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A comprehensive overview of key regulations and definitions related to assisted living facility management in arizona. It includes questions and answers covering various aspects of resident care, facility operations, staff qualifications, and legal requirements. A valuable resource for individuals preparing for assisted living facility manager exams or seeking to understand the regulatory framework governing these facilities.
Typology: Exams
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Asst. CG - ANSWER means an employee or volunteer who helps a manager or caregiver provide supervisory care services, personal care services, or directed care services to a resident, and does not include a family member of the resident. Assisted living services - ANSWER means supervisory care services, personal care services, directed care services, behavioral health services, or ancillary services provided to a resident by or on behalf of an assisted living facility. Manager - ANSWER means an individual designated by a governing authority to act on behalf of the governing authority in the onsite management of the assisted living facility. Designate, in writing, a manager who - ANSWER a. Is 21 years of age or older; and b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.
. Review and evaluate the effectiveness of the quality management program at least - ANSWER program at least months
Designate, in writing, an acting manager who has the qualifications established in subsection (A)(3), if the manager is: - ANSWER a. Expected not to be present on the assisted living facility's premises for more than 30 calendar days, or b. Not present on the assisted living facility's premises for more than 30 calendar days; A manager: - ANSWER 1. Is directly accountable to the governing authority of an assisted living facility for the daily operation of the assisted living facility and all services provided by or at the assisted living facility;
Asst CG how old - ANSWER 16 12 years or older provide ___ - ANSWER free of tb retain employee file for - ANSWER at least 24 months from last date provided care For a manager, a caregiver, or an assistant caregiver who has not provided physical health services or behavioral health services at or for the assisted living facility during the previous 12 months, is provided to the Department within - ANSWER 72 hours after the Department's request. Assessment is - ANSWER Written analysis of a residents abilities, preferences, and need for supervisory, personal or directed level services AL Center is an ALF that provides services to - ANSWER 11 or more residents Assisted Living Home provides services to - ANSWER 10 or fewer residents Washing, rinsing, drying all parts of a residents body is - ANSWER Bathing Any medication given for discipline or convenience and is not required to treat a residents medical symptoms is considered - ANSWER A chemical restraint Illegal use of a residents resources for another's profit is - ANSWER Exploitation Individual appointed by the court to act on the residents behalf - ANSWER Guardian An occurrence or event that has potential to cause harm to a resident - ANSWER Incident Type of facilities that Ombudsman visits - ANSWER SNF, ALC, ALH
Residency agreement must be signed and dated within ___ days of acceptance into the ALF - ANSWER 5 days A residency record must be retained for ___ years after termination of residency - ANSWER 3 years ALF manager lic expires at midnight on ___ - ANSWER June 30th of each odd number year If manager License expired what time frame do you have for a late renewal - ANSWER Foods requiring cooking are cooked to heat all parts to at least - ANSWER 140 degrees Service plans must be completed ___ day of the residents move in - ANSWER 14 days Suspected abuse, neglect, exploitation needs to be reported ___ - ANSWER Within 24 hours of receiving the allegation Departments to notify if suspected abuse - ANSWER DHS, APS, local law enforcement Frozen foods should be at ___ temp - ANSWER Zero degrees If receive a deposit from a resident, it cannot exceed ___ - ANSWER 1 months rent Dogs are vaccinated against - ANSWER Rabies, hepatitis, leptosporsis, distemper, parvo Cats vaccinated against - ANSWER Rabies, feline leukemia When completing an application for licensure to DHS for licensure, who is the applicant? - ANSWER An individual, firm, partnership, association, or corporation
Activity calendar must be prepared and posted at least ___ - ANSWER One week in advance Maintain the activity calendar for ___ - ANSWER 12 months Current ___ and ___ along with other reading material are kept in ALF - ANSWER Current newspapers and magazines What is the staffing requirement for levels of care - ANSWER No requirement How many people can reside in a residential unit or bedroom - ANSWER 2 max CG's can provide direct supervision to how many assistant CG's - ANSWER 2 Supervisory service plan is updated every ___ months - ANSWER 12 months Foods requiring refrigeration must be kept at ___ degrees - ANSWER 41 degrees Food is stored in covered containers, a minimum of ___ inches off of floor and protected form splashes and other contaminants - ANSWER 6 inches A ___day supply of perishable and a ___ day supply of non-perishable foods are maintained on the premises - ANSWER 3, 3 When does the Personal service plan need to be updated - ANSWER Every 6 months Fire drills for residents and employees are kept for 12 months and must include - ANSWER Date and time Names of employees participating Identification of residents needing assistance Service plan for Directed level of care is updated every ___ - ANSWER 3 months
