SUBCHAPTER 37D - NEW LICENSES
SECTION .0100 - GENERAL
21 NCAC 37D .0101 OVERVIEW
The Board issues new licenses, reciprocal licenses and
temporary licenses. All applicants shall comply with the application
requirements set out in Section .0200 of this Subchapter. New license
applicants shall successfully complete an AIT program pursuant to Section .0400
of this Subchapter, successfully complete the AIT course pursuant to Section
.0300 of this Subchapter, pass the national exam pursuant to Section .0600 of
this Subchapter and pass the state exam pursuant to Section .0700 of this
Subchapter. Reciprocal license applicants shall provide proof that that
original license from another jurisdiction substantially meets the applicable
North Carolina licensure requirements and shall pass the national and state
exams. Temporary licenses shall be issued pursuant to 21 NCAC 37F .0100.
History Note: Authority G.S. 90-279; 90-287;
Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0102 STEPS FOR NEW
LICENSE APPLICANTS
New license applicants shall:
(1) Meet educational and experience requirements as set
out in 21 NCAC 37D .0300 generally;
(2) Apply for and successfully complete the AIT program
pursuant to 21 NCAC 37D .0400;
(3) Apply for and successfully complete the required
course pursuant to 21 NCAC 37D .0303;
(4) Apply for and successfully complete the national
exam pursuant to 21 NCAC 37D .0600;
(5) Apply for and successfully complete the state exam
pursuant to 21 NCAC 37D .0700;
(6) Apply for licensure pursuant to 21 NCAC 37D .0200.
History Note: Authority G.S. 90-278; 90-285;
Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
SECTION .0200 ‑ APPLICATION FOR LICENSE
21 NCAC 37D .0201 APPLICATION PACKAGE
(a) An applicant shall request, in writing, an application
package from the Board. The request shall be accompanied by copying charges at
a cost as set out in 26 NCAC 1 .0103, which shall be credited to the total
application fee.
(b) All applications shall be received in the Board's
office a minimum of three weeks prior to the meeting of the Board at which the
application is to be considered. All items required to be provided to
constitute a full application shall be received by this date.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. February 1, 1991; May 1, 1989; December 1,
1983;
Transferred and Recodified from 21 NCAC 37A .0301 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0202 INITIAL LICENSURE FEE
Prior to licensure, the applicant shall send an initial
licensure non-refundable fee of five hundred dollars ($500.00) when the
applicant has successfully passed the examinations required by the Board under
Sections .0600 and .0700 of this Subchapter.
History Note: Authority G.S. 90‑280;
Eff. February 1, 1976;
Amended Eff. August 1, 1977;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. December 30, 1981;
Temporary Amendment Eff. July 13, 1982 for a period of
120 days to expire on November 9,
1982;
Amended Eff. February 1, 1991; October 1, 1982;
Transferred and Recodified from 21 NCAC 37A .0302 Eff.
April 1, 1996;
Amended Eff. August 1, 1996;
Temporary Amendment Eff. August 15, 1996;
Amended Eff. July 1, 1998;
Temporary Amendment Eff. August 15, 1999;
Amended Eff. July 1, 2014; September 1, 2004; July 1,
2000;
Readopted Eff. October 1, 2015.
21 NCAC 37D .0203 REFERENCES
A candidate for licensure shall submit with his application
three reference forms (one of which shall be from an employer) from individuals
not related to the candidate who shall certify to the good moral character of
the applicant. It shall be prima facie evidence of good moral character if a
candidate has not violated any standards stated in G.S. 90-285.1.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. August 2, 1993; February 1, 1991; May 1,
1989;
Transferred and Recodified from 21 NCAC 37A .0303 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0204 FELONIES AND/OR MISDEMEANORS
(a) Felony. An applicant for licensure who has been
convicted by any jurisdiction of a felony shall not be permitted to enter the
AIT program or otherwise be licensed unless his rights of citizenship have been
restored.
(b) Misdemeanor. An applicant for licensure who has been
convicted by any jurisdiction of a misdemeanor shall not be permitted to enter
the AIT program or otherwise be licensed unless he has fully complied with all
terms of the judgment imposed for said misdemeanor.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. February 1, 1991; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0304 Eff.
