SECTION .0600 – staffing of the home
10A NCAC 13G .0601 MANAGEMENT and other staff
(a) A family care home administrator shall be responsible
for the total operation of a family 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
supervisor-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 cited in Paragraph (c) of this Rule regarding the occasional absence
of the administrator or supervisor-in-charge, one of the following arrangements
shall be used:
(1) The administrator shall be in the home or
reside within 500 feet of the home with a means of two-way telecommunication
with the home at all times. When the administrator does not live in the
licensed home, there shall be at least one staff member who lives in the home
or one on each shift and the administrator shall be directly responsible for
assuring that all required duties are carried out in the home;
(2) The administrator shall employ a supervisor-in-charge
to live in the home or reside within 500 feet of the home with a means of
two-way telecommunication with the home at all times. When the supervisor-in-charge
does not live in the licensed home, there shall be at least one staff member
who lives in the home or one on each shift and the supervisor-in-charge shall
be directly responsible for assuring that all required duties are carried out
in the home; or
(3) When there is a cluster of licensed homes
located adjacently on the same site, there shall be at least one staff member
in each home, either live-in or on a shift basis, and at least one
administrator or supervisor-in-charge who lives within 500 feet of each home
with a means of two-way telecommunication with each home at all times and who
is directly responsible for assuring that all required duties are carried out
in each home.
(c) When the administrator or supervisor-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 appropriately in case of an emergency in the home. The
relief-person-in-charge shall be 18 years or older.
(2) For recurring or planned absences, a relief-supervisor-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-supervisor-in-charge
shall meet all of the qualifications required for the supervisor-in-charge as
specified in Rule .0402 of this Subchapter with the exception of Item (4) pertaining
to the continuing education requirement.
(d) Additional staff shall be employed as needed for
housekeeping and the supervision and care of the residents.
(e) Information on required staffing shall be posted in the
facility according to G.S. 131D-4.3(a)(5).
History Note: Authority G.S. 131D‑2; 143B‑153;
Eff. January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; July 1, 1990; April 1, 1987;
April 1, 1984; June 26, 1980.