Adult Care Home and Family Care Home Rules

Pursuant to GS 150B-21.3A, Periodic Review and Expiration of Existing Rules, all rules are reviewed at least every 10 years, or they shall expire. As a result of the periodic review of Subchapters 10A NCAC 13F, Licensing of Adult Care Homes of Seven or More Beds, and 10A NCAC 13G, Licensing of Family Care Homes, four proposed readoption rules were part of the 97 total rules determined as “Necessary With Substantive Public Interest,” requiring readoption. With input from stakeholders, substantive changes are proposed to three rules for readoption, one rule is proposed without substantive changes for readoption, and one rule is proposed for amendment for the regulation of licensed Adult Care Homes and Family Care Homes in N.C. An additional intent of the proposed rules is to make the rules of these two types of assisted living residences comparable, if not the same, for regulatory efficiency since they both house the same type of residents as permitted by law.

These proposed rules clarify the qualifications for the food service supervisor and to require consultation with a dietitian as needed to meet the dietary needs of the residents in an adult care home. The rules update and clarify the requirements for family care home and adult care home food service orientation training, that include the staff members required to complete the training and the means to access the training. The proposed rules clarify the timeframes adult care home and family care home survey reports and corrective action reports are to remain available at the facility for review by residents, residents’ family members and responsible persons. In addition, the rules remove unnecessary and outdated references.