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This study guide provides a comprehensive set of questions and verified answers for the alf (assisted living facility) core exam, updated for 2026. It covers essential topics such as temperature regulations, space requirements, staffing, fire safety, resident care, and legal compliance. The guide is designed to help individuals prepare for the exam by testing their knowledge and understanding of key concepts and regulations related to assisted living facilities. It includes questions on facility operations, resident rights, and emergency procedures, making it a valuable resource for exam preparation. Useful for students and professionals in healthcare administration, nursing, and social work, as well as anyone seeking to understand the regulations and best practices in assisted living facilities. The guide is structured to facilitate learning and retention, with clear and concise answers to each question.
Typology: Exams
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When outside temperatures are 65 °F ( 18 °C) or below, you must maintain a temperature of at least:- when they are awake - ✔✔an indoor temperature of at least 72 °F ( 22 °C) shall be maintained During night hours when it is 65 degrees or cooler what temp must it be inside? During the day? - ✔✔ 68 degrees 72 degrees When it is hotter than 90 degrees- what temp must remain inside at night and day? - ✔✔ 81. What is the min sq ft required of living and dining space per resident if the facility is not comprised of apartments? - ✔✔ 35 sq ft Those facilities also serving as adult day care centers must provide an additional 35 sq ft of living space per adult day care client? true or false - ✔✔True IF you also serve as an adult day care center how much extra space per resident must you have? - ✔✔extra 35 sq ft how much usable floor space , not including closet or bathroom should be provided to a single occupancy? - ✔✔ 80 sq ft how much usable floor space , not including closet or bathroom should be provided to a double occupancy? - ✔✔ 60 sq ft per person how many toilets,sinks, and bathtubs must there be per person must there be for all residents, live in staff and family members. FOR A ALF and ECC - ✔✔ 1 per 6 people
1 per 4 people when you have 16 or less residents, do you have to maintain an accessible telephone in each building, have job descriptions or have staff awake at night? - ✔✔No you do not if we furnish an apartment, it must have the following: - ✔✔bed, no smaller than 36 inches wide and 72 inches long, a closet or place to hang clothes, a table or nightstand, lamp, waste basket and comfortable chair if requested. how many elopement drills per year must ALF's do - ✔✔ 2 Staff that provide direct care or regular contact with reisdents residing in secured areas must complete what level of training? - ✔✔Level 1 Alzheimer's training If you have 16 or less residents, do you have to have a accessible phone, job descriptions or staff up at night? - ✔✔NO when should the initial fire safety evac capability be completed? - ✔✔with in 6 months after the date of licensure how often must the drill be done by the local fire marshal or authority? - ✔✔once a year how many fire drills on site must be done if you have fire sprinklers? - ✔✔ 4 times a year What level back ground screening must the key members of the team have? - ✔✔level 2 who are the key people: - ✔✔The licensee holder, if an individual The administrator for day to day operation The financial officer Anyone who is a controlling interest
who is responsible for inspection all license applicants and licensed facilities in all other matters regulated by this rule chapter? - ✔✔the agency how many days notice must a license give AHCA if they will be selling their facility? - ✔✔ 60 days prior to transfer For advertising purposes what must be on the advertisement? - ✔✔Assisted living facility # 55512 how often must a license be renewed? - ✔✔every two years 58 A refers to what? - ✔✔Florida Building code and uniform fire safety standards for ALF"s physical standards if you have more than 2 people being cared for on a 24 hour basis, do you have to have a license? - ✔✔yes what grade felony is to operate without a license? - ✔✔ 3 rd degree in order for existing facilities to receive an ECC they must have no class violations? - ✔✔class one or class 2 true or false, with a resident's permission, a facility whose owner, administrator, or staff, or representative thereof, serves as the representative payee or attorney-in-fact for facility residents, does not need to maintain a surety bond. - ✔✔false Can residents trust funds be held in one account? - ✔✔Yes can one surety bond be given for two communities in the same state? - ✔✔yes If the facility provides safekeeping for money or property; holds resident money or property in a trust fund; or if the facility owner, administrator, or staff, or representative thereof, acts as a representative
payee; how often must the facility must provide a statement detailing the income and expense records?
(d) Staff who provide direct care to residents, other than nurses, CNAs, or home health aides trained in accordance with Rule 59 A- 8. 0095 , F.A.C., must receive 3 hours of in-service training within 30 days of employment that covers the following subjects: - ✔✔ 1. Resident behavior and needs.
