Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide,, Exams of Public Health

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(T/F) The department may issue a certificate prior to receiving criminal record clearance from the department of justice, if the applicant states that he/she has submitted his.her fingerprints in >>False a timely manner. - answer True (T/F) The licensee shall provide an isolation room or area for use by ill residents - answer>> The department requires start up funds equal to ______ months operating expenses. >>3 months(85018)(b)(1) - answer In a prominent, Facility with capacity of 7 or more, license shall be posted where? - answer>> publicly accessible location in facility Retained in facility Facility with capacity of 6 or fewer, license shall be posted where? - answer>> and be available upon request A double An extra charge to the resident shall be allowed for a private room if what? - answer>> room is made available, but resident prefers a private room and arrangement is documented in admissions agreement, charge is limited to 10% of Board and room portion of SSI/SSP grant. An extra charge to the resident shall be allowed for special food services and products after? - >>Resident wishes to purchase the services and agrees to the extra charge in answer agreement. In how many days shall the the department be notified in writing of change in administrator? - >>30 daysanswer What shall be included in the notification to the department of change in administrator? - 1. Name, residence/mailing address of new administrator answer>> 2. Date he/or she assumed position 3. Description of background and qualifications, including required administrator certification 21 years An administrator shall be at least what age. - answer>> Be on premises the How many hours shall the administrator be at the facility? - answer>> number of hours necessary to manage and administer the facility in compliance with applicable law and regulation. 1 year work Administrator of facility with 7 to 15 clients shall have what experience? - answer>> experience in residential care 1. Administrator of facility with 16-49 clients shall have what education/experience? - answer>> High school diploma or GED 2. 15 college or CE semester units in nutrition, human behavior, administration or staff relations 3. 1 year work experience in residential care. Administrator of facility with 50 or more clients shall have what education/experience? - >>1.High school diploma or GED answer 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 1. Advise license on operation of The administrator shall perform what duties? - answer>> 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 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? - answer>>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? - answer>>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? - answer>>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. - answer>>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? - answer>>No less than One direct care staff for three clients. What are minimum day staff-client ratio requirements for all other clients? - answer>>No less than One direct care staff for three clients. Employees providing night supervision from 10pm to 7am shall have what training? - answer>>1. Facility planned emergency procedures 2. First aid Night supervisory personnel requirements for facility with 15 or fewer clients shall be what? - answer>>At least One person on call on the premises Night supervisory personnel requirements for facility with 16 to 100 clients shall be what? - answer>>1. At least One person on duty, on the premises and awake 2. Another person on call and capable of responding with 30 minutes. Night supervisory personnel requirements for facility with 101 to 200 clients shall be what? - answer>>1. At least One person on call, on premises 2. Another person on duty, on premises and awake 3. Another person on call and capable of responding within 30 minutes Night supervisory personnel requirements for facilities providing care to 7 or more clients who rely upon others to perform activities shall be what? - answer>>1. At least One person on duty, on premises and awake 2. Fore every addition 14 clients, there shall be another person on duty, on premises and awake Night supervisory personnel requirements for every additional 100 clients or fraction thereof shall be what? - answer>>One additional person on duty, on premises and awake An employee time schedule shall be developed for how long and contain what information? - answer>>1.Developed at least monthly 2. Contain: Name, Job title, Hours worked and days off Client record must contain what information? - answer>>1. Last known address 2. Religious preference, name and address of clergyman or advisor 3. Needs and Services plan and any modifications 4. Mental Health intake assessment Licensee shall be permitted to retain terminally ill clients who receive hospice services from a hospice agency or already receiving hospice services when what conditions are met? - answer>>1. Licensee has received a facility hospice care waiver from department 2. Licensee remains in substantial compliance with ARF regulations 3. Licensee cannot contract for hospice services on behalf or an existing client 4. Written hospice care plan is developed for each terminally ill client 5. Acceptance of terminally ill client does not be threat to other clients 6. Hospice and client agree to provide all necessary information 7. Hospice agrees to provide necessary medical intervention related to clients illness. Licensee shall regularly observe each client for what kind of changes? - answer>>1.Physical, mental, emotional, social functioning 2. Changes such as weight gain/loss, deterioration of health condition 3. Suspected of having contagious or infectious disease When serving food what requirements shall be met? - answer>>1. Meals shall be served in one or more dining rooms or similar areas in which all furniture, equipment for meals service is provided 2. Tray service can be provided in case of temporary need. Supplies for staple non perishable and fresh perishable food shall be retained for a minimum of how many days? - answer>>1. Nonperishable foods - Minimum 1 week 2. Fresh perishables foods - 2 days Facility with capacity of 16 or more clients, what must be made available in the facility? - answer>>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? - answer>>Shaded area and be comfortable and furnished for outdoor use As condition of licensure, there shall be what to provide planned activities indoors? - answer>>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? - answer>>6 persons including clients, family and personnel. At least one bathtub or shower shall be