ALF Core (200 Questions) With Verified Answers For The Florida ALF Core Exam, Exams of Health sciences

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ALF Core (200 Questions) With Verified Answers For The Florida ALF Core Exam Recommended daily allowance - Protein: 6 ounces or 2 or more servings Vegetables: 3-5 servings Fruits: 2-4 servings Bread/Starches: 6-11 or more servings Milk or equivalent: 2 servings Fats, oils, sweets: use sparingly Water Menus shall be dated and planned - at least one week in advance Regular or therapeutic menus (with substitutions) shall be kept on file for how long? - 6 months What should you do if a resident refuses to comply with a therapeutic diet? - Document & notify the health care provider Documentation for training must include... - Title of training program Subject matter Training agenda # of hours of program Trainee's name, dates of participation, & location Providers names, credentials and license # An ALF shall keep a ___ day supply of non-perishable food on hand. - 3 An ALF shall provide safekeeping for resident funds and property of how much? - $200 in personal funds $500 in personal property T or F: A facility whose owner, administrator or staff serves as the representative payee or attorney-in-fact for facility residents, must maintain a surety bond? - True If serving as a representative payee, the minimum surety bond must equal... - 2x the average monthly aggregate income of personal funds due to a resident. T or F: A facility must maintain liability insurance - True, no amount required An up to date record of major incidents must be kept for file for how long? - 2 years The facility shall maintain the facility's written work schedules and staff time sheets for how long? - 6 months A preliminary adverse incident report must be submitted within how many days? - 1 business day A full adverse incident report must be submitted within how many days? - 15 business days Newly-licensed facilities and facilities whose ownership has been transferred, must submit an emergency management plan within ___ days after obtaining a license? - 30 Any facility intending to admit 3 or more mental health residents must obtain what type of license? - Limited Mental Health (LMH) license PRIOR to accepting the 3rd resident. Each mental health resident shall be provided with a Community Living Support Plan within ___ days of admission - 30 days Requirements for an Abbreviated Biennial survey - Does not have any class I or II violations No uncorrected class II violations No LTC Ombudsman Council complaints No licensing complaints all within the two licensing periods (4 years) Perishable food shall be kept at what temperatures? - 41 degrees F or below; or 140 degrees F or above Potentially hazardous foods shall be reheated to what temperature and for how long? - 165 degrees F for at least 15 seconds What is a moratorium? - A prohibition of new clients. What is biennial licensure? - A license that must be renewed every other year. Operating a facility without a valid license, knowingly files a false or misleading license is guilty of... - Felony of the 3rd degree The applications for a renewal license must be received by AHCA at least ___ days but no more than ___ days before the expiration of the current license? - 60, 120 The applicant for initial licensure due to a CHOW must be received by the agency ___ days prior to the date of change of ownership - 60 For initial, renewal or CHOW, a facility must file a surety bond for what amount? - $500,000 During a CHOW, the transferor shall notify the agency at least ___ days before the change in ownership. - 60 days If a facility has fewer than 17 residents they must... - Have an awake staff member on duty; or have mechanisms in place to monitor and ensure safety Class III violation fines - $1,000 to $500 Class II violation fines - $5,000 to $1,000 Class IV violation fines - $200 to $100 Class I violation fines - $10,000 to $5,000 An event in which personnel could exercise control and results in death; brain or spinal damage; permanent disfigurement; fracture of dislocation of bones; or any event that requires medical attention. - Adverse Incident ALF must provide a preliminary adverse incident report within how many days? - 1 business day ALF must provide a full adverse incident report within how many days? - 15 days Resident contracts must be kept for how long after expiration? - 5 years An AED is required in an ALF with how many beds? - 17 or more beds Who is responsible for determining the appropriateness of admission for a resident. - The administrator If an ALF is holding a residents funds, they must provide reporting to the guardian, trustee, etc how often? - Every 3 months or quarterly T or F: The