Adult Residential Facility (ARF) Practice Test: Questions and Answers, Exams of Medicine

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Adult Residential Facility (ARF) Practice Test

1. The department

requires start up funds equal to months operating expenses. (85018)(b)(1): 3 months

2. No other person than the shall alter the

prescription label. (80075)(k)(4): dispensing pharmacist

3. 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

4. Prescription medications which are not taken with the resident upon termi- nation

of service shall... (80075)(l): be destroyed

5. What is required for all staff providing direct care, PRIOR to employment?-

: -First Aid training -TB test

-background clearance

6. How long are client records retained?

(80066)(d): 3 years

7. Modifications to the admissions agreement requires how much notice?

(80068)(4): 30 CALENDAR days

8. Fingerprints shall be submitted to the Department of Justice (DOJ) within what

time frame of employment? (80019)(2)(e): prior to employment

9. When is an employee fingerprinted?

(80065): prior to employment

10. The death of a client requires a written report submitted to CCLD within how

many days? (80061)(b): 7 WORKING days

11. What is required for taps/faucets delivering water temperatures 125°F or above?

(80088)(3)(b): a warning/cautious sign

12.What is the mandated water temperature range for taps/faucets?: 105°F -- 120°F

13. 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): -the facility's planned emergency procedures -a first aide certificate

14. Any changes in the licensee's or applicants mailing address shall be

submitted to CCLD within... (80061)(c): 10 WORKING days

15. 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

16. 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

17. If a licensee dies, an adult relative who has control of the property shall be allowed

to continue the operation of the facility under what approval? (80035)(b)(1): emergency approval to operate (for 60 days) (a provisional license is granted for 12 months)

18. Example of proof of control of the facility property includes a:

(80001)(17(a-c): deed, estate settlement, or lease

19.Casts and braces are examples of what?

(80072)(8)(a): postural supports

20. Licensing has the authority to inspect what part of the facility?

(80044): the entire facility

21. In lieu of locked storage of firearms, what can a licensee do?

(80087)(2)(a): use trigger locks or remove the firing pin

22. What size facility shall post their license in a prominent location?

(85009): 7 or larger

23. A supply of staple nonperishable food shall be maintained in the facility for a

minimum of... (85076)(d)(1): One week/7 days

24. This temperature in a clients room shall be heated to at least...

(80088)(a)(1): 68°F

25.What is the allowed temperature range for a client's room?: 68°F-85°F

26. An emergency approval to operate means a temporary approval to oper- ate a

facility for no more than how days pending the department's decision on whether to approve or deny a provisional license? (80035)(3)(D): 60 days

27. What should be maintained in hallways and passages to non-private bath- rooms?

(85088)(E)(2): Nightlights

28. Admission agreements shall be signed by the clients no later than how many

days after admission? (80068)(E): 7 calendar days

29. Documentation of disaster drills shall be documented and maintained in the

facility for how long? (80023)(d): 12 months

30.How often are fire drills to be practiced?: once every 3 months

31. A conservator is...

(80001)(15): 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)

32.What temperature should hot water controls be maintained at? (80061)

(e)(1): 105°F - 120°F (anything over 125°F requires a caution sign to be posted)

33.In addition to sending the report to licensing, who shall a report be submit- ted to if

an epidemic outbreak occurs? (80061)(2): the local health department

34. A licensee may request a review of a notice of deficiency within how many days of

receipt of such notice? (80055)(a): 10 working days

35. 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): 7 days

36. Refrigerators shall maintain a maximum temperature of what?

(85076)(D)(3): 45°F

37. A dated employee time schedule shall document an employee's...

(85066)(b)(3): hours of work

38. How long are menus to be kept on file in the facility?

(80076)(5): 30 days

39. 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

40. What size facility must have regular consultations with a nutritionist, dieti- cian, or

a home economist? (85065)(E)(4): 50 or more clients

41.What cannot be used as a beverage/drink?

