Download ALF Core Training | 100% Correct Answers | Verified | Latest 2024 Version and more Exams Health sciences in PDF only on Docsity! ALF Core Training | 100% Correct Answers | Verified | Latest 2024 Version True or False? An ALF can be only one building? - ✔✔False A resident can be bedridden in an ALF with a standard licence for no more then __ days? - ✔✔7 Which agency is responsible for regulatory inspections of ALF's? - ✔✔AHCA Capacity in an ALF is the ____ of residents it is licensed to care for. - ✔✔number Which of the following is not considered an ADL? a. Eating b.Dressing c.transferring d.ambulation e.toileting - ✔✔c. transferring Limited nursing services can only be provided by? - ✔✔LPN, RN, ARNP 1/2 bed rails are considered a ________ and are allowed in an ALF only if? - ✔✔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? - ✔✔Adverse Incident Adverse incidents are submitted on day __ and day __ to ACHA. - ✔✔1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - ✔✔5 True or False? A limited mental health resident must receive OSS? - ✔✔True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - ✔✔False The specialty licences for an ALF are? - ✔✔LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - ✔✔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? - ✔✔quarterly A facility must conduct how many elopement drills annually? - ✔✔2 A minimum weekly staffing hours for an ALF with four residents is? - ✔✔168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - ✔✔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 - ✔✔C. psychotherapy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - ✔✔Interdiscplinary care plan AFCH - ✔✔Adult Family Care Home MOR - ✔✔Medication Observation Record DCF - ✔✔Department of Children and Families CNA - ✔✔Certified Nursing Assistant HHA - ✔✔Home Health Aide OSS - ✔✔Optional State supplementation LTCOC - ✔✔Long Term Care Ombudsman Council FPSS - ✔✔Florida Protective Service System POA - ✔✔power of attorney SSI - ✔✔Supplemental Security Income CHOW - ✔✔change ownership CARES - ✔✔Comprehensive Assessment and review for long term care services CPR - ✔✔CARDIO PULMONARY RESUSCITATION RDA - ✔✔recommended daily allowance DOH - ✔✔Department of Health CCRC - ✔✔continuing care retirement community FDLE - ✔✔Florida Department of Law Enforcement What Licence 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 Licence allows a nurse to preform any service within the scope of their licence? - ✔✔ECC What Licence is required if you have 3 or more residents on OSS? - ✔✔LMH With a LMH licence, 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 Licence allows full help with ADL's? - ✔✔ECC Can you care for a stage 3 pressure sore with a LNS licence? - ✔✔No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - ✔✔6 True or False? In Adult family care homes, care must be provided in the person providing cares own home. - ✔✔True 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 licence ALF? - ✔✔7 days An ALF owner must be how old? - ✔✔18 An ALF administrator must be how old? - ✔✔21 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 need 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 maximum number of residents per bedroom? - ✔✔2 What is the Toilet to sink ratio in an ALF? - ✔✔1-6 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? - ✔✔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 - ✔✔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 A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what? - ✔✔Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - ✔✔Chemical Restraint A guardian is a person the law has entrusted what? - ✔✔the custody and control of a person or property, or both True or False you can provide 24-hour nursing care under a LNS licence. - ✔✔False An individual who receives social security disability due to a mental disorder is a what? - ✔✔Mental Health Resident A device that physically limits, restricts or deprives movement or mobility is a what? - ✔✔Physical Restraint A service plan is required for each resident admitted under what licence? - ✔✔ECC True or False A resident under 24-hour-nursing care can be admitted to a ALF. - ✔✔False Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? - ✔✔yes True or False A home approved by the department of veteran affairs that provides care exclusively to 3 or less veterans is exempt from aquraring a licence - ✔✔True True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service. - ✔✔False An unlicensed ALF commits a felony of the __ Degree. - ✔✔Third During a CHOW you have how many days to notify residents in writing? - ✔✔7 days True or False ACHA can deny or revoke a licence if the ALF has two or more class "I" violations that are similar or identical within the past 2 years - ✔✔True When does a LNS, ECC & LMH licence expire? - ✔✔Same time as standard licence regardless of when issued A conditional licence can not exceed how many months? - ✔✔6 months How soon must an owner of an ALF notify ACHA of a change in administration? - ✔✔10 days If a facility has __ or more residents they must have an awake staff member on duty at all times. - ✔✔17 If a facility has fewer that 17 residents they must have and awake staff member on at all times or what? - ✔✔Have mechanisms in place to monitor and ensure safety of all residents. How many hours of initial training are required for an employee with regular contact with Alzheimer's residents? - ✔✔4 hours An Event over which facility personnel could exercise control rather than as a result of the residents condition and results in: Death, brain or spinal damage would be considered a what? - ✔✔Adverse incident After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA? - ✔✔1 day How many day after an Adverse incident does the facility have to report a full report to ACHA? - ✔✔15 days How often must a facility report any liability claims filed against them? - ✔✔monthly True or False adverse incident reports are confidential and are not discoverable or admissible in any civil or administrative action, except in proceedings by the agency or appropriate regulatory board. - ✔✔True A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident? - ✔✔Adverse incident True or false A RN can not perform their professional duties in an emergency situation at an ALF. - ✔✔False They can until emergency medical personal assume responsibility. An ALF with 17 or more beds must have a functioning what? - ✔✔Automated External Defrillator What is a DNR? - ✔✔Do Not Resuscitate Order True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - ✔✔True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - ✔✔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? - ✔✔21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - ✔✔True how often does a facilities license need to be renewed? - ✔✔every 2 years True or False when a resident uses a third party provider it is not required to be documented in their records. - ✔✔False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - ✔✔True Can someone with HIV be admitted to an