April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
SECTION .0300 ‑ EDUCATION, EXPERIENCE AND REQUIRED
COURSE
21 NCAC 37D .0301 EDUCATION
To be eligible for the national and state exams and for
licensure, an applicant shall have either a minimum of two years credit from an
accredited college as described in G.S. 90-278(b) or have a combination of
education and experience approved by the Board pursuant to 21 NCAC 37D .0302.
All education credit shall be documented by an official originally sealed
college transcript.
History Note: Authority G.S. 90-278;
Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0302 COMBINATION OF EDUCATION AND
EXPERIENCE
A combination of education and experience shall comply with
the following requirements:
(1) A minimum of one year of college credit
from an accredited institution with a cumulative average of at least a 2.0
grade point average on a 4.0 point scale.
(2) Supervisory experience may be substituted
for up to one year of education at the rate of two years experience for one
year of education credit. Supervisory experience for purposes of this Section
means having continuous, direct management responsibility, including some
responsibility for hiring and firing, over the equivalent of at least one
full-time employee. Such supervisory experience shall have been in a nursing
home within the five years preceding the date of application. For purposes of
this Rule, "supervisory experience" means full-time service as a
department head or licensed professional supervising one or more employees.
History Note: Authority G.S. 90-278;
Eff. April 1, 1996.
Amended Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0303 REQUIRED COURSE
(a) The course prescribed by the Board pursuant to G.S.
90-278(1)c shall be comprised of in-class instruction, including all the
domains of practice as described in Rule .0605 of this Subchapter.
(b) An applicant with a health care administration degree
may request in writing that the Board approve college courses as substantially
equivalent to portions of the required course, provided the applicant's college
transcripts validate the long term care courses were passed with a minimum of a
2.0 GPA.
History Note: Authority G.S. 90-278(1)c;
Eff. April 1, 1996;
Amended Eff. July 1, 2004; July 1, 2000;
Readopted Eff. October 1, 2015.
SECTION .0400 ‑ ADMINISTRATOR-IN-TRAINING
21 NCAC 37D .0401 TRAINING REQUIREMENT
Each applicant for initial licensure shall complete an AIT
program under the direction of a preceptor unless he is exempt from this
requirement under G.S. 90‑278(1)d or Rule .0412 of this Section.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. August 2, 1993; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0501 Eff.
April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0402 APPLICATION TO BECOME
ADMINISTRATOR-IN-TRAINING (AIT)
(a) The applicant shall submit to the Board an application
containing:
(1) name;
(2) education;
(3) employment history;
(4) questions pertaining to moral character;
(5) criminal history; and
(6) an affidavit stating that the applicant if
granted a license, shall obey the laws of the state and the rules of the Board,
and shall maintain the honor and dignity of the profession.
(b) The applicant shall submit a resume.
(c) The applicant shall submit three reference forms (one
employer and two character) as set forth in Rule .0203 of this Subchapter:
(1) the Employer Reference Form shall include
the address of employment and duties assigned; and
(2) the Character Reference Form shall include
how this individual knows the applicant and whether the applicant is capable to
supervise the care of residents of a skilled facility. No character reference
shall be from a relative of the applicant.
(d) The applicant shall submit an official transcript
issued by the institution indicating the courses completed and hours earned,
specifying whether semester or quarter hours. The applicant shall supply
documentation of his or her supervisory experience in a nursing home if the
applicant is utilizing the experience substitute for the education requirement
as allowed by G.S. 90-278(1)b.
(e) The applicant and the preceptor shall appear before the
Board for a personal interview.
(f) The preceptor shall submit to the Board three weeks
prior to the personal interview:
(1) a Facility Survey Form stating the facility
license number, address and the number of beds;
(2) a letter accepting individual as an AIT;
(3) a Preceptor Disclosure Form stating number
of years the individual has served as an administrator and number of AITs
precepted;
(4) a curriculum outline for the AIT program
that provides the AIT with job experience in each department. A curriculum
outline shall include each department in the facility and the information that
will be covered, including the recommended number of weeks in the program as
outlined on the AIT Curriculum Request and Rationale Form;
(5) an AIT Curriculum Request and Rationale
Form shall be based on education and experience of the AIT applicant. The
preceptor shall be responsible for providing a rationale for all subject areas with
the recommended number of weeks for the AIT; and
(6) the directions to the facility.
(g) The owner or governing board of the facility shall
submit to the Board three weeks prior to the personal interview a letter of
approval for the AIT applicant to train in the facility.
