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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? - ANSWER 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? - ANSWER Class 3 Which class violation may not result in a financial penalty if corrected during the survey? - ANSWER Class 4
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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? - ANSWER 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? - ANSWER Class 3 Which class violation may not result in a financial penalty if corrected during the survey? - ANSWER 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. - ANSWER 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? - ANSWER 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. - ANSWER 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: - ANSWER 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. - ANSWER 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. - ANSWER monthly, license All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency? - ANSWER The Agency for Health Care Administration The licensing procedures have been established to comply with - ANSWER 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 ________. - ANSWER 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 - ANSWER 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. - ANSWER 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. - ANSWER Eligible Level II, Application on file and free of TB and Communicable disease
A standard license includes - ANSWER The facility must provide housing, meals and one or more personal services for a period exceeding 24 hours An Emergency Management Plan includes - ANSWER Separate plans prepared for each emergency Any emergency internal or external to the facility A plan for fire, tornadoes, hurricane, flood, and electrical failures All of the following activities can be counted toward social and leisure activities EXCEPT - ANSWER Watching television The facility did not have any food in the fridge when AHCA arrived to conduct an unannounced inspection. When the agent was conducting the exit interview, she stated that the facility will be receiving a Class I violation, resulting in a fine of: - ANSWER $10,000. The administrator received a call from the local hospital regarding a potential referral. When asked what is the admission age, the administrator responded? - ANSWER 18 years old The medical doctor conducted a face to face for the resident at the Assisted Living Facility to complete the three-year assessment that is due after the initial health assessment that is conducted either before or within 30 days after the admission to the facility. What type of facility would best
describe where the resident resides? - ANSWER Standard with LNS The facility provided the family member with a _______ notice when it was determined that the resident can no longer age in place at the facility. The family member told the administrator that she would hire a private nurse to provide the extra care that could not be provided by the ALF staff. The administrator stated that she must carry out the request for a discharge because her license does not allow her to provide services beyond the scope of the license. - ANSWER 45 days Prior to admission the administrator can review the resident's health records or an AHCA form 1823 up to ________ days prior to admission or ________ days after admission. - ANSWER 60, 30 After the resident has been discharged, how long should the facility keep the contract? - ANSWER 5 years An administrator can own ________ ALF's and administer _______ ALF's. - ANSWER Many, 3 The occupancy cycle is one of the most important cycles of the ALF business operation. What is the BEST format to conduct the process? - ANSWER Initial Interview, Orientation and Screening, Data Collection, Move in
A building that provides housing, meals, one or more personal services exceeding 24 hours to one or more adult is considered a what? - ANSWER Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - ANSWER Chemical Restraint A guardians is a person the law has entrusted what? - ANSWER the custody and control of a person or property, or both A service plan is required for each resident admitted under what license? - ANSWER ECC Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? - ANSWER Yes an unlicensed ALF commits a felony of the _____ Degree. - ANSWER third During a CHOW you have how many days to notify residents in writing? - ANSWER 7 days When does a LNS, ECC and LMH license expire? - ANSWER Same time as standard license regardless of when issued. A conditional license can not exceed how many months? - ANSWER 6 months
How soon must an owner of an ALF notify ACHA of a change in administration? - ANSWER 10 days If a facility has __ or more residents they must have an awake staff member on duty at all times. - ANSWER 17 How many hours of initial training are required for an employee with regular contact with Alzheimer's residents? - ANSWER 4 hours An ALF with 17 or more beds must have a functioning what?