(80076)(9): powdered milk however, powdered milk may be used in cooking

42. Fresh, perishable foods must be maintained for how long?

(85076)(d)(1): 48 hours/2 days

43. A written relocation plan to move a client from the facility shall not exceed how

many days? (80078)(b)(1)(a): 30 days

44. How many clients are allowed per room?

(85087)(1)(A): No more than 2

45. Upon receipt of a complaint, licensing shall make an onsite inspection within

how many days? (80006)(1): 10 days

46. 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

47. The maximum number of a person a facility is

authorized to provide care for is referred to as the? (80001)(c)(2): Capacity

48. What type of bedrails are allowed only for assisting the client with mobili- ty?

(80072)(e)(1): Half rails, that extend from the head to half the length of the bed

49. A $2000.00 bond is necessary if the licensee safeguards how much money per

month for all clients? (80025)(c): $751 to $

50. Where are soap, detergents and cleaning compounds stored?

(80076)(16): In areas that are separate from food supplies

51. 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

52. 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)

53. What is the maximum hours to elapse between the third meal (dinner) and first

meal (breakfast) of the day? (80076)(a)(2): 15 hours

54. 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

55. When shall licensing be notified if there is a change of facility's adminis- trator?

(85061)(B): Within 30 days

56. 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.

57. 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

58. Client linens should be

changed at least or more often when neces- sary to ensure that clean linens are in use by the client at all times. (85088)(4)(a): once per week

59. 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

60. All community care facilities shall be inspected and evaluated for quality of care

by licensing personnel at least... (800045)(b)(1): Once per year

61. 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 per- formance

62. 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

63. The licensing agency may issue a professional license for maximum of...

(80030)(d), (80027): 12 months

64. 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

65. 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): $

$750 or less ---> $1, $751-$1,500 ---> $2, $1,501-$2,500---> $3,

66. How many toilets and wash basins are required for every 10 person resid- ing in

the facility, including clients, family and facility staff? (85088)(B)(3): at least ONE toilet and wash basin

67. What bedroom furniture is required per consumer?

(85088): -bed -chair -nightstand -lamp -at least 8 ft.³ of drawer space

68. The Department may deny or revoke any administrator certificate upon ...

(85064.4): -The certificate holder procured a certificate by fraud or misrepresenta- tion. -The certificate holder knowingly made or gave false statements in conjunction with the application for certificate. -The department has issued an exclusion order against the certificate holder.

69. An administrator applying for recertification must complete...

(85064.3): 40 units (20 can be online & 20 in-person) Of continuing education during

the two-year certification period

70. To apply for recertification prior to the expiration date of the certificate, the

certificate holder must submit... (85064.3)(D): -An application to recertify post-marked on or before the certificate expiration date -Evidence of completion of 40 hours continuing education hours -Payment of a $100 processing fee

71. Unless otherwise provided, a certified administrator may administer up to

licensed Adult Residential Facilities (85064)(O): 2 ARF per administrator

72. T/F: an individual shall be a certificate holder prior to being employed as an

administrator (85064.2)(A): true

73. T/F: Adult residential care facilities may not accept and retain clients whose

primary need is a acute psychiatric care due to mental disorder. (85068.4)(A)(5): True (ARF is non-medical)

74. T/F: Clients who wish to eat alone in their rooms, shall be in encouraged to have

meals with other clients. (85076)(E): true

75. T/F: the licensing agency does not have authority to restrict care to specific

individuals.