ALF facility? - ✔✔Yes Can a facility accept a resident that requires the administration of medication? - ✔✔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. - ✔✔False Can a facility obtain information omitted from the Health assessment form, from the physician verbally? - ✔✔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? - ✔✔Every 3 years or after any significant change how many days a week shall activities be available? - ✔✔6 days what is the minimum hours of activities required for an ALF per week? - ✔✔12 hours True or False A one-time special event television program can be counted as an activity? - ✔✔True Can a facility require a resident to see a specific health care provider? - ✔✔No A written order for a half-bed rail must be reviewed by the physician how often? - ✔✔every 6 months How often should staff asses the risk of elopement in residents? - ✔✔at a minimum, Daily True or False A MOR sheet does not need to list known allergies of a resident. - ✔✔False How soon must an abandoned or expired medication be disposed of? - ✔✔within 30 days True or False A stock supply of over the counter products for multiple residents is permitted. - ✔✔False How many separate ALF's can a administrator supervise? - ✔✔3 True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. - ✔✔True How often does freedom from tuberculosis need to be documented for staff members? - ✔✔annually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? - ✔✔30 days A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year? - ✔✔2 True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission. - ✔✔True In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider? - ✔✔at least every 3 years after initial assessment, or after a significant change. Residents my be bedridden for up to how many days? - ✔✔7 days True or False A resident requiring care of a stage 2 pressure sore may be retained providing that: - facility has a LNS licence, home health or nurse - the condition is documented in the resident record -the condition has shown improvement with in 40 days - ✔✔False, must show improvement with in 30 days True of False a terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met: -resident has hospice -continued residency is agreeable to the resident and faculty -An ICP is developed and implemented by a licensed Hospice -faculty staff may provide an nursing services permitted under the facility licence -documentation of the requirements of this are in the residents file - ✔✔True True or False the administrator of a facility is responsible for monitoring the continued appropriateness of placement of the resident in the facility. - ✔✔True ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal. - ✔✔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. - ✔✔True A standard licence expires ___ years after date of issue. - ✔✔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. - ✔✔True True of False a provisional licence may be issued to an applicant applying for a CHOW. - ✔✔True Does a Financial officer of the company need to have a level 2 background screening? - ✔✔Yes Does any person having controlling interest in a facility need a level 2 background screening? - ✔✔Yes Do Not Resuscitate - ✔✔DNR AHCA - ✔✔Agency for Health Care Administration When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained - ✔✔False Unlicensed persons who will be providing assistance with self-administered medications must take the requested training - ✔✔Training must be done prior to assuming responsibilities Assistance with medication by an unlicensed person requires the written informed consent of the resident - ✔✔True If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR - ✔✔false MOR - ✔✔Medication Observation Record OTC - ✔✔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. - ✔✔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. - ✔✔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. - ✔✔false In order for existing facilities to receive an ECC license, they must have no class 3 violations. - ✔✔false ECC - ✔✔Extended Congregate Care Residents must participate in all elopement drills. - ✔✔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. - ✔✔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. - ✔✔True Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons. - ✔✔True 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. - ✔✔True Facility records should include: - ✔✔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. - ✔✔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. - ✔✔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. - ✔✔True How often must facilities have elopement frills? - ✔✔A minimum of two resident elopement prevention and response drills per year. 3 types of contaminants - ✔✔chemical, physical, biological physical contaminant - ✔✔nails, hair biological contaminant - ✔✔bacteria, virus, parasites, protozoan, fungus Menus in Assisted living must be reviewed by dieticain annually - ✔✔True Menu must be easily accessible for residents. - ✔✔True Dietician signature, date and License # is required on Menu - ✔✔True Portion sizes must be listed on Menu - ✔✔True There must be a 3 day portion of non perishable for emergency food based on census not capacity. - ✔✔True Subistution is based on personal resident preferences - ✔✔True Subistutions must be recorded when meal is served - ✔✔True Facility policy to centrally locate medication must be give to resident prior to admission. - ✔✔true OTC RX must be labeled with Residents Name - ✔✔True PRN RX Label should include under condition when RX should be given, dosage, hours it should be given - ✔✔True 3 types of Advance Directives - ✔✔A Living Will, A Health Care Surrogate, An Anatomical Donation Advance Directive must be given at or prior to admission - ✔✔True Living Will is a written document that specifies what type of medical treatment are desired. - ✔✔True Health Care Surrogate - ✔✔This is a legal documents in which an individual designates another person to make health care decisions if he or she is rendered incapable of making their wishes known. DNR - ✔✔Do Not Resuscitate Portable DNR - ✔✔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. - ✔✔True No resident. of a facility shall be deprived of any civilor legal right, benefits, or privileges guaranteed bylaw. - ✔✔True Residents shall have the right to - ✔✔Live in a safe and decent living environment, free from abuse and neglect. Residents shall have the right to - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔Share a room with his or her spouse if both are residents of the facility Residents shall have the right to - ✔✔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 - ✔✔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. Residents shall have the right to - ✔✔Access to adequate and appropriate health care consistent with established and recognized standards swithin the community. Residents shall have the right to - ✔✔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 - ✔✔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.