House amendment to the 5th edition makes the following changes.

Part III.

Amends the proposed additions to GS 131D-2.11(a). Now provides that if the annual or biennial licensure inspection (was, annual inspection) of an adult care home is conducted separately from the inspection required every two years to determine compliance with physical plant and life-safety requirements, then the Division of Health Service Regulation (DHSR) cannot cite, as part of the annual or biennial licensure inspection, any non-compliance with any law or regulation that was cited during a physical plant and life-safety inspection (was, any violation of law that overlaps with an area addressed by the physical plant and life-safety inspection). Modifies and adds to the exceptions, allowing for DHSR to make the citation if, in consultation with the section within DHSR that conducts physical and life-safety inspections (section), either (1) the non-compliance with the law or regulation continues and the non-compliance constitutes a Type A1 Violation, a Type A2 Violation, or a Type B Violation, as specified in state law; (2) the facility has not submitted a plan of correction for the physical plant or life-safety citation that has been accepted by the section; or (3) the non-compliance with the physical plant or life-safety law and regulation cited by the section has not been corrected within the time frame allowed for correction or has increased in severity (previously, only provided a general exception to allow citation when failure to address the violation during the annual inspection would pose a risk to resident health or safety). Maintains the clarification that the new provisions do not prevent a licensing inspector from referring a concern about physical plant and life-safety requirements to the section.