Download ALF Core Training Exam (216 Questions) With All Verified Answers Graded A+ and more Exams Health sciences in PDF only on Docsity! ALF Core Training Exam (216 Questions) With All Verified Answers Graded A+ All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency? - The Agency for Health Care Administration The licensing procedures have been established to comply with - Chapter 429, Part I, F.S. and Chapter 59A-36 of the Administrative Code Top Care ALF has been in business for over 30 years. They have hired many staff members and have recently been faced with a need to hire more caregivers because the resident census increased during the month of November. Top Care ALF's administrator, who has taken the CORE training, is providing the 2 hours orientation training because the newly hired staff have not taken the ________. - ALF 26 Core Training The facility received an uncorrected Class III deficiency for non-compliance with medication for the third time in the calendar year. The administrator found herself making corrections as required. The agency corrective plan required that the operator hire a _____ consultant to assist with deficiency. The administrator was informed by the Agency that the consultant is to remain in place until cleared by the agency - Registered Nurse or a Pharmacy On July 7 , 2018, there was a fire at Long Wind ALF located in Tallahassee. The fire broke out at about 3am in the morning. Both the residents and the staff were asleep during the time the fire broke out. The facility was not cited for the staff sleeping because there was an alarm that rung, and the staff was able to immediately step into action to save lives. The facility had a _____licensed capacity. - less than 17 The administrator received an announced visit from the Agency on May 12, 2018 at 9:03am. When they arrived, they found her husband with the residents and no staff was on duty as her husband was acting administrator and staff. When the agency asked for him to provide his employee folder, his response was, "I am her husband and I am 50 percent owner, I gave her the money to open the business." The agency agent repeated the request for an employee file. The husband needed at least the following to have direct contact with the residents. - Eligible Level II, Application on file and free of TB and Communicable disease Barbara is the administrator of Barbara's Loving Home ALF; it is time to renew her license. The application must be received by the Agency for Health Care Administration (AHCA) within how many days? - 60 days prior to license expiration The facility was visited by AHCA and during their unannounced visit the surveyor found that one of three staff members did not complete the HIV / AIDS training course. Which class violation did the facility receive? - Class 3 Which class violation may not result in a financial penalty if corrected during the survey? - Class 4 As Ms. Jones is allowed to age in place, she developed a stage II before and was given a prescription order that the sore had up to ___days to heal or she would have to be discharged. The administrator then monitored the care given to the residents by the Registered Nurse who visited the facility to attend the wound. - 30 days Beverly Hills Assisted Living Facility 39 residents. How many on duty staff members must always be trained and on duty in CPR and First Aid? - 1 staff Clara Jones decided that she did not want to pursue an Assisted Living Facility license because of the many requirements. Therefore, she elected to operate an Adult Family Care Home license where she is required to live on the premises and not to exceed ____ resident capacity and having at least _____ bed reserved for Optional State Supplementation. - 5, 1 When a duty designated officer or employee of the department, the Department of Children and Families, the Medicated Fraud Control Unit of the Office of the Attorney General, the state or local Fire Marshall or representative of the long term care ombudsman council shows up to the facility, the owner or administrator cannot refuse the visit because they have the: - Right of entry and inspection Barbara was appointed as a new administrator because of the relative dying unexpected. Her relative was the administrator and now Barbara finds herself as an acting administrator, carrying out the duties that she learned from her relative. She now has ______________ days to take the ALF CORE and pass the exam. - 90 days Bob and Mary's ALF received an unannounced bi-ennial survey visit. The facility has an Limited Nursing Service specialty license. The inspectors were an unlicensed agent and a nurse. The nurse requested to see the resident's progress notes that should have been done on a ______ basis. She also asked to see the nurse _____________ with the facility since they had the LNS license. - monthly, license A standard license includes - The facility must provide housing, meals and one or more personal services for a period exceeding 24 hours An Emergency Management Plan includes - Separate plans prepared for each emergency Any emergency internal or external to the facility A plan for fire, tornadoes, hurricane, flood, and electrical failures Most elders experience fatigue, impaired vision, and hearing loss due to: - Aging When