NORTH CAROLINA ASSISTED LIVING ADMINISTRATOR NEWLY UPDATED COLLECTION OF
EXAM QUESTIONS AND VERIFIED ANSWERS DESIGNED TO GUARANTEE YOUR SUCCESS
ON THE LATEST TEST VERSION
1. Q: What is the minimum square footage required for a resident room in
an adult care home in NC? ANSWER A minimum of 100 square feet for
single occupancy and 80 square feet per person for double occupancy.
2. Q: Who administers the Adult Care Home Licensure Program in North
Carolina? ANSWER The North Carolina Division of Health Service
Regulation (DHSR).
3. Q: How often must adult care homes be inspected in North Carolina?
ANSWER At least once every 12 months, with additional complaint
investigations as needed.
4. Q: What is the minimum age requirement to be a resident in an adult
care home? ANSWER Generally 18 years or older, unless the home is
specifically licensed for younger residents with disabilities.
5. Q: How many continuing education hours are required annually for NC
adult care home administrators? ANSWER 24 hours of continuing
education per year.
6. Q: What NC statute governs adult care homes? ANSWER North
Carolina General Statute 131D and Title 10A NCAC 13F of the Administrative
Code.
7. Q: What is the maximum capacity for a family care home in NC?
ANSWER Six or fewer residents.
8. Q: When must an adult care home notify DHSR of a change in
administrator? ANSWER Within 10 days of the change.
9. Q: What is the minimum staffing ratio during waking hours in NC adult
care homes? ANSWER At least one staff member awake and on duty for
every 20 residents during the day.
10. Q: What is the nighttime staffing requirement? ANSWER At least one
awake staff member for every 30 residents, or as determined by the resident
population needs.
,11. Q: How long must resident records be maintained after discharge?
ANSWER At least three years after discharge or transfer.
12. Q: What background check is required for all adult care home
employees in NC? ANSWER Criminal background checks through the NC
Health Care Personnel Registry and the State and National Sex Offender
Registry.
13. Q: Who must approve the tuberculosis control program for an adult
care home? ANSWER The local health department.
14. Q: How soon must a new resident receive a medical examination after
admission? ANSWER Within 30 days prior to or 10 days after admission.
15. Q: What is the penalty for operating an adult care home without a
license? ANSWER It is a Class 1 misdemeanor and can result in fines and
legal action.
16. Q: Can an administrator manage multiple adult care homes?
ANSWER Yes, but only with approval from DHSR and if they can
demonstrate adequate management capabilities.
17. Q: What is the minimum age to be an administrator of an adult care
home in NC? ANSWER 21 years old.
18. Q: What education is required to become an administrator in NC?
ANSWER A high school diploma or equivalent, plus completion of an
approved administrator training program.
19. Q: How many hours is the NC administrator training program?
ANSWER A minimum of 80 hours.
20. Q: When must fire drills be conducted? ANSWER At least monthly, on
each shift, at irregular intervals.
21. Q: What is the maximum amount of time between license renewals?
ANSWER One year.
22. Q: Who can provide medication administration in an adult care home?
ANSWER Licensed nurses or medication aides certified through the NC Board
of Nursing.
23. Q: What is the "Health Care Personnel Registry"? ANSWER A
database maintained by DHSR containing information about findings of abuse,
neglect, or exploitation by health care personnel.
, 24. Q: How soon must suspected abuse be reported to Adult Protective
Services? ANSWER Immediately, but no later than 24 hours.
25. Q: What is required before a facility can admit residents with special
care needs? ANSWER A special care designation from DHSR for that
specific population.
26. Q: What is the definition of an "adult care home" in NC? ANSWER A
residence where adults receive room, board, and personal care services for
compensation.
27. Q: Can residents be required to move out when they need skilled
nursing care? ANSWER Generally yes, unless the facility has nursing staff
and special licensing to provide that level of care.
28. Q: What is the requirement for emergency electrical power? ANSWER
Battery-operated or generator backup sufficient to maintain lighting and life
safety systems.
29. Q: How often must medication aides renew their certification?
ANSWER Every two years.
30. Q: What is the minimum ceiling height for resident rooms? ANSWER
At least 7 feet 6 inches.
31. Q: Are locked doors permitted in adult care homes? ANSWER Only
with specific authorization and only for residents with documented wandering
behaviors.
32. Q: What is required for outdoor space at an adult care home?
ANSWER Safe, accessible outdoor areas appropriate to resident needs and
abilities.
33. Q: When must an incident report be submitted to DHSR? ANSWER
Within one business day of the incident occurrence.
34. Q: What incidents must be reported to DHSR? ANSWER Deaths
(unexpected), serious injuries, abuse/neglect allegations, environmental hazards,
disease outbreaks, and law enforcement involvement.
35. Q: Can residents share a bathroom in an adult care home? ANSWER
Yes, up to four residents may share a bathroom with appropriate fixtures.