(h) A non-refundable processing fee of two hundred fifty
dollars ($250.00) shall be submitted with the application.
(i) An AIT applicant shall maintain at all times a current
residential mailing address with the Board office.
(j) The applicant may obtain an application and
forms from the Board's website or from the Board office.
History Note: Authority G.S. 90‑278; 90‑280;
90‑285; 90-288.01;
Eff. February 1, 1976;
Amended Eff. August 1, 1977; April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. August 1, 1995; August 2, 1993; February 1,
1991; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0502 Eff.
April 1, 1996;
Amended Eff. July 1, 2014; July 1, 2004; April 1, 1996;
Readopted Eff. October 1, 2015.
21 NCAC 37D .0403 TRAINING PERMIT
(a) After the interview and approval, and upon notification
from the preceptor of the starting date of the AIT program, the Board shall
issue an AIT training permit to the applicant for a maximum one‑year
period beginning on the date the permit is issued.
(b) Should the AIT or the Preceptor fail to follow the
individualized curriculum (submitted pursuant to Rule 37D .0402), follow the
training program (presented pursuant to Rule 37D .0405), timely submit a report
(required by Rule 37D .0406), serve at least a minimum number of hours
(required by Rule 37D .0407), or otherwise comply with any applicable statute
or rule, the Board may revise, suspend, or rescind the AIT training permit.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. August 2, 1993; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0504 Eff.
April 1, 1996;
Amended Eff. July 1, 2000; April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0404 ADMINISTRATOR‑IN‑TRAINING
SELECTION OF PRECEPTOR
(a) AIT applicants shall select a preceptor prior to
submitting application to the Board. Lists of preceptors approved by the Board
can be found on the Board's website www.ncbenha.org,
(b) It shall be the responsibility of the AIT applicant to
contact a preceptor to ensure that the preceptor accepts the AIT applicant.
(c) The AIT shall notify the Board of any change in
preceptor. Any change in preceptor shall be from the approved list.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. August 2, 1993; February 1, 1991; May 1,
1989;
Transferred and Recodified from 21 NCAC 37A .0505 Eff.
April 1, 1996;
Amended Eff. July 1, 2004; April 1, 1996;
Readopted Eff. October 1, 2015.
21 NCAC 37D .0405 ADMINISTRATOR‑IN‑TRAINING
PROGRAM
(a) The preceptor shall evaluate and recommend to the Board
the length of the AIT program required to teach the core of knowledge as
outlined in 21 NCAC 37D .0605 before accepting the AIT to train in a facility
approved by the Board subject to the following provisions:
(1) in determining the length of the AIT
program, the preceptor shall consider the strengths and weaknesses of the AIT
applicant as it relates to his/her education and past supervisory experience;
(2) the AIT program shall be presented to the
Board by the preceptor and the AIT during the personal interview as required
under Rule .0402(e) of this Section; and
(3) except as otherwise allowed under Rule
.0412 of this Section, all AITs shall serve a minimum of 12 weeks in the AIT
program, plus any additional weeks as determined by the Board. In determining
whether to require additional weeks in addition to the 12 week minimum, the
Board shall consider the recommendation of the preceptor, and the Board's
independent consideration of the AIT applicant's education, training and
experience relevant to operating a health care facility.
(b) An AIT applicant who is working toward or has completed
a baccalaureate or masters degree in nursing home administration or a related
health care administration field shall serve a minimum of 12 weeks in the AIT
program as part of his/her educational curriculum in a North Carolina licensed
nursing home under the supervision of an approved preceptor.
(c) An AIT shall complete a basic Nursing Home
Administrator course approved by the Board within two years preceding an
application for licensure.
(d) Within one year after the completion of the approved AIT
program and upon successfully passing the examinations as required by the
Board, the AIT may submit a licensure application and fee as provided in 21
NCAC 37D .0201 and .0202, and may be issued a license.
History Note: Filed as a Temporary Amendment Eff. July
29, 1987 for a period of 155 days to expire on December 31, 1987;
Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. August 2, 1993; February 1, 1991; May 1,
1989; December 1, 1987;
Transferred and Recodified from 21 NCAC 37A .0519 Eff.
April 1, 1996;
Amended Eff. July 1, 2000; April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0406 AIT REPORTS
(a) At the conclusion of each month, the AIT shall submit
to the Board a report on his progress on a form provided by the Board for that
purpose. Provided, however, an AIT approved for a program of less than 20
weeks in length, shall submit weekly reports.
