Adult Care Licensure Section

Adult Care Homes

• License an Adult Care Home (7 Beds or Over)
  • Initial License Application (PDF, 475 KB)
  • Administrator Certificate
  • Adult Care Home Initial Licensure: Policy and Procedure Review (PDF, 64 KB)
  • Guidelines for the Development of Medication Administration Policies and Procedures (PDF, 32 KB)
• Steps for Changing Ownership for Adult Care Homes (7 Beds or More)
  • Adult Care Change Licensure Application (PDF, 501 KB)
• Adult Care Home Special Care Unit Approval Process
  • Format for Special Care Unit Disclosure Statement

Family Care Homes

• License A Family Care Home
  • Initial License Application (PDF, 379 KB)
  • Administrator Approval
  • Family Care Home Initial Licensure: Policy and Procedure Checklist (PDF, 65 KB)
  • Guidelines for the Development of Medication Administration Policies and Procedures (PDF, 32 KB)
• Steps for Changing Ownership for Family Care Homes
  • Family Care Change Licensure Application (PDF, 184 KB)

Overnight Respite Services

• License Overnight Respite Services
  • Initial License Application for Overnight Respite Services (PDF, 70 KB)

Multi-unit Assisted Housing with Services

• Multi-Unit Assisted Housing with Services
• Multi-Unit Assisted Housing with Services Initial Registration Form (PDF, 74 KB)
• Multi-Unit Assisted Housing with Services Disclosure Statement Format (PDF, 77 KB)

Facility Closure Information

The procedures listed below outline the required steps for the voluntary closure of an adult care home or family care home in North Carolina.

Procedures:

Pursuant to 10A NCAC 13F and 10A NCAC 13G .0211, if a licensee plans to close a home, the licensee shall provide written notification of the planned closing 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 planned closing. Written notification shall include the date of closing and plans to assist residents and families with relocation. 

Closing and Relinquishing the License

If the facility is closing and the licensee is relinquishing the license (the facility will no longer operate) please complete the following steps:

1. Download, complete, and email the FACILITY 30 DAY NOTICE OF CLOSURE FORM to the Adult Care Licensure Section at [email protected].
2. Submit a License Relinquishing Letter. The letter shall include the following information:
   1. Intent to close the facility
   2. Intent to relinquish the facility license
   3. Date of Closure
3. Email the relinquishing letter to ACLS at [email protected].

Closing but Not Relinquishing the License

If the facility is closing and the licensee is not relinquishing the license (such as temporary closure where the license remains active), please download, complete, and email the FACILITY 30 DAY NOTICE OF CLOSURE FORM (link here to form) to the Adult Care Licensure Section at [email protected].  

Applicable Rules

Please note the following Rules that apply to facility closures.

Adult Care Home:

• Pursuant to 10A NCAC 13F .0302(d), any existing licensed facility that is closed or vacant for more than one year shall meet all requirements of a new facility.
• Pursuant to 10A NCAC 13F .0302(a), all new construction, additions and renovations to existing buildings shall have drawings submitted by the owner or his appointed representative to the Division of Health Service Regulation Construction Section for review and approval prior to commencement of the work.
• Pursuant to 10A NCAC 13F .0302(f), the facility shall have current sanitation and fire and building safety inspection reports which shall be maintained in the home and available for review. This applies to facilities when the license is maintained and not being relinquished.

Family Care Home:

• Pursuant to 10A NCAC 13G .0302(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.
• Pursuant to 10A NCAC 13G .0302(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 Construction Section for review and approval prior to commencement of the work.
• Pursuant to 10A NCAC 13G .0302(n), the facility shall have current sanitation and fire and building safety inspection reports which shall be maintained in the home and available for review. This applies to facilities when the license is maintained and not being relinquished.