or accessible by a ramp.
(d) All exit door locks shall be easily
				  operable, by a single hand motion, from the inside at all times without keys.
				  Existing deadbolts or turn buttons on the inside of exit doors shall be removed
				  or disabled.
(e) All
				  entrances/exits shall be free of all obstructions or impediments to allow for
				  full instant use in case of fire or other emergency.
(f) All steps, porches, stoops and ramps
				  shall be provided with handrails and guardrails.
(g) In homes with at least one resident who
				  is determined by a physician or is otherwise known to be disoriented or a
				  wanderer, each exit door for resident use shall be equipped with a sounding
				  device that is activated when the door is opened. The sound shall be of
				  sufficient volume that it can be heard by staff. If a central system of remote
				  sounding devices is provided, the control panel for the system shall be located
				  in the bedroom of the person on call, the office area or in a location
				  accessible only to staff authorized by the administrator to operate the control
				  panel.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1987; July 1, 1984; April 1,
					 1984;
Recodified from
					 10A NCAC
					 13G.0311 Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0313 - LAUNDRY ROOM

Current through Register Vol. 39, No. 2, July 15, 2024
The laundry equipment in a family care home shall be
					 located out of the living, dining, and bedroom areas.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984;
Recodified from
					 10A NCAC
					 13G.0312 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0314 - FLOORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All floors in a family care home shall be
				  of smooth, non-skid material and so constructed as to be easily
				  cleanable.
(b) Scatter or throw
				  rugs shall not be used.
(c) All
				  floors shall be kept in good repair.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984;
Recodified from
					 10A NCAC
					 13G.0313 Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0315 - HOUSEKEEPING AND FURNISHINGS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each
				  family care home 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;
(5) be maintained in an uncluttered, clean
				  and orderly manner, free of all obstructions and hazards;
(6) have 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 G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0316 - FIRE SAFETY AND DISASTER PLAN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Fire
				  extinguishers shall be provided which meet these minimum requirements in a
				  family care home:
(1) one five pound or
				  larger (net charge) "A-B-C" type centrally located;
(2) one five pound or larger "A-B-C" or CO/2
				  type located in the kitchen; and
(3) any other location as determined by the
				  code enforcement official.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0317 - BUILDING SERVICE EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  building and all fire safety, electrical, mechanical, and plumbing equipment in
				  a family care home shall be maintained in a safe and operating
				  condition.
(b) There shall be a
				  central heating system sufficient to maintain 75 degrees F (24 degrees C) under
				  winter design conditions. Built-in electric heaters, if used, shall be
				  installed or protected so as to avoid hazards to residents and room
				  furnishings. Unvented fuel burning room heaters and portable electric heaters
				  are prohibited.
(c) Air
				  conditioning or at least one fan per resident bedroom and living and dining
				  areas shall be provided when the temperature in the main center corridor
				  exceeds 80 degrees F (26.7 degrees C).
(d) The hot water tank shall be of such size
				  to provide an adequate supply of hot water to the kitchen, bathrooms, and
				  laundry. The hot water temperature at all fixtures used by residents shall be
				  maintained at a minimum of 100 degrees F (38 degrees C) and shall not exceed
				  116 degrees F (46.7 degrees C).
(e)
				  All resident areas shall be well lighted for the safety and comfort of the
				  residents. The minimum lighting required is:
(1) 30 foot-candle power for
				  reading;
(2) 10 foot-candle power
				  for general lighting; and
(3) 1
				  foot-candle power at the floor for corridors at night.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0300 - THE BUILDING › Section 13G .0318 - OUTSIDE PREMISES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The outside
				  grounds of new and existing family care homes shall be maintained in a clean
				  and safe condition.
(b) If the home
				  has a fence around the premises, the fence shall not prevent residents from
				  exiting or entering freely or be hazardous.
(c) Outdoor stairways and ramps shall be
				  illuminated by no less than five foot candles of light at grade
				  level.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff. April
					 1, 1984;
Amended Eff. July 1, 2005; July 1, 1990;
Recodified from
					 10A NCAC
					 13G.0317 Eff. July 1,
					 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .0401 - REPEALED - QUALIFICATIONS OF ADMINISTRATOR