A resident must have a face to face medical examination how often to maintain continued residency? - ANSWER Every 3 years or after any significant change To help a resident cope with change, it is important to - ANSWER Respect the resident's rights Encourage the personal interest of a resident treat resident with the respect and allow them to express their feeling Laura operates a standard ALF. She has 2 mental health residents. What specialty license must she have with her standard? - ANSWER Limited Mental Health What are some responsibilities of the Ombudsman's Council? - ANSWER Advocate for residents of ALF's Exploitation is when - ANSWER It has been determined that a staff has been financially manipulating a resident It has been verified that the resident was being deprived of his medication. Which of the following would you report to the abuse hotline? - ANSWER Neglect Family and friends can visit your facility, according to the Residents Bill of Rights, during _____ to _____. When a resident is deprived of this visitation during these hours the
administrator is violating the resident's rights. - ANSWER 9am-9pm The food director is to ensure that the resident's meals are cooked according to the menu prepared by the _______________ to avoid food adverse incidents. - ANSWER dietician Resident does not like the decorations at the ALF. What should the Administrator do? - ANSWER Consult with the resident to get ideas and change them. The resident gave his 30 days' notice as described in the contract. The administrator informs him that she will not refund his money as he did not obey all the rules. The administrator's reasoning was not in the contract. The resident decided to call the ______________ number that is posted on the bulletin board at the facility because it reads that they advocate for the residents in long term care facilities. Who did the resident call: - ANSWER Ombudsman Council Which of the following is not required when applying for license - ANSWER Picture of facility When should your staff NOT follow the chain of command - ANSWER During a fire The inspector visited the facility to conduct an unannounced visit, the first thing that they may want to see is your ___________________? - ANSWER Your posted license
The facility conducts a fire drill 6 times per year (every other month). What does this mean about the facility? - ANSWER The facility has a sprinkler system installed. Resident's record must contain the following information - ANSWER Next of Kin, name, address, phone and relationship All regular and therapeutic menus to be used by the facility must be reviewed___________ by a licensed or registered dietitian, a licensed nutritionist, or a registered dietetic technician supervised by a licensed or registered dietitian, or a licensed nutritionist to ensure the meals meet the nutritional standards - ANSWER annually The facility's direct care staff was able to take the residents blood glucose test because the facility had a ______________ certificate. - ANSWER CLIA Who is the representing guardian for a resident referred from the state - ANSWER DCF When there is a need to report abuse, neglect, exploitation, _________ is the best choice of contact first. - ANSWER The abuse registry Most elders experience fatigue, impaired vision, and hearing loss due to: - ANSWER 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? - ANSWER 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 - ANSWER 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. - ANSWER competent Which of the following health care providers can give a resident an insulin shot - ANSWER Medical Assistant Medication can be disposed of with the administrator and __________. - ANSWER one other witness Who can transfer medication from one bottle to another - ANSWER A pharmacist Only a staff member who has been trained in assistance with medication can? - ANSWER Assist with medication The administrator or designee should contact the doctor immediately, when - ANSWER 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 - ANSWER pharmacist name Medication should be kept in the following area - ANSWER in a secure area where trained staff has the only access Which of the following could lead to an adverse incident - ANSWER the medication was given to the wrong resident, however later given to the right resident A stage 2 pressure sore resident can be admitted to an ALF if there is a ___ and a ___. - ANSWER prescription order and a care plan What is the danger zone in food preparation - ANSWER 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? - ANSWER Report it to the doctor immediately What is the minimum number of hours allowed between meals - ANSWER 2 hours
How frequently do you need to revise your menus? - ANSWER annually The administrator manages three facilities currently. She wants to own the facility on 56th and Parkway; what can she do? - ANSWER Purchases the facility. Regardless of the outside temperature, the inside temperature must be? - ANSWER 72 degrees What is the time measurement for a SLOW evacuation capability? - ANSWER over 5 min How many days does an owner have to notify AHCA for change of administrator - ANSWER 10 days AHCA wrote the applicant about the omission to their submitted application and it stated that they have ___ day to return the corrections. - ANSWER 21 The resident has 30 days to inform you that he or she is leaving the facility, you have ____ days to inform them. - ANSWER 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 _____. - ANSWER 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? - ANSWER AFCH How often shall an Extended Congregate Care review the service plan? - ANSWER 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 _________. - ANSWER Assessment Which specialty license would you need if you were willing to have 1 mental health resident? - ANSWER Limited Mental Health In the Florida Administrative Codes 59A-36, a resident is entitled to which of the following rights? - ANSWER 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. - ANSWER 60 days The service