How many Residents Rights are there in the Az regulations - ANSWER 22 When manager absent for ___ days another manager must be designated - ANSWER 30 days When a change of operation name or termination occur, must notify department within ___ days - ANSWER 30 days ALF medication policies and procedures are approved by - ANSWER RN, Pharmacy, a Physician Fire drills are maintained for - ANSWER 12 months Hot water temps are maintained between ___ and ___ - ANSWER 95 & 120 degrees O2 cylinder maintained in - ANSWER Upright position First aide container of supplies is accessible to - ANSWER All employees means an individual authorized by a health care institution to work for the health care institution on a regular basis without compensation from the health care institution and does not include a medical staff member who has clinical privileges at the health care institution. - ANSWER Volunteer One toilet and sink for every ___ residents - ANSWER 8 residents Resident fire drills are conducted every - ANSWER 6 months Employee fire drills are conducted every - ANSWER 3 months
Medication organizers may be prepared ___ in advance - ANSWER 4 weeks Medication organizers may be prepared by___ - ANSWER Resident or their representative, residents relative, or a nurse General supervision including daily awareness of resident functioning and continuing needs, the ability to intervene in a crisis and assistance in the self administration of prescribed medications would be an example of - ANSWER Supervisory Care An observable deterioration or improvement in a residents physical, cognitive, behavioral, or functional condition would be a ___ - ANSWER Significant change If resident no longer receiving services from an alf - ANSWER Termination of residency A resident may terminate agreement for all of the following except: Exploitation Abuse Failure to comply with agreement or service plan Conditions of imminent danger - ANSWER Failure to comply with agreement or service plan What deductions may be withheld from a residents deposit - ANSWER Non compliance with the residency agreement, damages to property, a fee incurred by the resident. Personnel work schedules must be maintained on the premises for - ANSWER 12 months A licensee mat terminate residency of a resident without notice except for - ANSWER Resident non- compliance with agreement. It has to be for something like increased needs, danger to self and others, or-urgent medical needs When written notice to terminate residency is given, must also give a copy of the following except for: Free of TB
Contact for Ombudsman, DHS, Copy of residency agreement Copy of the service plan - ANSWER All except for the residency agreement Leftovers are Re heated to ___ - ANSWER 165 degrees Resident must receive orientation to the evacuation plan within ___ of acceptance into the facility - ANSWER 24 hours Garbage must be removed at least ___ - ANSWER Once per week If a pool must have solid wall, fence or barrier at least ____ tall - ANSWER 5 ft Fence around pool cannot have openings that exceed ____ horizontal or vertical - ANSWER 4 inches Is inaccessible to to residents and granted an exception from the - ANSWER Enclosure Has ___ gates that are kept ___ when pool is not in use - ANSWER Self closing, Locked Has pool safety requirements posted ___ in the pool area - ANSWER Conspicuously PRN means - ANSWER Pro re nata...as needed Short term mans ___ days or less - ANSWER 14 days ___ means specific procedure used for prevention cure or improvement of disease injury or illnes - ANSWER Treatment A residential setting that provides room and board to at least one and no more than 4 - ANSWER Adult foster home
Payments in fixed regular intervals are - ANSWER Fees A condition or situation where a resident may suffer physical injury or harm is called a - ANSWER Incident A pattern of conduct without a residents consent resulting in deprivation of food, water, medication, medical services, shelter, cooling, heating or other services necessary to maintain physical mental health is called - ANSWER Neglect Center or home shall not accept an individual who requires - ANSWER Chemical restraint, physical restraint, services not licensed to provide, services not able to provide NEO shall be completed within ___ days of starting employment - ANSWER 10 days Initial assessment of resident conducted with resident interaction includes - ANSWER Amount, type, and frequency of services needed, Each person responsible for the provisions of the service plan The level of service the resident is receiving Activities are planned in accordance to the residents ___ and ___ - ANSWER Preferences, needs, and abilities Board may suspend or revoke a certificate for - ANSWER Felony, obtaining certificate by fraud, drug or alcohol dependence If manage ALF without valid certificate yo are guilty of - ANSWER Class 2 misdemeanor Fire extinguishers are serviced every ___ months - ANSWER 12 months board members who are NOT affiliated with SNF or ALF will be appointed to board for ___ - ANSWER 2 year terms
