North Carolina Adult Care
Home Licensing & Staff
Requirements EXAM
QUSTIONS AND
ANSWERS
Can live-in staff share bedrooms with residents? - ANSWERS✔-No, live-in staff must have
separate bedrooms from residents.
\Q\.How is 'administrator' defined? - ANSWERS✔-The term as defined in G.S. 90-288.13 and
G.S. 131D-2.1.
\Q\.How long does the Adult Care Licensure Section have to notify the applicant of the licensing
decision? - ANSWERS✔-Within 14 days from the decision to license or not to license the facility.
\Q\.How many hours of continuing education must medication aides complete annually? -
ANSWERS✔-Six hours related to medication administration.
\Q\.How many housekeeping closets are required per residents? - ANSWERS✔-One
housekeeping closet per 60 residents or portion thereof.
,\Q\.How often must the emergency preparedness plan be reviewed? - ANSWERS✔-At least
annually.
\Q\.How often must unannounced fire drills be conducted? - ANSWERS✔-Quarterly on each
shift.
\Q\.How should the resident call system activator function? - ANSWERS✔-It should be activated
with a single action and remain on until deactivated by staff.
\Q\.In case of conflicting rules, which requirement applies? - ANSWERS✔-The more stringent
requirement shall apply.
\Q\.Is a provisional license transferable? - ANSWERS✔-No, the license is not transferable or
assignable.
\Q\.Under what conditions can a license be denied? - ANSWERS✔-For failure to comply with the
rules of the Subchapter.
\Q\.What are 'activities of daily living' (ADLs)? - ANSWERS✔-Eating, dressing, bathing, toileting,
bowel and bladder control, transfers, ambulation, and communication.
\Q\.What are 'acute care needs'? - ANSWERS✔-Symptoms or a condition that develops quickly
and is not part of the resident's baseline health or mental health status.
\Q\.What are 'food service duties'? - ANSWERS✔-Tasks related to serving meals to residents,
including food preparation and cleaning the dining area.
,\Q\.What are 'housekeeping duties'? - ANSWERS✔-Tasks performed by staff related to cleaning
and sanitizing facility common areas and resident rooms.
\Q\.What are the accessibility requirements for the site of an adult care home? - ANSWERS✔-It
must be accessible by streets, roads, and highways, and maintained for emergency vehicle
access.
\Q\.What are the components of training on physical restraints? - ANSWERS✔-Alternatives to
restraints, types of restraints, symptoms warranting restraint, and monitoring restrained
residents.
\Q\.What are the dining room requirements for adult care homes? - ANSWERS✔-Small tables
serving from two to eight persons and sturdy chairs designed to minimize tilting.
\Q\.What are the exemptions for the basic activity course requirement for activity directors? -
ANSWERS✔-Licensed recreational therapists, two years of relevant experience, licensed
occupational therapists, certified Activity Professionals, or prior completion of the course.
\Q\.What are the food storage requirements for facilities with 13 or more residents? -
ANSWERS✔-Must comply with sanitation rules for dry, refrigerated, and frozen food items.
\Q\.What are the hours of 'first shift'? - ANSWERS✔-Between 7:01 a.m. and 3:00 p.m.
\Q\.What are the hours of 'second shift'? - ANSWERS✔-Between 3:01 p.m. and 11:00 p.m.
\Q\.What are the hours of 'third shift'? - ANSWERS✔-Between 11:01 p.m. and 7:00 a.m.
, \Q\.What are the negative outcomes of using physical restraints? - ANSWERS✔-Potential harm
to residents and increased risk of injury or psychological distress.
\Q\.What are the requirements for fences around adult care home premises? - ANSWERS✔-
Fences must not prevent residents from exiting or entering freely and should not have sharp
edges or rusting posts.
\Q\.What are the requirements for resident bedrooms? - ANSWERS✔-The number of resident
beds shall not exceed the licensed capacity of the facility.
\Q\.What areas are covered in the medication administration competency evaluation? -
ANSWERS✔-Medical abbreviations, transcription of medication orders, vital signs, preparation
and administration procedures, infection control, documentation, monitoring reactions,
medication storage, and facility policies.
\Q\.What areas must have an exhaust system vented directly to the outdoors? - ANSWERS✔-
Soiled linen storage, soiled utility room, bathrooms, housekeeping closets, and laundry area.
\Q\.What background check is required for staff? - ANSWERS✔-A criminal background check
completed in accordance with G.S. 131D-40.
\Q\.What building codes must a new adult care home meet? - ANSWERS✔-North Carolina State
Building Codes for new construction.
\Q\.What can the Division grant in terms of physical plant requirements? - ANSWERS✔-An
equivalency to allow alternate methods or procedures if justified.
\Q\.What continuing education is required for a facility manager? - ANSWERS✔-12 hours a year
in the management of adult care homes or care of the elderly.
