SECTION .1000 ‑ ADMINISTRATION
10A NCAC 13J .1001 AGENCY MANAGEMENT AND SUPERVISION
(a) The governing body or its designee shall establish and
implement written policies governing agency operation. Such policies shall be
available for inspection by the Department. The policies shall include:
(1) a description of the scope of services offered;
(2) admission and discharge policies;
(3) supervision of personnel;
(4) development of, and updates to, the plan of
(5) management of emergency care situations in
(6) time frame for completion and return of
service records to the agency;
(7) personnel qualifications;
(8) an organizational chart;
(9) program evaluation;
(10) employee and client confidentiality; and
(11) coordination of and referral to and from
other community agencies and resources.
(b) The agency shall designate an individual to serve as
agency director. The agency director shall have the authority and
responsibility for administrative direction of the agency and shall meet one or
more of the following qualifications:
(1) a health care practitioner as defined in G.S.
(2) an individual who has at least two years of
supervisory or management experience in home care or any other provider
licensed pursuant to G.S. 131E or G.S. 122C; or
(3) an individual who holds a bachelor's degree
in health, business or public administration science and has at least one year
of supervisory or management experience in home care or other licensed health
Such qualifications do not apply with respect to persons
acting in the capacity of agency director prior to October 1, 2006.
(c) The agency shall designate a person responsible for
supervising each type of home care service contained in Section .1100 of this
Subchapter that is provided by the agency either directly or by contract. This
individual may be the supervisor for one or more home care services and may
also serve as the agency director.
(d) There shall be written documentation that specifies the
responsibilities and authority of the agency director and supervisor.
(e) If the position of agency director becomes vacant, the
Department shall be notified within five working days in writing of such
vacancy along with the name of the replacement, if available. Agency policies
shall define the order of authority in the absence of the administrator.
(f) The agency shall have the ultimate responsibility for
the services provided under its license; however, it may make arrangements with
contractors and others to provide services in accordance with Rule .1111 of
(g) An agency shall have written policies which identify
the specific geographic area in which the agency provides each service. If an
agency plans to expand its geographic service area without opening an
additional site, the Department shall be notified in writing 30 days in
History Note: Authority G.S. 131E‑140;
Eff. July 1, 1992;
Amended Eff. October 1, 2006; February 1, 1996.