Download ALF Core Training, ALF CORE EXAM Questions and Answers. and more Exams Training and Development in PDF only on Docsity! ALF Core Training, ALF CORE EXAM Questions and Answers. True or False? An ALF can be only one building? - Correct Answer False A resident can be bedridden in an ALF with a standard licence for no more then __ days? - Correct Answer 7 Which agency is responsible for regulatory inspections of ALF's? - Correct Answer AHCA Capacity in an ALF is the ____ of residents it is licensed to care for. - Correct Answer number Which of the following is not considered an ADL? a. Eating b.Dressing c.transferring d.ambulation e.toileting - Correct Answer c. transferring Limited nursing services can only be provided by? - Correct Answer LPN, RN, ARNP 1/2 bed rails are considered a ________ and are allowed in an ALF only if? - Correct Answer Physical Restraint they are ordered by a physician An event over which facility personnel could exercise control rather than as result of the resident's condition and results in? - Correct Answer Adverse Incident Adverse incidents are submitted on day __ and day __ to ACHA. - Correct Answer 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - Correct Answer 5 True or False? A limited mental health resident must receive OSS? - Correct Answer True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - Correct Answer False The specialty licences for an ALF are? - Correct Answer LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - Correct Answer Representative payee P a g e 1 | 21 If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often? - Correct Answer quarterly A facility must conduct how many elopement drills annually? - Correct Answer 2 A minimum weekly staffing hours for an ALF with four residents is? - Correct Answer 168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - Correct Answer 3 Limited mental health licence What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepressant - Correct Answer C. psychotherapy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - Correct Answer Interdiscplinary care plan What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry - Correct Answer Fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - Correct Answer Insulin injections True or False? Alzheimer disease is curable by stimulating the brain? - Correct Answer False Any items a facility uses to advertise must contain what two things? - Correct Answer Assisted living facility & Licence # At least one staff member who is trained in ____ & ____ must be in the facility at all times. - Correct Answer CPR & First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - Correct Answer Biennial Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction. - Correct Answer 60 P a g e 2 | 21 Can a cooperative agreement be included in a community living support plan? - Correct Answer Yes Which Licence allows full help with ADL's? - Correct Answer ECC Can you care for a stage 3 pressure sore with a LNS licence? - Correct Answer No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - Correct Answer 6 True or False? In Adult family care homes, care must be provided in the person providing cares own home. - Correct Answer True What does the "Long Term Care Ombudsman Council" Do? - Correct Answer respond and resolve problems for residents in long term care facilities How many days can a resident be bed ridden in a standard licence ALF? - Correct Answer 7 days An ALF owner must be how old? - Correct Answer 18 An ALF administrator must be how old? - Correct Answer 21 How many days must be given to a resident for notice of discharge? - Correct Answer 45 How many days does a resident need to provide for notice of termination? - Correct Answer 30 days How many months does an administrator have to complete all CORE training requirements? - Correct Answer 3 months What is the minimum square feet need per resident in an ALF for common living areas? - Correct Answer 35 What is the minimum square footage for a private room in an ALF? - Correct Answer 80 Is an ALF required to carry liability insurance at all times? - Correct Answer Yes What is the maximum number of residents per bedroom? - Correct Answer 2 What is the Toilet to sink ratio in an ALF? - Correct Answer 1-6 In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - Correct Answer 60 days P a g e 5 | 21 How many days after Admission must a "health assessment (1823) be completed for a resident? - Correct Answer 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - Correct Answer True What is a Moratorium? - Correct Answer the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - Correct Answer 60 days Every ___ Years of employment a new background screening must be done. - Correct Answer 5 How many days prior must an ALF inform ACHA the discontinuance of operation? - Correct Answer 30 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - Correct Answer False 30 days How many years must copies of ACHA inspections be kept on file? - Correct Answer 5 True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - Correct Answer False The may require one If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - Correct Answer 10 days unless alternative time frame is required A deficiency affecting one, or a very limited number of clients or staff would be considered a what? - Correct Answer Isolated Deficiency A deficiency in which more then a limited number of clients or staff would be considered a what? - Correct Answer Patterned Dificiency A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what? - Correct Answer Widespread Deficiency How soon must a Class "I" violation be corrected? - Correct Answer 24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger clients would be considered a what class? - Correct Answer Class "I" P a g e 6 | 21 A violation that directly threatens clients is considered what class? - Correct Answer Class "II" A violation that potentially threatens a client is considered what class? - Correct Answer Class "III" True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified. - Correct Answer False A violation that does not have the potential to negatively affect a client is considered what class? - Correct Answer Class "IV" Can ACHA impose an administrative fine for violations not designated as one of the four classes? - Correct Answer Yes When a moratorium or emergency suspension is placed on a facility they must post what where? - Correct Answer A notice of action in a place visible to the public What class violation would a personal hygiene issue be considered? - Correct Answer Class "III" Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your licence, or violating any terms of your licence are considered what type of violation? - Correct Answer Unclassified Violation How many days may ACHA extend a denied, revoked or set to terminate licence for the sole purpose of allowing safe and orderly discharge of clients - Correct Answer 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - Correct