(85044)(D): false

76. T/F: Certificates shall be valid for a period of two years and expire on either the

anniversary date of initial issuance or on the individual's birthday during the second calendar year following re-certification. (85064)(H): True

77. T/F: Certificates is not renewed within four years of their expiration date shall not

be renewed, restored, reissued, or reinstated. (85064.3)(f): true

78. T/F: Within six months of becoming an administrator, the individual shall receive

training on HIV/TV. (85064)(6)(A)(K): true

79. T/F: Unlicensed care provider staff may provide a manual removal of fecal

impaction, provided they are trained to do so by licensed care professional. (80092.5)(D)(3): False (ARF is non-medical)

80. 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

81. 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): True

82. T/F: Full-length bed rails are prohibited for use in a community care facility.

(80072)(8)(E)(1): True

83. T/F: Initial certification training program vendors do not have to be ap- proved

by the department. (850902)(A): False

84. 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

85. 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

86. 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

87. T/F: Any person willfully making any false representations as being a certified

ARF administrator is guilty of a misdemeanor. (85064.2)(F): True

88.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

89.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

90.T/F: A room approved for non-ambulatory clients maybe used only by a client

whose physician has determined to be non-ambulatory.: False

91.An exception is a written authorization to use alternative means granted for...: -a

particular client -A particular staff person

92.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

93.T/F: Cultural competence requires that organizations have a defined set of value

and principles and demonstrate behaviors, attitudes, policies and structures that enables them to work effectively within a cross-cultural envi- ronment.: True

94.T/F: If the consumer is to be admitted Into the ARF, prior to admission, the

licensee's designated social worker shall complete a written needs and ser- vice plan (IPP) indicating the consumer's entrance date into the facility.: True

95.What is the minimum age of an ARF administrator?: 21 years old

(18 years old for STAFF)

96.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

97.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

98.Personal record shall be retained for years.: Three

99.What are the four causes of mental illness?: -Environmental

-Genetic/Hereditary (DNA) -Psychological -Biological (abnormal balance of brain chemicals)

100. Is dementia a mental illness?: No, but Alzheimer's is a mental illness.

De- mentia is a symptom.

101. T/F: All ARF are required to plan activities for the consumers, but not all

facilities are required to post their activity calendar.: True

102. 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

103. As it relates to food service, what does the acronym FIFO mean?: FIFO: first

in, first out.

104. The licensee shall ensure that what planned recreational activities are

provided for the consumer?: -Community service activities -Concerts, tours, dances, plays, celebrating a birthday/anniversaries, etc. -Exercising their rights to vote for the political party of their choice -Physical activities that do not require group interaction

105. T/F: The consumer is responsible for providing space and posting notices for

their meetings.: False

106. According to the California code, title 22 regarding bedrooms...: not more

than two clients/consumers shall sleep in the bedroom.

107. T/F: At least one toilet and shower fixture shall be maintained for each nine

persons residing in the facility?: False

108. T/F: It is not necessary for the bathroom to be located near the client's or

consumer's bedroom.: Fall. The bathroom must be close by the consumers bedroom.

109. Licensee must ensure the quality of linen provided shall permit changing the

linen every other week.: False. Linens must be changed weekly and have an extra set of blanket, fitted and flat sheet, and mattress pad available per con- sumer/client.

110. 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.: True. 1 staff:3 clients

111. According to California Code Regulations, Title 22, what is true for staff

providing night supervision from 10 PM to 7 AM?: -Staff must have received training in their facility's planned emergency procedures. -In facilities providing care and supervision for 16 to 100 clients, there shall be at least one person on duty in the premises and wait. Another shall be on-call and capable of responding within 30 minutes.

112. 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.: True

113. 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...: 12 months/1 year old when obtained

114. T/F: the mission agreement must specify the following:

The general facility policies or "House Rules" are intended to ensure that no client/consumer, IN the exercise of his/her personal rights, infringe upon the personal rights of any other client.: True

115. T/F: The licensee may accept or retain any person whose primary need is a

acute psychiatric care due to a mental illness.: False. (ARF is non-medical)

116. Prior to accepting a client/consumer for care and supervision, the person

responsible for mission must do what?: -Provide him/her or the representative with information contained in the admission agreement.

-Make a prior determination of the facility's ability to meet the needs of the client/con- sumer.

117. When a licensee agrees to safeguard a client's money, they must have a

bond issued by a surety company on file depending on the amounts:: $750 or less ---

$1, $751-$1,500 ---> $2, $1,501-$2,500---> $3,