(b) The report requires the name of the AIT, a statement of
the subject areas covered that week or month, the number of hours the AIT has
completed that week or month, comments from the preceptor concerning the
progress of the AIT's training, a description of the administrative activities
in which the AIT has participated, suggestions for improvement in the program,
and other information that the Board requests.
(c) Both the preceptor and the AIT shall sign the report,
verifying the accuracy of the information.
(d) Weekly or monthly reports shall be received in the
Board's office within 10 days of the end of the reporting period.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0510 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0407 AIT TIME ON THE JOB
(a) The AIT shall serve an internship recommended by the
preceptor and approved by the Board with a minimum of 40 hours per week,
principally during the hours that the preceptor is on duty. The minimum AIT
program is 12 weeks, which may not be reduced except as stated in G.S.
90-278(1)d and Rule .0412 of this Section.
(b) An internship which has been discontinued by a period
of military service shall be allowed to be completed within a year after that
service.
(c) An internship which has been discontinued for any
purpose other than military service cannot be completed if the absence exceeds
one year from the date of discontinuance.
(d) Only one discontinuance is allowed.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. August 2, 1993; February 1, 1991; May 1,
1989;
Transferred and Recodified from 21 NCAC 37A .0517 Eff.
April 1, 1996;
Amended Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0408 CHANGE OF STATUS AND DISCONTINUANCE
(a) If the AIT desires to change preceptors, he shall
submit a Notice of Change of Status or Discontinuance form provided by the
Board. Prior to changing preceptors, the AIT shall notify the Board and the
Board's Executive Director may grant such requests subject to approval at the
next regularly scheduled board meeting.
(b) If the AIT desires to discontinue his internship, the
Notice of Change of Status or Discontinuance form shall be submitted within 10
days of discontinuance before any accumulated training time may be considered
should the AIT elect to re‑enter his internship program at a future date.
(c) The form requires the name of the AIT and preceptor,
the change requested, the effective date and reasons for the change. Either
the AIT or the preceptor shall sign the form.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. August 2, 1993; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0514 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0409 DISMISSAL FROM PROGRAM
(a) The preceptor or Board staff shall inform the AIT of
his performance as the program progresses.
(b) If the AIT's performance is not acceptable, the
preceptor or Board staff shall so inform him, and the AIT shall be given an
opportunity to correct the deficiencies.
(c) If the AIT does not correct the deficiencies, either
the preceptor, or the Board, shall notify the AIT that he can no longer
participate in the program.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0515 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0410 COMPENSATION OF AITS
(a) The Board shall not pay the AIT compensation for his
work in the program.
(b) The facility in which the AIT is training may
compensate the AIT, but is not required to do so by these Rules.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0516 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0411 APPROVAL OF PROGRAMS OF STUDY IN
ACCREDITED INSTITUTIONS
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. February 1, 1991; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0402 Eff.
April 1, 1996;
Repealed Eff. April 1, 1996.
21 NCAC 37D .0412 INITIAL ON-THE-JOB TRAINING
(a) Every AIT program shall include a 12 week initial
on-the-job training component plus such additional weeks of on-the-job training
appropriate to the individual applicant based upon education and experience
necessary to assure minimum professional competence. The initial portion shall
include basic work in the subject areas outlined in 21 NCAC 37D .0605.
(b) Reduction to AIT program:
(1) A hospital administrator or assistant
administrator shall be exempt from the 12 week initial on-the-job training
component if:
(A) He has been the administrator or assistant
administrator of a particular long-term care unit or swing beds in a hospital
facility for at least 12 weeks; and
(B) The hospital facility was licensed in North Carolina
under either Article 5 of G.S. 131E or Article 2 of G.S. 122C.
