Pass the NC Assisted Living Administrator Exam: 300 Practice Questions and Answers with Rationales (2026 Updates) (Graded A+)

Pass the NC Assisted Living
Administrator Exam: 300 Practice
Questions and Answers with Rationales
(2026 Updates) (Graded A+)

1. 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

Correct Answer: B
Rationale: The NC 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) in North Carolina.




2. 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

Correct Answer: A
Rationale: 10A NCAC 13F governs adult care homes (7+ beds),
while 10A NCAC 13G governs family care homes (2–6 beds). These
are the primary regulatory sections for assisted living in NC.




3. 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

Correct Answer: A
Rationale: Assisted living facility licenses must be renewed
annually. Renewal applications must be submitted to DHSR with
the required fee and documentation of compliance.




4. 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

Correct Answer: B
Rationale: NCAC 13G .0204 specifically covers the procedure for
applying for a license to operate a home that is not currently
licensed. New applicants must submit forms, fees, and
documentation to DHSR.

5. 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

Correct Answer: D
Rationale: NCAC 13G .0212 explicitly addresses the denial and
revocation of a license.




6. 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 .0208

Correct Answer: C
Rationale: NCAC 13G .0206 addresses capacity regulations for

, family care homes (2–6 beds). Capacity is determined by physical
space, staffing, and license type.

7. 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

Correct Answer: B
Rationale: NC rules (10A NCAC 13F .0401 and 13G .0401) require
an administrator applicant to be at least 21 years of age.




8. What is the required Administrator-in-Training (AIT)
program length in NC?

 A) 60 hours
 B) 120 hours
 C) 90 days
 D) 1 year

Correct Answer: B
Rationale: The AIT program consists of a minimum of 20 hours of
coursework and 100 hours of on-the-job training under a preceptor,
totaling 120 hours.