STEPS FOR A CHANGE OF OWNERSHIP
FOR FAMILY CARE HOMES (2-6 Beds)
To complete a change of ownership, read and follow these steps. Download the Change Licensure Application Packet (PDF, 155 KB).
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Prior to the sale of a family care home business, the current licensee shall provide written notification of a planned change of licensee to the Division of Health Service Regulation, the county department of social services, and the residents or their responsible persons at least 30 days prior to the date of the planned change of licensee. The current licensee will contact the local county department of social services for assistance with resident discharge if requested by any resident.
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Pursuant to ยง 131D-2.4, the Department shall not issue a new license for a change of ownership of an adult care home if outstanding fees, fines, and penalties imposed by the State against the home have not been paid. Fines and penalties for which an appeal is pending are exempt from consideration./li>
- The Construction Section of the Division of Health Service Regulation must approve any proposed structural changes of the building before a license can be approved.
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The following information is required to be submitted for administrator approval:
- Completed Administrator Application
- Copy of driver’s license or other proof of age
- Copy of resume
- Employer reference letter (required if using supervisory experience for education requirements). The reference letter must be on company letterhead and include: dates of employment, statement of supervisory experience, and business phone number of the supervisor.
- Documentation of completed education
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Criminal History Report Forms for Live Scan:
- Applicant Information Form and Electronic Fingerprint Submission Release of Information Form
- Documentation of completed Administrator in Training (AIT) program (certificate, meeting notes, evaluation)
- Documentation of successful completion of DHSR Administrator Exam
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Upon receipt of the application packet and verification of no outstanding fees, fines, and penalties, the Adult Care Licensure section will notify the prospective applicant of the receipt of the application packet.
- The applicant must submit a non-refundable license fee of $315.00.
- Payment should be made in the form of check, money order or certified check and must be payable to the N.C. Division of Health Service Regulation Adult Care Licensure section.
- The prospective applicant is contacted for any additional information.
- Applicants who have never licensed a family care home in North Carolina must submit written policy and procedures in accordance with rule 10A NCAC 13G .1211 .
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The prospective licensee shall submit the following license application material to the Division of Health Service Regulation:
- The Change Licensure Application for Family Care Home (2 to 6 Beds) that is available on the internet website, https://info.ncdhhs.gov/dhsr/acls/pdf/fcchgapp.pdf at no cost and includes the following:
- Facility, administrator and building owner information;
- Operation disclosure including new licensee information and management company, if any; and
- Ownership disclosure including new owners, principles, affiliates, shareholders, and members;
- A fire and building safety inspection report from the local fire marshal dated within the past 12 months;
- A sanitation report from the sanitation division of the county health department dated within the past 12 months; and
- A non-refundable license fee of $315.00 as required by G.S. 131D-2.5 (ncleg.net).
- A letter from the previous owner relinquishing ownership (this letter must specify the date of the change in ownership).
- Upon receipt of the licensing packet, including the license fee, and completion of a compliance review, the Adult Care Licensure Section will notify the prospective licensee of any outstanding documents or actions required for licensure.
- If all requirements are met, the Adult Care Licensure Section will issue a new license to the applicant within 2 days of the effective date of the change of ownership.
- The license must be renewed annually using the DHSR online renewal system DHSR Enterprise - (nc.gov) including the non-refundable annual license renewal fee of $315.00.
Mailing address of Raleigh Adult Care Licensure section:
Regular Mail:
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Express/Overnight Mail:
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Division of Health Service Regulation
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Division of Health Service Regulation
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Adult Care Licensure Section
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Adult Care Licensure Section
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2720 Mail Service Center
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801 Biggs Drive
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Raleigh NC 27699-2720
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Raleigh, North Carolina 27603
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Attn: License Materials Enclosed
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Attn: License Materials Enclosed
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Adult Care Licensure Section (Raleigh Office) : 919-855-3765