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10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides)

North CarolinaregulationNorth Carolina Medical Care Commission / DHHS Division of Health Service Regulation (DHSR)

What this rule requires your agency to do

  • 1The agency must assign unlicensed in-home caregivers only those tasks in which they have demonstrated competency, and ensure they are supervised by a health care practitioner. (10A NCAC 13J .1110(b))(10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides))
  • 2The agency must document that each in-home caregiver is competent to perform assigned tasks, including a demonstration of the tasks to the health care practitioner, before assigning those tasks. (10A NCAC 13J .1110)(10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides))
  • 3The agency's health care practitioner must conduct supervisory visits for unlicensed in-home caregivers at least every 90 days, and at least annually while the caregiver is providing care. (10A NCAC 13J .1110(b))(10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides))
  • 4The agency must document each supervisory visit with the date of visit, findings of visit, and signature of the person performing the visit. (10A NCAC 13J .1110(b))(10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides))
  • 5The agency must ensure each supervisory visit includes a review of the client's general condition, progress, and response to the services. (10A NCAC 13J .1110(b))(10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides))
  • 6The agency must ensure that licensed caregivers meet the requirements of their occupational licensing board and perform activities only under the supervision of persons authorized by state law. (10A NCAC 13J .1110(a))(10A NCAC 13J .1110 - Supervision and Competency of In-Home Caregivers (In-Home Aides))

Applies to: home care / personal care (in-home aide services provided by licensed home care agencies)

10A NCAC 13J .1110 governs supervision and competency of in-home aides/caregivers employed by NC-licensed home care agencies. Agencies must document caregiver competency (including a task demonstration) before assigning tasks, restrict unlicensed caregivers to demonstrated-competency tasks, and provide health care practitioner supervision with documented supervisory visits at least every 90 days and annually.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.