Assisted Living Facility Regulations, Exams of Study of Commodities

Download Assisted Living Facility Regulations and more Exams Study of Commodities in PDF only on Docsity! 1 / 12 FLORIDA ALF CORE EXAM STUDY GUIDE Expected 200+ Questions and Answers (Verified Answers) 1. Recommended daily allowance: Ans>> Protein: 6 ounces or 2 or more servings Vegetables: 3-5 servings Fruits: 2-4 servings Bread/Starches: 6-11 or more servings Milk or equivalent: 2 servings Fats, oils, sweets: use sparingly Water 2. Menus shall be dated and planned: Ans>> at least one week in advance 3. Regular or therapeutic menus (with substitutions) shall be kept on file for how long Ans>> 6 months 4. What should you do if a resident refuses to comply with a therapeutic diet Ans>> Document & notify the health care provider 5. Documentation for training must include.. 2 / 12 Ans>> Title of training program Subject matter Training agenda # of hours of program Trainee's name, dates of participation, & location Providers names, credentials and license # 6. An ALF shall keep a day supply of non-perishable food on hand Ans>> 3 7. An ALF shall provide safekeeping for resident funds and property of how much Ans>> $200 in personal funds $500 in personal property 8. T or F: A facility whose owner, administrator or staff serves as the represen- tative payee or attorney-in-fact for facility residents, must maintain a surety bond Ans>> True 9. If serving as a representative payee, the minimum surety bond must equal...- Ans>>: 2x the average monthly aggregate income of personal funds due to a resident. 10. T or F: A facility must maintain liability insurance: Ans>> True, no amount required 11. An up to date record of major incidents must be kept for file for how long Ans>> 2 years 5 / 12 22. What is biennial licensure Ans>> A license that must be renewed every other year. 23. Operating a facility without a valid license, knowingly files a false or misleading license is guilty of.. Ans>> Felony of the 3rd degree 24. The applications for a renewal license must be received by AHCA at least days but no more than days before the expiration of the current license Ans>> 60, 120 25. The applicant for initial licensure due to a CHOW must be received by the agency days prior to the date of change of ownership: 60 26. For initial, renewal or CHOW, a facility must file a surety bond for what amount Ans>> $500,000 27. During a CHOW, the transferor shall notify the agency at least days before the change in ownership Ans>> 60 days 28. During a CHOW, the transferee must file an application with the agency days before the change of ownership Ans>> 60 days 29. A provisional license is defined as and limited to.. Ans>> An applicant whom a proceeding denying or revoking a license is pending at the 6 / 12 time of renewal; 12 months 30. Level II background check is required for the following persons.. Ans>> The licensee The administrator The financial officer 7 / 12 Any person with controlling interest Any person providing personal care services directly to a resident 31. A level 2 background check must be submitted how often Ans>> Every 5 years 32. The licensee must inform AHCA not less than days prior to the discon- tinuance of operation and inform clients Ans>> 30 days 33. The agency shall publish a minimum of a day advance notice of a change in the toll-free numbers (complaints, abuse, neglect or exploitative practices; medicaid fraud) Ans>> 90 days 34. A deficiency must be corrected within calendar days after the provider is notified of the inspection results Ans>> 30 calendar days 35. The ALF provider must provide a plan of correction within calendar days Ans>> 10 calendar days 36. Agency reports shall be retained in the records of the provider for how long Ans>> 5 years 37. What type of deficiency affects one or a very limited number of clients or staff, or a situation that occurred in a very limited number of locations Ans>> Iso- lated Deficiency 38. What type of deficiency affects more than a very limited number of clients or staff, or a situation that occurred in several locations by repeated occur- rences Ans>> Patterned Deficiency 39. What type of deficiency represents systemic failure that has the potential to affect 10 / 12 59. T or F: If the facility has 17 or more residents, they must have an awake staff member on duty all hours of the day and night Ans>> True 60. If a facility has fewer than 17 residents they must.. Ans>> Have an awake staff member on duty; or have mechanisms in place to monitor and ensure safety 61. Class III violation fines: $1,000 to $500 62. Class II violation fines: $5,000 to $1,000 63. Class IV violation fines: $200 to $100 64. Class I violation fines: $10,000 to $5,000 65. An event in which personnel could exercise control and results in death; brain or spinal damage; permanent disfigurement; fracture of dislocation of bones; or any event that requires medical attention Ans>> Adverse Incident 66. ALF must provide a preliminary adverse incident report within how