Adult Residential Facility (ARF) Exam 2024: Questions and Answers, Exams of Nursing

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ADULT RESIDENTIAL FACILITY (ARF) EXAM 2024

QUESTIONS WITH VERIFIED ANSWERS GRADED A+

The department requires start up funds equal to months operatingexpenses. (85018)(b)(1): 3 months No other person than the shall alter the prescription label. (80075)(k)(4): dispensing pharmacist Medication shall be centrally stored when... (80075)(j): 1. preservation of medication requires refrigeration

2. medication is determined by the physician to be hazardous if kept by the resident
3. administrator/licensing determines the medication to be a safety hazard due to physical arrangements and/or conditions/habits of persons in facility Prescription medications which are not taken with the resident upon termi-nation of service shall... (80075)(l): be destroyed What is required for all staff providing direct care, PRIOR to employment?- : - First Aid training

• TB test
• background clearance How long are client records retained? (80066)(d): 3 years Modifications to the admissions agreement requires how much notice? (80068)(4): 30 CALENDAR days

Fingerprints shall be submitted to the Department of Justice (DOJ) within what time frame of employment? (80019)(2)(e): prior to employment When is an employee fingerprinted? (80065): prior to employment The death of a client requires a written report submitted to CCLD withinhow many days? (80061)(b): 7 WORKING days What is required for taps/faucets delivering water temperatures 125°F orabove? (80088)(3)(b): a warning/cautious sign What is the mandated water temperature range for taps/faucets?: 105°F --120°F According to CCLD, what are employees providing night supervision from10pm to 7am and who assist with care and supervision required to have for emergencies? (85065.6)(b): - the facility's planned emergency procedures

• a first aide certificate Any changes in the licensee's or applicants mailing address shall besubmitted to CCLD within... (80061)(c): 10 WORKING days What are the time frames that a TB test must be performed on facility staff? (80065)(g)(1): no more than 1 year PRIOR TO or WITHIN 7 days after employment Except for children's residential facilities, the licensee may, upon 30 days written notice to the client may only evict them for non-payment of the rate for basic services w/in how many days of the due date? (80068.5)(a)(1): 10 days

If a licensee dies, an adult relative who has control of the property shall be allowed to continue the operation of the facility under what approval? (80035)(b)(1): emergency approval to operate (for 60 days)(a provisional license is granted for 12 months) Example of proof of control of the facility property includes a:(80001)(17(a-c): deed, estate settlement, or lease Casts and braces are examples of what? (80072)(8)(a): postural supports Licensing has the authority to inspect what part of the facility? (80044): the entire facility In lieu of locked storage of firearms, what can a licensee do? (80087)(2)(a): use trigger locks or remove the firing pin What size facility shall post their license in a prominent location? (85009): 7 or larger A supply of staple nonperishable food shall be maintained in the facility for a minimum of... (85076)(d)(1): One week/7 days This temperature in a clients room shall be heated to at least... (80088)(a)(1): 68°F What is the allowed temperature range for a client's room?: 68°F-85°F

An emergency approval to operate means a temporary approval to oper- ate a facility for no more than how days pending the department's decision on whether to approve or deny a provisional license? (80035)(3)(D): 60 days What should be maintained in hallways and passages to non-private bath-rooms? (85088)(E)(2): Nightlights Admission agreements shall be signed by the clients no later than howmany days after admission? (80068)(E): 7 calendar days Documentation of disaster drills shall be documented and maintained in the facility for how long? (80023)(d): 12 months How often are fire drills to be practiced?: once every 3 months A conservator is... (80001)(15): a person appointed by the court to care for the person, or estate, orperson and estate of another. (conservators represent adults, guardians represent children) What temperature should hot water controls be maintained at?(80061)(e)(1): 105°F

• 120°F (anything over 125°F requires a caution sign to be posted) In addition to sending the report to licensing, who shall a report be submit-ted to if an epidemic outbreak occurs? (80061)(2): the local health department A licensee may request a review of a notice of deficiency within how manydays of receipt of such notice?

