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ARF Administrator Certification|2027 Update
What's the minimum required age to be an ARF administrator and how old do you have to be to work in the industry? ✔️ -21 Years old to be an administrator
- 18 years old to work in the industry
What are the requirements to be an ARF administrator for a 6 bed facility? ✔️ High school diploma or General Education Development (GED)
What are the requirements to be an ARF administrator for a 7-15 bed facility? ✔️ 1 year of experience in a residential care facility
What are the requirements to be an ARF administrator for a 16-49 bed facility? ✔️ 15 units of college, 3 in nutrition, human behavior or staff relations OR 1 year of experience in a residential care facility
What are the requirements to be an ARF administrator for a 50 or more bed facility? ✔️ 60 units of college, 6 in administration or staff relations OR 3 years of experience in residential care facility
What is one of the requirements to be an ARF administrator? ✔️ Criminal Record Clearance
What are the ongoing recertification requirements? ✔️ 40 hours of continued education/recertification every two years (up to 20 hours may be taken online but the remaining 20 hours must be in a classroom)
What is an adult residential facility (ARF)? ✔️ Facilities of any capacity that provide 24 hour non-medical care and supervision for adults ages 18- 59, who are unable to provide for their own daily needs
*50% of clients of the census can be over 60
Adult Residential Facilities serve persons:
A. 18-59 years of age
B. With Developmental Disability
C. Who need Care and Supervision
D. With Mental Disorder
E. All of the Above ✔️ *E. All of the Above
Administrators of Adult Residential Facilities must be:
A. At least 21 years of age
B. Certified
C. College Graduate
D. At least 18 years of age
E. Both A & B ✔️ E. Both A & B
Prior to admitting a person with a Mental Disorder the facility must obtain:
A. Approval from Community Care Licensing
B. Mental Health Assessment
C. Physician's Order
D. All of the above ✔️ *D. All of the Above
What do the Activities of Daily Life (ADL's) include? ✔️ (Bad Dudes Talk Trash Everyday Constantly)
Bathing
Dressing
Toileting
Transferring
Eating
Continence
What is an Administrator? ✔️ A licensee, or the adult designated by the licensee to act in his/her behalf in the overall management of the facility (*adult means a person who is 18 years of age or older, duh.)
What does Basic Rate mean? ✔️ The rate charged by a facility to provide basic services
What are Basic Services? ✔️ The services required (by applicable law and regulation) to be provided by the licensee in order to obtain and maintain a community care facility license
What is California Clearance mean? ✔️ When an individual has no felony or misdemeanor convictions reported by the California Department of Justice (however, the individual may have been arrested with no criminal conviction, convicted of a minor traffic offense or adjudicated as a juvenile)
What does Capacity mean? ✔️ It is the maximum number of persons (clients) authorized to be provided care and supervision at any one time in any licensed facility
What does Residency mean? ✔️ It is the number of clients + staff in a licensed facility (live-ins or staying overnight)
*Anyone that resides in the home 18+ or older needs to be live scanned
What does Control of Property mean? ✔️ The right to enter, occupy, and maintain the operation of the facility property with regulatory requirements.
Evidence of control property may include:
A. Grant Deed showing ownership; OR
B. Lease Agreement or Rental Agreement; OR
C. Court Order or similar document which shows the authority to control the property (pending outcome of a probate proceeding or an estate settlement.)
What is a Deficiency? ✔️ Is any failure to comply with any provision of the Community Care Facilities Act and/or regulations adopted by the Department pursuant to the Act
What is a Dietitian? ✔️ A person who is the member of or registered by the American Dietetics Association
What is considered an Elderly Person? ✔️ Any person who is 60 years of age or older
What is "Emergency Approval to Operate"? ✔️ It is a temporary approval to operate a facility for no more than 60 days pending the Department's decision on whether to approve or deny a provisional license
What is an Evaluator or LPA (License Program Analyst)? ✔️ Is any person who is a duly authorized officer, employee or agent of the Department, including any officer, employee or agent of a county or other public agency authorized by the Department to license community care facilities
What is an Exception? ✔️ These are non-transferrable requests to make an exception to the regulations for a specific staff or client based upon the unique needs or circumstances of that individual. The regulation in question will still apply to all other residents and staff in the facility
- When they have cuts or scratches on their hands.
