Section .0100 - General

Link to law: http://reports.oah.state.nc.us/ncac/title 21 - occupational licensing boards and commissions/chapter 37 - nursing home administrator/subchapter d/subchapter d rules.html
Published: 2015

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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.