(80055)(a): 10 working days A verbal report (phone call) shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition,a written report containing the specific information shall be submitted to the licensing agency within how many days of the occurrences of any suspectedphysical or psychological abuse of any client to licensing? (80061)(B)(F): 7 days Refrigerators shall maintain a maximum temperature of what? (85076)(D)(3): 45°F A dated employee time schedule shall document an employee's... (85066)(b)(3): hours of work How long are menus to be kept on file in the facility? (80076)(5): 30 days T/F: Admissions agreements are automatically terminated, after the date ofthe client death, and any debts he/she accrued are stopped. (80068)(10)(h): True What size facility must have regular consultations with a nutritionist, dieti-cian, or a home economist? (85065)(E)(4): 50 or more clients T/F: Within six months of becoming an administrator, the individual shall receive training on HIV/TV. (85064)(6)(A)(K): true T/F: Unlicensed care provider staff may provide a manual removal of fecal impaction, provided they are trained to do so by licensed care professional. (80092.5)(D)(3): False (ARF is non-medical)

T/F: In facilities providing care and supervision for 16 to 100 clients, there shall be at least five persons on duty, on the premises and awake. (85065.6)(D): False T/F: Certificates renewed after the expiration date, but within four years ofthe certificate expiration date are subject to a $300 deficiency fee. (850643.3)(E)(three): True An administrator applying for recertification must complete... (85064.3): 40 units (20 can be online & 20 in-person) Of continuing education duringthe two-year certification period To apply for recertification prior to the expiration date of the certificate, the certificate holder must submit... (85064.3)(D): - An application to recertify post-marked on or before the certificate expiration date

• Evidence of completion of 40 hours continuing education hours
• Payment of a $100 processing fee All community care facilities shall be inspected and evaluated for qualityof care by licensing personnel at least... (800045)(b)(1): Once per year In facilities with a licensed capacity of 16 or more clients, what shall a foodservice employee shall be designated with? ( 85065)(2)(a): On-the-job training or related experience by safe and effective per- formance All persons providing care and supervision to residential care client shallhave... (80065)(1): Received a criminal record clearance from the department of justiceprior to having any client contact The licensing agency may issue a professional license for maximum of... (80030)(d), (80027): 12 months

When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or deniedwithin... (80031)(a): 90 days When a licensee agrees to safeguard $750 or less per month, they must have on file a bond issued by a surety company to the State of California as aprincipal in the amount of? (80025): $ $750 or less ---> $1, $751-$1,500 ---> $2, $1,501-$2,500---> $3, How many toilets and wash basins are required for every 10 person resid-ing in the facility, including clients, family and facility staff? (85088)(B)(3): at least ONE toilet and wash basin What bedroom furniture is required per consumer? (85088): - bed

• chair
• nightstand
• lamp
• at least 8 ft.³ of drawer space The Department may deny or revoke any administrator certificate upon ... (85064.4): - The certificate holder procured a certificate by fraud or misrepresenta-tion.
• The certificate holder knowingly made or gave false statements in conjunction withthe application for certificate.
• The department has issued an exclusion order against the certificate holder.

Unless otherwise provided, a certified administrator may administer up to licensed Adult Residential Facilities (85064)(O): 2 ARF per administrator T/F: an individual shall be a certificate holder prior to being employed asan administrator (85064.2)(A): true What cannot be used as a beverage/drink?(80076)(9): powdered milk however, powdered milk may be used in cooking Fresh, perishable foods must be maintained for how long? (85076)(d)(1): 48 hours/2 days A written relocation plan to move a client from the facility shall not exceedhow many days? (80078)(b)(1)(a): 30 days How many clients are allowed per room? (85087)(1)(A): No more than 2 Upon receipt of a complaint, licensing shall make an onsite inspectionwithin how many days? (80006)(1): 10 days What size facility must have a reception area and a restroom facilitydesigned for the use by visitors? (85087) (d)(3): 16 or more clients The maximum number of a person a facility is authorized to provide carefor is referred to as the?