a resident who uses a pill organizer is going away for the weekend and needs to take his medication what is the best course of action that the administrator can take? - Schedule a visit for the nurse to prepare the pill organizer Have the resident and their family sign out for medication A __________ supply of nonperishable food, based on the number of weekly meals the facility has contracted with residents to serve, must always be on hand - 3 days A resident who can have medication in their room is a resident who is ____________ and the doctor has indicated this on his health assessment 1823. - competent Which of the following health care providers can give a resident an insulin shot - Medical Assistant Medication can be disposed of with the administrator and __________. - one other witness Who can transfer medication from one bottle to another - A pharmacist Only a staff member who has been trained in assistance with medication can? - Assist with medication The administrator or designee should contact the doctor immediately, when - resident refuses to take his medication when the resident has an adverse reaction when the staff forgot to give the resident his medication at the appropriate hour A prescription should include all the following EXCEPT - pharmacist name Medication should be kept in the following area - in a secure area where trained staff has the only access Which of the following could lead to an adverse incident - the medication was given to the wrong resident, however later given to the right resident Which of the following is not a part of the "5 rights" - Right feeling LKJ Assisted Living has 3 residents who are competent. On Thursday morning it was time to take medications. Who is the BEST person to administer medication to the three residents'? - The residents In which of the following facilities is it required to use an interdisciplinary care plan and service plan? - Extended Congregate Care A daughter brings her mother to your standard facility and the daughter states, "My mother has mental health issues, I know it, I know it" and the mother is not receiving OSS. What can you recommend? - She can stay in the standard facility. Margaret the daughter visited a standard ALF to place her mother who has dementia. Which is the best facility for her? - Standard ALF After trained staff has assisted and observed resident take his medication, where should the staff record it? - MOR A hospice resident MUST have - an Interdisciplinary plan a Service Plan A 32 bed facility staff record must include all the following EXCEPT - blood type A stage 2 pressure sore resident can be admitted to an ALF if there is a ___ and a ___. - prescription order and a care plan What is the danger zone in food preparation - 40 degrees to 140 degrees What can you do if a resident refuse to eat and his medication requires a meal before taking the medication? - Report it to the doctor immediately What is the minimum number of hours allowed between meals - 2 hours How frequently do you need to revise your menus? - annually The administrator manages three facilities currently. She wants to own the facility on 56th and Parkway; what can she do? - Purchases the facility. Regardless of the outside temperature, the inside temperature must be? - 72 degrees What is the time measurement for a SLOW evacuation capability? - over 5 min How many days does an owner have to notify AHCA for change of administrator - 10 days AHCA wrote the applicant about the omission to their submitted application and it stated that they have ___ day to return the corrections. - 21 The resident has 30 days to inform you that he or she is leaving the facility, you have ____ days to inform them. - 45 days Ms. Clara and her husband decided they are ready for retirement after operating an ALF for the past 15 years. They have decided to sell it to their daughter and son in-law. The daughter and her husband are considered _____ and Ms. Clara and her husband are considered _____. - New owners and Old owners Ms. Barton was operating a facility that had 5 residents as maximum capacity and she must reside in the facility as the administrator/operator, which type of setting is this? - AFCH How often shall an Extended Congregate Care review the service plan? - Quarterly A mental health resident returning to a facility from treatment in a hospital or crisis stabilization unit will not be considered a new admission and will not require a new _________. - Assessment Which specialty license would you need if you were willing to have 1 mental health resident? - Limited Mental Health In the Florida Administrative Codes 59A-36, a resident is entitled to which of the following rights? - Live in a safe environment Have the choice of roommate Have the right to guest Ms. Jones owns a standard only ALF and she is ready to sell after 32 years of service to the adult population. She found Ms. Margaret who is willing to purchase her beautiful facility. She informs the Agency and informs Ms. Margaret that she needs to inform the agency that she is the buyer. They both inform the agency within _______days. - 60 days The service plan needs to be completed within days after a resident has moved into an Extended Congregate Care facility. - 14 days Every Assisted Living Facility in the state