Home Licensing & Staff
Requirements EXAM
QUSTIONS AND
ANSWERS
Can live-in staff share bedrooms with residents? - ANSWERS✔-No, live-in staff must have
separate bedrooms from residents.
\Q\.How is 'administrator' defined? - ANSWERS✔-The term as defined in G.S. 90-288.13 and
G.S. 131D-2.1.
\Q\.How long does the Adult Care Licensure Section have to notify the applicant of the licensing
decision? - ANSWERS✔-Within 14 days from the decision to license or not to license the facility.
\Q\.How many hours of continuing education must medication aides complete annually? -
ANSWERS✔-Six hours related to medication administration.
\Q\.How many housekeeping closets are required per residents? - ANSWERS✔-One
housekeeping closet per 60 residents or portion thereof.
,\Q\.How often must the emergency preparedness plan be reviewed? - ANSWERS✔-At least
annually.
\Q\.How often must unannounced fire drills be conducted? - ANSWERS✔-Quarterly on each
shift.
\Q\.How should the resident call system activator function? - ANSWERS✔-It should be activated
with a single action and remain on until deactivated by staff.
\Q\.In case of conflicting rules, which requirement applies? - ANSWERS✔-The more stringent
requirement shall apply.
\Q\.Is a provisional license transferable? - ANSWERS✔-No, the license is not transferable or
assignable.
\Q\.Under what conditions can a license be denied? - ANSWERS✔-For failure to comply with the
rules of the Subchapter.
\Q\.What are 'activities of daily living' (ADLs)? - ANSWERS✔-Eating, dressing, bathing, toileting,
bowel and bladder control, transfers, ambulation, and communication.
\Q\.What are 'acute care needs'? - ANSWERS✔-Symptoms or a condition that develops quickly
and is not part of the resident's baseline health or mental health status.
\Q\.What are 'food service duties'? - ANSWERS✔-Tasks related to serving meals to residents,
including food preparation and cleaning the dining area.
,\Q\.What are 'housekeeping duties'? - ANSWERS✔-Tasks performed by staff related to cleaning
and sanitizing facility common areas and resident rooms.
\Q\.What are the accessibility requirements for the site of an adult care home? - ANSWERS✔-It
must be accessible by streets, roads, and highways, and maintained for emergency vehicle
access.
\Q\.What are the components of training on physical restraints? - ANSWERS✔-Alternatives to
restraints, types of restraints, symptoms warranting restraint, and monitoring restrained
residents.
\Q\.What are the dining room requirements for adult care homes? - ANSWERS✔-Small tables
serving from two to eight persons and sturdy chairs designed to minimize tilting.
\Q\.What are the exemptions for the basic activity course requirement for activity directors? -
ANSWERS✔-Licensed recreational therapists, two years of relevant experience, licensed
occupational therapists, certified Activity Professionals, or prior completion of the course.
\Q\.What are the food storage requirements for facilities with 13 or more residents? -
ANSWERS✔-Must comply with sanitation rules for dry, refrigerated, and frozen food items.
\Q\.What are the hours of 'first shift'? - ANSWERS✔-Between 7:01 a.m. and 3:00 p.m.
\Q\.What are the hours of 'second shift'? - ANSWERS✔-Between 3:01 p.m. and 11:00 p.m.
\Q\.What are the hours of 'third shift'? - ANSWERS✔-Between 11:01 p.m. and 7:00 a.m.
, \Q\.What are the negative outcomes of using physical restraints? - ANSWERS✔-Potential harm
to residents and increased risk of injury or psychological distress.
\Q\.What are the requirements for fences around adult care home premises? - ANSWERS✔-
Fences must not prevent residents from exiting or entering freely and should not have sharp
edges or rusting posts.
\Q\.What are the requirements for resident bedrooms? - ANSWERS✔-The number of resident
beds shall not exceed the licensed capacity of the facility.
\Q\.What areas are covered in the medication administration competency evaluation? -
ANSWERS✔-Medical abbreviations, transcription of medication orders, vital signs, preparation
and administration procedures, infection control, documentation, monitoring reactions,
medication storage, and facility policies.
\Q\.What areas must have an exhaust system vented directly to the outdoors? - ANSWERS✔-
Soiled linen storage, soiled utility room, bathrooms, housekeeping closets, and laundry area.
\Q\.What background check is required for staff? - ANSWERS✔-A criminal background check
completed in accordance with G.S. 131D-40.
\Q\.What building codes must a new adult care home meet? - ANSWERS✔-North Carolina State
Building Codes for new construction.
\Q\.What can the Division grant in terms of physical plant requirements? - ANSWERS✔-An
equivalency to allow alternate methods or procedures if justified.
\Q\.What continuing education is required for a facility manager? - ANSWERS✔-12 hours a year
in the management of adult care homes or care of the elderly.