Answer 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - Correct Answer 15 days The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what? - Correct Answer Aging in place A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what? - Correct Answer Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - Correct Answer Chemical Restraint P a g e 7 | 21 Unless you are measuring the prescribed amount, breaking a scored tablet or crushing a tablet as prescribed. True or False You may assist the resident with medication by lifting the hand, holding the container of medicine to the residents mouth. - Correct Answer True You may not however place the medicine directly in their mouth. A facility must notify who and how soon when they acknowledge that a resident is exhibiting signs of dementia or cognitive impairment? - Correct Answer A licensed physician with in 30 days Can a resident use their own belongings as space permits in an ALF? - Correct Answer Yes, unless they are adjudicated incompetent or incapacitated under state law. True or False A resident does not have the right to choose their own roommate. - Correct Answer False Upon mutual consent how much cash can a facility keep in safekeeping for a resident? - Correct Answer $200 Can an ALF employee barrow money from a resident? - Correct Answer No What are the minimum records kept on file for all staff members? - Correct Answer Background screening, compliance with all training and all licenses or certifications. Under what circumstance may a resident give a notice of relocation or termination of residency in less than 45 days? - Correct Answer Medical reasons certified my physician to require emergency relocation, or the resident has a pattern of harmful or offensive conduct towards other residents Does a resident have the right to share a room with their spouse? - Correct Answer Yes, if they are both residents of the facility Can an ALF require residents to wear uniforms? - Correct Answer No Can ACHA have private conversations with residents during a survey? - Correct Answer Yes The evacuation evaluation for initial licensure shall be conducted within how many months? - Correct Answer 6 Months A facility without a automatic sprinkler system must conduct evacuation capability's how often? - Correct Answer At least Aunnualy What is the maximum time allotted for an evacuation drill in an unsprinkled facility? - Correct Answer 3 minutes P a g e 10 | 21 True or False All new facilities must be equipped with an automatic fire sprinkler system. - Correct Answer True, unless the facility houses 8 or fewer residents How many elopement drills must a facility conduct minimum per year? - Correct Answer 2 True or False A facility is not required to document the implement of elopement drills. - Correct Answer False A deficiency cited during a survey for medication must be corrected how soon? - Correct Answer 48 hours True or False A facility associated with a religious organization shall include it in their advertising. - Correct Answer True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - Correct Answer True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - Correct Answer No, however schizophrenic and other psychotic disorders are. If ACHA informs a licence applicant of errors or omissions on their application how many days do they have to respond with the required information? - Correct Answer 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - Correct Answer True how often does a facilities license need to be renewed? - Correct Answer every 2 years True or False when a resident uses a third party provider it is not required to be documented in their records. - Correct Answer False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - Correct Answer True Can someone with HIV be admitted to an ALF facility? - Correct Answer Yes Can a facility accept a resident that requires the administration of medication? - Correct Answer Yes, if a nurse is there to provide the service True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility. - Correct Answer False P a g e 11 | 21 Can a facility obtain information omitted from the Health assessment form, from the physician verbally? - Correct Answer Yes, but it must be documented in the residents records. A resident must have a face to face medical examination how often to maintain continued residency? - Correct Answer Every 3 years or after any significant change how many days a week shall activities be available? - Correct Answer 6 days what is the minimum hours of activities required for an ALF per week? - Correct Answer 12 hours True or False A one-time special event television program can be counted as an activity? - Correct Answer True Can a facility require a resident to see a specific health care provider? - Correct Answer No A written order for a half-bed rail must be reviewed by the physician how often? - Correct Answer every 6 months How often should staff asses the risk of elopement in residents? - Correct Answer at a minimum, Daily True or False A MOR sheet does not need to list known allergies of a resident. - Correct Answer False How soon must an abandoned or expired medication be disposed of? - Correct Answer within 30 days True or False A stock supply of over the counter products for multiple residents is permitted. - Correct Answer False How many separate ALF's can a administrator supervise? - Correct Answer 3 True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. - Correct Answer True How often does freedom from tuberculosis need to be documented for staff members? - Correct Answer annually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? - Correct Answer 30 days P a g e 12 | 21 All ACHA health inspection reports are at a facility for how long? - Correct Answer 5 years Resident records are kept at a facility for how long? - Correct Answer 2 years Adverse incident reports are kept at a facility for how long? - Correct Answer 2 years An application for CHOW must be submitted to ACHA ___ days prior to the transaction. - Correct Answer 60 days ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal. - Correct Answer 90 days True of False A standard licence may be issued to an applicant at the time of initial licensure, renewed, or CHOW. As long as when issued, applicant is in compliance with all statutory requirements and agency rules. - Correct Answer True A standard licence expires ___ years after date of issue. - Correct Answer 2 years True or False Provisional licence can be issued to an applicant against whom a proceeding, denying or revoking a licence is pending at the time of licence renewal. - Correct Answer True True of False a provisional licence may be issued to an applicant applying for a CHOW. - Correct Answer True Does a Financial officer of the company need to have a level 2 background screening? - Correct Answer Yes Does any person having controlling interest in a facility need a level 2 background screening? - Correct Answer Yes Do Not