of Florida must allow residents to express their feelings and needs by having which policy and procedures. - Grievance How long can a resident wait to eat from the night before to the morning? - 14 hours Ms. Jones admitted an additional mental health resident to the facility with a limited mental license. She asked the social worker to come to the facility and bring the two required documents. - Community Living Support Plan & Cooperative Agreement At Ms. Jones facility, there was a tragic accident that resulted in the death of a resident. The roof caved in and killed a resident and injured 3 other residents. Ms. Jones was told to repair the roof and neglected to do so. What Class violation is Ms. Jones most likely to receive? - Class 1 Ms. Jones was ordered by her county official to install a sprinkler system because she had 3 to many _____evacuation readings, which is the worst of the three evacuation capability readings. - Impractical Any items a facility uses to advertise must contain what two things? - Assisted living facility and License # At least one staff member who is trained in ______ and _______ must be in the facility at all times. - CPR and First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - Biennial Application for a CHOW must be submitted to AHCA _______ days prior to the transaction. - 60 True or False? Deficiencies cited by AHCA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given. - False 30 days True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license. - True How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - 30 days ADL - Activities of Daily Living What license would be required if you are using a COMMUNITY SUPPORT PLAN? - LMH What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? - Cooperative Agreement What is ACS? - Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis. Which license allows a nurse to perform any service within the scope of their license? - ECC What license is required if you have 3 or more residents on OSS? - LMH With a LMH license, how many days do you have to make a Community Living Support Plan? - 30 Days Can a cooperative agreement be included in a community living support plan? - yes Which license allows full help with ADL's? - ECC Can you care for stage 3 pressure sore with a LNS license? - No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - 6 What does the "Long Term Care Ombudsman Council" Do? - respond and resolve problems for residents in long term care facilities How many days can a resident be bed ridden in a standard license ALF? - 7 days How many days must be given to a resident for notice of discharge? - 45 How many days does a resident need to provide for notice of termination? - 30 days How many months does an administrator have to complete all CORE training requirements? - 3 months What is the minimum square feet needed per resident in an ALF for common living areas? - 35 What is the minimum square footage for a private room in an ALF? - 80 Is an ALF required to carry liability insurance at all times? - Yes What is the Toilet to sink ratio in an ALF? - 1-6 In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - 60 days How many days after Admission must a "Health Assessment (1823)" be completed for a resident? - 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - True What is a Moratorium? - the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - 60 days Every ______ years of employment a new background screening must be done. - 5 How many days prior must an ALF inform ACHA the discontinuance of operation? - 30 How many years must copies of ACHA inspections be kept on file? - 5 If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - 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? - Isolated Deficiency A deficiency in which more than a limited number of clients or staff would be considered a what? - Patterned Deficiency 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? - Widespread Deficiency How soon must a Class "I" violation be corrected? - 24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger would be considered a what class? - Class "I" A violation that directly threatens clients is considered what class? - Class "II" A violation that potentially threatens a client is considered what class? - Class "III" True or False? For Class "I" and "II" violations fines can be waved if corrected in a time specified. - False A violation that does not have the potential to negatively affect a client is considered what class? - Class "IV" Can ACHA impose an administrative fine for violations not designated as one of the four classes? - Yes When a moratorium or emergency suspension is placed on a facility they must post what where? - A notice of action in a place visible to the public. What class violation would a personal hygiene issue be considered? - Class "III" Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your license, or violating any terms of your license are considered what type of violation? - Unclassified Violation How many days may ACHA extends a denied, revoked or set to terminate license for the sole purpose of allowing safe and orderly discharge of clients. - 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - 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? - Aging in place