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10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel)

North CarolinaregulationNorth Carolina Department of Health and Human Services, Division of Health Service Regulation (Acute and Home Care Licensure and Certification Section); rules adopted by the NC Medical Care Commission

What this rule requires your agency to do

  • 1The agency must have an agency director who is a health care practitioner, or has two years of supervisory/management experience in home care or a licensed health care setting, or holds a bachelor's degree in health/business/public administration with one year of supervisory experience. (10A NCAC 13J .1001(b))(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))
  • 2The agency's governing body must establish and implement written policies governing agency operation, including scope of services, admission/discharge, personnel supervision, care-plan development, emergency management, personnel qualifications, confidentiality, and program evaluation. (10A NCAC 13J .1001(a))(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))
  • 3The agency must establish, maintain, and make available for inspection statistical and financial records (staff FTEs and units of service, client demographics, units of service by category), and retain records for not less than three years. (10A NCAC 13J .1002(a),(b),(c))(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))
  • 4The agency must provide the Department written notice within five days of a vacancy in the agency director position, and give 30 days' advance written notice before expanding its geographic service area. (10A NCAC 13J .1001(e),(g))(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))
  • 5The agency must assign individuals only to duties for which they are trained and competent, and, where applicable, licensed. (10A NCAC 13J .1003)(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))
  • 6The agency must not hire any individual, directly or by contract, who has a substantiated finding on the North Carolina Health Care Personnel Registry under G.S. 131E-256(a)(1). (10A NCAC 13J .1003)(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))
  • 7The agency must ensure hands-on care employees have a baseline TB skin test, and that any employee testing positive demonstrates noninfectious status before assignment in a client's home. (10A NCAC 13J .1003)(10A NCAC 13J - The Licensing of Home Care Agencies (Agency Management and Supervision, Records, and Personnel))

Applies to: home care / personal care agencies licensed under Article 6 of G.S. Chapter 131E

Licensing rules for North Carolina home care agencies (10A NCAC 13J) impose concrete obligations on agency governance, an agency director's qualifications, service-area notice, recordkeeping, and personnel screening/qualifications.

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