Board members who ARE affiliated with a SNF or ALF will be appointed for ___ - ANSWER 3 year terms If failed to show evidence of CEU must be proven within ___ - ANSWER 120 days or something happens The board shall deposit ___ % of monies into state general fund and ___% into a NCIA fund - ANSWER 10% 90% Must show free of TB before or within ___ days of residents occupancy - ANSWER 7 days Information medical for resident must be dated within ___ days prior to acceptance to ALF - ANSWER 90 days True or False? An ALF can be only one building? - ANSWER False A resident can be bedridden in an ALF with a standard licence for no more then __ days? - ANSWER 7 Which agency is responsible for regulatory inspections of ALF's? - ANSWER AHCA Capacity in an ALF is the ____ of residents 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 licences 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? - ANSWER 2 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 licence
What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepressant - ANSWER C. psychotherapy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - ANSWER Interdiscplinary 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 True or False? Alzheimer disease is curable by stimulating the brain? - ANSWER False Any items a facility uses to advertise must contain what two things? - ANSWER Assisted living facility & Licence # At least one staff member who is trained in ____ & ____ must be in the facility at all times. - ANSWER CPR & First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - ANSWER Biennial
Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction. - ANSWER 60 True or False? Deficiencies cited by ACHA 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 admitted to an ALF with a standard licence. - 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 ACHA - ANSWER Agency Health Care Administartion DOEA - ANSWER Department of elderly affairs RN - ANSWER Registered Nurse LPN - ANSWER Licensed Practical Nurse ARNP - ANSWER Advanced Registered Nurse Practitioner RD - ANSWER Registered Diatitian LD - ANSWER Licensed Diatitian CLSP - ANSWER Community Living Support Plan
CA - ANSWER Cooperative Agreement ACS - ANSWER Assisted Care Services LNS - ANSWER Limited Nursing Services Licence ECC - ANSWER Extended Congregate Care Licence LMH - ANSWER Limited Medical Health Licence AFCH - ANSWER Adult Family Care Home MOR - ANSWER Medication Observation Record DCF - ANSWER Department of Children and Families CNA - ANSWER Certified Nursing Assistant HHA - ANSWER Home Health Aide OSS - ANSWER Optional State supplementation LTCOC - ANSWER Long Term Care Ombudsman Council FPSS - ANSWER Florida Protective Service System POA - ANSWER power of attorney SSI - ANSWER Supplemental Security Income
CHOW - ANSWER change ownership CARES - ANSWER Comprehensive Assessment and review for long term care services CPR - ANSWER CARDIO PULMONARY RESUSCITATION RDA - ANSWER recommended daily allowance DOH - ANSWER Department of Health CCRC - ANSWER continuing care retirement community FDLE - ANSWER Florida Department of Law Enforcement What Licence 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 Licence allows a nurse to preform any service within the scope of their licence? - ANSWER ECC What Licence is required if you have 3 or more residents on OSS? - ANSWER LMH With a LMH licence, how many days do you have to make a Community Living Support Plan? - ANSWER 30 Days
Can a cooperative agreement be included in a community living support plan? - ANSWER Yes Which Licence allows full help with ADL's? - ANSWER ECC Can you care for a stage 3 pressure sore with a LNS licence? - ANSWER No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - ANSWER 6 True or False? In Adult family care homes, care must be provided in the person providing cares own home. - ANSWER True 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 licence ALF? - ANSWER 7 days An ALF owner must be how old? - ANSWER 18 An ALF administrator must be how old? - ANSWER 21 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 need 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 maximum number of residents per bedroom? - ANSWER 2 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 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - ANSWER False 30 days How many years must copies of ACHA inspections be kept on file? - ANSWER 5
True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - 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? - 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? - ANSWER Isolated Deficiency A deficiency in which more then a limited number of clients or staff would be considered a what? - 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? - ANSWER Widespread Deficiency How soon must a Class "I" violation be corrected? - 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? - ANSWER Class "I" A violation that directly threatens clients is considered what class? - ANSWER Class "II" A violation that potentially threatens a client is considered what class? - ANSWER Class "III" True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified. - ANSWER False A violation that does not have the potential to negatively affect a client is considered what class? - ANSWER Class "IV"