36. Q: What is the minimum number of toilets required per residents?
ANSWER At least one toilet for every six residents.
EXAM QUESTIONS AND VERIFIED ANSWERS DESIGNED TO GUARANTEE YOUR SUCCESS
ON THE LATEST TEST VERSION
1. Q: What is the minimum square footage required for a resident room in
an adult care home in NC? ANSWER A minimum of 100 square feet for
single occupancy and 80 square feet per person for double occupancy.
2. Q: Who administers the Adult Care Home Licensure Program in North
Carolina? ANSWER The North Carolina Division of Health Service
Regulation (DHSR).
3. Q: How often must adult care homes be inspected in North Carolina?
ANSWER At least once every 12 months, with additional complaint
investigations as needed.
4. Q: What is the minimum age requirement to be a resident in an adult
care home? ANSWER Generally 18 years or older, unless the home is
specifically licensed for younger residents with disabilities.
5. Q: How many continuing education hours are required annually for NC
adult care home administrators? ANSWER 24 hours of continuing
education per year.
6. Q: What NC statute governs adult care homes? ANSWER North
Carolina General Statute 131D and Title 10A NCAC 13F of the Administrative
Code.
7. Q: What is the maximum capacity for a family care home in NC?
ANSWER Six or fewer residents.
8. Q: When must an adult care home notify DHSR of a change in
administrator? ANSWER Within 10 days of the change.
9. Q: What is the minimum staffing ratio during waking hours in NC adult
care homes? ANSWER At least one staff member awake and on duty for
every 20 residents during the day.
10. Q: What is the nighttime staffing requirement? ANSWER At least one
awake staff member for every 30 residents, or as determined by the resident
population needs.
,11. Q: How long must resident records be maintained after discharge?
ANSWER At least three years after discharge or transfer.
12. Q: What background check is required for all adult care home
employees in NC? ANSWER Criminal background checks through the NC
Health Care Personnel Registry and the State and National Sex Offender
Registry.
13. Q: Who must approve the tuberculosis control program for an adult
care home? ANSWER The local health department.
14. Q: How soon must a new resident receive a medical examination after
admission? ANSWER Within 30 days prior to or 10 days after admission.
15. Q: What is the penalty for operating an adult care home without a
license? ANSWER It is a Class 1 misdemeanor and can result in fines and
legal action.
16. Q: Can an administrator manage multiple adult care homes?
ANSWER Yes, but only with approval from DHSR and if they can
demonstrate adequate management capabilities.
17. Q: What is the minimum age to be an administrator of an adult care
home in NC? ANSWER 21 years old.
18. Q: What education is required to become an administrator in NC?
ANSWER A high school diploma or equivalent, plus completion of an
approved administrator training program.
19. Q: How many hours is the NC administrator training program?
ANSWER A minimum of 80 hours.
20. Q: When must fire drills be conducted? ANSWER At least monthly, on
each shift, at irregular intervals.
21. Q: What is the maximum amount of time between license renewals?
ANSWER One year.
22. Q: Who can provide medication administration in an adult care home?
ANSWER Licensed nurses or medication aides certified through the NC Board
of Nursing.
23. Q: What is the "Health Care Personnel Registry"? ANSWER A
database maintained by DHSR containing information about findings of abuse,
neglect, or exploitation by health care personnel.
, 24. Q: How soon must suspected abuse be reported to Adult Protective
Services? ANSWER Immediately, but no later than 24 hours.
25. Q: What is required before a facility can admit residents with special
care needs? ANSWER A special care designation from DHSR for that
specific population.
26. Q: What is the definition of an "adult care home" in NC? ANSWER A
residence where adults receive room, board, and personal care services for
compensation.
27. Q: Can residents be required to move out when they need skilled
nursing care? ANSWER Generally yes, unless the facility has nursing staff
and special licensing to provide that level of care.
28. Q: What is the requirement for emergency electrical power? ANSWER
Battery-operated or generator backup sufficient to maintain lighting and life
safety systems.
29. Q: How often must medication aides renew their certification?
ANSWER Every two years.
30. Q: What is the minimum ceiling height for resident rooms? ANSWER
At least 7 feet 6 inches.
31. Q: Are locked doors permitted in adult care homes? ANSWER Only
with specific authorization and only for residents with documented wandering
behaviors.
32. Q: What is required for outdoor space at an adult care home?
ANSWER Safe, accessible outdoor areas appropriate to resident needs and
abilities.
33. Q: When must an incident report be submitted to DHSR? ANSWER
Within one business day of the incident occurrence.
34. Q: What incidents must be reported to DHSR? ANSWER Deaths
(unexpected), serious injuries, abuse/neglect allegations, environmental hazards,
disease outbreaks, and law enforcement involvement.
35. Q: Can residents share a bathroom in an adult care home? ANSWER
Yes, up to four residents may share a bathroom with appropriate fixtures.
36. Q: What is the minimum number of toilets required per residents?
ANSWER At least one toilet for every six residents.
