Cedarbrook Residential Ctr., Inc. v. N.C. Dep't of Health & Hum. Servs.

Court: Supreme Court of North Carolina
Date filed: 2022-12-16
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               IN THE SUPREME COURT OF NORTH CAROLINA

                                   2022-NCSC-120

                                      No. 36A22

                               Filed 16 December 2022

CEDARBROOK RESIDENTIAL CENTER, INC. and FRED LEONARD

              v.
NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES,
DIVISION OF HEALTH SERVICE REGULATION, ADULT CARE LICENSURE
SECTION


      Appeal pursuant to N.C.G.S. § 7A-30(2) from the decision of a divided panel of

the Court of Appeals, 281 N.C. App. 9, 2021-NCCOA-689, affirming an order entered

on 6 November 2020 by the North Carolina Industrial Commission denying

defendant’s motion to dismiss pursuant to Rules 12(b)(1), 12(b)(2), and 12(b)(6) of the

North Carolina Rules of Civil Procedure. Heard in the Supreme Court on 4 October

2022 in the Historic 1767 Chowan County Courthouse in the Town of Edenton

pursuant to N.C.G.S. § 7A-10(a).

      Brooks, Pierce, McLendon, Humphrey & Leonard, L.L.P., by Joseph A. Ponzi
      and Howard L. Williams, for plaintiff-appellees.

      Robinson, Bradshaw & Hinson, P.A., by Adam K. Doerr and Demi Lorant
      Bostian; and Joshua H. Stein, Attorney General, by Amar Majmundar, Special
      Deputy Attorney General, for defendant-appellant.

      Disability Rights North Carolina by Lisa Grafstein and Kristine Sullivan, for
      Disability Rights North Carolina, Friends of Residents in Long Term Care,
      AARP, and AARP Foundation, amici curiae.

      Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, LLP, by John E. Harris
      and James C. Wrenn, Jr., for North Carolina Senior Living Association and
      North Carolina Assisted Living Association, amici curiae.
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           ERVIN, Justice.

¶1         This case arises from a dispute between plaintiffs Cedarbrook Residential

     Center, Inc., an adult care home, and its owner, Fred Leonard, on the one hand, and

     defendant North Carolina Department of Health and Human Services, on the other

     hand, arising from certain regulatory actions taken by the department in response to

     deficiencies that the employees of the department’s Adult Care Licensure Section had

     identified during inspections of plaintiffs’ facility.    After plaintiffs contested the

     department’s actions by initiating a contested case before the Office of Administrative

     Hearings, the parties reached a settlement pursuant to which the department agreed

     to withdraw its allegations in exchange for plaintiffs’ agreement to take certain

     remedial steps that were intended to address the alleged deficiencies. Subsequently,

     plaintiffs filed a claim with the Industrial Commission pursuant to the North

     Carolina State Tort Claims Act in which they alleged that departmental employees

     had been negligent in the course of inspecting and exercising regulatory authority

     over plaintiffs’ facility and sought to recover damages arising from increased

     operating expenses, decreased revenue, and lost profits from a planned sale of the

     facility that, in plaintiffs’ view, had been proximately caused by the department’s

     negligence. Although the department sought dismissal of plaintiffs’ claims on the

     grounds that they were barred by the doctrine of sovereign immunity, that the claims
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     that plaintiffs sought to assert against the department were not cognizable under the

     State Tort Claims Act, that plaintiffs had failed to plead a valid negligence claim

     against the department, and that plaintiffs’ claims were foreclosed by the public duty

     doctrine, the Commission denied the department’s dismissal motion, a decision that

     a divided panel of the Court of Appeals affirmed. Cedarbrook Residential Ctr., Inc. v.

     N.C. Dep’t of Health & Hum. Servs., 281 N.C. App. 9, 2021-NCCOA-689.               The

     department noted an appeal to this Court based upon a dissenting opinion at the

     Court of Appeals. After careful consideration of the parties’ arguments in light of the

     record and the applicable law, we reverse the decision of the Court of Appeals and

     remand this case to that court for further remand to the Commission for additional

     proceedings not inconsistent with this opinion.

                                 I.   Factual Background

     A. Substantive Facts

¶2         Cedarbrook is an adult care home located in Nebo that is owned and operated

     by Mr. Leonard. Cedarbrook “provid[es] a place of residence for disabled adults,

     including those with historic mental illness who are primarily stable in their

     recovery, though occasionally volatile,” and who “are a challenging population with a

     distinct culture, for whom few housing options exist in North Carolina.” As an adult
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     care home,1 Cedarbrook is subject to oversight by the department’s Adult Care

     Licensure Section pursuant to Chapter 131D of the North Carolina General Statutes,

     N.C.G.S. § 131D-1 et seq. (2021), which provides a comprehensive regulatory

     framework governing adult care homes that is intended to “ensure that adult care

     homes provide services that assist the residents in such a way as to assure quality of

     life and maximum flexibility in meeting individual needs and preserving individual

     autonomy,” N.C.G.S. § 131D-4.1.

¶3          The General Assembly has delegated numerous regulatory powers to the

     department, including the authority to license and inspect adult care homes, N.C.G.S.

     § 131D-2.4, and to adopt rules relating to the monitoring and supervision of residents,

     the quality of care provided to residents, and the staffing levels provided at such

     facilities, N.C.G.S. § 131D-4.3. In addition, the department is required to assess

     administrative penalties against any adult care home that is found to be in violation

     of applicable state and federal laws and regulations, including any provision of the

     “Adult Care Home Residents’ Bill of Rights,” N.C.G.S. § 131D-34, codified as Article

     3 of Chapter 131D, N.C.G.S. § 131D-19 et seq., which embodies the General




            1An adult care home is defined as “[a]n assisted living residence in which the housing
     management provides 24-hour scheduled and unscheduled personal care services to two or
     more residents, either directly or for scheduled needs, through formal written agreement
     with licensed home care or hospice agencies,” including residents “with cognitive
     impairments whose decisions, if made independently, may jeopardize the safety or well-being
     of themselves or others and therefore require supervision.” N.C.G.S. § 131D-2.1(3).
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     Assembly’s desire “to promote the interests and well-being of residents in adult care

     homes and assisted living residences” so that “every resident’s civil and religious

     liberties, including the right to independent personal decisions and knowledge of

     available choices, shall not be infringed” and so that “the facility shall encourage and

     assist the resident in the fullest possible exercise of those rights,” N.C.G.S. § 131D-

     19. In support of this policy, the relevant statutory provisions set out an extensive

     “declaration of rights” that are available to residents of adult care homes, N.C.G.S. §

     131D-21, and charges the department and local social services agencies with the

     responsibility for their enforcement, N.C.G.S. §131D-26.

¶4         In November 2015, the department conducted an inspection of Cedarbrook,

     during which it identified numerous concerns about the manner in which the facility

     was being operated, and reported those deficiencies to Cedarbrook in a “Statement of

     Deficiencies.” As a result of these alleged deficiencies, the department suspended

     new admissions at Cedarbrook on 19 November 2015 and issued a notice of its intent

     to revoke Cedarbrook’s license on 17 December 2015. After a follow-up inspection

     conducted in March 2016, the department issued another Statement of Deficiencies

     in which it concluded that Cedarbrook had “failed to submit acceptable plans of

     protection [for its residents] in compliance with [N.C.G.S §] 131D-34(a)” despite the

     department’s repeated requests that it do so. In these two Statements of Deficiencies,
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which totaled more than 400 pages, the department described the problems that it

had identified at Cedarbrook, including, but not limited to,

               i.   Supervision and staffing issues, including a resident
                    who went missing and was later found near I-40,
                    around five miles away from Cedarbrook;

               ii. Reports of residents performing sex acts for money or
                   sodas from the Cedarbrook commissary;

               iii. Admitting and failing to discharge residents exhibiting
                    dangerous and aggressive behavior, including physical
                    aggression and arson;

               iv. Smoking inside the facility;

               v. Hoarding behaviors creating a safety hazard;

               vi. Failing to protect residents’                privacy      when
                   administering medication; and

               vii. Issues with maintenance of medical equipment, such
                    as walkers and wheelchairs.

As a result of these two inspections, the department concluded that Cedarbrook had

committed five Type A1 violations, one Type A2 violation, and eight Type B

violations.2



       2 A “Type A1 Violation” is “a violation by a facility of the regulations, standards, and
requirements set forth in [N.C.G.S. §] 131D-21 or applicable State or federal laws and
regulations governing the licensure or certification of a facility which results in death or
serious physical harm, abuse, neglect, or exploitation.” N.C.G.S. § 131D-34(a)(1). A “Type
A2 Violation” involves a violation that “results in substantial risk that death or serious
physical harm, abuse, neglect, or exploitation will occur.” N.C.G.S. § 131D-34(a)(1a). A “Type
B Violation” is a violation that “is detrimental to the health, safety, or welfare of any resident,
but which does not result in substantial risk that death or serious physical harm, abuse,
neglect, or exploitation will occur. N.C.G.S. § 131D-34(a)(2). The applicable statute
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¶5         Based upon these findings, on 18 March 2016, the department issued a

     “Directed Plan of Protection,” which it believed to be necessary “to ensure the health,

     safety, and welfare of the residents.”    The Directed Plan of Protection required

     Cedarbrook to address the problems that had been identified in the Statements of

     Deficiencies by, among other things, increasing on-site staffing levels, assessing all

     residents who had been diagnosed with a mental illness or an intellectual

     developmental disability for the purpose of ensuring that they received appropriate

     care and supervision, providing additional staff training, and reviewing and, to the

     extent necessary, revising Cedarbrook’s policies concerning the use and suspected use

     of illicit drugs and alcohol by Cedarbrook residents. On 16 May 2016, the department

     withdrew its notice of intent to revoke the facility’s operating license and issued a

     provisional license based upon its determination, in accordance with N.C.G.S. § 131D-

     2.7, that there was a “reasonable probability” that Cedarbrook could remedy the

     deficiencies that the department had identified.

¶6         Cedarbrook disputed the department’s regulatory findings and filed a petition

     with the Office of Administrative Hearings in which it formally challenged the

     validity of those findings and the lawfulness of the regulatory actions that the

     department had taken. On 6 July 2016, the Office of Administrative Hearings stayed




     authorizes the department to impose substantial financial penalties for each identified
     violation. See generally N.C.G.S. § 131D-34.
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     the department’s decision to suspend further admissions at Cedarbrook, a sanction

     that the department formally lifted on 12 August 2016. Prior to the holding of a

     formal contested case hearing before an administrative law judge, the parties reached

     a settlement pursuant to which the department agreed to withdraw all the violations

     that it had identified in the Statements of Deficiencies in return for Cedarbrook’s

     agreement to take certain remedial actions.3

     B. Procedural History

¶7          On 25 October 2018, plaintiffs filed an affidavit and verified claim for damages

     with the Commission pursuant to the State Tort Claims Act, N.C.G.S. § 143-291 et

     seq., in which they alleged that the department had abused its authority in

     investigating and taking regulatory actions against Cedarbrook and that the

     department had been “negligent,” with “its negligence [having] caused extensive

     harm to Cedarbrook, its owner [Mr. Leonard], and, although not claimants here, its

     residents.”4    More specifically, plaintiffs alleged that the department “owed


            3 Although plaintiffs highlight the department’s withdrawal of the alleged violations
     in their complaint and their briefing before this Court as evidence that the department’s
     regulatory actions had been unjustified, plaintiffs’ counsel admitted during oral argument
     that the withdrawal of the alleged violations had stemmed from the fact that the parties had
     reached a settlement of their differences.
            4 Most of plaintiffs’ affidavit and a significant portion of their brief to this Court is

     devoted to a detailed discussion of the specific violations identified by the department and an
     explanation of the basis for plaintiffs’ belief those alleged violations lacked any legal or
     factual justification. Given that the truthfulness of these specific factual contentions is not
     germane to the proper resolution of the legal questions that are currently before us in this
     case, we will not discuss the validity of the department’s substantive allegations against
     Cedarbrook in any detail in this opinion.
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     [plaintiffs] a duty of reasonable care in the exercise of its authority to investigate the

     facility and take licensure action against [Cedarbrook]” and that the department had

     breached that duty by “(1) conducting the [inspections] of Cedarbrook; (2) writing and

     publishing the Statements of Deficiencies; (3) issuing the Directed Plan of Protection

     against Cedarbrook and leaving it in place for nearly five months; and (4) issuing the

     [suspension of admissions], and leaving it in place for nearly eight months.” Plaintiffs

     further alleged that, “[a]s a direct and proximate result of [the department’s]

     negligence,” plaintiffs had suffered damages in the form of lost revenue stemming

     from a decreased facility population, an increase in operating expenses stemming

     from the Directed Plan of Protection, and the cancellation of an agreement to sell

     Cedarbrook into which Mr. Leonard had entered prior to the suspension of

     admissions.

¶8         On 8 January 2019, the department filed a motion seeking to have plaintiffs’

     claim dismissed for lack of subject matter jurisdiction pursuant to N.C.G.S. § 1A-1,

     Rule 12(b)(1); for lack of personal jurisdiction pursuant to N.C.G.S. § 1A-1, Rule

     12(b)(2); and for failure to state a claim upon which relief could be granted pursuant

     to N.C.G.S. § 1A-1, Rule 12(b)(6).      N.C.G.S. § 1A-1, Rule 12.      According to the

     department, plaintiffs’ claims were barred by the doctrine of sovereign immunity,

     plaintiffs’ claims were not cognizable under the State Tort Claims Act, plaintiffs had

     failed to plead a valid negligence claim against the department, and plaintiffs’ claims
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     were barred by the public duty doctrine. On 13 March 2019, Deputy Commissioner

     James C. Gillen entered an order denying the department’s dismissal motion. After

     the department sought an immediate appeal from the Deputy Commissioner’s order

     to the Commission, the Commission authorized the department to take such an

     appeal on the grounds that its invocation of the doctrine of sovereign immunity

     implicated a substantial right, citing Viking Utils. Corp. v. Onslow Water & Sewer

     Auth., 232 N.C. App. 684, 686 (2010), and Green v. Kearney, 203 N.C. App. 260, 266

     (2010).

¶9         Following a hearing held on 10 September 2019, the Commission entered an

     order on 6 November 2020 in which it affirmed the Deputy Commissioner’s decision

     to deny the department’s dismissal motion.        First, the Commission rejected the

     department’s subject matter and personal jurisdiction arguments on the grounds that

     the State Tort Claims Act worked a partial waiver of the State’s sovereign immunity

     and that plaintiffs had complied with the statutory requirements for asserting a claim

     against the department pursuant to the State Tort Claims Act by filing an affidavit

     with the Commission and identifying multiple departmental employees who had

     allegedly acted in a negligent manner. Second, the Commission concluded that the

     department was not entitled to rely upon the public duty doctrine in responding to

     plaintiffs’ claims on the grounds that the General Assembly had amended the State

     Tort Claims Act in 2008 to limit the availability of the public duty doctrine for the
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purposes of the State Tort Claims Act to situations involving injuries resulting from

an allegedly negligent failure “to protect the claimant from the action of others or

from an act of God by a law enforcement officer” or from the actions “of an officer,

employee, involuntary servant[,] or agent of the State to perform a health or safety

inspection required by statute,” citing N.C.G.S. § 143-299.1A(a).             Given that

plaintiffs’ claims “concern the alleged[ly] negligent performance of the inspection

(survey) process conducted by [the department],” which is not one of the exceptions

listed in the statute, the Commission determined that “the public duty doctrine d[id]

not apply” in this case. In addition, the Commission concluded that plaintiffs had

alleged sufficient facts to support the assertion of a viable negligence claim against

the department on the grounds that

             [t]aking the allegations as true, the Commission finds and
             concludes [that] there is sufficient showing that [the
             department] breached its “duty of reasonable care in the
             exercise of its authority to investigate the facility and take
             licensure actions” and that [the department] negligently
             issued statements of deficiencies, causing the suspension
             of admissions and reducing the value of Cedarbrook and
             causing loss of funds through the collapse of a prospective
             sale and prospective income. Thus, [plaintiffs’] argument
             is not that it is pursuing claims on behalf of the residents.
             Rather, [plaintiffs’] standing argument is that it was
             harmed by the loss of the prospective sale and income
             caused by [the department’s] allegedly negligent issuance
             of [a] statement of deficiencies.

Finally, the Commission rejected the department’s argument that plaintiffs were not

entitled to relief under the State Tort Claim Act on the grounds that the department’s
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       agents had acted intentionally, rather than negligently, reasoning that “[p]laintiffs

       did not allege that [the department had] intended to cause [p]laintiffs harm in

       undertaking the various licensure actions against them” and that they had, instead,

       “alleged that [the department’s] conduct was negligent in the inspection and

       surveying process,” so that “[p]laintiffs’ claims under the Tort Claims Act are not

       barred by the intentional nature of [the department’s] actions,” citing Crump v. N.C.

       Dept. of Env’t & Nat. Res., 216 N.C. App. 39, 40 (2011). The department noted an

       appeal to the Court of Appeals from the Commission’s order.

       C. Court of Appeals Decision

¶ 10         In seeking relief from the Commission’s order before the Court of Appeals, the

       department argued that the Commission had erred by failing to dismiss plaintiffs’

       claims and “effectively recognizing a claim for ‘negligent regulation’ that permits a

       regulated entity to sue its state regulator under the [State] Tort Claims Act[.]”

       Among other things, the department contended that (1) the limited waiver of

       sovereign immunity worked by the State Tort Claims Act did not allow the assertion

       of plaintiffs’ claims against the department since the State Tort Claims Act only

       permits a party to sue the State “where the State of North Carolina, if a private

       person, would be liable” and “[p]rivate persons cannot be held liable for regulatory

       actions;” (2) the Commission’s interpretation of the State Tort Claims Act authorized

       an “end-run” around the process that the General Assembly created for the purpose
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       of allowing aggrieved parties to challenge allegedly unlawful regulatory actions using

       the North Carolina Administrative Procedure Act; (3) the public duty doctrine

       operated to bar plaintiffs’ claims; and (4), even if the State Tort Claims Act did apply

       to claims like the one that plaintiffs sought to assert, they had failed to plead a valid

       negligence claim. (emphasis in original). In addition, the department argued that

       plaintiffs’ claims should not be permitted to proceed as a matter of public policy given

       that allowing a regulated entity to assert a claim sounding in tort against the entity

       responsible for regulating its activities “could dissuade regulators from performing

       their statutorily mandated dut[ies]” in an effective manner.