Can ACHA impose an administrative fine for violations not designated as one of the four classes? - ANSWER Yes When a moratorium or emergency suspension is placed on a facility they must post what where? - ANSWER A notice of action in a place visible to the public What class violation would a personal hygiene issue be considered? - 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? - 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 - ANSWER 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - ANSWER 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - 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? - 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? - 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 guardian is a person the law has entrusted what? - ANSWER 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. - ANSWER False An individual who receives social security disability due to a mental disorder is a what? - ANSWER Mental Health Resident A device that physically limits, restricts or deprives movement or mobility is a what? - ANSWER Physical Restraint A service plan is required for each resident admitted under what licence? - ANSWER ECC True or False A resident under 24-hour-nursing care can be admitted to a ALF. - ANSWER False Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? - ANSWER 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 - ANSWER True True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service. - ANSWER False 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 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 - ANSWER True When does a LNS, ECC & LMH licence expire? - ANSWER Same time as standard licence regardless of when issued A conditional licence 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 If a facility has fewer that 17 residents they must have and awake staff member on at all times or what? - ANSWER 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? - ANSWER 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? - ANSWER Adverse incident After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA? - ANSWER 1 day How many day after an Adverse incident does the facility have to report a full report to ACHA? - ANSWER 15 days How often must a facility report any liability claims filed against them? - ANSWER 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. - ANSWER True A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident?
They can until emergency medical personal assume responsibility. An ALF with 17 or more beds must have a functioning what? - ANSWER Automated External Defrillator What is a DNR? - ANSWER Do Not Resuscitate Order Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED? - ANSWER When presented with a "do not resuscitate order" When assisting a resident with self-administration of medication can you remove the prescribed amount while not in the presence of the resident? - ANSWER No, medicine must be opened and removed in residents presence True or False Mixing, compounding, converting or calculating medication doses is allowed with assisting in self-medication. - ANSWER False 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. - 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? - ANSWER A licensed physician with in 30 days Can a resident use their own belongings as space permits in an ALF? - 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. - ANSWER False Upon mutual consent how much cash can a facility keep in safekeeping for a resident? - ANSWER $200
Can an ALF employee barrow money from a resident? - ANSWER No What are the minimum records kept on file for all staff members? - 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? - 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? - ANSWER Yes, if they are both residents of the facility Can an ALF require residents to wear uniforms? - ANSWER No Can ACHA have private conversations with residents during a survey? - ANSWER Yes The evacuation evaluation for initial licensure shall be conducted within how many months? - ANSWER 6 Months A facility without a automatic sprinkler system must conduct evacuation capability's how often? - ANSWER At least Aunnualy What is the maximum time allotted for an evacuation drill in an unsprinkled facility? - ANSWER 3 minutes True or False All new facilities must be equipped with an automatic fire sprinkler system. - ANSWER True, unless the facility houses 8 or fewer residents How many elopement drills must a facility conduct minimum per year? - ANSWER 2 True or False A facility is not required to document the implement of elopement drills. - ANSWER False
A deficiency cited during a survey for medication must be corrected how soon? - ANSWER 48 hours True or False A facility associated with a religious organization shall include it in their advertising. - ANSWER True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - ANSWER True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - 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? - ANSWER 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - ANSWER True how often does a facilities license need to be renewed? - 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. - ANSWER False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - ANSWER True Can someone with HIV be admitted to an ALF facility? - ANSWER Yes Can a facility accept a resident that requires the administration of medication? - 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. - ANSWER False