Complete Practice Test Bank for the
North Carolina Assisted Living
Administrator State Examination:
Questions, Answers, and Regulatory
Rationales
SECTION 1: LICENSING, REGULATIONS & NCAC (Questions 1–
25)
Q1. Which state agency is primarily responsible for regulating
assisted living facilities in North Carolina?
A) Department of Labor
B) Department of Health and Human Services (DHHS) –
Division of Health Service Regulation (DHSR)
C) Department of Justice
D) Department of Social Services
Answer: B
Rationale: The NC Department of Health and Human Services
(DHHS), specifically the Division of Health Service Regulation
(DHSR) – Adult Care Licensure Section (ACLS), is responsible for
licensing, inspecting, and regulating adult care homes (assisted
living facilities) in North Carolina.
,Q2. Which sections of the NC Administrative Code govern
assisted living facilities?
A) 10A NCAC 13F and 10A NCAC 13G
B) 12B NCAC 5D
C) 14A NCAC 10F
D) 11A NCAC 13C
Answer: A
Rationale: 10A NCAC 13F governs adult care homes (7+ beds),
while 10A NCAC 13G governs family care homes (6 beds or fewer).
These are the primary regulatory sections for assisted living in
North Carolina.
Q3. How often must an assisted living facility license be
renewed in North Carolina?
A) Every year
B) Every two years
C) Every three years
D) Every five years
Answer: A
Rationale: Assisted living facility licenses must be renewed
annually to remain in compliance with NC regulations.
,Q4. What is the minimum age required to serve as an
administrator of a licensed adult care home in North
Carolina?
A) 18
B) 21
C) 25
D) 30
Answer: B
Rationale: NC rules (10A NCAC 13F .0401 and 13G .0401) require
an administrator applicant to be at least 21 years of age.
Q5. Which NCAC section addresses applying for a license to
operate a home not currently licensed?
A) NCAC 13G .0202
B) NCAC 13G .0204
C) NCAC 13G .0206
D) NCAC 13G .0208
Answer: B
Rationale: NCAC 13G .0204 specifically covers the procedure for
applying for a license to operate a home that is not currently
licensed.
, Q6. Which NCAC section addresses the capacity of a family
care home?
A) NCAC 13G .0202
B) NCAC 13G .0204
C) NCAC 13G .0206
D) NCAC 13G .0211
Answer: C
Rationale: NCAC 13G .0206 addresses capacity regulations for
family care homes (2–6 beds) and adult care homes (7+ beds).
Capacity is determined by physical space, staffing, and license
type.
Q7. Which NCAC section addresses the denial and revocation
of a license?
A) NCAC 13G .0206
B) NCAC 13G .0208
C) NCAC 13G .0211
D) NCAC 13G .0212
Answer: D
Rationale: NCAC 13G .0212 addresses the denial and revocation
of a license.
North Carolina Assisted Living
Administrator State Examination:
Questions, Answers, and Regulatory
Rationales
SECTION 1: LICENSING, REGULATIONS & NCAC (Questions 1–
25)
Q1. Which state agency is primarily responsible for regulating
assisted living facilities in North Carolina?
A) Department of Labor
B) Department of Health and Human Services (DHHS) –
Division of Health Service Regulation (DHSR)
C) Department of Justice
D) Department of Social Services
Answer: B
Rationale: The NC Department of Health and Human Services
(DHHS), specifically the Division of Health Service Regulation
(DHSR) – Adult Care Licensure Section (ACLS), is responsible for
licensing, inspecting, and regulating adult care homes (assisted
living facilities) in North Carolina.
,Q2. Which sections of the NC Administrative Code govern
assisted living facilities?
A) 10A NCAC 13F and 10A NCAC 13G
B) 12B NCAC 5D
C) 14A NCAC 10F
D) 11A NCAC 13C
Answer: A
Rationale: 10A NCAC 13F governs adult care homes (7+ beds),
while 10A NCAC 13G governs family care homes (6 beds or fewer).
These are the primary regulatory sections for assisted living in
North Carolina.
Q3. How often must an assisted living facility license be
renewed in North Carolina?
A) Every year
B) Every two years
C) Every three years
D) Every five years
Answer: A
Rationale: Assisted living facility licenses must be renewed
annually to remain in compliance with NC regulations.
,Q4. What is the minimum age required to serve as an
administrator of a licensed adult care home in North
Carolina?
A) 18
B) 21
C) 25
D) 30
Answer: B
Rationale: NC rules (10A NCAC 13F .0401 and 13G .0401) require
an administrator applicant to be at least 21 years of age.
Q5. Which NCAC section addresses applying for a license to
operate a home not currently licensed?
A) NCAC 13G .0202
B) NCAC 13G .0204
C) NCAC 13G .0206
D) NCAC 13G .0208
Answer: B
Rationale: NCAC 13G .0204 specifically covers the procedure for
applying for a license to operate a home that is not currently
licensed.
, Q6. Which NCAC section addresses the capacity of a family
care home?
A) NCAC 13G .0202
B) NCAC 13G .0204
C) NCAC 13G .0206
D) NCAC 13G .0211
Answer: C
Rationale: NCAC 13G .0206 addresses capacity regulations for
family care homes (2–6 beds) and adult care homes (7+ beds).
Capacity is determined by physical space, staffing, and license
type.
Q7. Which NCAC section addresses the denial and revocation
of a license?
A) NCAC 13G .0206
B) NCAC 13G .0208
C) NCAC 13G .0211
D) NCAC 13G .0212
Answer: D
Rationale: NCAC 13G .0212 addresses the denial and revocation
of a license.