maintained for how many people in the facility? - answer>>10 persons Fillings and covers for mattresses shall be what? - answer>>Flame retardant Portable or permanent closets and drawers in each bedroom shall have a minimum of how much space? - answer>>Minimum of 2 drawers or 8 cubic feet of drawer space for each client When shall linens be changed? - answer>>Once a week or more often when necessary to ensure clean linen is in use by clients Common towels and washcloths shall be? - answer>>Prohibited What shall be included in emergency lighting and readily available? - answer>>Working flashlights or other battery powered lighting What shall be maintained in all hallways and passages to non private bathrooms. - answer>>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? - answer>>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? - answer>>$150 An ARF Initial Certification Training program shall consist of how many classroom hours? - answer>>35 hours How much penalty is assessed deficiencies that are not corrected in a ICTP? - answer>>$50 per day, per cited violation An ARF may use manual restraint or seclusion with a client only if? - answer>>1. Force used does not exceed that which is necessary to avert injury or danger being threatened 2. Risk of injury caused by the force applied does not exceed the risk of injury being averted 3. Manual restraint or seclusion is used when a client's behavior presents an imminent danger for serious injury to self or others 4. Duration of a manual restraint or seclusion ceases as soon as the risk of imminent danger or serious injury has ceased Definition of Manual Restraint? - answer>>Means same as Physical Restraint which means use of a manual hold to restrict freedom of movement of all or part of a person's body, or to restrict normal access to the person's body, and that is used as a behavior restraint on a client who presents an immediate danger to his or herself or to others. Definition of Mechanical Restraint? - answer>>Use of a mechanical device, material, or equipment attached or adjacent to the person's body that he or she cannot easily remove and that restricts the freedom of movement of all or part of a person's body or restricts normal access to the person's body, and that is used as a behavioral restraint. Example: cloth ties, handcuffs, restraining sheets, chairs and belts What emergency interventions shall not be used on a client? - answer>>1. Mechanical or Manual restraints 2. Manual restraint or seclusion when imminent risk of serious physical harm to self or others 3. Adverse behavior modifications 4. Pain, induced to control behavior or limit movement 5. Any manual restraint technique that obstructs person's airway or restricts breathing 6. Manual restraint with person's hand held behind person's back 7. Placement of item that covers head 8. Chemical restraint or psychotherapeutic or behavior modifying drugs. The emergency plan shall be approved by who and specify what things? - answer>>1.Approved by applicant or licensee in conjunction with Behavior Management Consultant 2. Specifies less restrictive or non-physical de-escalation methods that may be used to identify and prevent behaviors that lead to use of manual restraint Each use of manual restraint or seclusion shall be reported to whom and in what time frame? - answer>>1. Report to authorized representative by telephone, no later than next business day 2. Report to the department in writing no later than the next business day. 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) - 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) - 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) - answer>>deed, estate settlement, *or* lease Casts and braces are examples of what? (80072)(8)(a) - answer>>postural supports Licensing has the authority to inspect what part of the facility? (80044) - answer>>the entire facility In lieu of locked storage of firearms, what can a licensee do? (80087)(2)(a) - answer>>use trigger locks or remove the firing pin; ammo shall be stored and locked separately from firearms What size facility shall post their license in a prominent location? (85009) - answer>>7 or larger A supply of staple *nonperishable* food shall be maintained in the facility for a minimum of... (85076)(d)(1) - answer>>One week/7 days This temperature in a clients room shall be heated to at least... (80088)(a)(1) - answer>>68°F What is the allowed temperature range for a client's room? - 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) - answer>>60 days What should be maintained in hallways and passages to non-private bathrooms? (85088)(E)(2) - answer>>Nightlights Admission agreements shall be signed by the clients no later than how many days after admission? (80068)(E) - answer>>7 calendar days Documentation of disaster drills shall be documented and maintained in the facility for how long? (80023)(d) - answer>>12 months How often are fire drills to be practiced? - answer>>once every 3 months A conservator is... (80001)(15) - 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) - 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) - 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) - 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) - answer>>7 days Refrigerators shall maintain a maximum temperature of what? (85076)(D)(3) - answer>>45°F A dated employee time schedule shall document an employee's... (85066)(b)(3) - answer>>hours of work How long are menus to be kept on file in the facility? (80076)(5) - 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) - answer>>True What size facility must have regular consultations with a nutritionist, dietician, or a home economist? (85065)(E)(4) - answer>>50 or more clients What cannot be used as a *beverage/drink*? (80076)(9) - answer>>powdered milk however, powdered milk may be used in cooking Fresh, perishable foods must be maintained for how long? (85076)(d)(1) - 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) - answer>>30 days All persons providing care and supervision to residential care client shall have... (80065)(1) - 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) - 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) - 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) - answer>>$1000 $750 or less ---> $1,000 $751-$1,500 ---> $2,000 $1,501-$2,500---> $3,000 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) - answer>>at least ONE toilet and wash basin What bedroom furniture is required per consumer? (85088) - 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) - 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) - 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) - 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) - answer>>2 ARF per administrator