(80001)(c)(2): Capacity T/F:The consumer is responsible for providing space and posting noticesfor their meetings.: False According to the California code, title 22 regarding bedrooms...: not morethan two clients/consumers shall sleep in the bedroom. T/F: At least one toilet and shower fixture shall be maintained for eachnine persons residing in the facility?: False T/F: It is not necessary for the bathroom to be located near the client'sor consumer's bedroom.: Fall. The bathroom must be close by the consumers bedroom. T/F: Cultural competence requires that organizations have a defined set of value and principles and demonstrate behaviors, attitudes, policies and structures that enables them to work effectively within a cross-cultural envi-ronment.: True T/F: If the consumer is to be admitted Into the ARF, prior to admission, the licensee's designated social worker shall complete a written needs and ser- vice plan (IPP) indicating the consumer's entrance date into the facility.: True The client suspected of having a contagious or infectious disease shall be isolated and a physician contacted to determine suitability of the client'sretention in the facility. (85075.4)(D): True T/F: Any person willfully making any false representations as being acertified ARF administrator is guilty of a misdemeanor. (85064.2)(F): True T/F: Full-length bed rails are prohibited for use in a community carefacility. (80072)(8)(E)(1): True T/F: Adult residential care facilities may not accept and retain clients whose primary need is a acute psychiatric care due to mental disorder. (85068.4)(A)(5): True (ARF is non-medical)

T/F: Clients who wish to eat alone in their rooms, shall be in encouragedto have meals with other clients. (85076)(E): true T/F: the licensing agency does not have authority to restrict care to specific individuals. (85044)(D): false T/F: Certificates shall be valid for a period of two years and expire on either the anniversary date of initial issuance or on the individual's birthday during the second calendar year following re-certification. (85064)(H): True T/F: Certificates is not renewed within four years of their expiration dateshall not be renewed, restored, reissued, or reinstated. (85064.3)(f): true T/F: Initial certification training program vendors do not have to be ap-proved by the department. (850902)(A): False T/F: Supplies of staple, non-perishable foods shall be maintained on thepremises for a minimum of two days. (85076): False. 7 days: non-perishable 2 days: perishable T/F: in cases where the individual is both a licensee and the administrator of an adult residential facility, the individual shall comply with all licensee and certified administrator requirements. (85064)(M): True

To become a certified adult residential administrator in California, what is required?: - Complete all 35 hours of training from an approved vendor certification program

• Must have a high school diploma or pass a general education developmenttest(GED)
• Register to complete the state examination within 60 days of completing the initial certification training program(ICTP)
• Successfully pass the state ARF administrator exam T/F: A licensed program analyst from CCLD must show their identification and make an appointment prior to entering or inspecting an adult residential care facility.: False. No appointment needed and anticipate unexpected visits. ID is available uponrequest and encouraged T/F: A room approved for non-ambulatory clients maybe used only by aclient whose physician has determined to be non-ambulatory.: False An exception is a written authorization to use alternative means grantedfor...: - a particular client
• A particular staff person During an emergency, a person who's physically able to leave the facility unassisted, but because of a cognitive impairment requires assistance is considered to be...: non-ambulatory What is the minimum age of an ARF administrator?: 21 years old (18 years old for STAFF) Who is required to get a criminal record clearance?: Anyone with regularcontact including:
• The administrator
• Direct care staff