how soon should a fire and safety evacuation capability be done for a new facility? - ✔✔ 6 months how fast do you have to evacuate people - ✔✔three minutes or less is prompt more than three no more then 13 is slow more than 13 impractical after 1996 what must all facilities have- except for those housing less than 8 people? - ✔✔fire sprinklers if you are 8 or fewer people and you are considered impractical to evacuate, do you have to install a fire sprinkler? - ✔✔YES if you do not have fire sprinklers, how often must you preform drills? - ✔✔monthly or 12 a year a community that has sprinklers must have drills how often? - ✔✔ 6 a year , one every two months, - 2 of them must be conducted at night if you are in compliance with other fire safety, can you get out of doing the night drill? - ✔✔Yes how often must you do elopement drill - ✔✔ 2 time a year what must be included in an emergency plan? - ✔✔provision for all hazards provision for the care of those remaining during, provision for the care of those evacuated resident records, transportation, sheltering, supplies, staffing, emergency equipment and meds Identification of residents with alz disease, mobility limitation identification and coordination with the local emergency management agency post disaster activities identification of staff
From the date an employee begins work as an administrator or manager, how much time do they have to complete the assisted living facility core training requirements? - ✔✔ 3 months Unlicensed persons who provide assistance with self-administered medications and have successfully completed the initial 4 hour training, must obtain... - ✔✔minimum of 2 hours of continuing education training on the subject every year What is the continuing education requirement for the administrator and the extended congregate care supervisor, if different from the administrator? - ✔✔The correct answer is: a minimum of 4 hours of continuing education every two years in topics relating to the physical, psychological, or social needs of frail elderly and disabled persons, or persons with Alzheimer's disease or related disorders. The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive: - ✔✔ 3 hours continuing ed t/f- When there is a change of ownership of an assisted living facility you have 45 days prior to the change to inform the agencies central office. - ✔✔false written 60 days t/f- ]]Administrators and managers shall participate in 12 hours of continuing education in topics related to assisted living every 2 years as provided under Section 429. 52 , F.S. - ✔✔true The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive: - ✔✔ 3 hours t/f The administrator or person designated by the administrator as responsible for the facility's food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. - ✔✔tre The administrator and extended congregate care supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility's receiving its extended congregate care license or within 3 months of beginning employment in the facility as an administrator or ECC supervisor.> - ✔✔true
t/f uccessful completion of the assisted living facility core training is not a prerequisite for the initial 4 hour ECC training.1. A minimum of 6 hours of specialized training in working with individuals with mental health diagnoses. - ✔✔false t/f The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive the following training: - ✔✔true t/f Facility staff who provide direct care to residents with ADRD must obtain an additional 4 hours of training, entitled "Alzheimer's Disease and Related Disorders Level II Training," within 9 months of employment. - ✔✔true Facility staff who have regular contact with or provide direct care to residents with ADRD, shall obtain 2 hours of initial training within 3 months of employment. - ✔✔false- 4 hours, within 3 months t/f Direct care staff of a facility which advertise that they provide special care for persons with ADRD, or who maintain secured areas that shall participate in 4 hours of continuing education annually. - ✔✔true t/f An existing, unsprinklered ALF's monthly fire exit drills must be completed four times per year on each new shift. - ✔✔true what must be included on admission sheet? - ✔✔pressure 2 bed sores must be noted Facalites must have the following Readily availble for review by the agency? - ✔✔ 1 .) resident records 2 .) list of residnets, resipite, admission sheet and discharge sheet, residents out on emergency 3 .) emergecy plan 4 .) elopment procedure 5 .) Food plan 6 .) santation 7 .) liabilty insurance policy 8 .) copy of surety bond
if facility fail to adhere to refund policy, how much can the agency charge the facility in a fine? - ✔✔ 3 times the amount due how often must a nursing assesment be done for sommeone under LNS? - ✔✔montly What must you have for med managment log? - ✔✔bottle OR presription number doseage pharmacey that dispensed doctor name and strenght date dispensed directions MOR? - ✔✔Medication observation record what must be on he MOR - ✔✔known allergies dose taken medication refused time taken health care provider missed dosage signiture of person admistrating if a chemical restraint is being used, how often must a physician review the medication and client? - ✔✔annualy hiow many years must you keep a record of major adverse incidents - ✔✔ 2 years do you have to keep record of when a radon test was conducted? - ✔✔yes
All completed survey, inspection and complaint investigation reports, and notices of sanctions and moratoriums issued by the agency must be kept for how many years? - ✔✔ 5 yrs The facility shall maintain the facility's written work schedules and staff time sheets as required for how long? - ✔✔ 6 months t/f Personnel records for each staff member shall contain, at a minimum, a copy of the original employment application with references furnished and verification of freedom from communicable disease including tuberculosis. - ✔✔true t/f You need to include documentation of the appointment of a health care surrogate, guardian, or the existence of a power of attorney in the resident records and include it with the emergency plan. - ✔✔false Each mental health resident and the resident's mental health case manager shall, in consultation with the facility administrator, prepare a plan within 30 days of the resident's admission to the facility or within (???) days after receiving then appropriate placement assessment - ✔✔ 30 A mental health cooperative agreement. The mental health care provider for each mental health resident and the facility administrator or designee shall, within 30 days of the resident's admission to facility or receipt of the resident's appropriateplacement assessment, whichever is later, prepare a written statement which includes all te following EXCEPT: - ✔✔d. Doesn't need to include the Community Living Support Plan described in subparagraph 3. Missing documentation shall not be considered a deficiency if the facility can demonstrate that it has made a good faitheffort to obtain the required documentation from the Department of Children and Family Services, or the mental health care provider under contract to provide mental health services to clients of the department. Facilty records should include: - ✔✔a. Ahca's central agencies phone number. b. A grievance procedure for receiving and responding to resident complaints and recommendations c. A log of all visitors who have entered the facility in the past 6 months. d. All the above. Incorrect
