Download ADULT RESIDENTIAL FACILITY (ARF) PRACTICE TEST, CALIFORNIA ARF ADMINISTRATOR exam-with 100 and more Exams Nursing in PDF only on Docsity! ADULT RESIDENTIAL FACILITY (ARF) PRACTICE TEST, CALIFORNIA ARF ADMINISTRATOR exam-with 100% verified solutions The department requires start up funds equal to months operating expenses. (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 termination of service shall...(80075)(l) Be destroyed What is required for all staff providing direct care, PRIOR to employment? 1. First Aid training 2. TB test 3. 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 within how many days? (80061)(b) 7 WORKING days What is required for taps/faucets delivering water temperatures 125°F or above? (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 from 10pm to 7am and who assist with care and supervision required to have for emergencies? (85065.6)(b) 1. The facility's planned emergency procedures 2. A first aide certificate Any changes in the licensee's or applicants mailing address shall be submitted 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 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 of the client death, and any debts he/she accrued are stopped. (80068)(10)(h) True What size facility must have regular consultations with a nutritionist, dietician, or a home economist? (85065)(E)(4) 50 or more clients 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 exceed how 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 inspection within how many days? (80006)(1) 10 days What size facility must have a reception area and a restroom facility designed for the use by visitors? (85087) (d)(3) 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) Capacity What type of bedrails are allowed only for assisting the client with mobility? (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 money per month for all clients? (80025)(c) $751 to $1500 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/she must 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 of serving 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) and first meal (breakfast) of the day? (80076)(a)(2) 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) 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) Within 30 days According to regulations, how long/often should the administrator of an adult residential facility be on the premises? (85064) (D)(1) 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) 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) 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) 90 days All community care facilities shall be inspected and evaluated for quality of 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 food service employee shall be designated with? (85065)(2)(a) 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) 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) 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) 90 days 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 of the certificate expiration date are subject to a $300 deficiency fee. (850643.3)(E) (3) True T/F: Full-length bed rails are prohibited for use in a community care facility. (80072)(8)(E)(1) True T/F: Initial certification training program vendors do not have to be approved by the department. (850902)(A) False T/F: Supplies of staple, non-perishable foods shall be maintained on the premises 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 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) True T/F: Any person willfully making any false representations as being a certified ARF administrator is guilty of a misdemeanor. (85064.2)(F) 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 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. 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. False An exception is a written authorization to use alternative means granted for... -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 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. 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. True 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 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. False. ARF must always have an admin Personal record shall be retained for years. Three 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. 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. 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. 60 days Each applicant shall submit a financial plan of operation that shall document the availability of start-up funds to finance the first 3 months of operation All community care facilities shall be inspected and evaluated for quality of care by licensing agency personnel at least Twice per year In facilities with a licensed capacity of 16 or more clients, a food service employee shall be designated with the following experiences On-the-job training or related experience evidenced by safe and effective 50 performance All persons providing care and supervision to residential care clients shall have Submitted fingerprints for criminal record clearance to the Department of Justice prior to having any client contact. The licensing agency may issue a provisional license for a maximum of 60 days. When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or denied within 60 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 principal in the amount of $1000. Which of the following is required: • At least one toilet and washbasin shall be maintained for every 10 persons residing in the facility, including clients, family and personnel. • At least one bathtub or shower shall be maintained for every 20 persons residing in the facility. • Toilets and bathrooms shall be located near client bedrooms. • None of the above. None of the above. Which of the following bedroom furniture is not required: • Full-length mirror • Chair • Night stand • All of the above Full-length mirror The Department may deny or revoke any administrator certificate upon which of the following grounds: • 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. • All of the above. All of the above An administrator applying for recertification must complete 40 units 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 a. A written request to recertify post-marked on or before the certificate expiration date. B. Evidence of completion of 40 hours continuing education hours c. Payment of a one hundred dollar ($100) processing fee d. All of the above D. All of the Above The Emergency Approval of Operate (EAO) is a temporary approval to operate the facility for no more than: 60 days Any person who operates an unlicensed facility may be assessed an immediate civil penalty in the amount of: $200/day The minimum height of a fence surrounding a swimming pool must be at least: 5 feet A "waiver" is a non-transferable written authorization, issued by licensing, to use alternate means in which to meet the intent of a specific regulation and are based on: A facility wide need and/or circumstances