21 NCAC 37F .0102. ISSUANCE OF TEMPORARY LICENSE

(a)  An applicant for a temporary license shall submit the following items:

(1)           a completed application;

(2)           a resume;

(3)           three reference forms (one employer and two character) located on the Board's website as set forth in Rule 21 NCAC 37D .0203:

(A)          the Employer Reference Form shall include the address of employment and duties assigned; and

(B)          the Character Reference Form shall include how the individual knows the applicant and whether the applicant is capable of supervising the care of residents of a skilled facility.  No character reference shall be from a relative of the applicant;

(4)           a letter from the owner or regional manager requesting the issuance of a Temporary License for the facility stating the circumstances necessitating the issuance of the license; and

(5)           the processing fee of three hundred dollars ($300.00).

(b)  After an applicant is issued a temporary license he or she shall submit a fingerprint card, necessary forms, and the required fee for a criminal background check, and successfully pass the state examination administered by the Board at the next exam date to retain the temporary license.  Information regarding the forms and fees for the criminal background check is available in the Board office.

(c)  A temporary license may be extended at the discretion of the Board in accordance with the requirements of Rule .0101(d) of this Section.

(d)  A temporary license shall be issued to the applicant to permit him or her to practice only in the nursing home to which the applicant is assigned on the date of issuance.

(e)  If the Board extends the temporary license, no further fee shall be required.

 

History Note:        Authority G.S. 90‑278; 90-280; 90‑285; 90-288.01;

Eff. February 1, 1980;

Amended Eff. April 15, 1980;

Readopted Eff. October 1, 1981;

Amended Eff. May 1, 1989; December 1, 1983; October 1, 1982;

Transferred and Recodified from 21 NCAC 37A .1003 Eff. April 1, 1996;

Amended Eff. April 1, 1996;

Temporary Amendment Eff. August 15, 1999;

Amended Eff. July 1, 2014; July 1, 2000.