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-2;
					 143B-153;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 1990; September 1, 1987; April 1, 1987; April 1,
					 1984;
ARRC Objection Lodged January 18, 1991;
Amended
					 Eff. August 1, 1991;
Repealed Eff. April 1,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .0402 - QUALIFICATIONS OF SUPERVISOR IN CHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
The supervisor-in-charge, whois responsible to the
					 administrator for carrying out the program in a family care home in the absence
					 of the administrator, shall meet the following requirements:
(1) be 21 years or older, if employed on or
				  after the effective date of this Rule;
(2) the supervisor-in-charge, employed on or
				  after August 1, 1991, shall be a high school graduate or certified under the
				  GED Program or passed the alternative examination established by the Department
				  of Health and Human Services prior to the effective date of this Rule;
				  and
(3) earn12 hours a year of
				  continuing education credits related to the management of adult carehomes and
				  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;
ARRC
					 Objection June 16, 1988;
Amended Eff. July 1, 1990; December 1,
					 1988; April 1, 1987; January 1, 1985;
ARRC Objection Lodged January
					 18, 1991;
Amended Eff. August 1, 1991;
Readopted Eff.
					 July 1, 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .0403 - QUALIFICATIONS OF MEDICATION STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Family 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 G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .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 have 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 G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .0405 - TEST FOR TUBERCULOSIS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon employment
				  or moving into a family care home, the administrator, all other staff, and any
				  persons living in the family care home shall 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 family care home that the administrator, all other staff, and any persons
				  living in the family care home are free of tuberculosis disease.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Eff.
					 January 1, 1977;
Amended Eff. October 1, 1977; April 22,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 December 1, 1993; April 1, 1984;
Temporary Amendment Eff. September
					 1, 2003;
Amended Eff. June 1, 2004;
Readopted Eff. July
					 1, 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .0406 - OTHER STAFF QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Each staff person of a family 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 family 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
				  G.S.
				  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 G - LICENSING OF FAMILY CARE HOMES › Section .0400 - STAFF QUALIFICATIONS › Section 13G .0407 - EXPIRED - FISCAL QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Eff. July
					 1, 1990;
Expired Eff. March 1, 2019 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .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 G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0502 - REPEALED - PERSONAL CARE TRAINING AND COMPETENCY PROGRAM APPROVAL

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;
Repealed Eff. October 1,
					 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0503 - MEDICATION ADMINISTRATION COMPETENCY EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  competency evaluation for medication administration 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 G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .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), (11), (16), (18), (19), and (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 (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 G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0505 - TRAINING ON CARE OF DIABETIC RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
A family 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; appropriate administration times; and
(g) sliding scale insulin
				  administration.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0506 - TRAINING ON PHYSICAL RESTRAINTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  family 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 G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0507 - TRAINING ON CARDIO-PULMONARY RESUSCITATION

Current through Register Vol. 39, No. 2, July 15, 2024
Each family care home shall have 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 and 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
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. September 1, 2003;
Eff. July 1, 2004;
Readopted Eff. October 1, 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .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-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. September 1, 2003;
Eff. June 1, 2004;
Amended Eff. April 1, 2022;
Readopted Eff. October 1,
					 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0509 - FOOD SERVICE ORIENTATION

Current through Register Vol. 39, No. 2, July 15, 2024
Family care home 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.
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;
Readopted Eff. January 1,
					 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .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 G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .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 G - LICENSING OF FAMILY CARE HOMES › Section .0500 - STAFF ORIENTATION, TRAINING, COMPETENCY AND CONTINUING EDUCATION › Section 13G .0512 - DOCUMENTATION OF TRAINING AND COMPETENCY VALIDATION

Current through Register Vol. 39, No. 2, July 15, 2024
A family 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
					 G.S.
					 131D-2.16;
					 143B-165;
Temporary
					 Amendment Eff. September 1, 2003;
Eff. June 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0600 - STAFFING OF THE HOME › Section 13G .0601 - MANAGEMENT AND OTHER STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A family
				  care home administrator shall be responsible for the total operation of a
				  family 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 supervisor-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 cited in Paragraph (c) of this Rule regarding
				  the occasional absence of the administrator or supervisor-in-charge, one of the
				  following arrangements shall be used:
(1) The
				  administrator shall be in the home or reside within 500 feet of the home with a
				  means of two-way telecommunication with the home at all times. When the
				  administrator does not live in the licensed home, there shall be at least one
				  staff member who lives in the home or one on each shift and the administrator
				  shall be directly responsible for assuring that all required duties are carried
				  out in the home;
(2) The
				  administrator shall employ a supervisor-in-charge to live in the home or reside
				  within 500 feet of the home with a means of two-way telecommunication with the
				  home at all times. When the supervisor-in-charge does not live in the licensed
				  home, there shall be at least one staff member who lives in the home or one on
				  each shift and the supervisor-in-charge shall be directly responsible for
				  assuring that all required duties are carried out in the home; or
(3) When there is a cluster of licensed homes
				  located adjacently on the same site, there shall be at least one staff member
				  in each home, either live-in or on a shift basis, and at least one
				  administrator or supervisor-in-charge who lives within 500 feet of each home
				  with a means of two-way telecommunication with each home at all times and who
				  is 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 G - LICENSING OF FAMILY CARE HOMES › Section .0600 - STAFFING OF THE HOME › Section 13G .0602 - EXPIRED - THE CO ADMINISTRATOR

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. April 1, 1984;
Expired Eff. March 1, 2019 pursuant to
					 G.S.
					 150B-21.3A.