The licensee shall reveal each facility licensee number in: All advertisements All administrates of arfs must be: a. A certified administrator b. At least 21 years old c. On the premises the number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations d. All of the above D. All of the above The Plan of Operation must include sample menus and a schedule indicating the time of day that meals and snacks are served for: One calendar week Select the statement that is true regarding safeguard of cash resources, personal property and valuable of residents: a. The licensee shall be required to continue to care for any resident whose incapacities would require the licensee to handle such resident cash resources. B. All cash resources, personal property and valuables handled by the licensee shall be free from any liability that the licensee incurs. C. The licensee may always accept appointment as guardian for one of their residents. D. The residents' cash resources, entrusted to the licensee may be kept in the resident's unlocked beside drawer if the resident wishes. B. All cash resources, personal property and valuables handled by the licensee shall be free from any liability that the licensee incurs. Licensing may issue a provisional license for the maximum of: True (T/F) An individual shall be a certificate holder prior to being employed as an administrator. False (T/F) Adult Residential Care Facilities may not accept and retain clients whose primary need is acute psychiatric care due to mental disorder. True (T/F) The licensee may evict a client by serving the client with a 30 day written notice to quit for non payment of the rate for basic services, within ten days of the due date. True (T/F) Clients who wish to eat alone in their rooms shall be encouraged to have meals with other clients. False (T/F) The licensing agency does not have authority to restrict care to specific individuals. 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. True (T/F) Certificates not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated True (T/F) Within six months of becoming an administrator, the individual shall receive training on HIV or TB True (T/F) Unlicensed care provider staff may provide a manual removal of fecal impaction, provided they are trained to do so by a licensed care professional. False (T/F) The Department may revoke the certificate of any administrator who knowingly made or gave false statements or information in conjunction with the application for a certificate. True (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. True (T/F) Certificates renewed after the expiration date, but within four years of the certificate expiration date, are not subject to a $300 deficiency fee. False (T/F) Full-length bed rails are prohibited for use in a community care facility. True (T/F) Initial Certification Training Program vendors do not have to be approved by the Department False (T/F) Space and equipment for washing and ironing and mending of personal clothing is requires in laundry areas True (T/F) Supplies of staple, non perishable foods shall be maintained on the premises for a minimum of two days. False (T/F) In cases where the individual is both the licensee and the administrator of an Adult Residential Facility, the individual shall comply with all licensee and certified administrator requirements. True (T/F) A 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. True (T/F) Any person willfully making any false representation as being a certified, Adult Residential Facility administrator is guilty of a misdemeanor True (T/F) Insertion and removal of a urinary catheter shall only be performed by a licensed professional True (T/F) In facilities providing care and supervision for 15 or fewer residents, there shall be one person in duty and awake on the premises False (T/F) The register of residents, including their name and ambulatory status, shall be made available to public inquiry, if required. False (T/F) There shall be at least one person capable of, and responsible for, communicating with emergency personnel in the facility during business hours. True (T/F) The Administrator shall be at least 21 years old True (T/F) No person, other than the dispensing pharmacist, shall alter a prescription label True (T/F) Administrators must complete at least 60 classroom hours of continuing education during the two year certification period False (T/F) It is not required to interview a prospective resident prior to accepting the resident for care False 1.High school diploma or GED 2. 60 college or CE semester units in administration or staff relations 3. 3 years work experience in direct care to clients or assisting in facility administration The administrator shall perform what duties? 1. Advise license on operation of facility and developments in field of care and supervision 2. Development of plan and procedure to define responsibility, workloads and staff supervision 3. Recruitment, employment and training of qualified staff and termination To receive administrator certificate, an applicant shall do what? 1. Complete Initial Certification Training Program 2. Pass written exam within 60 days of completion of ICTP within 3 attempts 3. Submit completed application for Administrator Certification to Department within 30 days of having passed exam 4. Proof of completion of ICTP and passing written exam 4. Completed Criminal Record Statement 5. Pay $100 processing fee Any person not certified and misrepresenting himself or herself as a certified administrator or making a false representation is guilty of a? Misdemeanor Administrator Certificate shall be valid for how many years and expire when? 1. Valid for 2 years 2. Expire on anniversary date of initial issuance or individuals birthday during second calendar year Administrators shall complete how many CE hours and must include what? 1. 40 hours of CE (continuing education) 2. 4 hours of laws, regulations, policies and procedural standards 3. If not in ICTP, 1 hour on LGBT community To apply for recertification prior to expiration date of certificate, certificate holder shall sumit what to the department? 1. Completed application for Administrator certification 2. Evidence of 40 hours of CE 3. Payment of $100 processing fee To apply for recertification after the expiration date of certificate, but within 4 years of certificate expiration date, certificate holder shall submit what to the department? 1. Completed application for Administrator certification 2. Evidence CE hours totaling number of hours needed to be certified. 3. Payment of $300 processing fee Certificate not renewed within for 4 years of expiration date shall be what? Not renewed, restored, reissued or reinstated Replacement or lost certificate shall have a processing fee of ? 25 dollars Certificate holder shall report any change in mailing address within how many days to department? 30 days When a administrator assumes or relinquishes responsibility for administering an ARF, they must provide written notice within how many days to licensing office and department? 