¶ 11         A divided panel of the Court of Appeals filed an opinion affirming the

       Commission’s order, with a majority of the Court of Appeals having agreed that

       plaintiffs should be allowed to pursue a claim against the department pursuant to

       the State Tort Claims Act for acting negligently in the course of performing its

       regulatory duties. Cedarbrook, ¶ 16; id., ¶ 35 (Dietz, J., concurring). According to

       Judge Arrowood, writing for the court, the Commission had appropriately determined

       that plaintiffs had complied with the requirements for invoking the State Tort Claims

       Act by filing an affidavit with the Commission that contained the required

       information. Id. ¶ 11. The Court of Appeals rejected the department’s contention

       that “private persons cannot be held liable for regulatory actions” in an action brought

       pursuant to the State Tort Claims Act on the grounds that the department’s
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       argument “misconstrues the meaning of ‘private person’ under the [State Tort Claims

       Act],” that the relevant legislation must “ ‘be construed so as to effectuate its purpose

       of waiving sovereign immunity so that a person injured by the negligence of a State

       employee may sue the State as he would any other person,’ ” and that “the ‘private

       person’ language within the [State Tort Claims Act] pertains to the nature of the

       proceedings but does not operate to bar waiver of sovereign immunity,” with the

       department’s argument to the contrary resting upon a “fail[ure] to acknowledge that

       many cases presented to the Commission and to [the Court of Appeals] on appeal

       involve regulatory action.” Id. ¶ 12 (quoting Zimmer v. N.C. Dep’t of Transp., 87 N.C.

       App. 132, 136 (1987)).

¶ 12         In addition, the Court of Appeals held that, “[a]lthough the General Assembly

       has provided several remedies under the Administrative Procedure Act, the

       availability of an administrative remedy does not preclude plaintiff[s] from seeking a

       remedy under the [State Tort Claims Act].” Id. ¶ 14. In support of this proposition,

       the court cited Nanny’s Korner Day Care Center, Inc. v. North Carolina Department

       of Health and Human Services, 264 N.C. App. 71, appeal dismissed, disc. rev. denied,

       372 N.C. 700 (2019), in which the department had taken regulatory action against a

       daycare center and required the daycare center to notify its clients of an allegation of

       sexual abuse of one of its children by a staff member, resulting in a loss of business

       for the daycare center and its eventual closure. Id. at 73–75. The daycare center
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       sought relief from the department under the State Tort Claims Act and,

       subsequently, instituted a civil action in superior court in which it alleged that it had

       been injured as the result of a deprivation of its due process rights. Id. at 75.

       Although the Court of Appeals concluded that the daycare center’s claim under the

       State Tort Claims Act was barred by the applicable statute of limitations, it also held

       that the daycare center had no right to assert a direct constitutional claim against

       the department on the grounds that it “had an adequate state remedy in the form of

       the Industrial Commission through the [State] Tort Claims Act,” with the fact that

       the daycare center had failed “to comply with the applicable statute of limitations not

       render[ing] its remedy inadequate.” Id. at 79–80. In this case, the Court of Appeals

       held that, in light of its prior decision in Nanny’s Korner, it was required to hold that

       “a regulated entity has a state remedy under the [State Tort Claims Act].”

       Cedarbrook, ¶ 16.

¶ 13         Moreover, the Court of Appeals agreed with the Commission that the 2008

       amendments to the State Tort Claims Act relating to the availability of the public

       duty doctrine as a defense in proceedings initiated pursuant to State Tort Claims Acts

       precluded the department from invoking the public duty doctrine as an affirmative

       defense in this case, id. ¶¶ 19–20, with the Court of Appeals having reached this

       result based upon this Court’s decision in Ray v. North Carolina Department of

       Transportation, in which we recognized that, even though the new statute
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       “incorporated much of our public duty doctrine case law,” the General Assembly had

       “also made clear that the doctrine is to be a more limited one than the common law

       might have led us to understand,” 366 N.C. 1, 7 (2012). The Court of Appeals held

       that, in light of the plain statutory language, the public duty doctrine is only available

       as a defense in a proceeding held pursuant to the State Tort Claims Act if the alleged

       injury “is the result of (1) a law enforcement officer’s negligent failure to protect the

       plaintiff from actions of others or an act of God, or (2) a State officer’s, employee’s,

       involuntary servant’s, or agent’s negligent failure to perform a health or safety

       inspection required by statute.” Id. at 8 (citing N.C.G.S. § 143-299.1A(a)). As a result

       of the fact that “plaintiffs’ claim is based on allegedly negligent licensure actions

       taken after a series of inspections” rather than upon an “alleged[ly] negligent failure

       to perform a health or safety inspection,” the Court of Appeals held that the public

       duty doctrine did not operate to bar the assertion of plaintiffs’ claim against the

       department in this proceeding. Cedarbrook, ¶ 23 (emphasis in original).

¶ 14         The Court of Appeals also rejected the department’s contention that plaintiffs

       had failed to state a claim against the department sounding in negligence, concluding

       that this aspect of the department’s argument was “intertwined with its

       interpretation of the public duty doctrine” and that, since the department was not

       entitled to invoke the public duty doctrine in bar of plaintiffs’ claims, its challenge to

       the sufficiency of plaintiffs’ negligence claims necessarily failed as well. Id. ¶ 25. In
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       addition, the Court of Appeals noted that “[the department’s] argument that it should

       not be held liable for acting intentionally pursuant to authority granted by the

       General Assembly ‘overlooks the fact that the focus is not on whether [the

       department’s] actions were intentional, but rather whether [it] intended to injure or

       damage [plaintiffs],’ ” id., ¶ 26 (quoting Crump, 216 N.C. App. at 44–45), so that, “[i]n

       order for [the department’s] argument to succeed,” “a showing that [the department’s]

       employees intended to cause harm to plaintiffs would be required,” with “[n]othing in

       the record” tending to “suggest that [they] intended to” do so, id. ¶ 26.

¶ 15         Finally, the Court of Appeals observed that “[o]ur Courts have repeatedly

       affirmed the Commission’s authority to make determinations of negligence where a

       party alleges harm caused by an agency’s regulatory actions” and that it was “not

       persuaded by [the department’s] concern that affirming the Commission here will

       encourage regulators to abandon their statutorily mandated duties.” Id. ¶ 31. The

       Court of Appeals pointed out that the General Assembly served as the policy-making

       body in state government and that the department’s public policy concerns “would be

       more appropriately directed to the General Assembly,” particularly given that “the

       General Assembly [had] limited the applicability of the public duty doctrine through

       legislative action.” Id. ¶ 32.

¶ 16         Judge Dietz filed a separate opinion in which he concurred in the logic adopted

       by the court while emphasizing the binding nature of Nanny’s Korner and attempting
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       to refute arguments that were advanced in the dissenting opinion by Judge Tyson.

       Id. ¶¶ 35–37 (Dietz, J., concurring). Among other things, Judge Dietz observed that,

       while the policy considerations raised by the department and in Judge Tyson’s dissent

       “might be reasons for our Supreme Court to exercise its discretion to take this case

       and examine the holding in Nanny’s Korner,” the Court of Appeals was required to

       follow its own existing precedent. Id. ¶ 38.

¶ 17         In his dissenting opinion, Judge Tyson asserted that plaintiffs had “failed to

       show any legal duty owed or breach thereof, or proximate cause in their putative

       negligence action”; that “[c]laims challenging an agency’s regulatory actions are

       properly heard under the North Carolina Administrative Procedure Act”; and that

       the Court of Appeals’ decision “will lead to a stampede of nonjusticiable suits against

       regulatory state agencies which are clearly barred by sovereign immunity except for

       the limited waiver of that immunity under the [State Tort Claims Act].” Id. ¶ 39

       (Tyson, J., dissenting). According to Judge Tyson, “[i]t has long been established that

       an action cannot be maintained against [a state agency] unless it consents to be sued

       or upon its waiver of immunity, and that this immunity is absolute and unqualified.”

       Id. ¶ 47 (quoting Guthrie v. N.C. St. Ports Auth., 307 N.C. 522, 534 (1983)) (emphasis

       in Guthrie, alterations added by Judge Tyson). As a result, Judge Tyson explained,

       “[t]he State is immune from suit unless and until it has expressly consented to be

       sued.” Id. ¶ 48 (quoting Guthrie, 307 N.C. at 534).
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¶ 18           Although Judge Tyson agreed with his colleagues that the State Tort Claims

       Act constitutes a partial waiver of the State’s sovereign immunity, he concluded that

       the    “private   person”   clause   constitutes    “a      substantive   statutory   limiting

       requirement.” Id. ¶ 53 (citing Frazier v. Murray, 135 N.C. App. 43, 48 (1999)).

       According to Judge Tyson, plaintiffs’ allegations “are wholly based on regulatory

       actions and sanctions [that the department] cited plaintiff[s] for violating,” with “[n]o

       ‘private person’ [having] any right or authority to perform these exclusively state

       regulatory actions or to inspect or sanction a licensee for violations of laws and

       regulations.” Id. ¶ 54 (citing N.C.G.S. § 131D-2.4).

¶ 19           In addition, Judge Tyson concluded that plaintiffs had failed to properly plead

       a viable negligence claim given their failure to establish that the department owed

       them a “duty not to ‘negligently regulate’ ” Cedarbrook, that any breach of such a

       duty had occurred, or that “the purported breach was the proximate cause of their

       harm.” Id. ¶ 62. Judge Tyson distinguished this case from an earlier, unpublished

       Court of Appeals decision in which the estate of an elderly adult care home resident

       filed a claim against the department under the State Tort Claims Act after the

       resident disappeared from the facility and was later declared deceased. Tang v. N.C.

       Dep’t of Health & Hum. Servs., 2021 WL 5071898, 2021-NCCOA-611, ¶¶ 8–11

       (unpublished). In that case, the Court of Appeals upheld the Commission’s

       determination that the department owed a statutory duty of care to adult care home
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       residents to ensure that the facilities in which they were living were operated safely,

       that “[t]here was competent evidence for the Commission to find that [the

       department] breached its duty to plaintiff in failing to properly assess [safety]

       violations at [the facility] and in failing to take reasonable steps to address the

       deficiencies,” and that the department’s violations of this duty proximately resulted

       in the resident’s death. Id ¶ 27. In reaching this result, the Court of Appeals noted

       that the Commission had found that “it was foreseeable that [the department’s]

       failure to exercise its regulatory authority to address [nonoperational alarms on the

       facility’s exit doors]—at a facility known for past deficiencies and non-compliance—

       would result in [the resident’s] injury.” Id. ¶ 28.

¶ 20         After considering the Court of Appeals’ decision in this case in comparison with

       the approach adopted in Tang, Judge Tyson concluded that his colleagues were

       holding the department and other state regulatory agencies to “an impossible

       standard” under which they would be “(1) liable for enforcing the statutory mandates;

       and, (2) also liable for failing to enforce those very same statutory mandates with the

       Industrial Commission sitting in judgment of their ‘reasonableness.’ ” Cedarbrook,

       ¶ 66. For this reason, Judge Tyson would have concluded that “[t]he limited waiver

       of sovereign immunity under the [State Tort Claims Act] simply does not recognize

       or permit plaintiff[s’] claim.” Id.
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¶ 21         Finally, Judge Tyson disputed the validity of his colleagues’ conclusion that

       Nanny’s Korner constituted controlling precedent for purposes of this case on the

       grounds that the language upon which the majority of the Court of Appeals had relied

       was mere dicta. Id. ¶ 69. Instead, Judge Tyson would have held that, in the event

       that the department “or its employee-agent did not act professionally or reasonably

       during the scope of their investigation or in preparing its 400-page ‘Statement of

       Deficiencies,’ ” the Administrative Procedure Act “provides an adequate and exclusive

       state remedy for allegedly improper or unjustified regulatory action by a state agency

       or employees.” Id. ¶ 71. According to Judge Tyson, “[i]f plaintiff[s] had continued to

       pursue [their] claims before the [Office of Administrative Hearings] and won, [they]

       could have pursued reversal of the administrative action, remedial actions, and an

       award of attorneys’ fees in the contested case by showing [that the department]

       ‘substantially prejudiced’ its rights and acted ‘arbitrarily or capriciously.’ ” Id. ¶ 72

       (quoting N.C.G.S. § 150B-33). The department noted an appeal to this Court based

       upon Judge Tyson’s dissent.

                                          II.   Analysis

       A. Standard of Review

¶ 22         Although an order denying a motion to dismiss based upon the doctrine of

       sovereign immunity is interlocutory, such orders are immediately appealable because

       they affect a substantial right. State ex rel. Stein v. Kinston Charter Acad., 379 N.C.
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       560, 2021-NCSC-163, ¶ 23; N.C.G.S. § 7A-27(b)(3)(a) (2021). Appellate courts review

       the denial of a motion to dismiss based on the doctrine of sovereign immunity utilizing

       a de novo standard of review. White v. Trew, 366 N.C. 360, 363 (2013). The dismissal

       of a pleading based upon a failure to state a claim for which relief can be granted

       pursuant to N.C.G.S. §1A-1, Rule 12(b)(6) is appropriate when “(1) the complaint on

       its face reveals that no law supports the plaintiff’s claim; (2) the complaint on its face

       reveals the absence of facts sufficient to make a good claim; or (3) the complaint

       discloses some fact that necessarily defeats the plaintiff's claim.” Wood v. Guilford

       Cnty., 355 N.C. 161, 166 (2002). In reviewing the sufficiency of claims asserted

       against state agencies pursuant to the State Tort Claims Act, “we treat [the]

       plaintiff’s factual allegations contained in his affidavit before the Industrial

       Commission as true.” Hunt v. N.C. Dep’t of Lab., 348 N.C. 192, 194 (1998).5

       B. Sovereign Immunity and the State Tort Claims Act

¶ 23          In seeking relief from the decisions of the lower courts before this Court, the

       department begins by arguing that it is shielded by sovereign immunity from tort


              5 Although plaintiffs contend in their brief that, in asserting that its regulatory actions
       were necessary to ensure compliance with the relevant laws and the applicable standards of
       care, the department “ignores the appropriate standard of review” and “disregards the
       operative facts entirely,” the extent to which the actions that the department took against
       Cedarbrook were legally or factually justified has no bearing upon whether the claim that
       plaintiffs have asserted against the department is cognizable under the State Tort Claims
       Act. As a result, while the allegation set out in the claim and affidavit are assumed to be
       true, the extent to which plaintiffs are or are not entitled to assert a negligence-based claim
       for damages against the department and whether the department owes plaintiffs a legally
       recognized duty does not hinge upon the nature or extent of the underlying facts.
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       liability arising from the actions that it took in regulating Cedarbrook and that the

       State Tort Claims Act does not effect even a partial waiver of its sovereign immunity

       defense to such a claim. We find the department’s argument to be persuasive.

¶ 24         The common law doctrine of sovereign immunity is well-established in North

       Carolina and “prevents a claim for relief against the State except where the State has

       consented or waived its immunity.” Kinston Charter Acad., ¶ 21 (quoting Harwood

       v. Johnson, 326 N.C. 231, 238 (1990)).        Sovereign immunity is “absolute and

       unqualified,” Guthrie, 307 N.C. at 534, and “so firmly established that it should not

       and cannot be waived by indirection or by procedural rule” and can only be foregone

       “by plain, unmistakable mandate of the lawmaking body,” Orange Cnty. v. Heath, 282

       N.C. 292, 296 (1972). As a result, the State and its agencies are “immune from suit

       unless and until [the State] has expressly consented to be sued,” Guthrie, 307 N.C. at

       534 (quoting Great Am. Ins. Co. v. Gold, 254 N.C. 168, 173 (1961)), with statutes “that

       permit suit in derogation of sovereign immunity [to] be strictly construed,” Stone v.

       N.C. Dep’t of Lab., 347 N.C. 473, 479 (1998); see also Guthrie, 307 N.C. at 538.

¶ 25         The General Assembly enacted the State Tort Claims Act in 1951, in which it

       constituted the Commission as “a court for the purpose of hearing and passing upon

       tort claims against the State Board of Education, the Board of Transportation, and

       all other departments, institutions and agencies of the State.” N.C.G.S. § 143-291(a).

                    The Industrial Commission shall determine whether or not
                    each individual claim arose as a result of the negligence of
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                    any officer, employee, involuntary servant or agent of the
                    State while acting within the scope of his office,
                    employment, service, agency or authority, under
                    circumstances where the State of North Carolina, if a
                    private person, would be liable to the claimant in
                    accordance with the laws of North Carolina.

       Id. In the event that the Commission concludes that an officer, employee, involuntary

       servant, or agent of the State acted negligently in the course of carrying out his or

       her public duties and that those injuries proximately resulted in any injury to the

       plaintiff, the Commission is required to determine the amount of damages to which

       the plaintiff is entitled, subject to a statutory cap of $1,000,000 per person, per

       occurrence. Id.; N.C.G.S. § 143-299.2. Thus, by enacting the State Tort Claims Act,

       the State “partially waived its sovereign immunity by consenting to direct suits

       brought as a result of negligent acts committed by its employees in the course of their

       employment.” Teachy v. Coble Dairies, Inc., 306 N.C. 324, 329 (1982).

