section .0600 - staffing

 

10A NCAC 13F .0601        MANAGEMENT OF FACILITIES WITH A CAPACITY OR CENSUS OF SEVEN TO THIRTY RESIDENTS

(a)  An adult care home administrator shall be responsible for the total operation of an adult care home and shall also be responsible to the Division of Health Service Regulation and the county department of social services for meeting and maintaining the rules of this Subchapter.  The co‑administrator, when there is one, shall share equal responsibility with the administrator for the operation of the home and for meeting and maintaining the rules of this Subchapter.  The term administrator also refers to co‑administrator where it is used in this Subchapter.

(b)  At all times there shall be one administrator or administrator‑in‑charge who is directly responsible for assuring that all required duties are carried out in the home and for assuring that at no time is a resident left alone in the home without a staff member.  Except for the provisions in Paragraph (c) of this Rule, one of the following arrangements shall be used to manage a facility with a capacity or census of 7 to 30 residents:

(1)           The administrator is in the home or within 500 feet of the home with a means of two-way telecommunication with the home at all times;

(2)           An administrator‑in‑charge is in the home or within 500 feet of the home with a means of two-way telecommunication with the home at all times; or

(3)           When there is a cluster of licensed homes, each with a capacity of 7 to 12 residents, located adjacently on the same site, there shall be at least one staff member, either live‑in or on a shift basis in each of these homes.  In addition, there shall be at least one administrator or administrator‑in‑charge who is within 500 feet of each home with a means of two-way telecommunication with each home at all times and directly responsible for assuring that all required duties are carried out in each home. 

(c)  When the administrator or administrator‑in‑charge is absent from the home or not within 500 feet of the home, the following shall apply:

(1)           For absences of a non-routine nature that do not exceed 24 hours per week, a relief‑person‑in‑charge designated by the administrator shall be in charge of the home during the absence and in the home or within 500 feet of the home according to the requirements in Paragraph (b) of this Rule.  The administrator shall assure that the relief‑person‑in‑charge is prepared to respond in case of an emergency in the home.  The relief‑person‑in‑charge shall be 21 years or older.

(2)           For recurring or planned absences, a relief‑administrator‑in‑charge designated by the administrator shall be in charge of the home during the absence and in the home or within 500 feet of the home according to the requirements in Paragraph (b) of this Rule.  The relief‑administrator‑in‑charge shall meet all of the qualifications required for the administrator‑in‑charge as specified in Rule .0402 of this Subchapter with the exception of Item (4) pertaining to the continuing education requirement.

 

History Note:        Authority G.S. 131D-2.16; 131D-4.3; 131D-4.5; 143B-165;

Eff. January 1, 1977;

Readopted Eff. October 31, 1977;

Amended Eff. July 1, 1990; April 1, 1987; April 1, 1984;

Temporary Amendment Eff. January 1, 2000; December 1, 1999;

Amended Eff. July 1, 2000;

Temporary Amendment Eff. July 1, 2003;

Amended Eff. July 1, 2005; June 1, 2004.