Assisted Living Administrator Certification Requirements and Guidelines

The following requirements apply to the certification of assisted living administrators for adult care homes of seven or more beds. Administrator applicants must meet these requirements for administrator certification and receive their certificate before they can assume the role of administrator. An application packet may be requested by contacting the Adult Care Licensure Section.

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

Requirements for Certification and Re-Certification of Administrators

The applicant must complete and submit the following items:

  1. Assisted Living Administrator Certification Application (PDF, 14 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. A satisfactory criminal history fingerprint card check by the State Bureau of Investigation (SBI). This is required for all applicants (G.S. 90-288.14)

    To obtain your state criminal history report, you must do the following:
    • Request a fingerprint card packet (includes Release Form and Fingerprint Card) from our office.
    • 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.
    • 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.
    • 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.
  4. 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. The report is mailed to your address in about 12 weeks. You must request that the report be sent to your home address. You must provide the report to our office. Residents of North Carolina for fewer than five years must also submit a state criminal history fingerprint check.
  5. 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)
    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.
  6. A 120-hour Administrator-in-Training (AIT) program as required by G.S. 90-288.14(14). 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 an approved preceptor. All hours must be completed after enrolling into the AIT program.

  7. AIT Program Providers
      Ed Rosenberg, PhD
    Department of Sociology
    Chapell Wilson Hall
    Appalachian State University
    Boone, NC 28608
    Telephone: 828-262-6146
    Fax: 828-262-2294
    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
    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
    Frances Messer
    North Carolina Assisted Living Association
    3392 Six Forks Road
    Raleigh, NC 27609
    Telephone: 919-467-2486
    Fax: 919-467-5132
    Belinda Wilson
    Assisted Living Management, LLC
    12217 Jarden Court
    Raleigh, NC 27613
    Telephone: 919-845-5332
  8. A written exam administered by the Division of Health Service Regulation. A testing schedule (PDF, 26 KB) is included with the administrator certification application packet. The schedule may also be requested by calling this office at 919-855-3793. Once you have received a letter from the testing unit that you have passed the exam, the applicant must send in a copy of that letter to ACLS as part of the certification process.
  9. All administrator certifications must be renewed every 2 years. In order for the certification to be renewed, the administrator must complete 30 Continuing Education Unit's (CEU) during every 2-year certification period. The certification approval letter will indicate if the required CEU's are prorated based on when the administrator is certified. Renewal information will be sent to certified administrators in advance of required recertification.


Certificates must be prominently posted in the adult care home where the administrator works.

Statute and Rules

The adult care home rule regarding administrator certification is 10A NCAC 13F .0401 which references the administrator certification law, G.S. 90, Article 20A (Sections 288.10 – 288.20).