• An employee who does not work in a facility but lives on the premises with his/her spouse T/F: If an ARF has a facility manager on duty for every shift, then ARF doesnot need to hire a certified administrator.: False. ARF must always have an admin Personal record shall be retained for years.: Three Licensee must ensure the quality of linen provided shall permit changingthe linen every other week.: False. Linens must be changed weekly and have an extra set of blanket, fitted and flat sheet, and mattress pad available per con- sumer/client. T/F: For day-staff, all clients/consumers other than Regional Center clients/consumers, shall be a staff to client ratio of no less than one directcare staff to three clients.: True. 1 staff:3 clients According to California Code Regulations, Title 22, what is true for staffproviding night supervision from 10 PM to 7 AM?: - Staff must have received training in their facility's planned emergency procedures.
• In facilities providing care and supervision for 16 to 100 clients, there shall be atleast one person on duty in the premises and wait. Another shall be on-call and capable of responding within 30 minutes. What type of bedrails are allowed only for assisting the client with mobili-ty? (80072)(e)(1): Half rails, that extend from the head to half the length of the bed A $2000.00 bond is necessary if the licensee safeguards how much moneyper month for all clients? (80025)(c): $751 to $ What are the four causes of mental illness?: - Environmental
• Genetic/Hereditary (DNA)
• Psychological

• Biological (abnormal balance of brain chemicals) Is dementia a mental illness?: No, but Alzheimer's is a mental illness. De-mentia is a symptom. T/F: All ARF are required to plan activities for the consumers, but not allfacilities are required to post their activity calendar.: True Meals served on the premises shall be served in one or more dining rooms or similar areas, and these areas shall be located near the...: kitchen As it relates to food service, what does the acronym FIFO mean?: FIFO:first in, first out. The licensee shall ensure that what planned recreational activities are provided for the consumer?: - Community service activities
• Concerts, tours, dances, plays, celebrating a birthday/anniversaries, etc.
• Exercising their rights to vote for the political party of their choice
• Physical activities that do not require group interaction Where are soap, detergents and cleaning compounds stored? (80076)(16): In areas that are separate from food supplies What should be provided for clients eating needs if temporarily he/shemust dine in their room and not in the facility's assigned dining area? ( 80076)(2): Tray service for their meals As recommended by the USDA basic food group plan what portion ofserving shall be served at each meal? (80076)(a)(1): 1/3 (protein, starch, and veg./fruit) What is the maximum hours to elapse between the third meal (dinner) andfirst meal (breakfast) of the day? (80076)(a)(2): 15 hours

In facilities providing care and night supervision for 16 to 100 clients, howmany staff is required? (80065.6)(d) (85065.6)(d): One person on the premise and awake and another oncall and capable of responding within 30 minutes T/F:The licensee may accept or retain any person whose primary need isa acute psychiatric care due to a mental illness.: False. (ARF is non-medical) T/F: Personal rights and general facility policies (house rules) allow theconsumer to have visitors, representatives to visit privately during waking hours, provided that such visitations do not infringe upon the rights of the other clients.: True In an ARF, prior to accepting a client/consumer into care, licensee shall obtain and keep on file documentation of the client's medical assessment, andthat assessment should not be more than...: 12 months/1 year old when obtained T/F: the mission agreement must specify the following: The general facility policies or "House Rules" are intended to ensure that no client/consumer, IN the exercise of his/her personal rights, infringe upon the personal rights of any other client.: True Prior to accepting a client/consumer for care and supervision, the person responsible for mission must do what?: - Provide him/her or the representative with information contained in the admission agreement.

• Make a prior determination of the facility's ability to meet the needs of the client/con-sumer. When a licensee agrees to safeguard a client's money, they must have a bond issued by a surety company on file depending on the amounts:: $750 or less ---> $1, $751-$1,500 ---> $2, $1,501-$2,500---> $3, When shall licensing be notified if there is a change of facility's adminis-trator? (85061)(B): Within 30 days According to regulations, how long/often should the administrator of anadult residential facility be on the premises?

(85064) (D)(1): The number of hours necessary to manage and administer thefacility in compliance with applicable laws and regulations. A non-transferrable written authorization issued by the licensing agency to use alternative means which meet the intent of the specific regulation and which are based on the unique needs or circumstances of a specific client(s)orstaff person(s) is called what? (80001)(e)(6): An exception Client linens should be changed at least or more often when neces-sary to ensure that clean linens are in use by the client at all times. (85088)(4)(a): once per week The licensing agency shall conduct an inspection of a newly licensedfacility within how many days of issuance of a license? (80044)(a)(1): 90 days