North Carolina Administrative Code

SECTION .0200 - PROGRAM REQUIREMENTS 10A NCAC 06X .0201 IN-HOME AIDE SERVICES: ADULTS, CHILDREN AND THEIR FAMILIES As described in this Subchapter, Rules .0202 through .0214, shall apply for the provision of In-Home Aide Services for Adults and Children and Their Families with an…

10A NCAC 06X .0202 DEFINITIONS As used in this Subchapter and in 10A NCAC 71Q .0911, In-Home Aide Services, the following terms have the meanings specified: (1) "Activities of Daily Living (ADL)" include eating; dressing; bathing; toileting; bowel and bladder control; transfers; …

10A NCAC 06X .0203 DESCRIPTION OF IN-HOME AIDE SERVICE LEVELS FOR ADULTS As used in this Subchapter, the following descriptions of In-Home Aide Service levels shall apply for adults: (1) Level I - Home Management. In-Home Aide Services at this level are intended to provide suppor…

10A NCAC 06X .0204 DESCRIPTION OF IN-HOME AIDE LEVELS FOR CHILDREN/FAMILIES As used in this Subchapter, the following descriptions of In-Home Aide Service levels shall apply for children and their families: (1) Level I - Home Management. In-Home Aide Services at this level are in…

10A NCAC 06X .0205 SERVICE DELIVERY In-Home Aide Services must be provided in accordance with the standards established in Rules .0203, .0204, .0206, and .0210 of this Section for task levels, competency requirements, supervision, and quality assurance requirements regardless of …

10A NCAC 06X .0206 ASSESSMENT AND REASSESSMENTS (a) The purpose of the initial assessment and regular reassessments is to determine each individual's or family's level of functioning and determine or confirm the need for In-Home Aide Services. (b) The initial assessment and reass…

10A NCAC 06X .0207 IN-HOME AIDE SERVICE PLAN (a) Each individual must have an In-Home Aide Service Plan which is based on the initial assessment and regular reassessments. (b) The In-Home Aide Service Plan must include: (1) Measurable client outcome goals; (2) In-Home Aide Servic…

10A NCAC 06X .0208 COMPETENCY REQUIREMENTS (a) An aide performing any tasks in Level III-Personal Care must be listed on the Nurse Aide Registry with the N.C. Board of Nursing within four months of being employed as specified in 21 NCAC 36 .0400. Copies of the rules in 21 NCAC 36…

10A NCAC 06X .0209 TIME FRAMES FOR COMPLETING COMPETENCY REQUIREMENTS (a) By December 1, 1991, regardless of the level of service to which the aide is assigned, demonstrated competence for the specific tasks assigned to that aide must be documented before allowing the aide to per…

10A NCAC 06X .0210 AIDE SUPERVISION (a) It is the responsibility of the agency providing the In-Home Aide Service to assure that supervision is given to all aides. (b) Regardless of the level of tasks performed, supervisory home visits must be made at least twice during the first…

10A NCAC 06X .0211 SELECTION OF AIDES Agencies providing in-home aide services must have a written policy regarding who may serve as in-home aides. The written policy shall include, at a minimum, the following information about who may serve as in-home aides: (1) aides shall be 1…

10A NCAC 06X .0212 CLIENT RECORDS Records must be kept for each In-Home Aide Services client and must include: (1) Documentation of request or authorization for services; (2) A copy of the completed initial assessment; (3) Copies of all completed reassessments; (4) Copies of the …

10A NCAC 06X .0213 QUALITY ASSURANCE REQUIREMENTS (a) All agencies providing In-Home Aide Services must be either licensed by the Department of Health and Human Services as a home care agency, or be certified or accredited through one of the following accreditation organizations,…

10a NCAC 06x .0214 METHODS OF SERVICE PROVISION (a) One or more of the methods of service provision enumerated in this Paragraph shall be used to provide In-Home Aide Services. (1) Direct Provision. County departments of social services may employ in-home aide services providers …

CHAPTER 09 - CHILD CARE RULES SECTION .0100 - DEFINITIONS 10A NCAC 09 .0101 RESERVED FOR FUTURE CODIFICATION

SECTION .0100 DEFINITIONS 10A NCAC 09 .0102 definitions The terms and phrases used in this Chapter are defined as follows: (1) "Activity area" means a space that is accessible to children and where related equipment and materials are kept in accordance with G.S. 110-91(12). (2) "…

SECTION .0200 - GENERAL REQUIREMENTS 10A NCAC 09 .0201 INSPECTIONS OF CHILD CARE FACILITIES The Division shall visit and inspect all child care facilities to ensure compliance with G.S 110, Article 7 and 10A NCAC 09. (1) The Division shall make at least one unannounced visit annu…