plan needs to be completed within days after a resident has moved into an Extended Congregate Care facility. - ANSWER 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. - ANSWER Grievance How long can a resident wait to eat from the night before to the morning? - ANSWER 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. - ANSWER 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? - ANSWER 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. - ANSWER Impractical What is the maximum amount that the CORE exam can be, according to F.A.C 59A-36. - ANSWER $ Who is the best person who can administer medication at a facility to a resident who is not incompetent? - ANSWER Resident Where is the best place for resident's medication to be kept at a facility? - ANSWER In a locked, central location where only a trained staff can access the medication When should a facility have their biennial application at the Agency? - ANSWER 60 days before expiration What is the definition of a nurse? - ANSWER LPN, RN, ARNP If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made, and the plan resubmitted to the local office within ____days of receiving notification that the plan must be revised - ANSWER 30 days What is the Department? - ANSWER DOEA Which of the following does not have to be licensed by the Agency? - ANSWER Independent Living
What is the best color to paint a resident's private room? - ANSWER The color of his choice What is the minimum education requirement for an administrator? - ANSWER A Highschool Diploma or GED True or False? An ALF can be only one building? - ANSWER False A resident can be bedridden in an ALF with a standard license for no more than __ days? - ANSWER 7 Capacity in an ALF is the _____ of resident it is licensed to care for. - ANSWER number Which of the following is not considered an ADL? a. Eating b. Dressing c. Transferring d. ambulation e. toileting - ANSWER c. Transferring Limited nursing services can only be provided by? - ANSWER LPN, RN, ARNP 1/2 bed rails are considered a ________ and are allowed in an ALF only if? - 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? - ANSWER Adverse Incident Adverse incidents are submitted on day __ and day __ to ACHA. - ANSWER 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - ANSWER 5 True or False? A limited mental health resident must receive OSS? - ANSWER True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - ANSWER False The specialty licenses for an ALF are? - ANSWER LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - ANSWER Representative payee 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? - ANSWER quarterly A facility must conduct how many elopement drills annually?
A minimum weekly staffing hours for an ALF with four residents is? - ANSWER 168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - ANSWER 3 Limited mental health license What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepreassant - ANSWER c. psychotheraphy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - ANSWER Interdisciplinary care plan What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry - ANSWER fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - ANSWER Insulin injections Any items a facility uses to advertise must contain what two things? - ANSWER Assisted living facility and License #
At least one staff member who is trained in ______ and _______ must be in the facility at all times. - ANSWER CPR and First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - ANSWER Biennial Application for a CHOW must be submitted to AHCA _______ days prior to the transaction. - ANSWER 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. - ANSWER False 30 days True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license. - ANSWER True How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - ANSWER 30 days ADL - ANSWER Activities of Daily Living What license would be required if you are using a COMMUNITY SUPPORT PLAN? - ANSWER LMH
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? - ANSWER Cooperative Agreement What is ACS? - ANSWER 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? - ANSWER ECC What license is required if you have 3 or more residents on OSS? - ANSWER LMH Which of the following is not a part of the "5 rights" - ANSWER 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'? - ANSWER The residents In which of the following facilities is it required to use an interdisciplinary care plan and service plan? - ANSWER 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? - ANSWER 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?
How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - ANSWER 6 What does the "Long Term Care Ombudsman Council" Do? - ANSWER 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? - ANSWER 7 days How many days must be given to a resident for notice of discharge? - ANSWER 45 How many days does a resident need to provide for notice of termination? - ANSWER 30 days How many months does an administrator have to complete all CORE training requirements? - ANSWER 3 months What is the minimum square feet needed per resident in an ALF for common living areas? - ANSWER 35 What is the minimum square footage for a private room in an ALF? - ANSWER 80 Is an ALF required to carry liability insurance at all times? - ANSWER Yes What is the Toilet to sink ratio in an ALF? - ANSWER 1- 6
In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - ANSWER 60 days How many days after Admission must a "Health Assessment (1823)" be completed for a resident? - ANSWER 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - ANSWER True What is a Moratorium? - ANSWER the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - ANSWER 60 days Every ______ years of employment a new background screening must be done. - ANSWER 5 How many days prior must an ALF inform ACHA the discontinuance of operation? - ANSWER 30 How many years must copies of ACHA inspections be kept on file? - ANSWER 5 If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - ANSWER 10 days unless alternative time frame is required