Administrator must maintain liability insurance at all times? - True An ALF must provide how many days notice to discharge a resident? - 45 days AHCA inspection reports must be kept on file for how long? - 5 years Prompt fire evacuation - 3 minutes or less Slow fire evacuation - More than 3 minutes, not more than 13 minutes Impractical evacuation - More than 13 minutes Facilities are required to conduct ___ elopement drills per year. - 2 CE for ALF Administrators - 12 credits every 2 years What is the minimum number of square feet of living and dining space per resident? - 35 sq. ft. Can a resident choose their own roommate? - Yes Single occupancy rooms shall provide a minimum of how many square feet? - 80 sq. ft. What is the maximum occupancy per bedroom? - 2 persons Multiple occupancy rooms shall provide a minimum of how many square feet per resident? - 60 sq. ft per occupant Maximum water temperature in an ALF for restroom and bathing is? - 120 degrees F With a standard license, a resident can be bedridden for how many days? - 7 days Limited Nursing Services shall only be provided by... - LPN, RN, ARNP Residents must give the facility at least ___ days notice of termination. - 30 days Administrators and managers must complete CORE training within ___ days/months of being appointed to their position. - 90 days or 3 months 1/2 bedside rails are allowed only if... - they are ordered by an MD the resident and/or legal representative signs consent the MD order is renewed bi-annually With a standard license, the sink to toilet ratio is... - 1:6 With an ECC license, the sink to toilet ratio is... - 1:4 An 1823 must be completed ___ days prior to admission or ___ days after admission. - 60, 30 days T or F: A limited mental health resident must receive OSS or SSDI. - True Residents can be left alone without supervision. - False Menus must be reviewed how often? - Annually ALF menus must be reviewed by... - RD, LD A list of menu substitutions must be kept for... - 6 months What are the minimum staffing hours per week for a facility with a census of 4? - 168 hours No resident shall be in any inside area that exceeds what temperature? - 90 degrees F Those facilities also serving as an adult day care center must provide how many additional square feet of living and dining space per client? - 35 sq. ft. T or F: non-slip safety bath mats or peel off stickers are required in an ALF. - True T or F: Grab bars shall be required in showers and bathtubs. - True Fire Safety Inspection reports must be kept on record for how long? - 2 years All sanitation inspection reports issued by the county health department must be kept on record for how long? - 2 years All completed survey, inspection and complaint investigation reports, and issues of moratoriums issues by the agency must be kept on file for how long? - 5 years The facility shall maintain the facility's written work schedules for how long? - 6 months With an LNS license, AHCA RN conducts monitoring visits how often? - annually With an ECC license, AHCA RN conducts monitoring visits how often? - quarterly With a facility that acts as a Representative Payee, they receive income of the resident's. How large must their surety bond be? - At least 2x their monthly income. What items should be included in the facility's records? - license displayed in a conspicuous place up to date admission and discharge list log listing emergency placement and respite care up to date record of major incident over the last 2 years facility's emergency management plan documentation of radon testing documentation of liability insurance copy of surety bond copy of advertisements if offer Alz care grievance procedure food service records fire, sanitation and AHCA inspections What items should be included in the staff's records? - copy of original application with references verification with freedom with communicable diseases compliance with required training copies of all licenses or certifications 4 hours per year Training for Assistance with Self-Administered Medication requirements. - Unlicensed staff assisting with self admin 4 hour class 2 CE hours per year Before providing care, Direct Care Staff should be provided with what training? - Infection Control, Universal Precautions & Facility Sanitation Procedures - 1 hour Within 30 days of employment, Direct Care Staff should be provided with what training? - 1. Reporting major incidents, adverse incidents, & emergency procedures - 1 hour 2. Resident Rights & Abuse, Neglect & Exploitation - 1 hour 3 Resident Behavior & Need & ADLs - 3 hours Safe Food Handling Practices should be completed for staff within how many days? - 30 days Elopement, HIV/AIDS, and DNR training must be completed within how many days? - 30 