¶ 26         According to the department, the fact that the State Tort Claims Act operates

       in partial derogation of the State’s sovereign immunity means that its provisions

       must be strictly construed, citing Stone, 347 N.C. at 479. First, the department

       argues that the “plain language and legislative history of the [State] Tort Claims Act

       show that the General Assembly intended to waive sovereign immunity from

       traditional tort claims, not regulatory action by the State.” Second, the department

       contends that it cannot be sued by Cedarbrook based upon the regulatory actions that

       it took against the facility given that the State Tort Claims Act “only permits parties
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       to sue state agencies ‘where the [agency], if a private person, would be liable,’ ” with

       private persons being unable to exercise regulatory authority, quoting N.C.G.S. § 143-

       291(a) (alteration and emphasis added in brief). Third, the department argues that

       the Court of Appeals “incorrectly construed the [State] Tort Claims Act to circumvent

       the limited remedies the General Assembly established for challenges to regulatory

       action,” which allow adult care homes to challenge penalties and suspensions in

       accordance with the applicable provisions of the Administrative Procedure Act, citing

       N.C.G.S. §§ 131D-2.7(d)(4), -34(e).       In other words, the department argues,

       “[a]lthough the General Assembly made clear that adult care homes may contest [the

       department’s] regulatory actions [in the Office of Administrative Hearings], it did not

       authorize such facilities to pursue a claim for damages” and that, “[e]ven when an

       adult care home successfully contests a suspension or penalty, the legislature

       provided no mechanism that would allow a facility to recover compliance costs it may

       have incurred in dealings with its regulators.”

¶ 27         Finally, the department argues that Nanny’s Korner “cannot support the

       weight the Court of Appeals majority placed on it” given that Nanny’s Korner arose

       from a trial court’s decision to dismiss a constitutional due process claim rather than

       a decision by the Commission under the State Tort Claims Act and given that the

       Court of Appeals in that case “did not analyze the ‘private person’ standard under the

       [State] Tort Claims Act, the elements of a negligence claim involving regulatory
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       action, or the public duty doctrine.” According to the department, the issue before

       the Court of Appeals in this case “was simply not the focus of Nanny’s Korner, and

       the [Court of Appeal’s] indirect and unnecessary comments in that case, without

       benefit of full briefing and argument, did not provide a sufficient basis for the Court

       of Appeals to create a new cause of action against the State” that had not previously

       been recognized. In any event, the department argues, this Court is not bound by

       Nanny’s Korner.

¶ 28         In response, plaintiffs assert that “the [State] Tort Claims Act contains no

       carve-out for agency exercise of regulatory authority” and, instead, “expressly

       provides that a claim is available as a result of the negligence of any agency employee

       ‘acting within the scope of his office, employment . . . or authority,’ ” quoting N.C.G.S.

       § 143-291(a) (emphasis added in brief). According to plaintiffs, “[j]ust as driving a

       bus is within a bus driver’s scope of employment, [the department’s] licensure actions

       against Cedarbrook were within the scope of its employees’ authority” and, for that

       reason, fall within the scope of the State Tort Claims Act. Plaintiffs argue that the

       department “turns the meaning of the ‘private person’ clause on its head, as a

       mechanism to assume away agency misconduct rather than an acknowledgement of

       the waiver of sovereign immunity.” In plaintiffs’ view, the “private person” language

       “merely serves to effectuate one of the [State] Tort Claims Act’s two purposes: waiving

       sovereign immunity,” quoting Patrick v. N.C. Dept’ of Health & Hum. Servs., 192 N.C.
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       App. 713, 719 (2008). As a result, plaintiffs contend that the department’s position

       “is unsupported by the plain language of the [State] Tort Claims Act, its purpose as

       a waiver of sovereign immunity, and the cases that address the ‘private person’

       clause.”

¶ 29         A careful consideration of the record in light of the applicable law persuades

       us that the department has the better of this dispute. As an initial matter, plaintiffs

       have not cited, and our own research has not identified, any decision of either this

       Court or the Court of Appeals in the more than seventy years since the enactment of

       the State Tort Claims Act that suggests that an entity subject to regulation by a state

       agency is entitled to assert a claim for damages against that agency predicated on the

       theory that the agency regulated the entity in question in a negligent manner. The

       absence of such authority is telling given that thousands of businesses, nonprofits,

       and other entities have been subject to regulatory actions by state agencies, many of

       which undoubtedly believe that they have suffered reputational and financial harm

       as the result of misguided regulatory decisions. See, e.g., Ocean Hill Joint Venture v.

       N.C. Dep’t of Env’t, Health & Nat. Res., 333 N.C. 318 (1993) (addressing a developer’s

       administrative challenge to the imposition of civil penalties by the Department of

       Environment, Health and Natural Resources stemming from alleged violations of the

       Sedimentation Pollution Control Act); Parkway Urology, P.A. v. N.C. Dep’t of Health

       & Hum. Servs., 205 N.C. App. 529 (2010) (addressing a hospital’s challenge to a
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       decision by the Department of Health and Human Services to award a certificate of

       need to a nearby hospital allowing it to purchase a piece of equipment used for cancer

       treatment, in which the challenger alleged that the department’s decision would

       reduce the number of patients that it could serve and substantially and adversely

       affect its revenues). The absence of any authority indicating that the legal theory

       upon which plaintiffs rely has any viability strongly suggests that it does not.

¶ 30         In the lengthy period prior to the enactment of the State Tort Claims Act, the

       General Assembly addressed claims advanced by private citizens seeking

       compensation for personal injuries arising from State action by enacting case-specific

       pieces of legislation or delegating authority to various state agencies to adjudicate

       the validity of such claims. See A Survey of Statutory Changes in North Carolina in

       1951, 29 N.C. L. Rev. 351, 417 (1951). For example, in 1935, the General Assembly

       enacted legislation authorizing the State Board of Education to settle personal injury

       and wrongful death claims arising from accidents involving school buses, regardless

       of the extent to which those actions stemmed from negligent conduct. Id. (citing

       N.C.G.S. §§ 115-340 to -346 (now repealed)).             Similarly, in 1947, the General

       Assembly “lumped private claims in an omnibus bill, and authorized the state

       agencies concerned, upon investigation, to pay claimants not in excess of the sums

       listed therein.” Id. (citing An Act to Provide for the Investigation and Payment of

       Certain Claims Growing Out of Motor Vehicle Accidents Involving Governmental
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       Employees, ch. 1092, 1947 N.C. Sess. Laws 1640, 1640–46). Finally, the 1949 General

       Assembly enacted legislation, which was something of a precursor to the State Tort

       Claims Act, authorizing the Commission to hear and settle specific negligence claims,

       most of which arose from accidents involving school buses, that had been asserted

       against various state agencies. Id. (citing An Act to Authorize the North Carolina

       Industrial Commission to Hear and Determine Certain Tort Claims Against State

       Departments and Agencies, ch. 1138, 1949 N.C. Sess. Laws, 1360, 1360–74).

¶ 31         With the passage of the State Tort Claims Act in 1951, the General Assembly

       created a “permanent machinery . . . to handle future negligence claims against the

       state.” Id. As one contemporaneous law review article explained, the State Tort

       Claims Act

                    provides for both administrative and judicial settlement of
                    claims against all departments, institutions[,] and agencies
                    of the state, resulting from a negligent act of a state
                    employee while acting within the scope of his employment
                    and without contributory negligence on the part of the
                    claimant. If not expressly, clearly by implication [the Act]
                    contemplates both personal injury and wrongful death
                    claims. Whether a claim may be filed for property injury is
                    not so clear.

       Id. (emphasis added). As a result, the legislative history of the State Tort Claims Act

       suggests that the General Assembly intended to create a formal mechanism to

       address personal injury and wrongful death claims asserted against the State by

       private citizens stemming from alleged negligence on the part of the relevant state
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       employees in lieu of the ad hoc method for addressing such claims that had existed

       until that point in time.6

¶ 32          At the time that it enacted the State Tort Claims Act, the General Assembly

       “incorporated the common law of negligence,” Stone, 347 N.C. at 479, meaning that,

       when such claims are brought before the Commission, “negligence is determined by

       the same rules as those applicable to private parties,” Bolkhir v. N.C. State Univ.,

       321 N.C. 706, 709 (1988); accord Barney v. N.C. State Highway Comm’n, 282 N.C.

       278, 284 (1972). As we noted in Bolkhir, “[t]he essence of negligence is behavior

       creating an unreasonable danger to others,” so that, in order to establish negligence

       for purposes of the State Tort Claims Act, “[a] plaintiff must show that: (1) [the]

       defendant failed to exercise due care in the performance of some legal duty owed to

       [the] plaintiff under the circumstances; and (2) the negligent breach of such duty was

       the proximate cause of the injury.” Bolkhir, 321 N.C. at 709.




              6 The subsequent revisions that the General Assembly has made to the State Tort
       Claims Act likewise demonstrate that the General Assembly primarily contemplated liability
       arising from a state employee’s involvement in automobile accidents. For example, a report
       submitted to the 1999 General Assembly by the Legislative Research Commission regarding
       the estimated cost of raising the statutory cap on recovery under the State Tort Claims Act
       from $150,000 to $500,000 focused on liability arising from automobile accidents. See
       Legislative Research Commission, State Tort Liability & Immunity, Report to the 2000
       Session of the 1999 General Assembly of North Carolina, 29–31 (2000),
       https://www.ncleg.gov/files/library/studies/2000/st11064.pdf. According to the report, of the
       $6,736,781 that the Commission had awarded pursuant to the State Tort Claims Act during
       the 1998–1999 reporting period, $5,874,041, or 87%, stemmed from losses arising from
       automobile and school bus accidents. Id. at 30.
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¶ 33         The history of litigation under the State Tort Claims Act clearly indicates that

       it was intended to address traditional kinds of negligence claims, with this Court and

       the Court of Appeals having routinely considered cases involving traditional

       negligence-based torts under the rubric of the State Tort Claims Act. In Bolkhir, for

       example, the plaintiff’s son was injured when he fell through the glass paneling of a

       screen door at the entrance of the university-owned apartment in which the plaintiff

       and his family were living. Id. at 708. The plaintiff sued under the State Tort Claims

       Act, with the Commission ultimately “conclude[ing] that [the] defendant’s employee

       negligently created an unsafe condition” by replacing the screen door’s mesh paneling

       with glass paneling. Id.; see also Lyon & Sons, Inc. v. N.C. State Bd. of Educ., 238

       N.C. 24, 25 (1953) (holding that a school bus driver employed by the State negligently

       backed a bus into the plaintiff’s automobile); Brewington v. N.C. Dep’t of Corr., 111

       N.C. App. 833, 834 (1993) (holding that an inmate incarcerated in a state correctional

       facility had been injured in a fall resulting from negligent maintenance by the staff

       of the facility in which the inmate was housed).

¶ 34         The claim that plaintiffs have asserted against the department in this case

       bears no resemblance to the types of negligence claims for which the State Tort

       Claims Act has traditionally provided a means for obtaining a recovery against a state

       agency. A careful reading of the claim that plaintiffs have asserted against the

       department indicates that it rests entirely upon discretionary actions that were taken
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       in pursuit of the department’s statutory authority to regulate adult care homes. As

       a result, even though their claim is not couched in such terms, plaintiffs are seeking

       to recover damages from the department for what amounts to “negligent regulation,”

       Cedarbrook, ¶ 44 (Tyson, J., dissenting), which is not the sort of claim that any North

       Carolina court has previously recognized. On the contrary, this Court has held that,

       when the General Assembly “has vested [a state agency] with broad powers to protect

       the health and well-being of the general public,” the discretionary decisions that it

       makes in exercising that authority “are not generally the type of decisions for which

       the State is liable to private citizens in tort.” Myers v. McGrady, 360 N.C. 460, 468

       (2006).

¶ 35         In addition, the plain language of the State Tort Claims Act forecloses claims

       like those that plaintiffs have attempted to assert in this case. As has already been

       noted, the Act only permits private parties to bring claims under the State Tort

       Claims Act in situations in which “the State of North Carolina, if a private person,

       would be liable to the claimant in accordance with the laws of North Carolina.”

       N.C.G.S. § 143-291(a) (emphasis added). Put another way, “[u]nder the Act[,] the

       State is liable only under circumstances in which a private person would be.” Stone,

       347 N.C. at 478 (emphasis in original); see also Guthrie, 307 N.C. at 536–37 (holding

       that claims “under the provision of [the State Tort Claims Act are] limited to the same

       category with respect to tort claims against the agency covered as if such agency were
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       a private person and such private person would be liable under the laws of North

       Carolina”) (quoting Branch Banking & Tr. Co. v. Wilson Cnty. Bd. of Educ., 251 N.C.

       603, 609 (1960)). Private persons do not, of course, exercise regulatory power and,

       therefore, cannot be held liable for engaging in regulatory activities in a negligent

       manner. See Stone, 347 N.C. at 478 (explaining that “[o]nly governmental entities

       possess authority to enact and enforce laws for the protection of the public”). 7 As a

       result, the plain language of the State Tort Claims Act precludes a finding that a

       state agency is liable to a private party for what amounts to negligent regulation.

¶ 36          In allowing plaintiffs’ claims under the State Tort Claims Act to proceed, the

       Court of Appeals concluded that “the ‘private person’ language within the [State Tort

       Claims Act] pertains to the nature of the proceedings but does not operate to bar

       waiver of sovereign immunity.” Cedarbrook, ¶ 12. The Court of Appeals did not cite

       any authority in support of this statement, and it is not entirely clear to us what the




              7 Stone was the first case to recognize that the State Tort Claims Act incorporated the
       common law public duty doctrine, which “provides that governmental entities and their
       agents owe duties only to the general public, not to individuals, absent a ‘special relationship’
       or ‘special duty’ between the entity and the injured party.” 347 N.C. at 477–78 (citing
       Braswell v. Braswell, 330 N.C. 363, 370–71 (1991)). Although the General Assembly
       amended the State Tort Claims Act in 2008 for the purpose of limiting the circumstances
       under which the public duty doctrine constituted a defense to claims against the State, see
       An Act to Limit the Use of the Public Duty Doctrine as an Affirmative Defense for Claims
       Under the State Tort Claims Act in which the Injuries of the Claimant are the Result of the
       Alleged Negligent Failure of Certain Parties to Protect Claimants from the Action of Others,
       S.L. 2008-170, § 1, 2008 N.C. Sess. Laws 690, 691 (codified at N.C.G.S. § 143-299.1A), the
       2008 amendments did not disturb this Court’s understanding of the “private person”
       provision of N.C.G.S. § 143-291(a).
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       court meant in making it. If the Court of Appeals intended to suggest that the State

       Tort Claims Act is merely intended to allow State agencies to be held liable under the

       same procedures that could be used to hold private persons liable in tort, we are

       unable to accept that logic for two reasons. First, tort claims against the State are

       heard by the Commission, while tort claims against private persons are adjudicated

       in the General Court of Justice. Compare N.C.G.S. § 143-291(a) with N.C.G.S. § 7A-

       240. Second, the State Tort Claims Act provides that the State will be held liable

       under “circumstances [i.e., a set of facts] where . . . a private person[ ] would be liable”

       under North Carolina law rather than in accordance with the “proceedings” by which

       a private person would be held liable. N.C.G.S. § 143-291(a) (emphasis added). As a

       result, the Court of Appeals’ apparent understanding of the “private person” provision

       found in N.C.G.S. § 143-291(a) finds no support in either our precedent or the relevant

       statutory language.

¶ 37          In addition, the Court of Appeals’ understanding of the “private person”

       provision cannot be squared with the relevant canons of statutory construction.

       According to well-established North Carolina law, “when construing legislative

       provisions, this Court looks first to the plain meaning of the words of the statute

       itself” and, “when the language of a statute is clear and without ambiguity, it is the

       duty of this Court to give effect to the plain meaning of the statute.” State v. Morgan,

       372 N.C. 609, 614 (2019) (cleaned up). As we have already explained, the State Tort
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       Claims Act permits an individual to sue the State when an agent or employee of the

       State acts in a negligent manner and under circumstances in which liability in tort

       would arise under North Carolina law if that agent or employee were acting in his or

       her private capacity. See Frazier, 135 N.C. App. at 48 (observing that “[t]ort liability

       for negligence attaches to the state and its agencies under the [State] Tort Claims

       Act only ‘where the State of North Carolina, if a private person, would be liable to the

       claimant in accordance with the laws of North Carolina’ ”) (quoting N.C.G.S. § 143-

       291(a)). As a result, we agree with Judge Tyson that the “private person” language

       contained in N.C.G.S. § 143-291(a) imposes a substantive, rather than a procedural,

       limitation upon the types of claims that are cognizable under the State Tort Claims

       Act. Cedarbrook, ¶ 53 (Tyson, J., dissenting).

¶ 38         In the event that, contrary to our reading of the relevant statutory language,

       the “private person” provision contained in N.C.G.S. § 143-291(a) was deemed to be

       ambiguous, we “must interpret the statute to give effect to legislative intent.” State

       v. Curtis, 371 N.C. 355, 358 (2018) (cleaned up). As is demonstrated by even a cursory

       examination of the Administrative Procedure Act, the General Assembly has enacted

       a process by which regulated entitles are entitled to challenge the lawfulness of and

       seek redress from allegedly unlawful regulatory actions. More specifically, N.C.G.S.

       §§ 131D-2.7(d)(4) and 131D-34(e) provide that parties wishing to contest the validity

       of a departmental decision to suspend admissions to an adult care home or to
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challenge a penalty that the department has sought to impose arising from

deficiencies in the operation of an adult care home are entitled to a hearing in

accordance with the Administrative Procedure Act. See N.C.G.S. § 150B-1 et seq.; see

also Empire Power Co. v. N.C. Dep’t of Env’t Mgmt., 337 N.C. 569, 594 (1994)

(recognizing that “[t]he primary purpose of the [Administrative Procedure Act] is to

confer procedural rights, including the right to an administrative hearing, upon any

person aggrieved by an agency decision”). We have difficulty concluding that the

General Assembly would create a specific process pursuant to which regulated

entities are entitled to challenge the lawfulness of a state agency’s regulatory

decisions while simultaneously waiving sovereign immunity so as to allow those

entities to assert a negligence-based claim for damages against the agency arising

from the same regulatory decision under the State Tort Claims Act, particularly given

this Court’s consistent recognition that statutes in “derogation of sovereign immunity

should be strictly construed.” Stone, 347 N.C. at 479; see also Guthrie, 307 N.C. at

538.   As a result, basic principles of statutory construction suggest that any

uncertainty concerning the meaning of the “private person” language contained in

N.C.G.S. § 143-291(a) should be resolved against, rather than in favor of, a waiver of

sovereign immunity.8



       8Plaintiffs cite Patrick for the proposition that the “private person” language does not
bar their claims because it “merely serves to effectuate one of the [State] Tort Claims Act’s
two purposes: waiving sovereign immunity.” 192 N.C. App. at 719 (citing Teachy, 306 N.C.
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¶ 39         The interpretation of the “private person” provision of N.C.G.S. § 143-291(a)

       that we believe to be appropriate is consistent with the manner in which the federal

       courts have interpreted the virtually identical provision that appears in the Federal

       Tort Claims Act, with this Court having previously examined cases arising under the

       Federal Tort Claims Act in interpreting the State Tort Claims Act. See, e.g., Lyon &

       Sons, 238 N.C. at 32–33 (discussing interpretations of the Federal Tort Claims Act

       and applying those interpretations in construing its North Carolina analogue).