- When assisting with incontinent care or when cleaning up urine, stool, or vomit.
- When administering first aid for a cut, bleeding wound, or a bloody nose.
- Use gloves only one time, for one incident or client.
a. Staff must air dry their hands prior to putting on a new pair of gloves.
- Dispose of used gloves immediately after use.
What is a Non licensed facility and Licensed facility? ✔️ Non Licensed:
- Room and Board
- No Care
- Independent Living
Licensed:
- Provide Care and Supervision
- Medication
- Set Meals
- Programs (Day programs)
- 24/7 care
What is the Licensing of Integral Facilities? ✔️ Upon written application of the licensee, the licensing agency shall have the authority to issue a single license for separate buildings which might otherwise require separate licenses provided that all of the following requirements are met:
- Separate buildings or portions of the facility are integral components of a single program
- All components of the program are managed by the same license
- All components of the program are conducted at a single site with a common address
What are the Limitations on Capacity and Ambulatory Status? ✔️ a) A Licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation
b) Facilities or rooms approved for ambulatory clients shall not be used by non ambulatory clients
- Clients whose condition becomes non ambulatory shall not use rooms or areas restricted to ambulatory clients
- The licensing agency shall have the authority to require clients who use ambulatory sections of the facility to demonstrate that they are ambulator
What shall licensees reveal in all advertisements? ✔️ Facility license number
What are False Claims? ✔️ -No licensee, officer, or employee of a license shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility
- No licensee, officer, or employee of a licensee shall alter a license, or disseminate and altered license
Nondiscrimination of Applicants ✔️ -Any adult shall be permitted to apply for a license regardless of age, sex, race, religion, color, political affiliation, national origin, disability, marital status, actual or perceived sexual orientation, gender identity, HIV status or ancestry
Application for License? ✔️ *If the applicant in a corporation which issues stock, the name and address of each person owning more than 10 percent of stock in such corporation.
- If the applicant is a corporation or association, a copy of the articles of the incorporation, constitutions and bylaws.
- If the applicant is a corporation, each member of the board of director, executive director, and any officer shall list the name of the facilities which they have been licensed to operate, employed by or a member of the board of directors, executive director or an officer.
a. Name and address of owner of facility premises if applicant is leasing or renting
Application for License, Incidents/Complaints: ✔️ -Any community care facility providing residential care for six or fewer person at which the owner does not reside shall provide a procedure approved by the licensing agency for immediate response to incidents and complaints.
- Any facility with a non resident owner shall establish a fixed time on a weekly basis when the owner, licensee or person designated by the owner or licensee will be present
- Facilities with nonresident owners shall establish procedures to comply with the requirements of this section on or before July 1, 1987.
True or False?
A 3-month start up fee is required for new facilities. ✔️ True
What information is required in the application process regarding the fire department? ✔️ Name, address and telephone number of the city or county fire department, the district providing fire protection services, or the State Fire Marshal's Office having jurisdiction in the area where the facility is located.
Fire Clearance ✔️ All facilities shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal
- Exit signs (designate two emergency exits)
- 2 - 3 "all-purpose" fire extinguishers (kitchen, laundry room, garage)
- Surge Protectors
All community care facilities where water for human consumption is from a private source shall meet the following requirements: ✔️ -The applicant shall provide evidence of an on-site inspection of the source of the water and bacteriological analysis which establishes the safety of the water, conducted by the local health department, the State of Department of Health Services or a licensed commercial laboratory
*6 or fewer beds requires analysis in the initial licensing phase, periodic subsequent analysis is not required unless evidence supports the need for such analysis to protect clients.
