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

Download Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide and more Exams Nursing in PDF only on Docsity! Adult Residential Facility (ARF) Practice Test, California ARF Administrator Study Guide EXAM LATEST UPDATE WITH 250 QUESTIONS AND VERIFIED ANSWERS The department requires start up funds equal to ______ months operating expenses. (85018)(b)(1) - ANSWER>>3 months No other person than the _____ shall alter the prescription label. (80075)(k)(4) - ANSWER>>dispensing pharmacist Medication shall be centrally stored when...(80075)(j) - 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) - ANSWER>>be destroyed What is required for all staff providing direct care, PRIOR to employment? - ANSWER>>1. First Aid training 2. TB test 3. background clearance How long are client records retained? (80066)(d) - ANSWER>>3 years Modifications to the admissions agreement requires how much notice? (80068)(4) - ANSWER>>30 *CALENDAR* days Fingerprints shall be submitted to the Department of Justice (DOJ) within what time frame of employment? (80019)(2)(e) - ANSWER>>prior to employment When is an employee fingerprinted? (80065) - ANSWER>>prior to employment The death of a client requires a written report submitted to CCLD within how many days? (80061)(b) - ANSWER>>7 WORKING days What is required for taps/faucets delivering water temperatures 125°F or above? (80088)(3)(b) - ANSWER>>a warning/cautious sign What is the mandated water temperature range for taps/faucets? - 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) - ANSWER>>1. the facility's planned emergency procedures 2. a first aide certificate 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 How many clients are allowed per room? (85087)(1)(A) - ANSWER>>No more than 2 Upon receipt of a complaint, licensing shall make an onsite inspection within how many days? (80006)(1) - ANSWER>>10 days What size facility must have a reception area and a restroom facility designed for the use by visitors? (85087) (d)(3) - 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) - ANSWER>>Capacity What type of bedrails are allowed only for assisting the client with mobility? (80072)(e)(1) - 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) - ANSWER>>$751 to $1500 Where are soap, detergents and cleaning compounds stored? (80076)(16) - 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) - ANSWER>>Tray service for their meals 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 service plan (IPP) indicating the consumer's entrance date into the facility. - ANSWER>>True What is the minimum age of an ARF administrator? - ANSWER>>21 years old (18 years old for STAFF) Who is required to get a criminal record clearance? - 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. - ANSWER>>False. ARF must always have an admin Personal record shall be retained for___ years. - ANSWER>>Three What are the four causes of mental illness? - ANSWER>>-*Environmental* -*Genetic*/Hereditary (DNA) -*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 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 - ANSWER>>$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. - ANSWER>>None of the above. Which of the following bedroom furniture is not required: • Full-length mirror • Chair • Night stand • All of the above - ANSWER>>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. - ANSWER>>All of the above An administrator applying for recertification must complete - ANSWER>>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 - ANSWER>>d. All of the Above The Emergency Approval of Operate (EAO) is a temporary approval to operate the facility for no more than: - ANSWER>>60 days Any person who operates an unlicensed facility may be assessed an immediate civil penalty in the amount of: - ANSWER>>$200/day The minimum height of a fence surrounding a swimming pool must be at least: - ANSWER>>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: - ANSWER>>A facility wide need and/or circumstances The licensee shall reveal each facility licensee number in: - ANSWER>>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 - 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. The residents' cash resources, entrusted to the licensee may be kept in the resident's unlocked beside drawer if the resident wishes. - ANSWER>>b. All cash resources, personal property and valuables handled by the licensee shall be free from any liability that the licensee incurs. 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 (T/F) Clients who wish to eat alone in their rooms shall be encouraged to have meals with other clients. - ANSWER>>False (T/F) The licensing agency does not have authority to restrict care to specific individuals. - 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. - ANSWER>>True (T/F) Certificates not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated - ANSWER>>True (T/F) Within six months of becoming an administrator, the individual shall receive training on HIV or TB - ANSWER>>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. - ANSWER>>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. - ANSWER>>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. - ANSWER>>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. - ANSWER>>False (T/F) Full-length bed rails are prohibited for use in a community care facility. - ANSWER>>True (T/F) Initial Certification Training Program vendors do not have to be approved by the Department - ANSWER>>False (T/F) Space and equipment for washing and ironing and mending of personal clothing is requires in laundry areas - ANSWER>>True (T/F) Supplies of staple, non perishable foods shall be maintained on the premises for a minimum of two days. - ANSWER>>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. - ANSWER>>True (T/F) The licensee shall provide an isolation room or area for use by ill residents - ANSWER>>True (T/F) To receive his/her certificate, an applicant shall pass written test administered by the department within 60 days of completion of an initial certification training program - ANSWER>>True Facility with capacity of 7 or more, license shall be posted where? - ANSWER>>In a prominent, publicly accessible location in facility Facility with capacity of 6 or fewer, license shall be posted where? - ANSWER>>Retained in facility and be available upon request An extra charge to the resident shall be allowed for a private room if what? - ANSWER>>A double 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? - ANSWER>>Resident wishes to purchase the services and agrees to the extra charge in agreement. In how many days shall the the department be notified in writing of change in administrator? - ANSWER>>30 days What shall be included in the notification to the department of change in administrator? - ANSWER>>1. Name, residence/mailing address of new administrator 2. Date he/or she assumed position 3. Description of background and qualifications, including required administrator certification An administrator shall be at least what age. - ANSWER>>21 years How many hours shall the administrator be at the facility? - ANSWER>>Be on premises the number of hours necessary to manage and administer the facility in compliance with applicable law and regulation. Administrator of facility with 7 to 15 clients shall have what experience? - ANSWER>>1 year work experience in residential care Administrator of facility with 16-49 clients shall have what education/experience? - ANSWER>>1. 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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Misdemeanor Administrator Certificate shall be valid for how many years and expire when? - ANSWER>>1. Valid for 2 years 2. Expire on anniversary date of initial issuance or individuals birthday during second calendar year 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. 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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Well lighted and have sturdy hand railings. Laundry areas must meet what requirements? - ANSWER>>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? - 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