days Supplemental Security Income (SSI) - a person worked a brief period or did not work at all (formal job), points in SSA very low or zero (federal income; Social Security Administration) Optional State Supplementation (OSS) - a person who receives SSI and moves into an ALF (state income) Social Security Disability Income (SSDI) - a person who has worked a long time (formal job), points in SSA are high; SSA has considered them to have a mental illness, their level of income from SSA is much higher because of points. A facility must keep resident records for how long? - 2 years A facility must keep a resident contract for how long? - 5 years A facility must keep an AHCA inspection for how long? - 5 years If a facility advertises or has business cards, must include what? - Assisted Living Facility, License #xxxx If a facility serves 3 or more mental health residents they must: - 1. hold a standard license 2. not have any uncorrected deficiencies 3. within 6 months, the administrator and staff in direct contact with mental resident must complete training of no less than 6 hours (provided by Dept. of Children & Family Svcs). Staff are required to do 3 hours of CE every 2 years. A facility does not need to provide a 45 day notice if: - 1. physician requires that resident needs a higher level of care 2. resident engages in a pattern of conduct that is harmful or offensive to other residents T or F: Elopement is considered an adverse incident. - Yes, if it presents the resident at risk of harm or injury A facility can accept a resident who requires administration of medication if: - 1. the facility has a nurse 2. resident's legal rep contracts with 3rd party What is the admission criteria for an ALF? - 1. 18 y/o 2. free of communicable diseases 3. can perform ADLs 4. be able to transfer 5. can take own meds 6. not be a danger to others 7. not require mental health treatment 24 hours/day 8. not be bedridden 9. not have stage 3 or 4 pressure sore 10. not require 24 hour nursing services Contiguous Property - a facility with more than one building under 1 license, separated by no more than a two-lane street that traverses the property A resident may be bedridden for up to how many days? - 7 days A resident must have a face-to-face medical examination by a health care provider how often? - every 3 years after the initial assessment, or after a significant change, whichever comes first. A resident with a stage 2 pressure sore may be retained if: - 1. facility has LNS license with plan of care 2. is documented in file 3. Given 30 days to get rid of T or F: If a stage 2 pressure sore fails to improve within 30 days the resident shall be discharged. - True Activities shall be available how often? - 6 days a week for a total of not less than 12 hours A facility may employ or contract a nurse to: - 1. take or supervise the taking of vital signs 2. manage pill-organizers and administer meds 3. give prepackaged enemas 4. maintain nursing progress notes A CLIA certificate is required when: - a facility performs clinical lab tests A CLIA certificate is not required when: - If resident performs glucose tests themselves; or a third party assists; or staff assist residents in performing test with residents equip Medication Observation Record (MOD) - used to record residents who receive assistance with self-med or medication administration T or F: a stock supply of OTC products for multiple residents is permitted in a facility - False T or F: if a nurse provides assistance with self-admin or admin of meds, a healthcare provider's order is required. - True T or F: a resident can keep prescription and OTC meds in their apartment. - True T or F: Medication administration includes testing such as blood glucose. - True T or F: Administrators who supervise more than one facility shall appointment a separate manager for each - True Freedom from tuberculosis must be documented how often? - Anually For facilities with a licensed capacity of 17 residents or more, they shall: - 1. develop a written job description for each position 2. Maintain time sheets for all staff Staffing Standards (0-5 residents) - 168 hours Staffing Standards (6-15 residents) - 212 hours Staffing Standards - For every 20 residents over 95 how many staff hours should be added? - 42 hours per week T or F: An administrators or managers time cannot be counted to meet staffing requirements - False Assisted Living Core Training Requirements - 26 hours of training plus a competency test 12 hours of CE every 2 years T or F: A facility is not required to have a staff member trained in First Aid and CPR at all times. - False Hospice services are allowed in an ALF and coordinated through the development of what? - Interdisciplinary Care Plan