(2) A nursing home assistant administrator or
director of nursing shall be exempt from those portions of the initial
on-the-job training which the applicant shows have been satisfied by direct
on-the-job experience in a nursing home licensed in North Carolina provided he
has served for four years within the previous five years in such a position
with a level of responsibility and complexity for the management of human,
financial, and material resources for the provision of care of a magnitude at
least equal to that of a licensed nursing home administrator, and with exposure
to and familiarity with the subject areas outlined in 21 NCAC 37D .0605.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0520 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
SECTION .0500 - PRECEPTORS
21 NCAC 37D .0501 APPLICATION FOR PRECEPTOR
CERTIFICATION
A licensed Nursing Home Administrator wishing to be
certified as a preceptor for the AIT program may apply on an application
obtained by writing to the Board.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. February 1, 1991; May 1, 1989; December 1,
1983;
Transferred and Recodified from 21 NCAC 37A .0507 Eff. April
1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0502 PRECEPTOR QUALIFICATIONS
(a) To be certified as a preceptor the nursing home
administrator shall:
(1) exemplify the highest ethical and
professional standards and not have violated any standards stated in G.S.
90-285.1;
(2) have been the administrator of record of a
nursing home facility for a minimum of two years or have a masters degree in
health care administration and have been the administrator of record of a
nursing home facility for a minimum of one year;
(3) certify that no revocation proceeding,
suspension of admissions, or provisional license has been initiated or is in
effect against his facility(ies);
(4) express himself well and be at ease in a
teaching situation;
(5) be a full time administrator of record of a
facility that is licensed by the Division of Health Service Regulation as a
nursing home;
(6) successfully complete a preceptor training
course approved by the Board within the past two years; and
(7) complete 40 hours of continuing education
during the 24 months preceding application for certification.
(b) A preceptor shall be recertified biennially by the
Board in accordance with the qualifications as set out in Paragraph (a) of this
Rule at the time of license renewal.
(c) The preceptor and the AIT shall spend a minimum of four
hours per week in orientation, direct instruction, planning and evaluation.
(d) An administrator licensed by reciprocity/endorsement
who held an active preceptor certificate in another state may also receive a North Carolina preceptor certificate if all other requirements are met.
(e) Any administrator who otherwise meets all requirements
of this Rule except for completion of the approved course under Subparagraph
(a)(6) of this Rule and who has previously been certified as a preceptor may be
issued a temporary preceptor certificate by the Board until such course is
completed.
History Note: Authority G.S. 90-276(5); 90‑278;
90‑285(11);
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted with Change Eff. October 1, 1981;
Amended Eff. August 2, 1993; February 1, 1991; May 1,
1989;
Transferred and Recodified from 21 NCAC 37A .0508 Eff.
April 1, 1996;
Amended Eff. July 1, 2000; April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0503 PRECEPTOR'S REPORTS
(a) At the end of the approved AIT program, the preceptor
shall submit a report and an evaluation of the AIT on forms provided by the
Board. These forms are to be submitted to the Board within 10 days of
completion of the AIT program. The forms shall require the name of the AIT,
the place of training, an evaluation of the AIT's abilities, and other
information that the Board requests. The preceptor shall sign the forms.
(b) The reports shall be filed in the AIT's file in the
Board's office and shall become a permanent record in the individual's file.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Amended Eff. April 8, 1977;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. August 2, 1993; February 1, 1991; May 1,
1989;
Transferred and Recodified from 21 NCAC 37A .0512 Eff.
April 1, 1996;
Amended Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0504 PRECEPTOR COMPLIANCE
Failure to comply with the supervision and reporting
requirements of these rules shall constitute grounds for discipline of the
preceptor as well as grounds for revision, suspension or recision of the
training permit.
History Note: Authority G.S. 90-278; 90-285;
Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
section .0600 – national exam
21 NCAC 37D .0601 ELIGIBILITY
(a) To be eligible to take the national exam, an applicant
shall:
(1) be approved for an AIT program which, along
with the required course prescribed in 21 NCAC 37D .0303, shall be completed within
45 days after the exam; or
(2) be exempt pursuant to G.S. 90-278(1)(d); or
(3) be a reciprocal applicant whose prior exam
scores do not meet current N.C. requirements.
(b) Upon the third failure of any exam required by the
Board, the AIT and the preceptor shall submit to the Board a program to
strengthen the candidate's weakness as demonstrated by the previous exam
results. Upon approval by the Board of the program and completion thereof by
the candidate, he shall be eligible to retake the exam.
(c) Upon the failure of any examination the fourth time,
the AIT shall be disqualified from continuing in the program. Nothing in this
Rule shall be construed to prevent the applicant from reapplying for entrance
to the AIT program.
