ADULT RESIDENTIAL FACILITY (ARF) PRACTICE TEST 2024 COMPLETE EXAM GRADED A CALIFORNIA AR, Exams of Nursing

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ADULT RESIDENTIAL FACILITY (ARF) PRACTICE

TEST 2024 COMPLETE EXAM GRADED A

CALIFORNIA ARF ADMINISTRATOR STUDY GUIDE

The department requires start up funds equal to ______ months operating expenses. (85018)(b)(1) - CORRECT ANSWER>>3 months No other person than the _____ shall alter the prescription label. (80075)(k)(4) - CORRECT ANSWER>>dispensing pharmacist Medication shall be centrally stored when... (80075)(j) - CORRECT ANSWER>>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 termination of service shall... (80075)(l) - CORRECT ANSWER>>be destroyed What is required for all staff providing direct care, PRIOR to employment? - CORRECT ANSWER>>-First Aid training

• TB test
• background clearance How long are client records retained? (80066)(d) - CORRECT ANSWER>>3 years Modifications to the admissions agreement requires how much notice?

(80068)(4) - CORRECT ANSWER>>30 CALENDAR days Fingerprints shall be submitted to the Department of Justice (DOJ) within what time frame of employment? (80019)(2)(e) - CORRECT ANSWER>>prior to employment When is an employee fingerprinted? (80065) - CORRECT ANSWER>>prior to employment The death of a client requires a written report submitted to CCLD within how many days? (80061)(b) - CORRECT ANSWER>>7 WORKING days What is required for taps/faucets delivering water temperatures 125°F or above? (80088)(3)(b) - CORRECT ANSWER>>a warning/cautious sign What is the mandated water temperature range for taps/faucets? - CORRECT ANSWER>>105°F -- 120°F According to CCLD, what are employees providing night supervision from 10pm to 7am and who assist with care and supervision required to have for emergencies? (85065.6)(b) - CORRECT ANSWER>>-the facility's planned emergency procedures

• a first aide certificate Any changes in the licensee's or applicants mailing address shall be submitted to CCLD within... (80061)(c) - CORRECT ANSWER>>10 WORKING days What are the time frames that a TB test must be performed on facility staff? (80065)(g)(1) - CORRECT ANSWER>>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) - CORRECT ANSWER>>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) - CORRECT ANSWER>>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) - CORRECT ANSWER>>deed, estate settlement, or lease Casts and braces are examples of what? (80072)(8)(a) - CORRECT ANSWER>>postural supports Licensing has the authority to inspect what part of the facility? (80044) - CORRECT ANSWER>>the entire facility In lieu of locked storage of firearms, what can a licensee do? (80087)(2)(a) - CORRECT ANSWER>>use trigger locks or remove the firing pin What size facility shall post their license in a prominent location? (85009) - CORRECT ANSWER>>7 or larger A supply of staple nonperishable food shall be maintained in the facility for a minimum of... (85076)(d)(1) - CORRECT ANSWER>>One week/7 days

This temperature in a clients room shall be heated to at least... (80088)(a)(1) - CORRECT ANSWER>>68°F What is the allowed temperature range for a client's room? - CORRECT ANSWER>>68°F-85°F An emergency approval to operate means a temporary approval to operate 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) - CORRECT ANSWER>>60 days What should be maintained in hallways and passages to non-private bathrooms? (85088)(E)(2) - CORRECT ANSWER>>Nightlights Admission agreements shall be signed by the clients no later than how many days after admission? (80068)(E) - CORRECT ANSWER>>7 calendar days Documentation of disaster drills shall be documented and maintained in the facility for how long? (80023)(d) - CORRECT ANSWER>>12 months How often are fire drills to be practiced? - CORRECT ANSWER>>once every 3 months A conservator is... (80001)(15) - CORRECT ANSWER>>a person appointed by the court to care for the person, or estate, or person and estate of another. (conservators represent adults, guardians represent children) What temperature should hot water controls be maintained at? (80061)(e)(1) - CORRECT ANSWER>>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 submitted to if an epidemic outbreak occurs? (80061)(2) - CORRECT ANSWER>>the local health department A licensee may request a review of a notice of deficiency within how many days of receipt of such notice? (80055)(a) - CORRECT ANSWER>>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 suspected physical or psychological abuse of any client to licensing? (80061)(B)(F) - CORRECT ANSWER>>7 days Refrigerators shall maintain a maximum temperature of what? (85076)(D)(3) - CORRECT ANSWER>>45°F A dated employee time schedule shall document an employee's... (85066)(b)(3) - CORRECT ANSWER>>hours of work How long are menus to be kept on file in the facility? (80076)(5) - CORRECT ANSWER>>30 days T/F: Admissions agreements are automatically terminated, after the date of the client death, and any debts he/she accrued are stopped. (80068)(10)(h) - CORRECT ANSWER>>True What size facility must have regular consultations with a nutritionist, dietician, or a home economist?