How often should disaster drills be conducted? ✔️ Every six months
How often should fire drills be conducted? ✔️ Every 3 months
Disaster/Fire Drill records should be maintained in the facility for how long? ✔️ At least 1 year
Within 90 days of receipt of the application by the licensing agency, the licensing agency shall give written notice to the applicant of one of the following: ✔️ 1. Application is complete, OR
- The application is deficient, describing what documents are outstanding and/or inadequate, and informing the applicant that the information must be submitted with 30 DAYS of the date of the notice.
a. If the applicant fails to submit the required information within 30 days the application shall be deemed withdrawn unless either the licensing agency has denied the application or the facility is under construction
Withdrawal of Application ✔️ An applicant shall have the right to withdraw an application, such a withdrawal must be in writing
In facilities providing care and supervision for 101 to 200 clients,there must be: ✔️ -At least one person on call, on the premises
- Another person on duty, on the premises and awake
- Another person shall be on call and capable of responding within 30 minutes
In facilities providing care and supervision for every additional 100 clients after 200 clients there shall be: ✔️ -One additional person on duty, on the premises and awake
(The licensee shall provide for direct supervision of clients during participation in or presence at potentially dangerous activities or in the facility.)
Adults who supervise while clients are using a pool or other body of water from which rescue requires the rescuer's ability to swim, shall have what? ✔️ Valid water safety certificate
*If you have a pool, all of your employees must have water safety certifications
All personnel, including licensee, administrator and volunteers, shall be in good health, and shall be physically, mentally, and occupationally capable of performing assigned tasks.
How would physical health be verified? ✔️ Health screening including a test for tuberculosis, performed by or under supervision of a physician not more than one year prior to or seven days after employment or licensure
What shall be done if anything is missing, $25 or higher? ✔️ You must file a police and an incident report
What are unacceptable employment inquiries? ✔️ -Religion
In facilities providing meals to clients, the following shall apply: ✔️ All food shall by safe and of the quality and quantity necessary to meet the needs of the clients:
Each meal shall meet at least 1/3 of the servings recommended in the USDA Basic Food Group Plan-Daily Food Guide for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.
Where all food is provided by the facility, arrangements shall be made so that each client has available at least three meals per day.
Not more than ___ hours shall elapse between the third meal one day and first meal of the following day ✔️ 15 hours
Menus shall be made available for review by the clients or their authorized representatives and the licensing agency upon request.
Menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for how many days? ✔️ At least 30 days
Commercial Foods ✔️ Needs approval by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be for human consumption. Food in damaged container shall not be accepted, used or retained
Milk ✔️ -Powdered Milk can not be used as a beverage but shall be allowed in cooking and baking
- Raw Milk can not be used
- Pasteurized Milk CAN be used
All Foods or beverages capable of supporting rapid and progressive growth of microorganisms which can cause food infections or food intoxications shall be stored in covered containers at what temperature? ✔️ 45 degrees F or less (7.2 degrees C)
All dishes and utensils used for eating and drinking and in the preparation of food and drink, shall be cleaned and sanitized how often? ✔️ After each usage
Dishwashing machines shall reach a temperature of ______ degrees F during the washing and/or drying cycle to ensure that dishes and utensils are cleaned and sanitized. ✔️ 165 degrees F ( 74 degrees C)
________________ shall be provided for self-help in eating as needed by clients. ✔️ Adaptive devices
i.e. sippy cups, easy hold utensils
What does the licensing agency have the authority to require of a facility to determine it's in compliance with the food service requirements? ✔️ The licensing agency shall have the authority to require the facility to provide written information, including menus, regarding the food purchased and used over a given period when it is necessary to determine if the licensee is in compliance with the food service requirements in the regulations in this Division.
Except for children's residential facilities, the licensee may, upon 30 days written notice to the client, evict the client for: ✔️ Nonpayment of the rate for basic services within 10 days of the due date.
The licensee shall mail or fax to the Department a copy of the 30-day written notice within ___ days of giving the notice to the client. ✔️ 5
Before Leaving/Departing the facility at any time the licensee is not prohibited to set ✔️ curfews or other house rules for the protection of the clients
Postural Supports ✔️ shall be limited to appliances or devices including braces, springs release trays, or soft ties, used to achieve proper body position and balance, to improve a client's mobility and independent functioning, or to position rather than restrict movement including, but not limited to, preventing a client from falling out of bed, a chair, etc.