30 days Department may deny or revoke any administrator certificate upon what grounds? 1. Fraud, misrepresentation, bribery or giving false statement on application. Licensee shall employ how many staff for care of clients in a facility? As many as necessary to provide care and supervision to meet client needs Licensee shall employ how many support staff to perform office work, cooking, cleaning. Etc? As many as necessary In facility of capacity of 16 to 49 clients what requirements need to be met by the administrator to have planned activities? 1. One person designated by administrator to have responsibility for organization, conduct planned activities 2. Person designated have at least 6 months experience in organizing and providing planned activities. In facility of capacity of 50 or more clients, what requirements need to be met by the administrator to have planned activities? 1. One person designated by administrator to have responsibility for organization, conduct planned activities and have assistance as necessary 2. Person designated have at least 1year experience in organizing and providing planned activities and evaluation of client needs, supervision of employees and training volunteers In facility with capacity of 16 or more clients, who shall be responsible for food planning, preparation and service? One employee shall be responsible and have on-the-job training or have related experience. In facility with capacity of 16 to 49 or 50 or more clients that provide 3 meals per day. Who shall have full-time responsibility of food service program and posses what qualifications? 1. One employee with 1 year experience in food preparation and service accommodating 50 or more people. 2. One employee with 2 years experience in food preparation and service accommodating 16 to 49 more people. If employee in a facility for 50 or more clients is not a nutritionist, dietician or home economist, a provision shall be made for what. 1. Regular consultation from a qualified person 2. Consultation shall be during at least one meal preparation and service 3. Written record of consultants visits What are minimum day staff-client ratio requirements for Regional center clients? No less than One direct care staff for three clients. What are minimum day staff-client ratio requirements for all other clients? No less than One direct care staff for three clients. Other clients Clients who do not want meals provided by facility but cannot self-purchase food or prepare shall receive what? Full meal service Licensee shall provide basic laundry services that includes what? Washing, drying of clients personal clothing Licensee shall ensure planned recreational activities include what for clients? Group Interaction Activities are physical such as games, sports and exercise Licensee shall ensure clients are given opportunity to attend/participate in community activities such as what? 1. Worship services, community service activities. 2. Community events like concerts, tours, celebrations 3. Self-help organizations and senior citizen groups, sports leagues In facility of capacity of 7 or more clients, notices of planned activities shall be posted where and retained in files for how long? 1. Posted in central facility location readily accessible to clients, relatives 2. Notices retained for at least 6 months in files In facility of capacity of 50 or more clients, a current written program of activities shall be what? Planned in advance and made available to all clients Each facility, at request of a majority of its residents shall assist with what? Establishing and maintaining a resident-oriented facility council Licensee shall do what for Resident Councils? 1. Provide space and post notice of meeting, provide assistance in attending council meetings 2. Document notice of meetings and meeting times 3. Council meeting shall be conducted without presence of facility personnel 4. Encourage residents to attend council meetings. Licensee shall be permitted to accept emergency placements by adult protective services (APS) if the licensee has received what? Approval from department by submitting written request. Licensee of ARF may accept an elderly client, 60 years of age or older for emergency placement under what conditions? 1. APS agency has written statement that local need exits for licensee to accept elderly emergency placement. 2. Licensee must request statement each year from APS indicating local need still exists and submit to department Bedrooms must be large enough to allow what? Easy passage and comfortable use of any client assistive devices, like wheelchairs, walkers or oxygen equipment Stairways, inclines, ramps, open porches and areas that are hazard to clients must not be used unless the area is what? Well lighted and have sturdy hand railings. Laundry areas must meet what requirements? 1. Space and equipment for washing, ironing and mending clothing 2. Space used for dirty cloths shall be separate form clean clothing storage and handling area Facility with capacity of 16 or more clients, what must be made available in the facility? 1. Space in facility to serve as office for business, administration and admissions 2. Private office in which to conduct private interviews by administrator. 3. Reception area and restroom facility for use by visitors. Outdoor activity area shall provide what? Shaded area and be comfortable and furnished for outdoor use As condition of licensure, there shall be what to provide planned activities indoors? Common rooms like living room, dining room, den or activity room. At least one toilet and washbasin shall be maintained for how many people in the facility? 6 persons including clients, family and personnel. At least one bathtub or shower shall be maintained for how many people in the facility? 10 persons Fillings and covers for mattresses shall be what? Flame retardant Portable or permanent closets and drawers in each bedroom shall have a minimum of how much space? Minimum of 2 drawers or 8 cubic feet of drawer space for each client When shall linens be changed? Once a week or more often when necessary to ensure clean linen is in use by clients Common towels and washcloths shall be? Prohibited What shall be included in emergency lighting and readily available? Working flashlights or other battery powered lighting What shall be maintained in all hallways and passages to non private bathrooms. Night lights In all facilities with capacity of 16 or more clients and having separate floors or separate buildings without FULL TIME staff there, shall have a signal system with ability to do what? 1. Operation from each clients living unit 2. Transmission of visual/auditory signal to central location or production of auditory signal to clients living unit to summon staff. 3. ID of specific clients living unit from which signal originates. What is processing fee for vendor giving Initial Certification Training Program? $150