       According to the Federal Tort Claims Act, federal district courts have exclusive

       jurisdiction over

                    civil actions on claims against the United States, for money
                    damages . . . for injury or loss of property, or personal injury
                    or death caused by the negligent or wrongful act or
                    omission of any employee of the Government while acting
                    within the scope of his office or employment, under
                    circumstances where the United States, if a private person,
                    would be liable to the claimant in accordance with the law
                    of the place where the act or omission occurred.




       at 329). The issue in Patrick, however, was whether the plaintiff’s claim against the
       department in that case was barred by public official immunity. Id. at 716. The Court of
       Appeals rejected an argument advanced by the department that, because public official
       immunity protected its individual employees as “private persons” from liability for
       performing discretionary governmental duties absent evidence of malice or corruption, the
       department could not be held liable under the State Tort Claims Act. Id. at 718. Thus, the
       Patrick court’s discussion of the “private person” language merely indicates that the
       department could not escape the limited waiver of sovereign immunity provided in the State
       Tort Claims Act on the grounds that the employees whose alleged negligence gave rise to the
       claim could not be held liable as individuals.
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       28 U.S.C. § 1346(b)(1) (emphasis added). Federal courts have held that the reference

       to a “private person” in 28 U.S.C. § 1346(b)(1) imposes a substantive limit upon the

       types of tort claims that can be asserted against the United States that requires that

       those claims be comparable to the types of claims that could be asserted against a

       private person. See., e.g., C.P. Chem. Co. v. United States, 810 F.2d 34, 37 (2d Cir.

       1987) (holding that “[t]he plain meaning of section 1346(b) is that the United States

       cannot be held liable when there is no comparable cause of action against a private

       citizen”); Jayvee Brand, Inc. v. United States, 721 F.2d 385, 390 (D.C. Cir. 1983)

       (concluding that “quasi-legislative or quasi-adjudicative action by an agency of the

       federal government is action of the type that private persons could not engage in and

       hence could not be liable for under local law”).

¶ 40         In Jayvee Brand, a children’s sleepwear manufacturer sued the Consumer

       Product Safety Commission under the Federal Tort Claims Act seeking monetary

       damages that the manufacturer alleged to have been negligently caused by the

       Commission’s regulatory actions.       721 F.2d at 387.     After agreeing that the

       Commission had acted unlawfully by failing to follow proper procedures in the course

       of taking the challenged regulatory action and that these “wrongful acts” had been

       committed by an “ ‘employee of the Government while acting within the scope of his

       office or employment,’ ” the United States Court of Appeals for the District of

       Columbia Circuit concluded that, since these actions were “of the type that private
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persons could not engage in and hence could not be liable for under local law,” the

federal courts lacked “jurisdiction to entertain a suit against the federal government”

under the Federal Tort Claims Act. Id. at 390 (quoting 28 U.S.C. § 1346(b)(1)). In

support of this determination, the court explained that

             [a]ppellants ask us to make a major innovation in the law
             by holding that the [Federal Tort Claims Act] provides
             damage actions as an additional means of policing the
             internal procedures of governmental agencies. They have
             not, however, given us particularly good reasons for such
             an extraordinary step, and everything we have seen
             counsels against it. There is, in the first place, absolutely
             no evidence that in enacting the [Federal Tort Claims Act]
             Congress intended to police internal governmental law-
             making procedures with damage actions. Appellants’
             theory of governmental liability because of the
             [Commission’s] failure to follow the procedures specified
             by section 371(e) of the Federal Food, Drug, and Cosmetic
             Act would seem to impose liability for any agency’s failure
             to follow procedures prescribed by any regulation or
             statute, including the Administrative Procedure Act.
             Congress has provided elaborate mechanisms of judicial
             review so that rules adopted by improper procedures may
             be declared nullities. Nowhere, so far as we are aware, has
             Congress stated that, in addition, the affected parties could
             collect damages from the government. Surely, so striking
             a mode of policing procedural regularity as the use of
             damage actions for millions or hundreds of millions of
             dollars would have been mentioned. Appellants have
             drawn our attention to no language in any statute or any
             legislative history that suggests a conscious intention by
             any member of Congress to accomplish such a result. That
             in itself would appear nearly conclusive of the issue before
             us. It may also be significant that no plaintiffs before those
             here have ever advanced such a theory. These are negative
             reasons to doubt that Congress intended the government
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                     to be liable in damages for adopting a rule through
                     defective procedures.

       Id. at 391.

¶ 41         Similarly, in analyzing the legislative intent underlying the enactment of the

       Federal Tort Claims Act, the Supreme Court of the United States observed that “it

       was not intended that the constitutionality of legislation, the legality of regulations,

       or the propriety of a discretionary administrative act should be tested through the

       medium of a damage suit for tort.” Dalehite v. United States, 346 U.S. 15, 27 (1953)

       (cleaned up) (emphasis added). Instead, the Court concluded, the legislative history

       of the Federal Tort Claims Act revealed that “[u]ppermost in the collective mind of

       Congress were the ordinary common-law torts.” Id. at 28.

¶ 42         The same observations can be made about the State Tort Claims Act. As we

       have already noted, plaintiffs have provided no support for a conclusion that the

       General Assembly “intended to police internal governmental law-making procedures

       with damage actions.” Jayvee Brand, 721 F.2d at 391. On the contrary, the General

       Assembly enacted the Administrative Procedure Act, which provides a mechanism

       for challenging allegedly unlawful actions taken by regulatory agencies such as the

       department, for that purpose. Considering the existence of this remedy for unlawful

       regulatory actions provided by the Administrative Procedure Act, it is difficult for us

       to believe the General Assembly also intended for a plaintiff to be able to bring what

       amounts to a damage claim for “negligent regulation” against a regulatory agency.
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       Had it intended to make both such remedies available to parties adversely affected

       by the regulatory actions taken by state agencies, we believe that the General

       Assembly would have more clearly indicated that such suits were available than is

       evident from an examination of the relevant existing statutory provisions.9 This is

       especially true given the general principle that a waiver of sovereign immunity must

       be explicit rather than implied. See Heath, 282 N.C. at 296. As a result, our review

       of the relevant federal precedent and significance of that precedent for North Carolina

       law strongly counsels against acceptance of the theory that plaintiffs have espoused

       in this case.

¶ 43          In support of its decision to allow plaintiffs’ claim against the department to

       proceed, the Court of Appeals relied upon its prior decision in Nanny’s Korner.

       Cedarbrook, ¶ 16; see also id., ¶ 38 (Dietz, J., concurring). In Nanny’s Korner, a

       daycare center filed an affidavit under the State Tort Claims Act against the

       department’s Division of Child Development and Early Education in which it sought

       to recover damages as the result of the department’s alleged failure to conduct an

       independent investigation into the allegations of child sexual abuse that had been




              9 In addition to the complete absence of any precedent for plaintiffs’ claim in the
       jurisprudence of this Court, the Court of Appeals, or the federal courts, plaintiffs have failed
       to identify, and we have not been able to find, a single decision in which the courts of any
       other state have allowed a regulated entity to assert a damage claim against a state agency
       stemming from the allegedly negligent exercise of that agency’s discretionary regulatory
       authority.
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       made against one of the daycare center’s staff members. 264 N.C. App. at 75. After

       the Commission dismissed the daycare center’s claim pursuant to N.C.G.S. § 1A-1,

       Rule 12(b)(6), on the grounds that the center’s claim was barred by the three-year

       statute of limitations applicable to claims asserted under the State Tort Claims Act,

       the daycare center argued that its claim was not time-barred and that it had “the

       right to bring a direct constitutional claim since no adequate state remedy exists.”

       Id. at 75, 80. In rejecting the daycare center’s argument, the Court of Appeals held

       that the center “[did] not have a direct constitutional claim because it had an

       adequate state remedy in the form of the Industrial Commission through the [State]

       Tort Claims Act.”     Id. at 80.    However, the Court of Appeals continued, the

       Commission had correctly determined that the center’s claim was barred by the

       applicable statute of limitations, with the daycare center’s “failure to comply with the

       applicable statute of limitations not render[ing] its remedy inadequate” on the theory

       that, if the daycare center’s “claim under the [State] Tort Claims Act had been

       successful, the remedy would have compensated [it] for the same injury alleged in the

       constitutional claim.” Id.

¶ 44         Aside from the fact that Nanny’s Korner is not binding on this Court, we agree

       with the department that the Court of Appeals did not fully examine the extent, if

       any, to which the State Tort Claims Act permits the type of claim that the daycare

       center pursued in that case and that is before us now. Instead, after concluding that
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any claim that the center might have been able to assert pursuant to the State Tort

Claims Act was time-barred, the Court of Appeals stated, without explaining or citing

any supporting authority, that the State Tort Claims Act would have provided the

daycare center with an adequate remedy sufficient to preclude the availability of a

direct action under the state constitution. In other words, while the holding in

Nanny’s Korner speaks for itself, the legal analysis that the Court of Appeals

conducted regarding the availability of the State Tort Claims Act under the

circumstances presented in that case was merely cursory. Although we do not fault

the Court of Appeals for relying upon Nanny’s Korner as binding precedent in the

present case, we also do not, following a more rigorous analysis of the pertinent legal

questions, find Nanny’s Korner to be persuasive, and for that reason overrule it to the

extent it conflicts with this opinion.10

C. Negligence




       10 According to plaintiffs, Nanny’s Korner demonstrates that “the effect of disallowing
a claim under the [State] Tort Claims Act would be to create a constitutional claim where the
legislature has already provided an adequate statutory remedy” and that, “ ‘[w]here one of
two reasonable constructions will raise a serious constitutional question, the construction
which avoids this question should be adopted,’ ” quoting Long v. Fowler, 378 N.C. 138, 2021-
NCSC-81, ¶ 24). For the reasons that we have already provided, however, the interpretation
of the State Tort Claims Act upon which plaintiffs rely is not a reasonable one given that it
has no support in the language or history of the State Tort Claims Act and given that there
is no reason to believe that the General Assembly intended for the State Tort Claims Act to
provide the sort of remedy plaintiffs seek. If plaintiffs believe that they have a valid
constitutional claim against the department, they are free to pursue it in the appropriate
forum if they so choose, but no claim of that nature is before us in this appeal, and we express
no opinion concerning its legal or factual viability.
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¶ 45         In addition, the department contends that, even if plaintiffs’ claims are not

       barred by the doctrine of sovereign immunity, they have failed to state a claim for

       relief sounding in negligence as required by the State Tort Claims Act. According to

       the department, “[p]laintiffs must plead duty, breach, causation, and damages—the

       foundational elements of every tort claim—to survive a motion to dismiss,” but

       “[d]espite over 250 paragraphs of allegations,” have failed to do so, citing Stone, 347

       N.C. at 477. After careful consideration of the record in light of the applicable law,

       we conclude that plaintiffs have failed to allege the existence of the sort of legal duty

       necessary to support a negligence claim.

¶ 46         First, the department argues that plaintiff’s “allegations that [the department]

       owes it a duty are conclusory assertions of law, unsupported by fact.”            In the

       department’s view, the Court of Appeals erred in determining that, by “fil[ing] an

       affidavit containing five components required for all claimant affidavits asserting

       liability under the [State] Tort Claims Act,” plaintiffs sufficiently stated a claim for

       negligence given that mere compliance with the filing requirements “does not relieve

       a plaintiff of its obligation to plead facts supporting its claim,” citing Cedarbrook,

       ¶ 11. In addition, the department contends that the Court of Appeals “erred in

       conflating the public duty doctrine and the duty element of a negligence claim,”

       reasoning that, even though these legal principles are related, the department’s

       inability to rely upon the public duty doctrine as an affirmative defense has no
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       bearing upon the extent to which the department owed plaintiffs a duty of care

       sufficient to support the assertion of a negligence claim.

¶ 47         In the department’s view, the Court of Appeals’ decision “creates dueling tort

       duties that [the department] cannot satisfy consistent with the statutory obligations

       the General Assembly imposed on it.” According to the department, the Court of

       Appeals’ decision in this case, when read in conjunction with its decision in Tang,

       “would create an ‘impossible standard’ where [the department] would be liable for

       both ‘enforcing [ ] statutory mandates’ and ‘for failing to enforce those very same

       mandates,’ ” quoting Cedarbrook, ¶ 66 (Tyson, J., dissenting).       The department

       contends that, rather than placing it in “an untenable position that could endanger

       the residents that [the department] is charged with protecting,” it “should be free to

       hold adult care homes responsible for properly supervising residents . . . without

       concern that a facility like Cedarbrook or its owner will sue [the department] in tort

       if it disagrees.” The department claims that allowing the Court of Appeals’ decision

       to stand “would be an unprecedented expansion of the [State] Tort Claims Act” given

       that departmental employees charged with regulating adult care homes “have only

       ever been charged with protecting the residents of those facilities, not the companies

       that operate them,” and have never been held to “owe[ ] a duty to the owners of those

       companies, such that Mr. Leonard could attempt to hold [the department] liable for

       his lost profits on a planned sale of Cedarbrook.” (emphasis in original).
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¶ 48         Second, the department argues that plaintiffs’ claim rests upon “intentional

       regulatory actions” in which its employees engaged and that “intentional,

       discretionary acts taken pursuant to regulatory authority do not give rise to a tort

       claim,” citing Williams v. N.C. Dep’t of Just., Crim. Standards Div., 273 N.C. App.

       209, 212 (2020); Frazier, 135 N.C. App. at 48. According to the department, the

       regulatory actions that its employees took in this case are similar to those at issue in

       Williams and Frazier in that, “[a]lthough [plaintiffs] label[ ] them as negligence, they

       are intentional actions by a state agency taken to administer and enforce laws passed

       by the General Assembly.” In light of that fact, the department asserts that any

       “attempt to apply tort concepts like breach in the regulatory context” would be

       inappropriate given that constructs like the “reasonable person” standard are “ill-

       suited to analyzing [plaintiffs’] proposed claim of negligent regulation.” As a result,

       the department contends that “the issues in this case, and the exercise of regulatory

       authority in general, present regulatory and policy questions that tort law was not

       designed to answer,” with such questions being “best left to proceedings before an

       administrative law judge with specialized expertise, as the legislature intended.”

¶ 49         Finally, the department argues that “[r]egulations do not proximately cause

       damages to a regulated entity in tort, and a regulated entity’s compliance costs are

       not recoverable as damages.” In the department’s view, plaintiffs’ alleged damages,

       which take the form of increased operating expenses associated with compliance with
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       the Directed Plan of Protection, lost revenue resulting from the suspension of further

       admissions to Cedarbrook, and lost profits from a failed attempt to sell Cedarbrook,

       “bear no resemblance to the kinds of damages recoverable in tort.” The department

       argues that “it is the financial responsibility of business owners to run their

       businesses in accordance with state health and safety laws” and that, “if there is any

       question as to whether a certain cost should qualify as a business expense or a

       misapplication of regulatory action, the legislature has designated an administrative

       law judge as the arbiter of this decision.” In addition, the department claims that,

       “[i]f individuals and businesses can bring tort actions against these agencies in the

       Industrial Commission simply by alleging that the agency acted ‘unreasonably’ in

       executing its regulatory duties[;] . . . the State’s liability would be unmanageable and

       unprecedented.” For all these reasons, the department contends that, even if the

       regulatory actions taken against Cedarbrook “were inconsistent with the law and

       administrative regulations governing adult care homes, as [p]laintiffs claim, this is

       not a tort.”

¶ 50          Plaintiffs respond that both this Court and the Court of Appeals have held that

       agency personnel owe a duty of care in exercising their regulatory authority, citing

       Multiple Claimants v. N.C. Dep’t of Health & Hum. Servs., 361 N.C. 372, 378 (2007);

       Gammons v. N.C. Dep’t of Hum. Res., 344 N.C. 51, 63 (1996); Tang, ¶¶ 27–28; Haas

       v. Caldwell Sys., Inc., 98 N.C. App. 679, 682–83 (1987); Zimmer v. N.C. Dep’t of
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       Transp., 87 N.C. App. 132, 132 (1987). In plaintiffs’ view, an agency’s duty of care

       “extends to the regulated party,” which is “the party most directly affected by that

       exercise of authority,” in cases in which “it is reasonably foreseeable that an agency’s

       negligence in the exercise of regulatory authority could harm the parties the agency

       exercises that authority against.” According to plaintiffs, both this Court and the

       Court of Appeals have endorsed awarding damages under the State Tort Claims Act

       in situations involving claims “arising from the negligent exercise of regulatory

       authority against the regulated party,” citing Watts v. N.C. Dep’t of Env’t & Nat. Res.,

       182 N.C. App. 178, 181–85 ) (2007), aff’d 362 N.C. 497 (2008); Nanny’s Korner, 264

       N.C. App. at 80; Crump, 216 N.C. App. at 46; Russell v. N.C. Dep’t of Env’t & Nat.

       Res., 227 N.C. App. 306, 309 (2013); Strickland v. UNC-Wilmington, 213 N.C. App.

       506, 511 (2011); Husketh v. N.C. Dep’t of Corr., No. COA09-411, 2010 WL 157557, at

       *3 (N.C. Ct. App. Jan. 19, 2010) (unpublished).

¶ 51         In addition, plaintiffs argue that the statutory scheme governing the operation

       of adult care homes imposes a legally enforceable duty on the department in favor of

       both the facility and the facility’s residents. According to plaintiffs, “the statutory

       scheme recognizes that [adult care] homes provide important services in their local

       communities,” with the General Assembly having “appropriately and necessarily

       balanced the needs of all actors in the adult care home industry—the residents; adult

       care homes, their staff, supervisors, and administrators; local departments of social
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       services; local management entities; physicians and other medical professionals; and

       [the department].” As a result, plaintiffs claim, “the rights of residents do not displace

       the rights of adult care homes themselves,” with the statutory scheme “recogniz[ing]

       that [the department] owes duties to adult care homes like Cedarbrook.”

