Steps For a Change of Ownership for Family Care Homes

Please read and follow these steps to complete a change of ownership successfully. Download the Change Licensure Application Packet.

  1. The applicant or prospective licensee must contact the Certificate of Need with the Division of Health Service Regulation:
    1. To obtain a letter of exemption from review from the Certificate of Need (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.
  3. The Construction Section of the Division of Health Service Regulation must approve any proposed structural changes of building before a license can be approved. (See page 4 of the application packet)
  4. 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. The applicant/prospective licensee compiles the following information and submits it to the Adult Care Licensure Section, Raleigh office.
    1. Adult Care Home Licensure Change Application to facilitate compliance history check
    2. Licensure Fee form and submit payment for the non-refundable licensure fee of the prorated fee calculated. "Non-refundable Licensure Fee” (Prorated fee in the form of check, money order or certified check and must be payable to the "NC 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)
    9. Note: Any information not included in the packet will render the application incomplete and it will not be processed.
  6. 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 a new license to the applicant.
  7. Staff with the Division of Health Service Regulation and county department of social services will conduct a survey, after license is issued to the facility.
  8. Licenses must be renewed annually using the Annual Renewal License Application and submitting a non-refundable annual licensure 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 701 Barbour Drive
Raleigh NC 27699-2720 Raleigh, North Carolina 27603
Attn: License Materials Enclosed Attn: License Materials Enclosed

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