House committee substitute to the 1st edition makes the following changes. 

Deletes the previously proposed changes to GS 131D-2.15 and now provides the following. Amends GS 131D-2.15 to remove the requirement of the Department of Health and Human Services (DHHS) to ensure that adult care home facilities conduct and complete a resident assessment annually subsequent to within 72 hours after admission. Now requires the facility to use an assessment instrument approved pursuant to rules adopted by the Medical Care Commission rather than approved by the Secretary upon the advice of the Director of the Division of Aging and Adult Services. Now requires the facility to conduct an assessment to develop appropriate and comprehensive service plans and care plans within 30 days of admission (was, to use the resident assessment to develop the plans, with no distinct time frame). Now permits a facility to use a service plan competed within 35 days of the resident's admission to the facility and represents the results of an assessment to determine the resident's eligibility for personal care services under the Medicaid State Plan to fulfill the activities of daily living portion of any service plan or care plan required under the statute, as amended, or any rules adopted under Article 1, Adult Care Homes; exempts such a facility from conducting an assessment of the resident's ability to perform activities of daily living within 30 days of resident admission. Makes organizational and clarifying changes to the statute.

Modifies and adds to GS 90-288.14 regarding requirements for certification as an assisted living administrator. Adds the requirement of not having a substantiated finding of neglect, abuse, misappropriation of property, diversion of drugs, or fraud listed on the Health Care Personnel Registry under GS 131E-256. Now requires the applicant to have a high school diploma and to have either successfully completed the equivalent of two years of coursework at an accredited college or university or to have a minimum of 60 months of supervisory experience, or a combination of education and experience approved by DHHS (previously, did not specifically require a high school diploma and did not specify supervisory experience as an alternative for required coursework). Sets parameters for acceptable supervisory experience to mean having full-time, direct management responsibility, including some responsibility for hiring and firing, over the equivalent of at least two full-time employees with direct resident care responsibilities. Requires the supervisory experience to have been in a licensed adult care home or licensed nursing home within the seven years preceding the date of application.