¶ 52         Plaintiffs further contend that the intentional nature of the department’s

       regulatory actions does not preclude the assertion of a negligence claim against the

       department on the theory that, even though the department “is correct that

       [plaintiffs’] claims are based—at least in part—on intentional conduct of

       [departmental] employees, the [c]omplaint does not allege that those employees

       intended to cause harm to [plaintiffs].” (emphasis in original). According to plaintiffs,

       the same argument upon which the department relies in this case was rejected in

       Crump, in which the Court of Appeals explained that “the focus is not on whether

       [the employee’s] actions were intentional, but rather on whether he intended to injure

       or damage the [plaintiffs],” quoting Crump, 216 N.C. App. at 44–45. “In other words,”

       plaintiffs explain, “ ‘[o]ne who undertakes to do something and does it negligently

       commits a negligent act,’ ” quoting Jackson v. N.C. Dep’t of Crime Control & Pub.

       Safety, 97 N.C. App. 425, 432 (1990) (emphasis added in brief).

¶ 53         Finally, plaintiffs argue that they are entitled to recover “direct and indirect

       damages suffered as a result of [the department’s] negligence.”            According to

       plaintiffs, “[t]he harms suffered by [plaintiffs]—including what [the department]
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euphemistically terms ‘compliance costs’—are squarely within the sort of direct and

indirect damages allowed in tort,” citing Champs Convenience Store, Inc. v. United

Chem. Co., 329 N.C. 446, 463 (1991), including tort claims brought under the State

Tort Claims Act, citing Phillips v. N.C. State Univ., 206 N.C. App. 258, 266–67 (2010).

Plaintiffs contend that the damages that they seek to recover in this case represent

“the natural and probable result of [the department’s] actions against it,” making the

department “liable under the plain language of the [State] Tort Claims Act for the

compensatory and consequential damages caused by its negligence.”            Plaintiffs

dismiss the department’s concerns about the “unprecedented and untenable” liability

that will allegedly result from the Court of Appeals’ decision by claiming that this

argument fails to recognize that the State Tort Claims Act waives sovereign

immunity for negligence claims, that recovery under the State Tort Claims Act is

limited to $1,000,000 arising from a single occurrence, and that “the State’s liability

for its negligence has not yet been so enormous that the General Assembly has seen

fit to revoke that waiver in the nearly 70 years the [State] Tort Claims Act has been

in existence.”   On the contrary, plaintiffs argue, the General Assembly’s recent

decision to limit the availability of the public duty doctrine in proceedings brought

pursuant to the State Tort Claims Act may reflect a legislative determination that

“the risk of tort liability promotes better agency conduct and that the relatively rare
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       occurrence of actionable (and thus compensable) agency negligence is a ‘price’ well

       worth paying for improved agency accountability.”

¶ 54            After carefully evaluating the parties’ arguments, we hold that plaintiffs have

       failed to show that the department owed them a legally recognized duty sufficient to

       support a negligence claim under the State Tort Claims Act. According to well-

       established North Carolina law, “[t]o establish actionable negligence, [a] plaintiff

       must show that: (1) [the] defendant failed to exercise due care in the performance of

       some legal duty owed to [the] plaintiff under the circumstances; and (2) the negligent

       breach of such duty was the proximate cause of the injury.” Bolkhir, 321 N.C. at 706

       (emphasis added) (citing Hairston v. Alexander Tank & Equip. Co., 310 N.C. 227, 232

       (1984)); accord Wood, 355 N.C. at 166; Mattingly v. N.C. R.R. Co., 253 N.C. 746, 750

       (1961). “A duty is defined as an ‘obligation, recognized by the law, requiring the

       person to conform to a certain standard of conduct, for the protection of others against

       unreasonable risks.’ ” Davis v. N.C. Dep’t of Hum. Res., 121 N.C. App. 105, 112 (1995)

       (emphasis added) (quoting W. Page Keeton et al., Prosser and Keeton on the Law of

       Torts § 30, at 164–65 (5th ed. 1984)). The extent to which a particular defendant

       owes a duty to a particular plaintiff constitutes a question of law, subject to de novo

       review. Connette v. Charlotte-Mecklenburg Hosp. Auth., 382 N.C. 57, 2022-NCSC-95,

       ¶ 7.
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¶ 55         In the affidavit that they filed with the Commission in this case, plaintiffs’

       allegation that the department owed them a legally recognized duty of care consisted

       of nothing more than the following:

                    245. [The department] owed Cedarbrook a duty of
                    reasonable care in the exercise of its authority to
                    investigate the facility and take licensure actions against
                    it.

                    ....

                    249. [The department] owed Mr. Leonard, as President and
                    owner of Cedarbrook, a duty of reasonable care in the
                    exercise of its authority to investigate the facility and take
                    licensure actions against it.

       The allegations that plaintiffs have advanced in support of their contention that the

       department owned them a duty of care sufficient to support a negligence claim are

       completely conclusory in nature. See Sutton v. Duke, 277 N.C. 94, 95 (1970) (noting

       that, for purposes of evaluating the validity of a motion to dismiss, “the well-pleaded

       material allegations of the complaint are taken as admitted,” but “conclusions of law

       or unwarranted deductions of fact are not admitted”). Despite the fact that plaintiffs

       have failed to allege any facts or to cite any legal authority in support of their

       contention that the department owed them a legally recognized duty of care, the

       Court of Appeals appears to have failed to consider the extent, if any, to which such

       a duty of care existed, having determined, instead, that the issue of whether the
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       department owed a legally recognized duty to plaintiffs was “intertwined with its

       interpretation of the public duty doctrine.”11 Cedarbrook, ¶ 25.

¶ 56          A careful review of the decisions upon which plaintiffs rely in support of their

       contention that the department owed them a duty of care sufficient to support their

       “negligent regulation” claim shows that each of those cases clearly indicate that the

       relevant duty of care runs to the person or persons whom the agency’s regulatory

       actions were intended to protect rather than to the entity being regulated.                In

       Multiple Claimants, for example, the estates of several inmates who died in a fire at

       the Mitchell County jail filed suit against the department under the State Tort

       Claims Act on the basis of allegations that a departmental employee had negligently

       failed to inspect the fire safety equipment utilized in the jail. 361 N.C. at 373. The

       duty of care upon which this Court relied in allowing the plaintiff’s claim to proceed

       was not to the jail or the county that operated it, but rather to the prisoners whom

       such fire safety regulations were designed to protect.12 Id. at 379; see also Gammons,

       344 N.C. at 63 (concluding that the department, by means of its relationship with the


              11 As we explain in greater detail below, the duty of care component of a negligence
       claim is legally and conceptually distinct from the affirmative defense of the public duty
       doctrine, with the Court of Appeals having erred to the extent that it reached a contrary
       conclusion.
              12 The primary issue in Multiple Claimants was whether the “special relationship”

       exception to the public duty doctrine applied in that case, 361 N.C. at 372–73, with the Court
       concluding that the plaintiffs had “properly alleged facts that establish the existence of a
       special relationship between [the department] and the inmates” so as to preclude the
       department from relying upon the public duty doctrine as a defense to the claims that had
       been asserted against it, id. at 379.
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Cleveland County Director of Social Services, owed a duty to the residents of

Cleveland County to respond to reports of child abuse and could be held liable for

negligence in the event that it failed to do so); Tang, ¶ 28 (holding that the

department had breached its duty of care to the residents of a senior care facility with

a history of violations when the department failed to address certain deficiencies in

external door security and resident supervision); Haas, 98 N.C. App. at 682–83

(concluding that the Department of Human Resources and the Department of

Natural Resources and Community Development could be held liable to residents

living near a county-operated incinerator as the result of their allegedly negligent

exercise of “permitting, supervision, inspection and monitoring authority” that

resulted in the emission of harmful and noxious gasses from the incinerator); Zimmer,

87 N.C. App. at 135 (holding that the fact that decisions made by employees of the

Department of Transportation regarding the selection, design, and maintenance of

detour routes associated with a highway construction project were “discretionary

governmental functions” did not preclude a finding that the department was liable

under the State Tort Claims Act for injuries sustained by a truck driver who had been

injured in an accident that allegedly resulted from a negligently designed detour

route). Simply put, neither this Court nor the Court of Appeals has ever found that

a state agency owed a duty of care sufficient to support a claim sounding in negligence

to an entity that was subject to the agency’s discretionary regulatory authority (e.g.,
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       the jail operator in Multiple Claimants, the senior living center in Tang, or the waste

       disposal facility in Haas). This distinction is critical given that “the duty owed by

       each defendant to [a] plaintiff is determined by the relationship subsisting between

       them.” Kientz v. Carlton, 245 N.C. 236, 240 (1957).13

¶ 57          Similarly, plaintiffs’ argument that the statutory scheme applicable to adult

       care facilities imposes a duty on the department that runs to the facilities themselves

       lacks merit. A careful analysis of the statutory provisions upon which plaintiffs rely

       in support of this argument indicates that those provisions are intended to protect

       the residents of adult care facilities rather than the facility owners or operators. For

       example, the various provisions governing training and licensing requirements for

       individuals working in adult care homes, see N.C.G.S. §§ 131D-2.2; 131D-2.15; 131D-



              13  The distinction discussed in the text of this opinion also explains why claims like
       those at issue in Gammons and Tang were not foreclosed by the “private person” provision
       contained in N.C.G.S. § 143-291(a), with the negligence claims at issue in those cases having
       been premised upon an alleged failure on the part of the department to fulfill a duty to the
       plaintiff that was imposed by statute. See Gammons, 344 N.C. at 63 (finding the department
       liable on the basis of a respondeat superior theory stemming from a failure on the part of a
       county social services director to fulfill his statutory obligation to protect minor children from
       physical abuse); Tang, ¶ 16 (affirming a finding by the Commission that the department had
       breached its statutory duty to an adult care home resident by failing to properly inspect the
       facility in which the resident resided). According to well-established North Carolina law,
       private persons can be held liable for failing to comply with statutory duties. See, e.g.,
       Stikeleather Realty & Inv. Co. v. Broadway, 242 N.C. App. 507, 517 (2015) (discussing the
       statutory duties owed to tenants by landlords under the Residential Rental Agreements Act,
       N.C.G.S. §§ 42-38 to -39, for the purpose of ensuring that residential premises are fit for
       human habitation); Mozingo v. Pitt Cnty. Mem’l Hosp., Inc., 101 N.C. App. 578, 585 (1991)
       (noting that, when a patient procures the medical services of a physician, “a duty arises
       requiring the physician to conform to the statutory standard of care”). Plaintiffs have failed
       to identify any statutory duty that they were owed by the department.
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       4.5B, 131D-40; 131D-45, are intended to protect the residents of those facilities, with

       none of these statutory provisions containing any support for the notion that they are

       intended to protect adult care facility owners or operators as well. Instead, the

       General Assembly has clearly indicated that the purpose underlying the statutory

       scheme for regulating adult care homes is “to promote the interests and well-being of

       the residents in adult care homes and assisted living residences” licensed by the

       department. N.C.G.S. § 131D-19 (emphasis added).14

¶ 58          Although plaintiff has argued that the Court of Appeals’ decision in Watts

       supports a determination that an agency can be held liable for the “negligent exercise

       of regulatory authority against the regulated party,” we do not find this argument to

       be persuasive. In Watts, the plaintiff filed an affidavit with the Commission in which

       it alleged that an agent of the North Carolina Department of Environment and

       Natural Resources had negligently inspected and issued an improvement permit for

       a parcel of land that was subsequently deemed to be unsuitable for the plaintiff’s

       house construction plans.      182 N.C. App. at 180.       Although the Department of

       Environmental and Natural Resources sought dismissal of the plaintiff’s claim on the

       basis of the public duty doctrine, the Court of Appeals held that the plaintiff’s claim



              14  Additional support for our conclusion that the statutory scheme governing adult
       care homes is intended to protect residents and not the facilities in which they live can be
       found in the fact that residents, or the department acting on their behalf, may institute a
       civil action against an adult care home to enforce the provisions of the Adult Care Home
       Residents’ Bill of Rights. See N.C.G.S. § 131D-28.
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       was entitled to proceed under the “special duty exception” given that the employee

       who had performed the inspection had “made a promise to [the] plaintiff by issuing

       the improvement permit warranting that [the] plaintiff could construct a three-

       bedroom home on the property as described in the site plan,” that the plaintiff had

       “relied on the permit in negotiating the purchase of the property,” and that the

       Department of Environment and Natural Resources had subsequently revoked the

       permit, “causing [the] plaintiff to incur additional expenses in order to use the lot as

       he had planned.” Id. at 180–84. As a result, the Court of Appeals affirmed the

       Commission’s decision to award compensatory damages to the plaintiff. Id. at 189.

¶ 59         We are not persuaded that Watts has any bearing upon the proper resolution

       of the issues that are before us in this case. Aside from the fact that the specific issue

       that was before the Court of Appeals in Watts was the availability of the public duty

       doctrine as an affirmative defense to the claims that plaintiff had asserted rather

       than whether the Department of Environment and Natural Resources owed a legally

       recognized duty to the plaintiff, the claim at issue in Watts bears no resemblance to

       the “negligent regulation” claim that plaintiffs have asserted in this case, which rests

       upon a contention that a regulated entity is entitled to assert a negligence claim

       against a state agency responsible for enforcing a complex regulatory scheme created

       by statute. As a result, nothing in Watts supports the sweeping conclusion that a
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       regulatory agency owes a duty of care sufficient to support a negligence claim in favor

       of the entities that are subject to its regulation.15

¶ 60          The other decisions upon which plaintiffs rely are equally irrelevant to the

       proper resolution of the issue that is before us in this case. See Crump, 216 N.C. App.

       at 42 (recognizing the validity of a claim that had been asserted against the

       Department of Environmental and Natural Resources by property owners who

       alleged that the agency had negligently issued a permit authorizing the construction

       of a septic system upon property that was not suitable for the installation of such a

       system); Russell, 227 N.C. App. at 309 (same); Strickland, 213 N.C. App. at 511

       (recognizing the validity of a wrongful death claim that had been asserted against the

       University of North Carolina at Wilmington based upon an allegation that university

       police officers had “negligently provided false, misleading, and irrelevant

       information” to the New Hanover County Sheriff’s Office in connection with the

       service of an arrest warrant upon the decedent, whom the officers accidentally killed

       during the execution of the arrest warrant); Husketh, 2010 WL 157557, at *1

       (upholding a claim asserted by inmate against the Department of Correction on the



              15Although plaintiffs point out that this Court affirmed the Court of Appeals decision
       in Watts, our per curiam opinion clearly indicates that our decision rested upon the
       Commission’s finding that the Department of Environment and Natural Resources had
       admitted that it had negligently issued the relevant permit, so as to have “effectively waived
       its argument that it owe[d] no duty to [the] plaintiff under the public duty doctrine.” Watts,
       362 N.C. at 498. For that reason, we “express[ed] no opinion [concerning the validity of] the
       analysis of the public duty doctrine by the Court of Appeals.” Id.
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       grounds that its employees had been “negligent in failing to apply the appropriate

       sentencing statutes for his convictions”).16 As with Multiple Claimants and other

       cases previously discussed, these cases all involved plaintiffs whose interests the

       relevant regulatory regimes were designed to protect, rather regulated entities

       impacted by the kind of complex, discretionary administrative decisions that are at

       issue in this case.

¶ 61          Finally, we conclude that the public policy concerns raised by Judge Tyson and

       the department, while by no means dispositive, counsel against a holding that

       regulated entities are entitled to sue the agencies responsible for exercising

       discretionary regulatory authority over those entities under the State Tort Claims

       Act unless we are clearly required to do so. As Judge Tyson observed, upholding the

       Court of Appeals’ decision in this case would subject those agencies to the risk of

       liability for both overly aggressive and insufficiently aggressive exercise of their

       regulatory authority, see Cedarbrook, ¶ 66 (Tyson, J., dissenting).17 The creation of


              16  The only case in North Carolina that we have found that tends to suggest that the
       department owes a legal duty to the entities that it regulates is Nanny’s Korner, which, as
       we have already explained, is neither persuasive nor binding upon this Court.
               17 The facts at issue in Multiple Claimants serve to illustrate the conundrum that

       would be created for regulatory agencies under the approach advocated for by plaintiffs. In
       the event that we were to accept the validity of the position that plaintiffs have espoused in
       this case, Mitchell County would have been entitled to maintain an action against the
       department under the State Tort Claims Act in the event that the department had conducted
       a proper inspection of the jail, detected the problems with the fire safety equipment that led
       to the fire that occurred at that facility, and ordered the County to address those deficiencies
       in a manner that the County believed to be “unreasonable.” We decline to interpret the State
       Tort Claims Act in such a way as to discourage state regulatory agencies from carrying out
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       such conflicting duties of care is inherently problematic, see Koch v. Bell, Lewis &

       Assocs., 176 N.C. App. 736, 740 (2006) (declining to recognize the existence of a duty

       between an insurance adjuster and a claimant on the grounds that the recognition of

       such a duty would “subject the adjuster to conflicting loyalties” given that the

       adjustor “owes a duty to the insurer who engaged him,” so that the creation of “[a]

       new duty [to the claimant] would conflict with that duty, and interfere with its

       faithful performance” (quoting Sanchez v. Lindsey Morden Claims Servs., Inc., 72 Cal.

       App. 4th 249, 253 (1999))), and it is particularly troublesome in situations like this

       one, in which the principal concern motivating the creation of the relevant regulatory

       regime was the protection of the residents of adult care homes rather than the entities

       that own and operate them.

