Allegations Against Staff and Health Care Personnel Registry Reporting
North Carolina requires every home care agency to report to the Department, within 24 hours of becoming aware, every allegation against its unlicensed staff with direct access to clients or their property (health care personnel), including injuries of unknown source, and to send the results of its investigation within five working days of the initial notification (10A NCAC 13O .0102; G.S. 131E-256(g)). This policy sets out the acts covered (abuse, neglect, misappropriation of property, diversion of drugs and fraud), the definitions, how the Agency protects the client by removing the worker from client contact while it investigates, how it investigates fairly, how it reports to Health Care Personnel Investigations, how allegations against licensed nurses go to the Board of Nursing, and how the Agency records the outcome.
- Policy number
- NC-HC-ANE-02
- Version
- 1.0
- Main rule
- 10A NCAC 13O .0102
- Library
- North Carolina home care · 50 policies
- Category
- Safeguarding
- Sections
- 18
In short
- Any claim that a worker abused, neglected, stole from or cheated a client, or an injury nobody can explain, must reach the state within 24 hours.
- The 24 hours start when any staff member hears about it. Tell the Agency Director right away, even on a weekend.
- The worker named stays away from all clients while the Agency investigates.
- Do not clean up, move things or talk about it with the worker named.
- The Agency sends the state its investigation results within five working days.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (10A NCAC 13O .0102)
- 5. When an Allegation Is Received
- 6. Initial Report Within 24 Hours
- 7. Investigation
- 8. Five-Working-Day Investigation Report
- 9. Allegations Against Licensed Staff
- 10. After the Investigation
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Show me your last Health Care Personnel Registry initial report and the five-working-day investigation report. Were they on time?
- A client has a bruise no one can explain. Is that reportable, and by when?
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