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10A NCAC 13J .1003 - Personnel (infection control and communicable disease requirements for licensed home care agencies)

North CarolinaregulationNorth Carolina Medical Care Commission / NC DHHS Division of Health Service Regulation (Acute and Home Care Licensure and Certification Section)

What this rule requires your agency to do

  • 1The agency must establish and implement written policies regarding infection control and exposure to communicable diseases, consistent with the North Carolina Administrative Code and 29 CFR 1910 (OSHA standards). (10A NCAC 13J .1003(a))(10A NCAC 13J .1003 - Personnel (infection control and communicable disease requirements for licensed home care agencies))
  • 2The agency must not assign an employee who tests positive for TB to a client's home until that individual demonstrates noninfectious status. (10A NCAC 13J .1003(b))(10A NCAC 13J .1003 - Personnel (infection control and communicable disease requirements for licensed home care agencies))
  • 3The agency must obtain, for employees with a previous positive TB test, baseline and subsequent annual verification that they are free of TB symptoms from the local health department, a private physician, or a health nurse employed by the agency. (10A NCAC 13J .1003(b))(10A NCAC 13J .1003 - Personnel (infection control and communicable disease requirements for licensed home care agencies))
  • 4The agency must ensure that hands-on care employees have a baseline skin test for tuberculosis. (10A NCAC 13J .1003(b))(10A NCAC 13J .1003 - Personnel (infection control and communicable disease requirements for licensed home care agencies))

Applies to: home care

Under North Carolina's home care agency licensing rules (Subchapter 13J), rule .1003 (Personnel) requires each licensed home care agency to establish and implement written infection-control and communicable-disease policies consistent with the NC Administrative Code and OSHA's bloodborne/occupational standards at 29 CFR 1910, and to complete baseline tuberculosis skin testing of hands-on care employees, barring assignment of TB-positive employees to a client's home until non-infectious status is demonstrated and requiring annual TB-symptom verification for previously positive employees.

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