¶ 62          Admittedly, it is theoretically possible to find a middle ground between too

       much regulation and no regulation at all. However, this middle ground is one that

       the General Assembly, rather than the judicial branch, should be responsible for

       identifying. See Mann Media, Inc. v. Randolph Cnty. Plan. Bd., 356 N.C. 1, 16 (2002)

       (noting that, under the Administrative Procedure Act, a court reviewing an agency




       their legislatively ordained functions in an effective manner. See State v. Jones, 359 N.C.
       832, 837 (2005) (observing that, “[i]n construing statutes[,] courts normally adopt an
       interpretation which will avoid absurd or bizarre consequences, the presumption being that
       the legislature acted in accordance with reason and common sense and did not intend
       untoward results,” (quoting State ex rel. Comm’r of Ins. v. N.C. Auto Rate Admin. Office, 294
       N.C. 60, 68 (1978))).
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decision “does not have authority to override decisions within agency discretion when

that discretion is exercised in good faith and in accordance with law” (quoting Lewis

v. N.C. Dep’t of Hum. Res., 92 N.C. App. 737, 740 (1989))). In this instance, at least,

we believe that tort law principles are ill-suited to the identification of the proper

scope of regulatory activity. See Myers, 360 N.C. at 468 (holding that, when the

General Assembly “has vested [a state agency] with broad powers to protect the

health and well-being of the general public,” the discretionary decisions that it is

required to make in exercising that authority “are not generally the type of decisions

for which the State is liable to private citizens in tort”); see also United States v. Varig

Airlines, 467 U.S. 797, 820 (1984) (holding that “[j]udicial intervention in

[discretionary] decisionmaking through private tort suits would require the courts to

‘second-guess’ the political, social, and economic judgments of an agency exercising

its regulatory function”). In reaching this conclusion, we note that the exercise of

regulatory authority by state agencies generally requires a level of expertise and the

exercise of some amount of discretion that is difficult to evaluate using the

“reasonable person” standard. See Martishius v. Carolco Studios, Inc., 355 N.C. 465,

473 (2002) (noting that, to prevail in a negligence action, a plaintiff must show that

the defendant owed the plaintiff a legal duty and “fail[ed] to exercise the degree of

care that a reasonable and prudent person would exercise under similar conditions”).

Although the courts have had extensive experience applying the “reasonable person”
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       standard in establishing liability for injuries sustained in automobile accidents and

       other areas subject to traditional tort-based liability, in which the manner in which

       the “reasonable person” standard should be applied is well-established, see, e.g.,

       Hobbs v. Queen City Coach Co., 225 N.C 323, 331 (1945) (holding that, in the exercise

       of ordinary care, “it is incumbent upon the operator of a motor vehicle to keep [the]

       same under control, and to keep a reasonably careful lookout, so as to avoid collision

       with persons and vehicles upon the highway”), we are not aware of any precedent

       that could guide the Commission in determining how a “reasonable regulator” would

       have exercised its discretionary authority in dealing with investigations like those

       conducted at Cedarbrook.18

¶ 63          More importantly, however, the General Assembly has created a system for

       the specific purpose of resolving disputes over the validity of regulatory actions by

       state agencies like the department. In 1985, the General Assembly established the

       Office of Administrative Hearings

                     to ensure that administrative decisions are made in a fair
                     and impartial manner to protect the due process rights of
                     citizens who challenge administrative action and to provide

              18 In addition, the State Tort Claims Act requires the Commission to determine if the
       plaintiff had been contributorily negligent, N.C.G.S. § 143-291(a), with such a determination
       being subject to the “the same rules as those applicable to litigation between private
       individuals,” Medley v. N.C. Dep’t of Corr., 330 N.C. 837, 840–41 (1992) (quoting Barney, 282
       N.C. at 284). It is not at all clear to us how the Commission would evaluate the existence of
       contributory negligence, which prohibits recovery where “the plaintiff’s own negligence
       contributed to his injury,” Draughon v. Evening Star Holiness Church of Dunn, 374 N.C. 479,
       483 (2020), under circumstances in which the plaintiff’s own conduct prompts the regulatory
       actions that are the alleged cause of the plaintiff’s injury.
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                     a source of independent administrative law judges to
                     conduct administrative hearings in contested cases in
                     accordance with Chapter 150B of the General Statutes and
                     thereby prevent the commingling of legislative, executive,
                     and judicial functions in the administrative process.

       N.C.G.S. § 7A-750; see also Empire Power, 337 N.C. at 594–95 (holding that, unless

       otherwise provided by law, the Administrative Procedure Act controls the rights of

       any party “aggrieved by an agency decision,” including the right to review of that

       decision by the Office of Administrative Hearings). As we have already explained,

       the Administrative Procedure Act provides a means by which adult care facilities can

       seek relief from the department’s regulatory decisions.      See N.C.G.S. §§ 131D-

       2.7(d)(4), -34(e).

¶ 64          A decision on the part of this Court to allow an “aggrieved party” to challenge

       those exact same decisions by both seeking relief pursuant to the Administrative

       Procedures Act and by filing a tort claim with the Commission would subvert the

       legislative framework that the General Assembly has created for such disputes. As

       this Court held more than forty years ago:

                     [a]s a general rule, where the legislature has provided by
                     statute an effective administrative remedy, that remedy is
                     exclusive and its relief must be exhausted before recourse
                     may be had to the courts. This is especially true where a
                     statute establishes, as here, a procedure whereby matters
                     of regulation and control are first addressed by
                     commissions or agencies particularly qualified for the
                     purpose. In such a case, the legislature has expressed an
                     intention to give the administrative entity most concerned
                     with a particular matter the first chance to discover and
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                     rectify error. Only after the appropriate agency has
                     developed its own record and factual background upon
                     which its decision must rest should the courts be available
                     to review the sufficiency of its process. An earlier
                     intercession may be both wasteful and unwarranted. To
                     permit the interruption and cessation of proceedings before
                     a commission by untimely and premature intervention by
                     the courts would completely destroy the efficiency,
                     effectiveness, and purpose of the administrative agencies.

       Presnell v. Pell, 298 N.C. 715, 721–22 (1979) (cleaned up). It seems incongruous to

       us to allow plaintiffs, who challenged the validity of the department’s regulatory

       decisions by seeking administrative relief from the Office of Administrative Hearings

       before reaching a settlement with the department that involved the withdrawal of

       the allegations that the department had made against plaintiffs, to have another bite

       at the proverbial apple by asserting a damage claim before the Commission under the

       State Tort Claims Act.19

¶ 65          After claiming that “[t]he remedies afforded under the Administrative

       Procedure[s] Act and the [State] Tort Claims Act are not mutually exclusive” and




              19 We do not wish to be understood as in any way faulting plaintiffs for their decision
       to reach a settlement with the department or to suggest that their decision to do so, standing
       alone, precluded them from seeking monetary relief from the department under the State
       Tort Claims Act, particularly given that “[t]he law favors the settlement of controversies out
       of court.” Penn Dixie Lines, Inc. v. Grannick, 238 N.C. 552, 555 (1953); see also N.C.G.S.
       § 150B-22(a) (providing that it is state policy that, as an initial matter, “any dispute between
       an agency and another person that involves the person’s rights, duties, or privileges,
       including licensing or the levy of a monetary penalty, should be settled through informal
       procedures”). Instead, we simply hold that the remedy available to a party aggrieved by a
       regulatory decision made by a state agency is the one provided for under the Administrative
       Procedure Act or some similar statutory scheme.
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       noting that the Administrative Procedure Act does not permit an award of

       compensatory damages, plaintiffs argue that, unless they are also permitted to assert

       a damage claim against the department pursuant to the State Tort Claims Act, they

       will have been deprived of an adequate remedy for the department’s allegedly

       unlawful action. We do not find this argument persuasive.

¶ 66         According to the Administrative Procedure Act, if an administrative law judge

       finds that a regulatory action taken by a state agency has “substantially prejudiced

       the petitioner’s rights” and the state agency “has acted arbitrarily or capriciously,”

       the judge may order the agency to pay the petitioner’s attorney’s fees. N.C.G.S.

       § 150B-33(b)(11).   In addition, when a petitioner seeks judicial review of the

       administrative law judge’s decision in a contested case, the petitioner is entitled to

       recover attorney’s fees if the reviewing court determines that “the agency acted

       without substantial justification in pressing its claim against the [petitioner]” and

       that “there are no special circumstances that would make the award of attorney’s fees

       unjust.” N.C.G.S. § 6-19.1(a); c.f., Crowell Constructors, Inc. v. State ex rel. Cobey,

       342 N.C. 838, 844 (1996) (holding that, to avoid having to pay attorney’s fees to the

       petitioner, the agency need only demonstrate that its actions were “rational and

       legitimate to such degree that a reasonable person could find it satisfactory or

       justifiable in light of the circumstances then known to the agency”). Thus, it appears

       to us that the General Assembly has concluded, in the exercise of its legislative
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authority, that the monetary relief available in the event of a successful challenge to

the lawfulness of a regulatory decision made by a state agency is limited to the

recovery of attorney’s fees and that, in the event that the General Assembly had

intended to make additional monetary relief available to a party that had successfully

challenged the lawfulness of such a regulatory decision, it would have said so in more

explicit terms. See Cabarrus Cnty. Bd. of Educ. v. Dep’t of State Treasurer, 374 N.C.

3, 14 (2020) (noting that the existence of proposed legislation addressing the subject

of the case that was before the Court “shows that, in the event that the General

Assembly wished to exempt the process of establishing a cap factor [for state

employee retirement benefits] from the rulemaking provisions of the Administrative

Procedure Act, it knows how to do so”). As a result of this set of circumstances and

the General Assembly’s clear authority to determine the nature and extent of any

non-constitutional remedies for unlawful actions by state agencies, we decline to infer

the existence of a right to recover compensatory damages under the State Tort Claims

Act arising from allegedly unlawful regulatory actions in the absence of explicit

legislative authorization for such an award.20


       20Amici North Carolina Senior Living Association and North Carolina Assisted Living
Association cite Ivey v. North Carolina Prison Department, 252 N.C. 615 (1960), and Amos v.
Oakdale Knitting Co., 331 N.C. 348 (1992), to argue that interpreting the “statutory silence”
concerning the availability of compensatory damages for wrongful administrative actions
under Chapter 131D to foreclose the availability of such relief would be contrary “to [the]
North Carolina courts’ approach to statutory silence on exclusive and alternative remedies.”
The issue in Ivey was whether the 1957 amendments to the Workers’ Compensation Act had
eliminated the right that this Court had previously recognized for a prison inmate to recover
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¶ 67          Finally, our reluctance to endorse a claim for “negligent regulation” is

       reinforced by a concern that, if we were to recognize the existence of such a claim, the

       total dollar value of the tort liability obligations that the State would incur would be

       increased and the workload of the Commission under the State Tort Claims Act

       would, in all probability, be substantially affected as well. Even if most of those

       claims were ultimately determined to be meritless, so that the amount of money paid

       out in compensatory damages was not large, the resulting expenditure of time and

       resources by the State would likely be significant. We are not inclined to believe that

       the General Assembly intended to authorize such an imposition upon the public fisc

       and the State’s non-monetary resources in the absence of some clear indication that

       it intended to act in that fashion. See Corum v. Univ. of North Carolina, 330 N.C.

       761, 785 (1992) (observing that the modern doctrine of sovereign immunity “seems to



       damages under the State Tort Claims Act relating to injuries sustained as the result of the
       negligence of a State employee, with this Court opining that, “[i]f the Legislature intended to
       withdraw a prisoner’s right to pursue a tort claim, the logical procedure would be by
       amendment to the section of the [State] Tort Claims Act which gives that right.” Ivey, 252
       N.C. at 617–19. The issue in Amos was whether the existence of a statutory remedy under
       the North Carolina Wage and Hour Act precluded the plaintiff from asserting a common law
       wrongful discharge claim against the employer, with this Court noting that, when
       “determining whether the state legislature intended to preclude common law actions, we first
       look to the words of the statute to see if the legislature expressly precluded common law
       remedies.” 331 N.C. at 358 (emphasis added). Nothing in Ivey or Amos suggests that the
       General Assembly’s failure to provide a statutory right to compensatory damages under the
       Administrative Procedure Act indicates that they intended such damages to be available
       under the State Tort Claims Act, particularly given that such a determination would result
       in a more expansive waiver of the State’s sovereign immunity than this Court has previously
       recognized. See Stone, 347 N.C. at 479 (noting that statutes “that permit suit in derogation
       of sovereign immunity should be strictly construed”).
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       rest on a respect for the positions of two coequal branches of government—the

       legislature and the judiciary,” and, therefore, “courts have deferred to the legislature

       the determination of those instances in which the sovereign waives its traditional

       immunity”).

¶ 68         In light of our determination that the department did not owe a legal duty to

       plaintiffs in light of the circumstances that are before us in this case, we need not

       address the parties’ arguments regarding breach and damages. See Stone, 347 N.C.

       at 482 (noting that, “[a]bsent a duty, there can be no liability”). Nothing in the

       applicable statutory provisions or prior caselaw recognizes the validity of a claim like

       the one that plaintiffs have asserted in this case, and we hold that no such claim

       exists. As a result, for all these reasons, we reverse the decision of the Court of

       Appeals and remand this case to the Court of Appeals for further remand to the

       Commission with instructions that plaintiffs’ claims against the department be

       dismissed.

       D. Public Duty Doctrine

¶ 69         Finally, the department argues that plaintiffs’ claims are barred by the public

       duty doctrine “because [the department] owes a duty to the public, not adult care

       home owners or operators.” As a result of our determination that plaintiffs’ claims

       are barred by the doctrine of sovereign immunity and that plaintiffs have failed to

       identify a legal duty that the department owed to them sufficient to support a claim
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       for damages pursuant to the State Tort Claims Act, we need not address the extent,

       if any, to which the public duty doctrine serves as a barrier to the claims that

       plaintiffs have advanced in this case. On the other hand, we do believe that we need

       to clarify the relationship between the public duty doctrine and the duty element of

       a negligence claim to make it clear that the existence of a legal duty running from a

       state agency to a tort claimant does not turn on whether the public duty doctrine

       applies in a given case.

¶ 70          The public duty doctrine “provides that governmental entities and their agents

       owe duties only to the general public, not to individuals, absent a ‘special relationship’

       or ‘special duty’ between the entity and the injured party.” Stone, 347 N.C. at 477–

       78. (citing Braswell v. Braswell, 330 N.C. 363, 370–71 (1991)). The public duty

       doctrine was designed “to prevent an overwhelming burden of liability on

       governmental agencies with limited resources,” id. at 481 (cleaned up), by making it

       clear that a “governmental entity is not liable for negligence for failure to carry out

       statutory duties,” Isenhour v. Hutto, 350 N.C. 601, 606–07 (1999). As a general

       proposition, the public duty doctrine has been deemed applicable in situations

       involving allegations arising from “the governmental entity’s negligent control of an

       external injurious force or of the effects of such force.” Strickland, 213 N.C. App. at

       512.   See e.g., Myers, 360 N.C. at 461–62 (allegations that the Department of

       Environment and Natural Resources had acted negligently in attempting to control
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       a forest fire that caused injury to the plaintiffs); Wood, 355 N.C. at 163 (allegations

       that Guilford County had negligently failed to provide adequate security at the

       county courthouse where the plaintiff had been assaulted by a third party); Stone,

       347 N.C. at 476–77 (allegations that the Department of Labor had negligently failed

       to inspect a factory prior to a fire in which multiple workers were killed or injured);

       Hunt, 348 N.C. at 194–95 (allegations that the Department of Labor had negligently

       inspected an amusement park ride that later malfunctioned, resulting in injury to

       the plaintiff); Braswell, 330 N.C. at 366–67 (allegations that a county sheriff had

       negligently failed to protect the claimant’s mother and to properly supervise the

       deputy sheriff who murdered her).

¶ 71         In Stone, we held that the common law public duty doctrine applied to claims

       brought against the State under the State Tort Claims Act. 347 N.C. at 482. In 2008,

       however, the General Assembly amended the State Tort Claims Act to formally codify

       the public duty doctrine in the tort claims act context and to limit its application to

       the following types of claims:

                    (1) The alleged negligent failure to protect the claimant
                    from the action of others or from an act of God by a law
                    enforcement officer as defined in subsection (d) of this
                    section.

                    (2) The alleged negligent failure of an officer, employee,
                    involuntary servant or agent of the State to perform a
                    health or safety inspection required by statute.
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       N.C.G.S. § 143-299.1A(a). As we later recognized in Ray, while the General Assembly

       had “incoporat[ed] much of our public duty doctrine case law into the [State Tort

       Claims Act],” it had “also made clear that the doctrine is to be a more limited one

       than the common law might have led us to understand.” 366 N.C. at 7.

¶ 72         The Court of Appeals in this case held that, because the department’s allegedly

       negligent conduct did not fit within the contours of one of the exceptions enumerated

       in N.C.G.S. § 143-299.1A(a), the public duty doctrine had no application to the facts

       of this case.   Cedarbrook, ¶ 23.     In addition, the Court of Appeals rejected the

       department’s argument that plaintiffs had failed to identify a legal duty running from

       the department to plaintiffs sufficient to support a negligence claim on the grounds

       that the argument to this effect was “intertwined with [the department’s]

       interpretation of the public duty doctrine.” Id. ¶ 24. The Court of Appeals erred to

       the extent that it equated the nature and extent of the public duty doctrine as applied

       in proceedings conducted pursuant to the State Tort Claims Act with the nature and

       extent of the legal duty that is necessary to support a negligence claim.

¶ 73         Unlike the duty of care, which is an element of any negligence claim that a

       plaintiff must establish regardless of whether the claim is against a state agency

       under the State Tort Claims Act or a private party under the common law, see Stone,

       347 N.C. at 479, the public duty doctrine is an affirmative defense to an otherwise

       valid negligence claim against the State, see Ray, 366 N.C. at 8; see also Myers, 360
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       N.C. at 465 (describing the public duty doctrine as “a separate rule of common law

       negligence that may limit tort liability, even when the State has waived sovereign

       immunity”). For that reason, while the public duty doctrine protects governmental

       entities from liability based upon a failure to carry out a statutorily created duty that

       is designed to protect the public at large rather than a specific individual, Isenhour,

       350 N.C. at 606–07, and “operates to prevent plaintiffs from establishing the first

       element of a negligence claim—duty to the individual plaintiff,” Ray, 366 N.C. at 5,

       the mere fact that the doctrine does not apply with respect to a particular set of facts

       does not, without more, determine whether the duty of care necessary to support the

       assertion of a negligence claim exists in the first place. Although the two legal

       doctrines are related, they are not identical, and the absence of one does not prove

       the existence of the other.

