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 .0605 - STAFFING OF PERSONAL CARE AIDE SUPERVISORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) On
				  first and second shifts in facilities with a capacity or census of 31 or more
				  residents and on third shift in facilities with a capacity or census of 91 or
				  more residents, there shall be at least one supervisor of personal care aides,
				  hereafter referred to as supervisor, on duty in the facility for less than 64
				  hours of aide duty per shift; two supervisors for 64 to less than 96 hours of
				  aide duty per shift; and three supervisors for 96 to less than 128 hours of
				  aide duty per shift. In facilities sprinklered for fire suppression with a
				  capacity or census of 91 to 120 residents, the supervisor's time on third shift
				  may be counted as required aide duty. (For staffing chart, see Rule.0606 of
				  this Section.)
(b) On first and
				  second shifts in facilities with a capacity or census of 31 to 70 residents,
				  the supervisor may provide up to four hours of aide duty per shift which may be
				  counted as required aide hours of duty. The supervisor's hours on duty shall
				  not be counted as required hours of aide duty except as specified in this Rule.
Note: Supervisors may be involved in performing some
					 personal care in facilities with a capacity or census of 71 or more residents,
					 but their primary responsibility is the direct supervision of personal care
					 aides and the time involved in performing any personal care cannot be counted
					 as required aide hours.
(c)
				  On third shift in facilities with a capacity or census of 31 to 60 residents,
				  the supervisor shall be in the facility or within 500 feet and immediately
				  available, as defined in Rule.0601 of this Subchapter. In facilities
				  sprinklered for fire suppression with a capacity or census of 31 to 60
				  residents, the supervisor's time on duty in the facility on third shift may be
				  counted as required aide duty.
(d)
				  On third shift in facilities with a capacity or census of 61 to 90 residents,
				  the supervisor shall be on duty in the facility for at least four hours and
				  within 500 feet and immediately available, as defined in Rule.0601 of this
				  Subchapter, for the remaining four hours. In facilities sprinklered for fire
				  suppression with a capacity or census of 61 to 90 residents, the supervisor's
				  time on duty in the facility on third shift may be counted as required aide
				  duty.
(e) A supervisor is
				  responsible for the direct supervision of personal care aides, including those
				  who administer medications, to assure that care and services are provided to
				  residents by personal care aides in a safe and secure manner and according to
				  licensure rules. This involves observing personal care aides in the performance
				  of their duties; instructing, correcting and consulting with aides as needed;
				  and reviewing documentation by aides
.
(f) A supervisor on duty shall not serve
				  simultaneously as the administrator but may serve simultaneously as the
				  administrator-in-charge in the absence of the administrator.
(g) A supervisor shall meet the following
				  qualifications:
(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) meet the general health requirements
				  according to Rule.0406 of this Section;
(4) have at least six months of experience in
				  performing or supervising the performance of duties to be supervised during a
				  period of three years prior to the effective date of this Rule or the date of
				  hire, whichever is later, or be a licensed health professional or a licensed
				  nursing home administrator;
(5)
				  meet the same minimum training and competencyrequirements of the aides being
				  supervised; and
(6) earn at least
				  12 hours a year of continuing education credits related to the care of aged and
				  disabled persons in accordance with procedures established by the Department of
				  Health and Human Services.