T/F: an individual shall be a certificate holder prior to being employed as an administrator (85064.2)(A) - 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) - 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) - answer>>true T/F: the licensing agency does not have authority to restrict care to specific individuals. (85044)(D) - 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 re- certification. (85064)(H) - 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) - answer>>true T/F: Within six months of becoming an administrator, the individual shall receive training on HIV/TV. (85064)(6)(A)(K) - 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) - 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) - 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)(3) - answer>>True T/F: Full-length bed rails are *prohibited* for use in a community care facility. (80072)(8)(E)(1) - answer>>True T/F: Initial certification training program vendors do not have to be approved by the department. (850902)(A) - answer>>False T/F: Supplies of staple, non-perishable foods shall be maintained on the premises for a minimum of two days. (85076) - answer>>False. 7 days: non-perishable 2 days: perishable -*Psychological* -*Biological* (abnormal balance of brain chemicals) Is dementia a mental illness? - 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. - 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... - answer>>kitchen As it relates to food service, what does the acronym FIFO mean? - answer>>FIFO: first in, first out. The licensee shall ensure that what planned recreational activities are provided for the consumer? - 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. - answer>>False According to the California code, title 22 regarding bedrooms... - 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? - answer>>False T/F: It is not necessary for the bathroom to be located near the client's or consumer's bedroom. - 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. - 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. - 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? - 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. - 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... - 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. - 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. - answer>>False. (ARF is *non-medical*) Prior to accepting a client/consumer for care and supervision, the person responsible for mission must do what? - 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: - answer>>$750 or less ---> $1,000 $751-$1,500 ---> $2,000 $1,501-$2,500---> $3,000 The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license. - answer>>60 days Each applicant shall submit a financial plan of operation that shall document the availability of start-up funds to finance the first - answer>>3 months of operation All community care facilities shall be inspected and evaluated for quality of care by licensing agency personnel at least - answer>>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 - answer>>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 - answer>>Submitted fingerprints for criminal record clearance to the Department of Justice prior to having any client contact. 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 - answer>>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: - answer>>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 - answer>>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: - answer>>12 months When licensing receives a complete facility application, licensing shall notify the applicant that it has either been approved or denies within: - answer>>90 days Any injuries to a resident, which requires medical treatment, must be reported to licensing within: - answer>>Licensing's next working day A new application for licensure must be made whenever one of the following occurs: a. A change in the facility location b. A change in the facility licensee c. A change in the facility capacity d. All of the above - answer>>d. All of the above To receive your administrator certificate, you must: a. Successfully complete a department - approved certification training b. Pass the written test administered by the department within 60 days of completing the initial certification training course. c. Submit a completed application within 30 days after notification of having passed the test, have a current criminal record clearance, and pay $100 processing fee. d. All of the above - answer>>d. All of the above A licensee shall not accept or retain the following: a. Any person required impatient care in a health facility b. Persons whose needs are in conflict with other clients or the program of services offered c. Any person(s) whose primary need is acute psychiatric care due to a mental disorder d. All of the above - answer>>d. All of the above The licensee shall ensure that residents are given the opportunity to attend and participate in community activities that include: - answer>>Self help organizations and community events (including but not limited to; concerts, tours, dances, plays, and celebrations) When a licensee dies, an adult relative who have control of property may be permitted to operate a previously licensed facility, provided they request an EAO and notify licensing by telephone within: - answer>>The first working day after the licensee's death When a deficiency in compliance results in penalties being assessed, the deficiency must be corrected within: - answer>>24 hours Any change in the facility's plan of operation which affects the service to residents, must be reported to licensing within: - answer>>10 working days All facility personnel who provide care and supervision to residents must be at least: - answer>>18 years old Bedrooms must meet the following requirements: - answer>>No resident bedroom shall be used as a public or general passageway o another room, bath or toilet. The licensee shall meet the following food supply and storage requirement: a. maintain on the premises supplies of staples, non perishable foods for a minimum of one week b. freezers and refrigerators shall be kept clean c. Maintain on the premises supplies of perishable foods for a minimum of two days. d. all of the above - answer>>d. all of the above (T/F) Unless otherwise provided, a certified administrator may administer more than one licensed Adult Residential Facility. - answer>>True (T/F) An individual shall be a certificate holder prior to being employed as an administrator. - answer>>False (T/F) Adult Residential Care Facilities may not accept and retain clients whose primary need is acute psychiatric care due to mental disorder. - answer>>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. - answer>>True