¶ 74         Assuming, without in any way deciding, that the Court of Appeals correctly

       determined that the 2008 amendments to the State Tort Claims Act precluded the

       department from successfully asserting the public duty doctrine in this case, that

       determination does not automatically establish that the department owed a duty of

       care to plaintiffs sufficient to support a negligence claim against the department

       under the State Tort Claims Act. Instead, plaintiffs were still required to identify a

       recognized legal duty owed to them by the department, see Pinnix v. Toomey, 242 N.C.

       358, 362 (1955) (observing that “[a]ctionable negligence presupposes the existence of
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       a legal relationship between parties by which the injured party is owed a duty by the

       other, and such duty must be imposed by law”), with the Court of Appeals having

       erred by concluding that the inapplicability of the public duty doctrine sufficed to

       establish that the department owed plaintiffs a legal duty supporting a negligence

       claim against the department under the State Tort Claims Act.

                                      III.    Conclusion

¶ 75         Thus, for the reasons set forth above, we hold that the Commission erred in

       failing to dismiss plaintiffs’ claims given that plaintiffs’ claims are barred by

       sovereign immunity and that plaintiffs failed to assert a viable negligence claim

       against the department. As a result, we reverse the decision of the Court of Appeals

       and remand this case to the Court of Appeals for further remand to the Commission

       for additional proceedings not inconsistent with this opinion.

             REVERSED.
             Justice EARLS concurring in the result only.


¶ 76         Although I concur that “plaintiffs failed to assert a viable negligence claim

       against the department,” I arrive at that result in this case for a fundamentally

       different reason from my colleagues. In my view, the many allegations of the

       complaint in this matter all involve intentional, not negligent, acts. Thus, rather

       than engage in the judicial nullification of statutory rights by invoking an all-

       encompassing sovereign immunity for regulatory agencies, this case is most

       appropriately resolved by the normal function a court should perform in ruling on a

       motion to dismiss. The court should examine the allegations of the complaint to

       determine if they state a cause of action for negligence. Deminski v. State Bd. of Educ.,

       377 N.C. 406, 2021-NCSC-58, ¶ 12.

¶ 77         Plaintiffs have a cause of action under the State Tort Claims Act (STCA) to sue

       “departments, institutions and agencies of the State” when the claim “arose as a

       result of the negligence of any officer, employee, involuntary servant or agent of the

       State while acting within the scope of his office, employment, service, agency or

       authority.” N.C.G.S. § 143-291(a) (2021). However, in this case, the conduct of the

       Department of Health and Human Services (DHHS) employees that caused plaintiffs’

       alleged injury was intentional conduct and thus does not meet the standard required

       for negligence claims. See Bolkhir v. N.C. State Univ., 321 N.C. 706, 709 (1988) (“To

       establish actionable negligence, plaintiff must show that: (1) defendant failed to
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       exercise due care in the performance of some legal duty owed to plaintiff under the

       circumstances; and (2) the negligent breach of such duty was the proximate cause of

       the injury.”).

¶ 78          The “overall goal” of the STCA was to “give greater access to the courts to

       plaintiffs . . . [that] were injured by the State’s negligence.” Ray v. N.C. Dep’t of

       Transp., 366 N.C. 1, 11 (2012). This Court previously has held that the STCA applies

       to cases involving state agencies. For example, we have held that the STCA applies

       to actions taken by an employee of the State Ports Authority, the North Carolina

       Department of Environment and Natural Resources, the Department of Labor, the

       Department of Transportation and the Department of Health and Human Services.

       See Guthrie v. N.C. State Ports Auth., 307 N.C. 522, 537 (1983) (determining the

       Industrial Commission had jurisdiction because the STCA applied to negligent

       actions taken by an employee of the State Ports Authority); Myers v. McGrady, 360

       N.C. 460, 467 (2006) (“We hold that the public duty doctrine applies to negligence

       claims filed under the [STCA] against [the North Carolina Department of

       Environment and Natural Resources] for alleged mismanagement of forest fires.”);

       Stone v. N.C. Dep’t of Lab., 347 N.C. 473, 481–83 (1998) (determining the public duty

       doctrine applies to cases under the STCA and applying it to a case involving

       negligence by the Department of Labor for not inspecting a food plant); Teachy v.

       Coble Dairies, Inc., 306 N.C. 324, 331, 333 (1982) (determining that the trial court
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       did not err by denying motions to dismiss a complaint on grounds that Department

       of Transportation was immune under the doctrine of sovereign immunity and

       determining the STCA applies to third-party complaints); Multiple Claimants v. N.C.

       Dep’t of Health & Hum. Servs., 361 N.C. 372, 379 (2007) (determining the public duty

       doctrine did not apply to a claim arising under the STCA against DHHS for the death

       of four inmates following a fire at a county jail).

¶ 79         However, to bring a claim under the STCA, a party must prove the standard

       elements of negligence, which include duty, breach, causation, and damages. Bolkhir,

       321 N.C. at 709 (“Under the [STCA], negligence is determined by the same rules as

       those applicable to private parties.”). “The [STCA] does not give [courts] jurisdiction

       to award damages based on intentional acts.” Frazier v. Murray, 135 N.C. App. 43,

       48 (1999) (citing Jenkins v. Dep’t of Motor Vehicles, 244 N.C. 560 (1956)). Intentional

       acts are also legally distinguishable from negligent acts. Id.

¶ 80         Our Court has not decided a case involving intentional actions taken by

       regulatory agencies, but the Court of Appeals has done so twice. In Williams v. North

       Carolina Department of Justice, Criminal Standards Division, 273 N.C. App. 209,

       212 (2020), the Court of Appeals held that the CEO of a company providing traffic

       control services that was subjected to regulatory action could not bring a claim

       against the agency. There, the court expressed that it was “well-settled” that the

       STCA does not permit recovery for intentional acts like the alleged regulatory action
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       at issue in that case. Id. (quoting Fennell v. N.C. Dep’t of Crime Control & Pub. Safety,

       145 N.C. App. 584, 592 (2001)). Similarly, in Frazier, 135 N.C. App. 43, the

       Disciplinary Hearing Commission of the North Carolina State Bar pursued criminal

       contempt charges against a disbarred attorney who continued to practice law in

       violation of multiple orders. Id. at 45. The attorney was imprisoned and filed a tort

       claim against the Commission and its members for false imprisonment and

       intentional infliction of emotional distress. Id. at 46. There, the Court of Appeals

       concluded that “[i]njuries intentionally inflicted by employees of a state agency are

       not compensable under the [STCA].” Id. at 48. Both Williams and Frazier are

       instructive in determining the case at bar.

¶ 81         DHHS’s regulatory acts are analogous to those in Williams and Frazier

       because they involved intentional regulatory acts. These actions are not accidents,

       inadvertent, unintended, or the result of a failure to use reasonable care. See Yancey

       v. Lea, 354 N.C. 48, 53 (2001) (“Negligence, a failure to use due care, be it slight or

       extreme, connotes inadvertence.” (quoting Hinson v. Dawson, 244 N.C. 23, 28 (1956))).

       Rather, they were actions taken intentionally by a state agency to enforce laws passed

       by the General Assembly under N.C.G.S. §§ 131D-21 (providing residents’ rights),

       131D-34 (providing administrative penalties), 131D-2.7 (providing for suspension of

       admission). DHHS acted intentionally in determining Cedarbrook’s violations under

       N.C.G.S. § 131D-21. When it classified those violations and determined what
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       penalties should apply it acted pursuant to N.C.G.S. § 131D-34. And when DHHS

       subsequently suspended admissions at Cedarbrook, it acted intentionally pursuant

       to N.C.G.S. § 131D-2.7. In carrying out these regulatory actions, DHHS acted

       intentionally and cannot be held liable under a theory of negligence or the STCA. See

       Williams, 273 N.C. App. at 213–15; Frazier, 135 N.C. App. at 46. Thus, I agree with

       the majority that Cedarbrook has failed to assert a viable claim for negligence.

¶ 82         It is unnecessary to reach the many other issues raised by the parties. Indeed,

       it is beyond the scope of this case to opine on the question of whether state employees

       engaged in regulatory actions are subject to the STCA for their negligence because in

       this case, the acts that allegedly caused plaintiffs’ injuries were intentional acts. It is

       also unnecessary to interpret the “private person” language of the STCA or overrule

       any portion of the Nanny’s Korner decision. See Nanny’s Korner Day Care Ctr., Inc. v.

       N.C. Dep’t of Health & Hum. Servs., 264 N.C. App. 71 (2019). Therefore, I do not join

       in any portion of the majority opinion in this matter and join in the result only,

       reversing the decision of the Court of Appeals and remanding for dismissal of

       plaintiffs’ affidavit for failure to assert a claim of negligence against DHHS.
              Chief Justice NEWBY dissenting.


¶ 83           What is the remedy when a state actor negligently regulates a business

       causing significant operational and financial disruption or the business’s closure?

       Potential remedies include three approaches: (1) a constitutional tort under article I,

       section 1 of the North Carolina Constitution (fruits of their own labor)1; (2) an action

       for negligence under the State Tort Claims Act (STCA); or (3) an administrative

       review under the Administrative Procedure Act (APA). The majority’s decision

       removes the STCA as a potential option. Specifically, here we consider whether a

       state-regulated entity may bring a negligence claim against its state regulator under

       the STCA or whether the entity is limited to an administrative remedy under the

       APA and/or a constitutional tort claim. Because the STCA provides a limited waiver

       of the state’s sovereign immunity, this Court has previously allowed regulated

       claimants to bring certain negligence claims challenging the state’s regulatory

       activities under the STCA. Further, since state regulators are granted broad




              1 We also recognize that a regulatory taking under article I, section 19 (law of the
       land) is a potential remedy. Article I, section 19 of our state constitution provides that “[n]o
       person shall be . . . deprived of his life, liberty, or property, but by the law of the land.” N.C.
       Const. art. I, § 19. As a result of the state’s largely unchecked regulatory authority, the state’s
       significant interference with a regulated entity could rise to the level of a constitutional
       taking. In the present case, counsel for the North Carolina Department of Health and Human
       Services (DHHS) did not have an answer at oral argument when asked at what point the
       state’s regulatory actions constitute a taking. See Oral Argument at 1:01:42, Cedarbrook
       Residential Ctr., Inc. v. N.C. Dep’t of Health & Hum. Servs. (No. 36A22),
       https://www.youtube.com/watch?v=5CThlVBanJY.
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       regulatory authority, it is appropriate to require regulators to conduct investigations

       and use their authority in a non-negligent manner. As such, state regulators owe a

       duty of care to both the regulated entities subject to their authority and to the

       individuals whom the regulations are designed to protect. Additionally, the

       availability of an administrative remedy under the APA does not preclude a claimant

       from seeking a more adequate remedy under the STCA. Accordingly, the decision of

       the Court of Appeals should be affirmed. I respectfully dissent.

¶ 84          Plaintiff Cedarbrook Residential Center, Inc. (Cedarbrook) is a licensed adult

       care home in Nebo, North Carolina, that serves residents with disabilities and mental

       illnesses. Cedarbrook is owned by plaintiff Fred Leonard.2 Defendant North Carolina

       Department of Health and Human Services, Division of Health Service Regulation,

       Adult Care Licensure Section (DHHS) is the state agency charged with licensing,

       inspecting, and enforcing the provisions that govern adult care homes such as

       Cedarbrook. Specifically relevant to this case, Cedarbrook serves a “challenging

       disabled population” and works to provide a “safe and stable environment” that is

       supportive of its residents’ mental health challenges.

¶ 85          In November of 2015, DHHS conducted an extensive investigation of

       Cedarbrook and interviewed its residents and employees to ensure the facility was




              2 Plaintiffs Cedarbrook Residential Center and Fred Leonard are collectively referred
       to as “Cedarbrook.”
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       operating in compliance with the governing regulations.3 At the time of the

       investigation, Cedarbrook was a Four Star facility, the highest rating available under

       DHHS’s rating system. Utilizing investigatory techniques inappropriate for the

       residents in plaintiffs’ type of facility, DHHS, however, found numerous alleged

       violations and recorded its findings in “Statements of Deficiencies” (statements) that

       exceeded 400 pages. The statements largely consisted of copies of the surveyor notes

       from the investigations and interviews, rather than reasoned agency findings. The

       statements recorded deficiencies in supervision, staffing, and sanitation, among

       many other areas. Based on the identified deficiencies, DHHS issued financial

       penalties and suspended Cedarbrook from admitting new residents.

¶ 86          In May of 2016, DHHS granted Cedarbrook a provisional operating license, but

       DHHS later found that Cedarbrook failed to present acceptable plans to cure the

       deficiencies. Accordingly, DHHS issued a Directed Plan of Protection requiring

       Cedarbrook to implement increased staffing and administrative measures. As a

       result of DHHS’s suspension order, provisional license, and regulatory actions,

       Cedarbrook’s occupancy dropped more than 50%, the facility incurred additional costs




              3  The majority repeatedly discounts the relevance of the allegations asserted in
       plaintiffs’ affidavit. With a motion to dismiss, however, we are to treat the factual allegations
       as true and view the facts in the light most favorable to the non-moving party. A brief review
       of the relevant facts here is important to understand the duty of state regulators to proceed
       in a reasonable manner. Perhaps the majority chooses to discount the facts because the facts
       illustrate a breach of the duty of reasonable care.
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       to comply with the mandates of the Directed Plan of Protection, Cedarbrook’s

       revenues declined, and Mr. Leonard lost a potential sale of the facility.

¶ 87          Cedarbrook initially challenged DHHS’s regulatory actions by filing a

       contested case in the Office of Administrative Hearings (OAH). OAH entered a stay

       enjoining DHHS’s suspension order. DHHS, however, continued to issue proposed

       penalties against Cedarbrook exceeding $340,000. Prior to the hearing, the parties

       settled, and DHHS agreed to withdraw all of the agency actions it had taken against

       Cedarbrook.

¶ 88          On 25 October 2018, plaintiffs filed an Affidavit and Verified Claim for

       Damages against DHHS in the Industrial Commission asserting negligence claims

       based on DHHS’s investigative and regulatory actions.4 The Verified Claim for

       Damages alleges that:

                     [DHHS] breached the duty owed to [Cedarbrook and Mr.
                     Leonard] in (1) conducting the surveys of Cedarbrook; (2)
                     writing and publishing the Statements of Deficiencies; (3)
                     issuing the Directed Plan of Protection against
                     Cedarbrook, and leaving it in place for nearly five months;
                     and (4) issuing the Erroneous Suspension, and leaving it in
                     place for nearly eight months.

       Plaintiffs’ Verified Claim for Damages specifically details that the manner in which



              4 The concurring opinion characterizes plaintiffs’ complaint as alleging intentional
       acts and thus contends that plaintiffs’ claims are not cognizable under the STCA. The essence
       of plaintiffs’ allegations, however, is not that the regulators intentionally sought to harm
       Cedarbrook but that they were negligent in their investigation, which resulted in negligent
       regulation.
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       DHHS conducted the investigations, the methods DHHS used in performing the

       interviews, and the process the surveyors employed in drafting the statements were

       unreliable, aggressive, and harmful to the residents. Plaintiffs allege that the DHHS

       surveyors “double-teamed” residents, asked suggestive questions, and intruded on

       the residents’ privacy. Additionally, plaintiffs allege that the summary nature of

       drafting the statements was unreliable and resulted in mischaracterizations,

       conclusory statements, and unsupported allegations. As a result of DHHS’s alleged

       negligent regulatory activity, plaintiffs claim damages in excess of $1,000,000 for lost

       business income and the loss of a potential sale of the facility.

¶ 89         On 8 January 2019, DHHS filed a response and motion to dismiss pursuant to

       Rules 12(b)(1), 12(b)(2), and 12(b)(6) of the North Carolina Rules of Civil Procedure

       and a motion to stay discovery. The Deputy Commissioner denied DHHS’s motion to

       dismiss on 13 March 2019. DHHS appealed to the Full Commission, which approved

       DHHS’s request for an interlocutory appeal on 9 May 2019. The Full Commission

       held a hearing on 10 September 2019 and entered an order affirming the denial of

       DHHS’s motion to dismiss on 6 November 2020. The Full Commission concluded that

       the STCA “waived sovereign immunity, and [Cedarbrook] complied with the

       requirements of [invoking] the [STCA] in filing [its] Affidavit.” The Full Commission

       further concluded that the public duty doctrine did not bar plaintiffs’ claims and that

       plaintiffs pled a valid claim for negligence. DHHS appealed to the Court of Appeals.
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¶ 90           On appeal, DHHS argued, in relevant part, that the Industrial Commission

       erred by denying DHHS’s motion to dismiss because the APA, rather than the STCA,

       provides plaintiffs with an adequate state remedy. Cedarbrook Residential Ctr., Inc.

       v. N.C. Dep’t of Health & Hum. Servs., 281 N.C. App. 9, 2021-NCCOA-689, ¶ 13. The

       Court of Appeals, relying on Nanny’s Korner Day Care Center, Inc. v. North Carolina

       Department of Health and Human Services, 264 N.C. App. 71, 80, 825 S.E.2d 34, 41,

       appeal dismissed, disc. rev. denied, 372 N.C. 700, 831 S.E.2d 89 (2019), held that a

       regulated entity does have an adequate state remedy under the STCA. Cedarbrook,

       ¶ 16. The Court of Appeals reasoned that “the availability of an administrative

       remedy [through the APA] does not preclude plaintiff from seeking a remedy under

       the STCA” for the negligent actions of a state regulator. Id. ¶ 14. The Court of Appeals

       thus affirmed the Full Commission’s order denying DHHS’s motion to dismiss. Id. ¶

       33.