Resuscitate - Correct Answer DNR AHCA - Correct Answer Agency for Health Care Administration When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained - Correct Answer False Unlicensed persons who will be providing assistance with self-administered medications must take the requested training - Correct Answer Training must be done prior to assuming responsibilities Assistance with medication by an unlicensed person requires the written informed consent of the resident - Correct Answer True P a g e 15 | 21 If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR - Correct Answer false MOR - Correct Answer Medication Observation Record OTC - Correct Answer Over the counter If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records. - Correct Answer Quarterly Documents required to be in the admission package shall be in English. If the resident does not understand English and translated documents are not available, the facility must explain policies to a family member or friend of the resident or another individual who can communicate the information to the resident. - Correct Answer true The resident contract shall include a refund policy to be implemented at the time of a resident's transfer , discharge or death. The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other the normal use have been paid to the license. You have 60 days to give the refund. - Correct Answer false In order for existing facilities to receive an ECC license, they must have no class 3 violations. - Correct Answer false ECC - Correct Answer Extended Congregate Care Residents must participate in all elopement drills. - Correct Answer False When an "as needed" or "PRN" medication is labeled without all of the necessary information, you area required to contact the health care provider to obtain any missing information. An unlicensed person may obtain such clarification from the health care provider; revised instructions clarifying the order are not considered a change in the health care provider's order. - Correct Answer True A copy of Alternate Care Certification for Optional State Supplemental must be in the resident file. The absence of this form shall not be considered a deficiency if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services. - Correct Answer True Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons. - Correct Answer True P a g e 16 | 21 During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility. - Correct Answer True Facility records should include: - Correct Answer A grievance procedure for receiving and responding to resident complaints and recommendations.. Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. - Correct Answer True Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment. - Correct Answer False Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years. - Correct Answer True How often must facilities have elopement frills? - Correct Answer A minimum of two resident elopement prevention and response drills per year. A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate. - Correct Answer True Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour in service training in infection control, including universal precautions, and facility sanitation procedures. - Correct Answer Before providing personal care to residents If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond. The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident. - Correct Answer 14 Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system. - Correct Answer True A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month. - Correct Answer True P a g e 17 | 21 Portable DNR - Correct Answer Used with Paramedics Resident ill of right must be posted in a prominent place infacility. Noticesh shall include name address anc telephone number of local ombudsan council, central abuse hotlineand when applicable the advocacy. center for persons with disabities and the Florida local advocacy council, where complaints may be lodged. - Correct Answer True No resident. of a facility shall be deprived of any civilor legal right, benefits, or privileges guaranteed bylaw. - Correct Answer True Residents shall have the right to - Correct Answer Live in a safe and decent living environment, free from abuse and neglect. Residents shall have the right to - Correct Answer Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy.. Residents shall have the right to - Correct Answer Retain and use his/her own clothes and other personal property in his or her. immediate living quarters, as to maintain individuality and personal dignity, except when the facility can demonstrate that su such would be impractical or an infringement upon the rights of other residents. Residents shall have the right to - Correct Answer Unrestricted private communication, including receiving and sending correspondence, access to a telephone, and visiting with any person of his/her choice at any time between 9am & 9pm at a minnium. Upon request the facility shall make provision to extend hours for caregiivers and out of town guest, and in similar situations. Residents shall have the right to - Correct Answer Freedom to participate in benefit from community services and activities and to achieve the highest possible level of independence, autonomy, and interaction, within the community. Residents shall have the right to - Correct Answer Manage his/her financial affairs unless the resident or resident representative. in fact authorizes the administrator of the facility to provide safekeeping for funds as provided. Residents shall have the right to - Correct Answer Share a room with his or her spouse if both are residents of the facility Residents shall have the right to - Correct Answer Reasonable opportunity for regular exercise several times a week and to. be outdoors at regular and frequent intervals except when prevented by inclement weather Residents shall have the right to - Correct Answer Exercise civil and religious liberties including the right to independent personal decisions. No religious belief or practice, nor any attendance at religious services, shall be imposed upon any resident. P a g e 20 | 21 Residents shall have the right to - Correct Answer Access to adequate and appropriate health care consistent with established and recognized standards swithin the community. Residents shall have the right to - Correct Answer At least 45days notice of relocation or termination of residency from the facility unless for medical reasons, the resident is certified by a physician to require an emergency relocation to a facility providing a more skilled level of care or the resident in a pattern of conduct that is harmful or offensive to other residents. Residents shall have the right to - Correct Answer Present grievances and recommend change in policies, procedures and services to the staff of the facility, governing officials, or any other person without restraint, interference, coercion, discrimination, or reprisal. P a g e 21 | 21