*Physician-described orthopedic devices such as braces or casts used for support of a weakened body part or correction of body parts are considered Postural Supports
A bed rail that extends from the head half of the length of the bed and used only for assistance with mobility shall be allowed. What kind of bed rails are prohibited? ✔️ Bed rails that extend the entire length of the bed.
(*except for for clients who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. )
What shall be prominently posted in areas accessible to clients and their visitors? ✔️ -Visiting Hours
- Condition of Client
- Client's Rights
The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of_______, _________ and ________. ✔️ clients, employees and visitors
The licensee shall take measures to keep the facility free of _____ and other _______. ✔️ Flies and other insects
The licensee shall provide for the safe disposal of _____ and other _________ used for cleaning purposes. ✔️ water; chemicals
Fences shall be at least ____ feet high and shall be constructed so that the fence does not obscure the pool from view. ✔️ 5
- There shall be a reception area and a restroom facility designated for use by visitors.
At least one toilet and washbasin shall be maintained for each ___ persons residing in the facility, including clients, family and personnel ✔️ 6
The quantity of linen provided shall permit changing the linen at least ____ each week or more often when necessary to ensure that clean linen is in use by clients at all times. ✔️ once
Emergency lighting, which must include at a minimum ________________ or other battery powered lighting, shall be maintained and be readily available in areas accessible to clients and staff ✔️ working flashlights
An open-flame type light for emergencies ✔️ shall NOT be used
Night lights shall be ✔️ maintained in hallways and passages to non private bathrooms
Facilities shall meet the following signal system requirements: ✔️ In all facilities with a licensed capacity of 16 or more clients, and all facilities having separate floors or separate buildings without full-time staff there shall be a signal system
In facilities with a licensed capacity of 7 or more ✔️ the license shall be posted in a prominent publicly accessible location in the facility.
An extra charge to the resident shall be allowed for a private room if ✔️ a double room is made available but the resident prefers a private room
The licensee shall notify the department, in writing, within __ days of a change of administrator ✔️ 30 days
Reporting requirements (Pg. 93, TITLE 22) ✔️ Upon the occurrence, a report shall be made to the licensing agency within the agency's NEXT WORKING DAY during its normal business hours. In addition, a written report containing the information shall be submitted to the licensing agency within 7 DAYS following the occurrence of such event.
Events include: Deaths, Injuries, Catastrophes, Poisonings, Fires etc.
The licensee shall complete and maintain in the client's ____________________________________ for each client whose pre-admission appraisal or medical assessment indicates he/she is deaf, hearing-impaired, or otherwise disabled. ✔️ Telecommunications Device Notification Form
A licensee shall be permitted to retain terminally ill clients who receive hospice services from a hospice agency if ✔️ The licensee has received a facility hospice care waiver from the Department
The licensee shall maintain a record of all hospice-related training provided to the licensee or facility staff for a period of ___ years. ✔️ 3
The record of each hospice-related training session shall ✔️ specify the names and credentials of the trainer, the person in attendance, the subject matter covered, and the date and duration of the training session.
You must notify licensing within ___ days of admitting a hospice client ✔️ 5 days
The Department shall notify the applicant or licensee of the hospice care waiver request within ___ calendar days of receipt. ✔️ 30 days
The licensee shall regularly observe each client for changes in ✔️ physical, mental, emotional and social functioning
The licensee shall meet the following food supply and storage requirements: ✔️ -Supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises
- Freezers shall be large enough to accommodate required perishables and shall be maintained at a temperature of zero degrees F
- Refrigerators shall be large enough to accommodate required perishables and shall maintain a maximum temperature of 45 degrees F
- Freezers and refrigerators shall be kept clean, and food and storage shall permit the air circulation necessary to maintain the temperatures specified
During dining hours, clients shall be encouraged to ✔️ have meals with other clients
Bonding (80025, pg. 53 TITLE 22)
True or False?
The licensee shall submit an affidavit, on a form provided by the licensing agency stating whether he or she safeguards or will safeguard cash resources of clients and the maximum amount of cash resources to be safe guarded for all clients or each client every month. ✔️ True.
For 6 clients what is the amount safeguarded a month and what is the bond required (pg. 53 TITLE 22) ✔️ $750 or less for the amount safegaurded and $1000 for bond required
