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10A NCAC 13J .1110 — Supervision and Competency of In-Home Caregivers

North Carolinaprimary-regulationNC Medical Care Commission / DHHS Division of Health Service Regulation (DHSR)· effective 2018-06-01

What this rule requires your agency to do

  • 1Each agency shall document that its in-home caregivers are competent to perform assigned client-care tasks, including a demonstration of tasks to the health care practitioner; in-home caregivers shall perform delegated activities under supervision of persons authorized by state law (Para. (a), (b)).(10A NCAC 13J .1110 — Supervision and Competency of In-Home Caregivers)
  • 2The health care practitioner shall make a supervisory visit to each client's residence every 90 days (with or without the aide present) and annually while the aide is providing care; the visit shall review the client's general condition, progress, and response to services (Para. (c)).(10A NCAC 13J .1110 — Supervision and Competency of In-Home Caregivers)
  • 3Documentation of supervisory visits shall be maintained in agency records and contain date of visit, findings, and signature of the person performing the visit; follow-up corrective action shall be documented in the employee record (Para. (d), (e)).(10A NCAC 13J .1110 — Supervision and Competency of In-Home Caregivers)
  • 4Non-licensed in-home caregivers shall only be assigned client-care activities for which they have demonstrated competency, documented and maintained by the agency; the health care practitioner must be available for supervision and consultation and retain accountability for delegated supervisory activities (Para. (b)(1)-(2)).(10A NCAC 13J .1110 — Supervision and Competency of In-Home Caregivers)
  • 5The health care practitioner shall be available for supervision during the hours in-home care services are provided (Para. (g)).(10A NCAC 13J .1110 — Supervision and Competency of In-Home Caregivers)

Applies to: Licensed home care agencies and their in-home caregivers (aides) and supervising health care practitioners.

Requires licensed home care agencies to document competency of in-home caregivers for all assigned client-care tasks, to supervise non-licensed aides via a health care practitioner supervisory visit to each client's residence every 90 days (and annually with the aide present), and to document and retain records of supervisory visits and corrective action.

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