¶ 91           The dissenting judge disagreed that Cedarbrook could seek a remedy under

       the STCA. According to the dissenting judge, the “regulatory review function is

       clearly assigned under the [APA] to the [OAH]”; therefore, “[c]laims challenging an

       agency’s regulatory actions are properly heard under the [APA].” Id. ¶¶ 39, 41 (Tyson,

       J., dissenting). As such, because of the administrative avenue provided through the

       APA, the “Industrial Commission cannot waive North Carolina’s sovereign immunity

       under the STCA.” Id. ¶ 40. The dissenting judge thus would have held that the
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       relevant portion of Nanny’s Korner discussing the availability of a remedy under the

       STCA is dicta. Id. ¶¶ 68–69. DHHS appealed to this Court based on the dissenting

       opinion.

¶ 92         The controlling question here is whether the STCA provides for a limited

       waiver of the state’s sovereign immunity that allows a regulated entity to challenge

       a state regulator’s negligent actions or whether the entity is limited to an

       administrative remedy and/or a constitutional claim. This Court reviews the denial

       of a motion to dismiss on the basis of sovereign immunity de novo. White v. Trew, 366

       N.C. 360, 363, 736 S.E.2d 166, 168 (2013). Additionally, when reviewing a motion to

       dismiss for lack of subject matter jurisdiction and failure to state a claim upon which

       relief can be granted, this Court treats the “factual allegations contained in [the]

       affidavit before the Industrial Commission as true.” Hunt v. N.C. Dep’t of Lab., 348

       N.C. 192, 194, 499 S.E.2d 747, 748 (1998) (citation omitted).

¶ 93         The doctrine of sovereign immunity “is firmly established in the law of North

       Carolina.” Lewis v. White, 287 N.C. 625, 642, 216 S.E.2d 134, 145 (1975). This Court

       has long held that “an action cannot be maintained against [a state agency] unless it

       consents to be sued or upon its waiver of immunity, and that this immunity is absolute

       and unqualified.” Guthrie v. N.C. State Ports Auth., 307 N.C. 522, 534, 299 S.E.2d

       618, 625 (1983).

¶ 94         The STCA expressly provides a limited waiver of the state’s sovereign
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immunity. It permits claims that arise:

              as a result of the negligence of any officer, employee,
              involuntary servant or agent of the State while acting
              within the scope of his office, employment, service, agency
              or authority, under circumstances where the State of North
              Carolina, if a private person, would be liable to the
              claimant in accordance with the laws of North Carolina.

N.C.G.S. § 143-291(a) (2021). The purpose of the STCA is to “give greater access to

the courts to plaintiffs in cases in which they [are] injured by the [s]tate’s negligence.”

Ray v. N.C. Dep’t of Transp., 366 N.C. 1, 11, 727 S.E.2d 675, 683 (2012). Further, the

STCA charges the North Carolina Industrial Commission with “hearing and passing

upon [such] tort claims against . . . agencies of the State.” N.C.G.S. § 143-291(a). To

invoke the jurisdiction of the Industrial Commission under the STCA, the claimant

need only file an affidavit in duplicate, containing the following:

              (1) The name of the claimant;

              (2) The name of the department, institution or agency of
                  the State against which the claim is asserted, and the
                  name of the State employee upon whose alleged
                  negligence the claim is based;

              (3) The amount of damages sought to be recovered;

              (4) The time and place where the injury occurred;

              (5) A brief statement of the facts and circumstances
                  surrounding the injury and giving rise to the claim.

N.C.G.S. § 143-297 (2021). Moreover, the STCA “incorporate[s] the common law of

negligence.” Stone v. N.C. Dep’t of Lab., 347 N.C. 473, 479, 495 S.E.2d 711, 715 (1998).
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       As such, “negligence is determined by the same rules as those applicable to private

       parties.” Bolkhir v. N.C. State Univ., 321 N.C. 706, 709, 365 S.E.2d 898, 900 (1988).

¶ 95         The majority contends the STCA is inapplicable because private persons do not

       exercise regulatory power; therefore, the plain language of the STCA forecloses

       plaintiffs’ claims. The majority holds that plaintiffs’ negligence claim is not cognizable

       under the STCA and that a state regulator does not owe a duty of care to a regulated

       entity. Finally, the majority contends that the STCA is not the proper statutory

       avenue to challenge the state’s regulatory actions because the statutes governing

       adult care homes allow entities to seek reversal of the state’s regulatory actions under

       the APA through the OAH. According to the majority, because the APA provides for

       a remedy through the OAH, plaintiffs are precluded from seeking a remedy for

       DHHS’s negligent regulatory actions under the STCA.

¶ 96         In holding that a negligence claim by a regulated entity against its state

       regulator is not cognizable under the STCA, the majority misreads Nanny’s Korner

       and disregards its clear holding. In Nanny’s Korner, DHHS was notified of a

       substantiated sexual abuse allegation at a daycare. Nanny’s Korner, 264 N.C. App.

       at 72, 825 S.E.2d at 36. DHHS issued the daycare a written warning, and the daycare

       informed its customers of the allegation. Id. at 73–75, 825 S.E.2d at 37–38. As a

       result, the daycare lost business and was forced to close. Id. at 74–75, 825 S.E.2d at

       38. After initially proceeding through the OAH, the daycare brought a negligence
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       claim against DHHS under the STCA for failing to conduct an independent

       investigation of the allegation. Id. at 73–75, 825 S.E.2d at 37–38. The Industrial

       Commission, however, dismissed the daycare’s negligence claim because the statute

       of limitations had run. Id. at 75, 825 S.E.2d at 38. Notably, in addressing the

       daycare’s constitutional claim against DHHS, the Court of Appeals concluded that

       the constitutional claim failed because the daycare “had an adequate state remedy in

       the form of the Industrial Commission through the Torts Claim Act.” Id. at 80, 825

       S.E.2d at 41. Thus, the daycare could have pursued its negligent regulation claim

       against DHHS under the STCA had the claim been timely filed. See also Craig v. New

       Hanover Cnty. Bd. of Educ., 363 N.C. 334, 340, 678 S.E.2d 351, 355 (2009) (allowing

       the plaintiff to bring a constitutional claim when the plaintiff’s negligence claim did

       “not provide an adequate remedy at state law [because] governmental immunity

       [stood] as an absolute bar”); Helm v. Appalachian State Univ., 363 N.C. 366, 677

       S.E.2d 454 (2009) (per curiam).

¶ 97         The majority here contends that the court in Nanny’s Korner “did not fully

       examine the extent, if any, to which the [STCA] permits the type of claim that the

       daycare center pursued.” However, in order to dispose of the daycare’s constitutional

       claim, the court had to first consider the alternative remedies and address the

       availability of the daycare’s negligence claim against DHHS under the STCA. The

       court explained that the STCA “explicitly grants authority to the North Carolina
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       Industrial Commission to hear tort claims against State agencies.” Nanny’s Korner,

       264 N.C. App. at 80, 825 S.E.2d at 41. Pivotal to the court’s dismissal of the

       constitutional claim was its holding of a viable statutory remedy under the STCA had

       the negligence claim been timely filed. See Craig, 363 N.C. at 339–40, 678 S.E.2d at

       355; Helm, 363 N.C. 366, 677 S.E.2d 454. The majority here discounts this important

       step and accordingly disregards that the court clearly expressed that the STCA is an

       available avenue for a regulated entity’s negligence claim.

¶ 98         This Court has similarly recognized that negligence claims against state

       regulators challenging the state’s regulatory activity are within the scope of the

       STCA. In Multiple Claimants v. North Carolina Department of Health and Human

       Services, for instance, the plaintiffs filed claims under the STCA alleging that DHHS

       was negligent in performing their duties of inspecting the jails. 361 N.C. 372, 373,

       646 S.E.2d 356, 357 (2007). This Court held that DHHS had a duty of care to inspect

       the jails and ensure the facilities were complying with the regulatory requirements.

       Id. at 378, 646 S.E.2d at 361. As such, this Court allowed the plaintiffs to bring

       negligence claims challenging DHHS’s regulatory actions under the STCA. Id. at 379,

       646 S.E.2d at 361; see also Ray, 366 N.C. at 2–3, 727 S.E.2d at 677–78 (concluding

       that the plaintiffs’ claims for negligent design and execution of narrowing a roadway

       and negligent failure to repair the road by the Department of Transportation are

       within the scope of the STCA); Gammons v. N.C. Dep’t of Hum. Res., 344 N.C. 51, 54,
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       472 S.E.2d 722, 724 (1996) (holding that the Industrial Commission had jurisdiction

       to hear a claim for the negligent investigation of child abuse by a state agency).5

¶ 99          Accordingly, these cases illustrate instances in which regulatory activities

       have been held to be included under the STCA. The “the State . . . , if a private person”

       language includes state regulators. N.C.G.S. § 143-291(a) (emphasis added). The

       majority contends that “[p]rivate persons do not, of course, exercise regulatory

       power.” As shown, this Court has previously recognized, however, instances where

       the state is liable for performing regulatory functions that private persons do not

       perform. See Multiple Claimants, 361 N.C. at 378, 646 S.E.2d at 360 (DHHS

       regulating and inspecting jails); Ray, 366 N.C. at 3, 727 S.E.2d at 677–78

       (Department of Transportation designing and executing the narrowing of a roadway).

       Thus, the focus is not so much on the status of the government actor. The elements

       of negligence are the same under the STCA, and “negligence is determined by the

       same rules as those applicable to private parties.” Bolkhir, 321 N.C. at 709, 365

       S.E.2d at 900. Therefore, all actors are required to act in a non-negligent manner.



              5 Many Court of Appeals decisions have similarly held that negligence claims against
       state agencies are within the scope of the State Tort Claims Act. See Est. of Tang v. N.C. Dep’t
       of Health & Hum. Servs., 2021-NCCOA-611 (unpublished) (negligent enforcement of
       regulations governing an adult care home by DHHS); Crump v. N.C. Dep’t of Env’t & Nat.
       Res., 216 N.C. App. 39, 715 S.E.2d 875 (2011) (negligent inspection of land for a septic tank
       permit by the Department of Environment and Natural Resources); Haas v. Caldwell Sys.,
       98 N.C. App. 679, 392 S.E.2d 110 (1990) (negligent inspecting and monitoring of an
       incinerator); Zimmer v. N.C. Dep’t of Transp., 87 N.C. App. 132, 360 S.E.2d 115 (1987)
       (negligent designation of a detour route by the Department of Transportation).
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        Here DHHS’s conduct and the manner in which it performed the inspections expose

        it to liability, rather than its status as a government actor.

¶ 100          Next, the majority holds that state regulators do not owe a duty of care to

        regulated entities. The majority emphasizes the “critical” distinction between the

        duty of care that state regulators owe to individuals, who benefit from the

        regulations, and entities, which are regulated. The law of negligence, however, makes

        no such distinction. State regulators owe a duty of care to those subject to the state’s

        regulatory authority and to those whom the state’s actions are designed to protect.

        Thus, state regulators owe a duty of care to regulated entities and to individuals. It

        is not exclusively one or the other. The Court of Appeals’ decision in Crump v. North

        Carolina Department of Environment and Natural Resources, 216 N.C. App. 39, 715

        S.E.2d 875 (2011), is illustrative.

¶ 101          In Crump, the state negligently issued a septic tank permit, and the

        landowners recovered damages under the STCA. Crump, 216 N.C. App. at 39–40, 715

        S.E.2d at 876–77.6 The state’s duty of care in properly inspecting and issuing the

        permit extended to the landowners, those directly subject to the state’s regulatory

        authority, as well as to the surrounding property owners, those who would be




               6 Crump also demonstrates a situation in which “the State . . . , if a private person,” is
        liable under the STCA. See N.C.G.S. § 143-291(a) (2021). Private persons do not inspect and
        issue septic tank permits. The Court of Appeals, however, held that the plaintiffs could
        recover for the state’s negligent regulatory actions.
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        impacted by an improper septic system. Similarly, here, the state’s duty arising from

        the inspection and regulation of Cedarbrook extends to the facility, the entity subject

        to the state’s regulatory authority, and to the individuals living at the facility, those

        protected by regulations.

¶ 102          The majority also contends that recognizing that state regulators owe a duty

        to regulated entities would create conflicting duties of care, which are “inherently

        problematic.”7 In support, the majority relies on Koch v. Bell, Lewis & Associates, 176

        N.C. App. 736, 740, 627 S.E.2d 636, 638–39 (2006), which declined to recognize the

        existence of a duty because of the “conflicting loyalties” an insurance adjuster owes

        to both the claimant and the insurer. Here, however, the state owes the same duty of

        care to both Cedarbrook and the residents at the facility. DHHS can ensure

        Cedarbrook is complying with the governing regulations by conducting a fair

        investigation while also satisfying their duties to the residents. Thus, unlike in Koch,

        there are no conflicting duties or loyalties that prevent DHHS from extending a duty

        of care to both the facility and the individuals. The state’s duty to ensure that



               7 The majority contends that the facts in Multiple Claimants illustrate the conflicting
        duties “conundrum” that regulatory agencies would face if regulatory negligence claims were
        permitted under the STCA. In applying plaintiffs’ position here to the facts of Multiple
        Claimants, the majority assumes that the county in Multiple Claimants would challenge the
        state’s findings as “unreasonable” upon the state’s “proper inspection of the jail.” To the
        contrary, the challenge is to the evidence-gathering process, or the manner in which the
        investigation is conducted, as well as the state’s ultimate findings and identified violations.
        Thus, plaintiffs’ claim here may be more appropriately characterized as a negligent
        regulation claim arising from a negligent investigation.
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        regulated entities are complying with the governing regulations does not conflict with

        the state’s duty to perform the investigations in a non-negligent manner or treat the

        residents properly.

¶ 103         The majority concedes that “it is theoretically possible to find a middle ground

        between too much regulation and no regulation at all.” In other words, there can be

        state action that complies with the state’s duty to all parties involved. A

        non-negligent action ensures compliance with the duty to enforce regulations which

        protect those designed to be protected and is fair to the regulated entity. The majority

        contends that the General Assembly, rather than the judicial branch, should be

        responsible for identifying the “middle ground.” Maintaining a “middle ground” by

        requiring state regulators to conduct investigations and exercise their regulatory

        authority in a non-negligent manner, however, creates a level playing field. It ensures

        that state regulators treat all entities equally in the performance of their regulatory

        activity, while properly protecting those whom the statutes were designed to protect.

¶ 104         Because the General Assembly has granted the state significant regulatory

        authority over entities, state regulators, who can diminish or destroy a regulated

        business, should be required to conduct investigations and exercise their authority in

        a non-negligent manner. Proving negligence in the regulation of a business may be

        difficult given the discretion granted to the state agency. Nonetheless, in the

        extraordinary circumstance where the regulator is not justified in proceeding in the
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        manner adopted, the injury caused by the regulator’s negligence should be

        compensable. Thus, when a state agency is granted significant regulatory authority,

        the regulator should be held to exercise that power, over both the regulated entity

        and the individuals that the state’s actions are intended to protect, in a non-negligent

        manner.

¶ 105         Here DHHS owes a duty of care to Cedarbrook, as well as the individuals living

        at the adult care home. Viewing the factual allegations in the affidavit as true and in

        the light most favorable to plaintiffs, Cedarbrook incurred substantial costs,

        experienced a significant decrease in revenue, and was required to revise many of its

        operating procedures as a result of DHHS’s alleged negligent regulatory actions.8

        Accordingly, as provided in Nanny’s Korner and as illustrated by our case law, the

        STCA’s limited waiver of the state’s sovereign immunity provides entities, such as

        Cedarbrook, with a statutory avenue under the STCA to bring a negligence claim

        against DHHS and seek compensable damages through the Industrial Commission.

        Because plaintiffs properly invoked the Industrial Commission’s jurisdiction through

        their affidavit, plaintiffs should be able to pursue their negligence claims under the

        STCA.

¶ 106         Further, the availability of an administrative remedy through the OAH does




              8 Moreover, Cedarbrook’s residents suffered significant harm due to DHHS’s intrusive
        investigation and interview methods.
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        not preclude claimants from seeking an adequate remedy under the STCA through

        the Industrial Commission. The statutory provisions governing adult care homes

        allow the facilities to challenge penalties and suspensions through an administrative

        hearing. See N.C.G.S. § 131D-2.7(d)(4) (2021) (contesting a suspension of admissions

        though an administrative hearing as provided by the APA); N.C.G.S. § 131D-34(e)

        (2021) (contesting a penalty through an administrative hearing as provided by the

        APA). The provisions, however, do not indicate that proceeding under the APA

        through the OAH is an exclusive remedy. If the General Assembly intended to provide

        a mutually exclusive remedy, rather than a dual remedy, the legislature could have

        clarified this statutory intersection. Instead, the legislature has remained silent, and

        the courts have consistently interpreted the STCA to include challenges to the state’s

        negligent regulatory activity.

¶ 107          Our state constitution, unlike the federal constitution, expressly provides that

        individuals are entitled to the fruits of their own labor as an inalienable right. N.C.

        Const. art. I, § 1. As a result of the majority’s decision, a regulated entity will be forced

        to bring a constitutional tort claim when a state agency infringes upon its ability to

        operate and conduct business. Despite conceding that there may be instances when

        there is “too much regulation[,]” the majority’s decision removes the appropriate

        statutory avenue for entities to seek recovery for negligence by state regulators under

        the STCA. Consequently, the majority’s decision thwarts the very purpose of the
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        STCA, which was enacted to provide “greater access to the courts to plaintiffs . . .

        [who have been] injured by the [s]tate’s negligence.” Ray, 366 N.C. at 11, 727 S.E.2d

        at 683. As such, the majority’s decision also broadens the state’s regulatory authority.

        Now, state regulators, who possess significant regulatory power over businesses, may

        conduct investigations of regulated entities with limited accountability. The STCA

        provided such accountability.

¶ 108         In summary, the majority’s decision removes the STCA as a potential avenue

        for regulated entities contesting the state’s negligent actions and forces entities to

        pursue an administrative remedy and/or a constitutional challenge. Because of the

        broad regulatory authority granted to state agencies, regulators should be required

        to exercise that authority, over both the regulated entity and the individuals

        protected by the regulations, in a non-negligent manner. The Court of Appeals thus

        properly affirmed the Full Commission’s order denying DHHS’s motion to dismiss.

        Accordingly, I respectfully dissent.

              Justice BERGER joins in this dissenting opinion.