History Note: Authority G.S. 90-278; 90-284; 90-285;
Eff. April 1, 1996;
Amended Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0602 NATIONAL EXAM APPLICATION
To sit for the National Exam, a person shall submit an exam
application electronically to the National Association of Long Term Care Administrators
Board (NAB) through their website www.nabweb.org.
After the applicant has completed the National Exam Application, the NAB will
notify the Board for approval of the applicant. Prior to the Board approving
the applicant's eligibility to sit for the National Exam and in order to
release the results of the NAB exam score, the applicant shall pay to the Board
a processing fee of fifty dollars ($50.00).
History Note: Authority G.S. 90-280; 90-285;
Eff. April 1, 1996;
Amended Eff. September 1, 2004;
Readopted Eff. October 1, 2015.
21 NCAC 37D .0603 NATIONAL EXAMINATION ADMINISTRATION
(a) The applicant may sit for the national examination
consistent with the examination schedule established by the National
Association of Boards of Examiners of Long Term Care Administrators( NAB).
(b) An applicant shall sit for and pass the national and
state exams within one year of the date of completion of the AIT program in
order to meet the AIT requirement.
(c) An applicant shall pay the exam fees each time he takes
the national examination.
History Note: Authority G.S. 90-280; 90-285;
Eff. April 1, 1996;
Amended Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0604 GRADE REQUIRED
Every candidate for a nursing home administrator's license
shall be required to pass the licensing examinations with a grade of at least
75 percent.
History Note: Authority G.S. 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1977; December 15, 1977;
Amended Eff. May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0801 Eff.
April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0605 SUBJECT AREAS
The national examination shall include, but need not be
limited to, the following subjects:
(1) Resident Care and Quality of Life;
(2) Human Resources;
(3) Finance;
(4) Physical Environment and Atmosphere;
(5) Leadership and Management.
History Note: Authority G.S. 90‑278; 90‑285;
Eff. February 1, 1976;
Readopted Eff. October 1, 1981; December 15, 1977;
Amended Eff. August 2, 1993;
Transferred and Recodified from 21 NCAC 37A .0701 Eff.
April 1, 1996;
Amended Eff. July 1 2004; July 1, 2000; April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
section .0700 – state exam
21 NCAC 37D .0701 ELIGIBILITY
(a) To be eligible to take the state examination, the
applicant shall be qualified under Rules .0601 and .0603(b) of this Subchapter.
(b) Upon the third failure of any exam required by the
Board, the AIT and the preceptor shall submit to the Board a program to
strengthen the candidate's weakness as demonstrated by the previous exam
results. Upon approval by the Board of the program and completion thereof by
the candidate, he shall be eligible to retake the exam.
(c) Upon the failure of any examination the fourth time,
the AIT shall be disqualified from continuing in the program. Nothing in this
Rule shall be construed to prevent the applicant from reapplying for entrance
to the AIT program.
History Note: Authority G.S. 90-285;
Eff. April 1, 1996;
Amended Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.
21 NCAC 37D .0702 APPLICATION
To sit for the state examination, a person shall submit an
application on a form provided by the Board.
History Note: Authority G.S. 90-285;
Eff. April 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive
public interest Eff. September 22, 2014.
21 NCAC 37D .0703 STATE EXAMINATION ADMINISTRATION
(a) The State Examination shall be administered on dates to
be determined and published by the Board on the State Examination Application
form located on the Board's website. It may also be offered to reciprocity
applicants and to AIT applicants who passed the National Examination but
previously failed the State Examination on different dates if the applicants
show good cause, such as unavailability due to illness, inclement weather,
employment, or survey.
(b) An applicant shall pay a non-refundable
processing fee of one hundred fifty dollars
($150.00) each time the applicant takes the State Examination.
(c) To sit for the State Examination, the applicant shall
submit a Test Confidentiality and Attestation Form, which is a release form
stating the applicant will keep test questions confidential. This form is
provided by the Board on the website and in the information package.
(d) An applicant shall pass the State Exam within one year
of the date of completion of the AIT program.
History Note: Authority G.S. 90-280; 90-285;
Eff. April 1, 1996;
Amended Eff. July 1, 2014; July 1, 2004;
Readopted Eff. October 1, 2015.
21 NCAC 37D .0704 GRADE REQUIRED
Each candidate for a nursing home administrator's license
shall be required to pass the licensing examinations with a grade of at least
75 percent.
History Note: Authority G.S. 90-285;
Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. September 22, 2014.