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, these two 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 two rules for readoption 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.

The proposed rules for Adult Care Homes and Family Care Homes update nutrition and food service standards based on the U.S. Department of Agriculture Dietary Guidelines for Americans for regular diets, increase dairy serving requirements from two to three times per day and expand the definition of dairy.  The proposed rules add references to the food service sanitation rules in 15A NCAC 18A of the Code and add a definition for therapeutic diet.  In addition, the proposed rules update standards, clarify rule text, remove unnecessary text, make technical changes, and remove unnecessary and outdated requirements.