Administrator Requirements and Guidelines

The Adult Care Licensure Section is responsible for approving administrators of adult care homes and family care homes. Administrators of adult care homes (7+ beds) are required to successfully meet all criteria of certification listed under G.S. 90-288.14. Administrators of family care homes (2-6 beds) are required to successfully meet all criteria listed under 10A NCAC 13G .1501.

An applicant who completes the assisted living administrator certification process receives a certificate that allows the administrator to work in an adult care home or a family care home.

An applicant who meets the requirements under 10A NCAC 13G .1501 receives a family care home administrator approval letter.  This approval allows the administrator to work only in a family care home.

Applicants: Please send all application information and materials directly to the Division of Health Service Regulation (DHSR) office:
Adult Care Licensure Section
Division of Health Service Regulation
Attn: Administrator Certification and Approval
2708 Mail Service Center
Raleigh, NC 27699-2708

Administrator Certification and Family Care Home Administrator Approval Requirements

Note: All of the following documents must be submitted by the applicant in order to obtain certification or approval. There are no exceptions to these requirements. Items #1 through #4 must be submitted prior to all other items.

  1. Assisted Living Administrator Application (PDF, 218 KB)
  2. Copy of your driver's license or another proof of age must be provided, as the applicant must be at least 21 years of age.
  3. Documentation of educational requirements.
    1. The following requirement applies to an applicant seeking the assisted living administrator certification:

      An official transcript from an accredited college or university (including community colleges) of the completion of at least two years of college coursework (60 semester hours or 96 quarter hours)
      OR
      An official transcript from an accredited college or university (including community colleges) of the completion of at least one year of coursework (30 semester hours or 48 quarter hours plus proof of at least one year of supervisory experience in a licensed adult care home, nursing home, or other health or residential care setting within the five years preceding the date of the application for certification. Note: Proof of this experience must be provided in the form of a resume with at least one letter of reference from the applicant's supervisor at the time of their employment. The letter must include dates of employment, statement of supervisory experience and the business phone number of the supervisor.

    2. The following requirement applies to an applicant seeking the family care home administrator approval:

      A copy of the applicant's high school diploma or general education diploma (GED).

  4. A satisfactory criminal history fingerprint card check by the State Bureau of Investigation (SBI) is required for all applicants (G.S. 90-288.14, 10A NCAC 13G .1501)

    To obtain your state criminal history report, you must do the following:
    • Request a fingerprint card packet (includes Authority for Release of Information Form and Fingerprint Card) from our office. You may request this packet by calling our office at 919-855-3765.
    • Complete and sign the Authority for Release of Information Form.
    • Obtain a set of your fingerprints on the fingerprint card from your local sheriff's office or police department. Please be sure to complete all designated areas at the top of the fingerprint card in order to avoid delays in processing.
    • Send the completed fingerprint card, release form, and a $14.00 money order or certified check to the N.C. Division of Health Service Regulation. Note: All items must be sent to the Adult Care Licensure Section. Do not send to the State Bureau of Investigations as they will not process your request and delays will occur.
    • DHSR will submit this information to the SBI to conduct the criminal history check. It normally takes up to two weeks for us to receive your background report.
  5. If you have been a resident of the state of North Carolina for less than five years, you must provide a satisfactory national criminal background report from the Federal Bureau of Investigations (FBI).  To obtain your national criminal history report, please follow the instructions at the following link:

    Submit a Criminal History Summary Request to the FBI
    Note: The FBI requires a payment of $18.00 for the national criminal background check. You must send your completed fingerprint card to the FBI and request the background report to be sent to your home address. Background reports are typically mailed in about 12 weeks. Once received, you are responsible for submitting the report to our office.

    Note: Residents of North Carolina for fewer than five years must also submit a state criminal history fingerprint check (as explained above) in addition to the national background check. We do not mail out fingerprint cards for the national background check. These can be printed from the FBI's website listed above or requested at your local sheriff's office.
  6. Successful completion of a 120-hour Administrator-in-Training (AIT) program as required by G.S. 90-288.14(14) and 10A NCAC 13G .1501. The training consists of a minimum of 20 hours of coursework or study and a minimum of 100 hours of on-the-job training under a preceptor who is approved by the AIT program provider. All hours must be completed after enrolling in the AIT program. The applicant and AIT program provider are responsible for submitting documentation of the completion of the AIT program to the ACLS office. The applicant must complete their program under one of the following approved providers:

  7. AIT Program Providers
    Crystalle Cutter
    Program Developer, Lifelong Learning
    Central Piedmont Community College
    Corporate and Continuing Education
    P.O. Box 35009
    Charlotte, NC 28235-5009
    Telephone: 704-330-2722, Ext. 7289
    Email: crystalle.cutter@cpcc.edu
    Brenda Gwynn
    Gwynn Consulting, LLC
    P.O. Box 2361
    Reidsville, NC 27323
    Telephone: 336-587-1757
    Email: b_gwynn@gwynncareproviders.com
    Frances Messer
    North Carolina Assisted Living Association
    3392 Six Forks Road
    Raleigh, NC 27609
    Telephone: 919-467-2486
    Fax: 919-467-5132
    Email: frances@ncala.org
    Ed Rosenberg, PhD
    Department of Sociology
    Chapell Wilson Hall
    Appalachian State University
    Boone, NC 28608
    Telephone: 828-262-6146
    Fax: 828-262-2294
    Email: RosenbergE@appstate.edu
    Dr. Sandy Spillman
    Salem Senior Consulting, LLC
    P.O. Box 6710
    Mount Airy, NC 27030
    Telephone: 336-813-1240
    Email: sandydss@aol.com
    Belinda Wilson
    Assisted Living Management, LLC
    12217 Jarden Court
    Raleigh, NC 27613
    Telephone: 919-845-5332
    Email: bwilson777@msn.com
    Cheryl Wilson
    North Carolina Association, Long Term Care Facilities
    4010 Barrett Drive, Suite 102
    Raleigh, NC 27609
    Telephone: 919-787-3560
    Fax: 919-783-5415
    Email: cheryl@ncaltcf.com
     
  8. Successful completion of a written exam administered by the Division of Health Service Regulation. A testing schedule (PDF, 26 KB) is available online and may also be requested by calling the Testing Unit office at 919-855-3793. Once you have received a letter from the testing unit after successfully passing the exam, the applicant must send in a copy of that letter to ACLS as part of the certification and approval process. Additional information is available on the administrator exam.

Administrator Renewals

Administrator certifications are initially due for renewal by December 31st of the following year after their certification. The initial certification approval letter will include the required continuing education hours for the first renewal. After the initial renewal, certified administrators are required to complete at least 30 hours of continuing education every 2 years. Renewal applications are mailed to certified administrators at the mailing address listed on their most recent application. The completed application along with certificates of completion from the administrator's continuing education courses must be mailed to the Adult Care Licensure Section. A money order or cashier's check payable to the Division of Health Service Regulation in the amount of $30.00 must also be included with the renewal application. Continuing education documentation should not be sent to ACLS prior to receipt of the renewal application. Failure of renewing in a timely manner will result in the expiration of your certification.

Family care home administrator approvals are initially due for renewal by June 30th of the following year after their approval. The initial approval letter will include the required continuing education hours for the first renewal. After the initial renewal, approved family care home administrators are required to complete at least 30 hours of continuing education every 2 years. Renewal applications are mailed to currently approved family care home administrators at the mailing address listed on their most recent application. The completed application along with certificates of completion from the administrator's continuing education courses must be mailed to the Adult Care Licensure Section. There is not a fee for renewing your approval as a family care home administrator. Continuing education documentation should not be sent to ACLS prior to receipt of the renewal application. Failure of renewing in a timely manner will result in the expiration of your approval.

Continuing Education

  1. Topics and course content should be relevant to adult care home operation and management to include such areas as resident care skills, needs of the elderly and physical or mentally handicapped persons, rules and regulations, management and supervisory skills, and issues impacting adult care.
  2. Certificates must indicate course name, date of completion, number of hours completed, name of participant, signature of instructor, and contact information of the instructor or program.
  3. No more than eight hours per day will be accepted.
  4. Courses repeated in the calendar year will only count once toward the administrator's renewal.

Posting

Certificates must be prominently posted in the adult care home where the administrator works. Family care home approval letters must be maintained in the home.

Statute and Rules

The adult care home rule regarding administrator certification is 10A NCAC 13F .1701 which references the administrator certification law, G.S. 90, Article 20A (Sections 288.10 – 288.20).

The family care home rule regarding administrator approval requirements is 10A NCAC 13G .1501.