(85065)(E)(4) - CORRECT ANSWER>>50 or more clients What cannot be used as a beverage/drink? (80076)(9) - CORRECT ANSWER>>powdered milk however, powdered milk may be used in cooking Fresh, perishable foods must be maintained for how long? (85076)(d)(1) - CORRECT ANSWER>>48 hours/2 days A written relocation plan to move a client from the facility shall not exceed how many days? (80078)(b)(1)(a) - CORRECT ANSWER>>30 days How many clients are allowed per room? (85087)(1)(A) - CORRECT ANSWER>>No more than 2 Upon receipt of a complaint, licensing shall make an onsite inspection within how many days? (80006)(1) - CORRECT ANSWER>>10 days What size facility must have a reception area and a restroom facility designed for the use by visitors? (85087) (d)(3) - CORRECT ANSWER>>16 or more clients The maximum number of a person a facility is authorized to provide care for is referred to as the _________? (80001)(c)(2) - CORRECT ANSWER>>Capacity What type of bedrails are allowed only for assisting the client with mobility?

(80072)(e)(1) - CORRECT ANSWER>>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 money per month for all clients? (80025)(c) - CORRECT ANSWER>>$751 to $ Where are soap, detergents and cleaning compounds stored? (80076)(16) - CORRECT ANSWER>>In areas that are separate from food supplies What should be provided for clients eating needs if temporarily he/she must dine in their room and not in the facility's assigned dining area? ( 80076)(2) - CORRECT ANSWER>>Tray service for their meals As recommended by the USDA basic food group plan what portion of serving shall be served at each meal? (80076)(a)(1) - CORRECT ANSWER>>1/3 (protein, starch, and veg./fruit) What is the maximum hours to elapse between the third meal (dinner) and first meal (breakfast) of the day? (80076)(a)(2) - CORRECT ANSWER>>15 hours In facilities providing care and night supervision for 16 to 100 clients, how many staff is required? (80065.6)(d) (85065.6)(d) - CORRECT ANSWER>>One person on the premise and awake and another on call and capable of responding within 30 minutes When shall licensing be notified if there is a change of facility's administrator? (85061)(B) - CORRECT ANSWER>>Within 30 days

According to regulations, how long/often should the administrator of an adult residential facility be on the premises? (85064) (D)(1) - CORRECT ANSWER>>The number of hours necessary to manage and administer the facility 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)or staff person(s) is called what? (80001)(e)(6) - CORRECT ANSWER>>An exception Client linens should be changed at least ____ or more often when necessary to ensure that clean linens are in use by the client at all times. (85088)(4)(a) - CORRECT ANSWER>>once per week The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license? (80044)(a)(1) - CORRECT ANSWER>>90 days All community care facilities shall be inspected and evaluated for quality of care by licensing personnel at least... (800045)(b)(1) - CORRECT ANSWER>>Once per year In facilities with a licensed capacity of 16 or more clients, what shall a food service employee shall be designated with? ( 85065)(2)(a) - CORRECT ANSWER>>On-the-job training or related experience by safe and effective performance All persons providing care and supervision to residential care client shall have... (80065)(1) - CORRECT ANSWER>>Received a criminal record clearance from the department of justice prior to having any client contact

The licensing agency may issue a professional license for maximum of... (80030)(d), (80027) - CORRECT ANSWER>>12 months When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or denied within... (80031)(a) - CORRECT ANSWER>>90 days When a licensee agrees to safeguard $750 or less per month, they must have on file a bond issued by a surety company to the State of California as a principal in the amount of? (80025) - CORRECT ANSWER>>$ $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 residing in the facility, including clients, family and facility staff? (85088)(B)(3) - CORRECT ANSWER>>at least ONE toilet and wash basin What bedroom furniture is required per consumer? (85088) - CORRECT ANSWER>>-bed

• chair
• nightstand
• lamp
• at least 8 ft.³ of drawer space The Department may deny or revoke any administrator certificate upon ... (85064.4) - CORRECT ANSWER>>-The certificate holder procured a certificate by fraud or misrepresentation.

• The certificate holder knowingly made or gave false statements in conjunction with the application for certificate.
• The department has issued an exclusion order against the certificate holder. An administrator applying for recertification must complete... (85064.3) - CORRECT ANSWER>>40 units (20 can be online & 20 in-person) Of continuing education during the two-year certification period To apply for recertification prior to the expiration date of the certificate, the certificate holder must submit... (85064.3)(D) - CORRECT ANSWER>>-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 Unless otherwise provided, a certified administrator may administer up to _____ licensed Adult Residential Facilities (85064)(O) - CORRECT ANSWER>>2 ARF per administrator T/F: an individual shall be a certificate holder prior to being employed as an administrator (85064.2)(A) - CORRECT ANSWER>>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) - CORRECT ANSWER>>True (ARF is non-medical) T/F: Clients who wish to eat alone in their rooms, shall be in encouraged to have meals with other clients. (85076)(E) - CORRECT ANSWER>>true

