Steps For A Change of Ownership For Adult Care Homes With Seven or More Beds

Please read and follow these steps to complete a change of ownership successfully. Download a Change Licensure Application Packet (PDF, 192 KB).

  1. The applicant or prospective licensee must contact the Certificate of Need (CON) section with the Division of Health Service Regulation :
    1. To obtain a letter of exemption from review from CON (when licensee is changing but ownership of building is not); or
    2. Prior to the obligation to purchase the building (when the applicant or prospective licensee plans to purchase the building).
  2. The current licensee informs the Adult Care Licensure section (ACLS), Raleigh office, the county department of social services and the residents or their responsible persons in writing of the proposed change of business ownership and the date of the change. This contact should be made at least 30 days in advance of the proposed change.
    1. Any proposed structural changes of building must be approved by the Construction section of the Division of Health Service Regulation.
    2. Unpaid fines for penalties imposed will result in denial of licensure. License applications will not be processed if there are any outstanding/unpaid fines for penalties.
  3. The applicant/prospective licensee compiles the following information and submits it to the Adult Care Licensure section, Raleigh office:
    1. Licensure Change Application (PDF, 192 KB)
    2. Licensure Fee form and submit payment for the non-refundable licensure fee of the prorated fee calculated.  "Non-refundable Licensure Fee” (Prorate fee in the form of check, money order or certified check and must be payable to the "N.C. Division of Health Service Regulation.")
    3. Administrator Certificate/License
    4. Approved fire and building safety inspection reports
    5. Approved sanitation inspection report
    6. Upon completion of any construction or renovation, a certificate of occupancy or certificate of compliance from local building officials
    7. Letter from previous owner relinquishing ownership (this letter must specify the date of the change in ownership)
    8. Copy of CON letter (Licensure applications cannot be processed without approval or exemption by CON)
  4. Within 14 working days of receipt of the above information or packet, the Adult Care Licensure section will review and contact the prospective licensee for additional information if needed. If all documentation is complete, the Adult Care Licensure section will issue an initial six-month license to the applicant.
    • Unpaid fines for penalties imposed will result in denial of licensure. License applications will not be processed if there are any outstanding/unpaid fines for penalties.
  5. A survey will be conducted by staff with the Division of Health Service Regulation and county department of social services, after licensing the facility.
  6. Licenses must be renewed annually using the Annual Renewal License Application and submitting a non-refundable annual license renewal fee of $350.00 plus a per-bed fee of $12.50.

Mailing address of Raleigh Adult Care Licensure section:

Regular Mail:Express/Overnight Mail:
Division of Health Service Regulation Division of Health Service Regulation
Adult Care Licensure Section Adult Care Licensure Section
2720 Mail Service Center 801 Biggs Drive
Raleigh NC 27699-2720 Raleigh, North Carolina 27603
Attn: License Materials EnclosedAttn: License Materials Enclosed

Adult Care Licensure section (Raleigh Office) : 919-855-3765