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 .0604 - PERSONAL CARE AND OTHER STAFFING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult care
				  homes shall staff to the licensed capacity of the home or to the resident
				  census. When a home is staffing to resident census, a daily census log shall be
				  maintained which lists current residents by name, room assignment and date of
				  admission and must be available for review by the Division of Health Service
				  Regulation and the county departments of social services.
(b) Homes with capacity or census of 12 or
				  fewer residents shall comply with the following.
(1) At all times there shall be an
				  administrator or administrator-in-charge in the home or within 500 feet of the
				  home with a means of two-way telecommunication.
(2) When the administrator or
				  administrator-in-charge is not on duty within the home, there shall be at least
				  one staff member on duty on the first and second shifts and at least one staff
				  member on call within the building on third shift. There shall be a call system
				  connecting the bedroom of the staff member, who may be asleep on the third
				  shift, with each resident's bedroom.
(3) When the administrator or
				  administrator-in-charge is on duty within the home on the first and second
				  shifts and on call within the home on the third shift, another staff member
				  (i.e., co-administrator, administrator-in-charge or aide) shall be in the
				  building or within 500 feet of the home with a means of two-way
				  telecommunication at all times.
(4)
				  The administrator shall prepare a plan of operation for the home (each home in
				  a cluster) specifying the staff involved, their regularly assigned duties and
				  the amount of time estimated to be spent for each duty. There shall be a
				  current plan of operation on file in the home, available for review by the
				  Division of Health Service Regulation and the county department of social
				  services.
(5) At least 12 hours
				  shall be spent daily providing for the personal services, health services, drug
				  management, planned activities, and other direct services needed by the
				  residents. These duties are the primary responsibility of the staff member(s)
				  on duty on the first and second shifts; however, other help, such as
				  administrator-in-charge and activities coordinator may be used to assist in
				  providing these services.
(6)
				  Between the hours of 9 p.m. and 7 a.m. the staff member on duty and the person
				  on call may perform housekeeping and food service duties as long as a staff
				  member can respond immediately to resident calls or the residents are otherwise
				  supervised. The duties shall not hinder care of residents or immediate response
				  to resident calls, disrupt residents' normal lifestyles and sleeping patterns,
				  nor take a staff member out of view of where the residents are.
(7) There shall be staff available daily to
				  assure housekeeping and food service.