If Cares agency places someone can their assessment be used? - ✔✔yes if a resident is places for emergency purposes, does an assessment have to be completed? - ✔✔no can a community go over capacity to house someone on an emergency basis? - ✔✔no how often must a face to face assessment be done for continued residency? - ✔✔ 3 years or after a significant change if a resident is terminaly ill, how can they stay in the facility? - ✔✔an interdiciplinary care plan must be completed in the facilty and added to their file how many days notice must be given to a resident that no longer meets criteria? - ✔✔ 45 days if a rsident is receiving state funds, can they receive addtional funds to pay for care? - ✔✔The additional supplementation shall not exceed two times the provider rate recognized under the optional state supplementation program. Parishable items that are potentiall hazardous food requring refrigeration shall be raidly cooled to degree - ✔✔true What temp should meat be cooked to - ✔✔ 155 F for at least 15 seconds what tempt should stuffed meats be cooked to - ✔✔ 165 What temp should eggs and fish be cooked to - ✔✔ 145 What temp should frsh frozen or canned fruits and vegetables that are cooked for hot holdign be cooked to? - ✔✔ 140
Raw animale food in microwave shall be cooked to - ✔✔ 165 how many inches above the floor must food be kept - ✔✔ 6 inches how many days of supply of non-perishable food must a facility have on hand? - ✔✔ 3 days What temp should left overs be cooked to - ✔✔ 165 T/F do no kee eggs at room temp for more than 2 hours - ✔✔Ture A community must offer 6 ounches in 2 or more servings a day? - ✔✔True Facilites must offer 3 - 5 servings a day - ✔✔Ture A facility must ofer 2 - 4 servings of fruit per week? - ✔✔False- 2 - 4 a day How many starches must you serve per day - ✔✔ 6 - 11 how often must a menu be reviewed by a dietician - ✔✔annualy =no more than how many hours shall elapse between the end of an evening meal and beginning of a morning meal - ✔✔ 14 Do portions have to be used on menus? - ✔✔yes how far in advance must menus be posted to residents - ✔✔one week staff must receive how much training and how soon - ✔✔ 1 hr, 30 days
T/F facility with a standard license may give prepackaged enemas pursuant to a physician's order. - ✔✔false staff that provide special care to alz residents must have howmuch training within how much time- - ✔✔ 4 hours of initial dementia-specific training developed or approved by the department. staff that provide direct care to alz residents must have howmuch training within how much time- - ✔✔must complete the required initial training and 4 additional hours of training developed or approved by the department. The training shall be completed within 9 months after beginning employment and shall satisfy the core training requirements of s. 429. 52 ( 2 )(g). An individual who is employed by a facility that provides special care for residents with Alzheimer's disease or other related disorders, but who only has incidental contact with such residents, - ✔✔at a minimum, general information on interacting with individuals with Alzheimer's disease or other related disorders, within 3 months after beginning employment. In addition to the training required under subsection ( 2 ), a direct caregiver must participate in a minimum of contact hours of continuing education each calendar yea - ✔✔ 4 staff with regular contact must have how much training? - ✔✔level 1 how long can they keep you you against your will under baker act - ✔✔ 72 hours LNS training - ✔✔minimum of 6 hours of specialized training in working with individuals with mental health diagnoses how many days does the agency have to give you the deficiency? - ✔✔ 10 days can the agency require you to hire a contract the services of a pharmacist licensed pursuant to Section
how soon does the agency have to come back after a violation? - ✔✔F.S., the initial on-site consultant visit must take place within 7 working days of the notice of the class I or II deficiency and within 14 working days of the notice of an uncorrected class III defic how many days after visit do they have to give you signed review? - ✔✔ 10 days a) Class "I" violations are defined in s. 408. 813. The agency shall impose an administrative fine for a cited class I violation in an amount - ✔✔not less than $5,0 00 and not exceeding $ 10 , 000 for each violation. Class "II" violations are defined in s. 408. 813. The agency shall impose an administrative fine for a cited class II violation in an amount - ✔✔not less than $1,0 00 and not exceeding $5, 000 for each violation. Class "III" violations are defined in s. 408. 813. The agency shall impose an administrative fine for a cited class III violation in an amount not less than $ 500 and not exceeding $1,00 0 for each violation. - ✔✔amount not less than $ 500 and not exceeding $1,0 00 for each violation. Class "IV" violations are defined in s. 408. 813. The agency shall impose an administrative fine for a cited class IV violation in an amount - ✔✔amount not less than $ 100 and not exceeding $ 200 for each violation. Any facility whose owner fails to apply for a change-of-ownership license in accordance with part II of chapter 408 and operates the facility under the new ownership is subject to a fine of - ✔✔$ 5000 In addition to any administrative fines imposed, the agency may assess a survey fee, equal to - ✔✔the lesser of one half of the facility's biennial license and bed fee or $ 500 , Culture change is about: - ✔✔creating home b. creating community c. staff empowerment