T/F: the licensing agency does not have authority to restrict care to specific individuals. (85044)(D) - CORRECT ANSWER>>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 recertification. (85064)(H) - CORRECT ANSWER>>True T/F: Certificates is not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated. (85064.3)(f) - CORRECT ANSWER>>true T/F: Within six months of becoming an administrator, the individual shall receive training on HIV/TV. (85064)(6)(A)(K) - CORRECT ANSWER>>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) - CORRECT ANSWER>>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) - CORRECT ANSWER>>False T/F: Certificates renewed after the expiration date, but within four years of the certificate expiration date are subject to a $300 deficiency fee. (850643.3)(E)(three) - CORRECT ANSWER>>True T/F: Full-length bed rails are prohibited for use in a community care facility. (80072)(8)(E)(1) - CORRECT ANSWER>>True

T/F: Initial certification training program vendors do not have to be approved by the department. (850902)(A) - CORRECT ANSWER>>False T/F: Supplies of staple, non-perishable foods shall be maintained on the premises for a minimum of two days. (85076) - CORRECT ANSWER>>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) - CORRECT ANSWER>>True The client suspected of having a contagious or infectious disease shall be isolated and a physician contacted to determine suitability of the client's retention in the facility. (85075.4)(D) - CORRECT ANSWER>>True T/F: Any person willfully making any false representations as being a certified ARF administrator is guilty of a misdemeanor. (85064.2)(F) - CORRECT ANSWER>>True To become a certified adult residential administrator in California, what is required? - CORRECT ANSWER>>-Complete all 35 hours of training from an approved vendor certification program

• Must have a high school diploma or pass a general education development test(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. - CORRECT ANSWER>>False. No appointment needed and anticipate unexpected visits. ID is available upon request and encouraged T/F: A room approved for non-ambulatory clients maybe used only by a client whose physician has determined to be non-ambulatory. - CORRECT ANSWER>>False An exception is a written authorization to use alternative means granted for... - CORRECT ANSWER>>-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... - CORRECT ANSWER>>non-ambulatory 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 environment. - CORRECT ANSWER>>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 service plan (IPP) indicating the consumer's entrance date into the facility. - CORRECT ANSWER>>True What is the minimum age of an ARF administrator? - CORRECT ANSWER>>21 years old (18 years old for STAFF) Who is required to get a criminal record clearance? - CORRECT ANSWER>>Anyone with regular contact 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 does not need to hire a certified administrator. - CORRECT ANSWER>>False. ARF must always have an admin Personal record shall be retained for___ years. - CORRECT ANSWER>>Three What are the four causes of mental illness? - CORRECT ANSWER>>-Environmental
• Genetic/Hereditary (DNA)
• Psychological
• Biological (abnormal balance of brain chemicals) Is dementia a mental illness? - CORRECT ANSWER>>No, but Alzheimer's is a mental illness. Dementia is a symptom. T/F: All ARF are required to plan activities for the consumers, but not all facilities are required to post their activity calendar. - CORRECT ANSWER>>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... - CORRECT ANSWER>>kitchen As it relates to food service, what does the acronym FIFO mean? - CORRECT ANSWER>>FIFO: first in, first out. The licensee shall ensure that what planned recreational activities are provided for the consumer? - CORRECT ANSWER>>-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 T/F: The consumer is responsible for providing space and posting notices for their meetings. -

CORRECT ANSWER>>False According to the California code, title 22 regarding bedrooms... - CORRECT ANSWER>>not more than two clients/consumers shall sleep in the bedroom. T/F: At least one toilet and shower fixture shall be maintained for each nine persons residing in the facility? - CORRECT ANSWER>>False T/F: It is not necessary for the bathroom to be located near the client's or consumer's bedroom.

• CORRECT ANSWER>>Fall. The bathroom must be close by the consumers bedroom. Licensee must ensure the quality of linen provided shall permit changing the linen every other week. - CORRECT ANSWER>>False. Linens must be changed weekly and have an extra set of blanket, fitted and flat sheet, and mattress pad available per consumer/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 direct care staff to three clients. - CORRECT ANSWER>>True. 1 staff:3 clients According to California Code Regulations, Title 22, what is true for staff providing night supervision from 10 PM to 7 AM? - CORRECT ANSWER>>-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 at least one person on duty in the premises and wait. Another shall be on-call and capable of responding within 30 minutes. T/F: Personal rights and general facility policies (house rules) allow the consumer to have visitors, representatives to visit privately during waking hours, provided that such visitations do not infringe upon the rights of the other clients. - CORRECT ANSWER>>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, and that assessment should not be more than... - CORRECT ANSWER>>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. - CORRECT ANSWER>>True T/F: The licensee may accept or retain any person whose primary need is a acute psychiatric care due to a mental illness. - CORRECT ANSWER>>False. (ARF is non-medical) Prior to accepting a client/consumer for care and supervision, the person responsible for mission must do what? - CORRECT ANSWER>>-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/consumer. 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: - CORRECT ANSWER>>$750 or less ---> $1, $751-$1,500 ---> $2, $1,501-$2,500---> $3,