10A NCAC 09 .0202 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0203 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0204 CHANGES REQUIRING ISSUANCE OF A NEW LICENSE FOR A CHILD CARE CENTER (a) When the ownership of a child care center changes, the prospective new owner shall apply for a new license in accordance with Rule .0403 of this Chapter at least 30 days before acquiring own…

10A NCAC 09 .0205 ACCESS to child care center (a) The parent of a child enrolled in a child care center shall be allowed access to the center during its operating hours for the purposes of contacting the child or evaluating caregiving space at the center and the care provided by …

10A NCAC 09 .0206 CAPACITY OF THE CENTER History Note: Authority G.S. 110-88(1a); 110-91(6); 143B-168.3; Eff. January 1, 1991; Amended Eff. July 1, 1998; Pursuant to G.S. 150B-21.3A, rule Expired June 1, 2015.

10A NCAC 09 .0207 SCHOOL-AGE CHILDREN OF THE OPERATOR History Note: Authority G.S. 110-86(3); 143B-168.3; Eff. October 1, 1991; Repealed Eff. July 1, 1998.

SECTION .0300 - PROCEDURES FOR OBTAINING A LICENSE 10A NCAC 09 .0301 PRE-LICENSING REQUIREMENTS FOR CHILD CARE CENTERS (a) A prospective licensee who has not previously operated a child care center in North Carolina shall attend a pre-licensing workshop provided by the Division b…

10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE center (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The a…

10A NCAC 09 .0303 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspectio…

10A NCAC 09 .0305 REQUIREMENTS FOR A ONE-STAR RATED LICENSE FOR A CHILD CARE CENTER History Note: Authority G.S. 110-90; 110-91; 143B-168.3; Eff. April 1, 1999; Amended Eff. May 1, 2006; Pursuant to G.S. 150B-21.3A, rule Expired June 1, 2015.

SECTION .0400 - ISSUANCE OF PROVISIONAL AND TEMPORARY LICENSES 10A NCAC 09 .0401 PROVISIONAL LICENSES FOR FACILITIES History Note: Authority G.S. 110-88(6); 110-99; 143B-168.3; Eff. January 1, 1986; Amended Eff. July 1, 1998; April 1, 1992; August 1, 1990; July 1, 1988; January 1…

10A NCAC 09 .0402 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0403 TEMPORARY LICENSES FOR CENTERS (a) When an operator proposes to open a new center or to change the ownership or location of an existing center, the Division shall issue the operator a temporary license upon the receipt of a license application pursuant to 10A NC…

SECTION .0500 – schedules and activities 10A NCAC 09 .0501 STAFF/CHILD INTERACTIONS (transferred to 10A NCAC 09 .1802)

10A NCAC 09 .0502 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0503 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0504 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0505 DEVELOPMENTAL DAY CENTERS History Note: Authority G.S. 110-85; 110-88(14); 110-91(2),(12); 143B-168.3; Eff. January 1, 1987; Amended Eff. July 1, 2010; July 1, 1998; July 1, 1988; Readopted Eff. October 1, 2017 (Transferred from 10A NCAC 09 .0505); Transferred f…

10A NCAC 09 .0506 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0507 RESERVED FOR FUTURE CODIFICATION

10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of …

10A NCAC 09 .0509 Learning Environment The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a dai…

10A NCAC 09 .0510 ACTIVITY AREAS (a) For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas availa…

10A NCAC 09 .0511 daily routines FOR CHILDREN UNDER TWO YEARS OF AGE (a) Children under two years of age shall require individualized daily routines based on their specific developmental needs. The center shall provide time and space for sleeping, eating, toileting, diaper changi…

10A NCAC 09 .0512 Off premise Activities (transferred to 10A NCAC 09 .1005)

10A NCAC 09 .0513 Administrative Policies Centers shall have administrative policies and practices that provide for: (1) selection and training of staff; (2) communication with and opportunities for participation by parents; (3) operational and fiscal management; and (4) objectiv…

10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center and the services that are available to parents and their children. The operational policies shall include at least the following information:…

10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted i…

10A NCAC 09 .0516 NIGHT CARE (a) Developmentally appropriate activities shall be available for children during the evening hours. Quiet activities shall be planned just before bedtime. Children shall have opportunities to develop good personal care and health habits through routi…

SECTION .0600 - SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. (b) All equipment and furnishings shall be in good repair. All commercially manuf…

10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in loc…

10a NCAC 09 .0605 OUTDOOR Learning Environment in child care centers (a) Outdoor play equipment shall be age and developmentally appropriate. (b) For outdoor play structures purchased or installed on or after September 1, 2017 the provider shall maintain manufacturer's instructio…