many days Ans>> 1 business day 67. ALF must provide a full adverse incident report within how many days Ans>> 15 days 68. Resident contracts must be kept for how long after expiration Ans>> 5 years 69. An AED is required in an ALF with how many beds Ans>> 17 or more beds 70. Who is responsible for determining the appropriateness of admission for a resident Ans>> The administrator 11 / 12 71. If an ALF is holding a residents funds, they must provide reporting to the guardian, trustee, etc how often Ans>> Every 3 months or quarterly 72. T or F: The Administrator must maintain liability insurance at all times Ans>> - True 73. An ALF must provide how many days notice to discharge a resident Ans>> 45 days 74. AHCA inspection reports must be kept on file for how long Ans>> 5 years 75. Prompt fire evacuation: 3 minutes or less 76. Slow fire evacuation: More than 3 minutes, not more than 13 minutes 77. Impractical evacuation: More than 13 minutes 78. Facilities are required to conduct elopement drills per year Ans>> 2 79. CE for ALF Administrators: 12 credits every 2 years 80. What is the minimum number of square feet of living and dining space per resident Ans>> 35 sq. ft. 81. Can a resident choose their own roommate Ans>> Yes 82. Single occupancy rooms shall provide a minimum of how many square feet Ans>> 80 sq. ft. 83. What is the maximum occupancy per bedroom Ans>> 2 persons 84. Multiple occupancy rooms shall provide a minimum of how many square feet per 12 / 12 resident Ans>> 60 sq. ft per occupant 85. Maximum water temperature in an ALF for restroom and bathing is Ans>> 120 degrees F 86. With a standard license, a resident can be bedridden for how many days?- : 7 days 87. Limited Nursing Services shall only be provided by.. Ans>> LPN, RN, ARNP 88. Residents must give the facility at least days notice of termination Ans>> 30 days 89. Administrators and managers must complete CORE training within days/months of being appointed to their position Ans>> 90 days or 3 months 90. 1/2 bedside rails are allowed only if.. Ans>> they are ordered by an MD the resident and/or legal representative signs consent the MD order is renewed bi-annually 91. With a standard license, the sink to toilet ratio is.. Ans>> 1:6 92. With an ECC license, the sink to toilet ratio is.. Ans>> 1:4 93. An 1823 must be completed days prior to admission or days after admission Ans>> 60, 30 days 94. T or F: A limited mental health resident must receive OSS or SSDI 15 / 12 108. With an LNS license, AHCA RN conducts monitoring visits how often Ans>> - annually 109. With an ECC license, AHCA RN conducts monitoring visits how often Ans>> - quarterly 110. With a facility that acts as a Representative Payee, they receive income of the resident's. How large must their surety bond be Ans>> At least 2x their monthly income. 111. What items should be included in the facility's records Ans>> license displayed in a conspicuous place up to date admission and discharge list log listing emergency placement and respite care up to date record of major incident over the last 2 years facility's emergency management plan documentation of radon testing documentation of liability insurance copy of surety bond copy of advertisements if offer Alz care grievance procedure 16 / 12 food service records fire, sanitation and AHCA inspections 112. What items should be included in the staff's records Ans>> copy of original application with references verification with freedom with communicable diseases compliance with required training copies of all licenses or certifications compliance with background checks copy of job description participation in resident elopement drill 113. What items should be included in the resident's records: name, sex, race, DOB, place of birth, ss#, Medicaid/Medicare number, contact info for next of kin, copy of medical examination, orders for medications, nursing services, dies, DNR. 114. The applicant for initial licensure shall.. Ans>> 1. demonstrate financial ability to operate - Assets, Credit and Projected Revenue must exceed projected Liability and Expenses. 2. Submit projected financial statements - balance sheets, income and expense, & statement of cash flows for the first 2 years of operation. 3. Submit a statement of estimated start up costs through break even; applicant must have at min 3 months average projected expenses to cover start up. 115. When discontinuing an operation, the provider must.. Ans>> 1. Make arrange- ments to forward resident records 2. Publish a notice in the newspaper to inform clients about how to obtain their records; must appear at least once a week for 4 weeks 116. The right to report complaints; abusive, neglectful or exploitative prac- tices; medicaid fraud shall be provided to the client when 17 / 12 Ans>> On or before the first day services are provided. 117. A controlling interest shall notify the agency days after a court action to initiate bankruptcy, foreclosure, or eviction proceedings Ans>> 10 days 118. T or F: The agency may not issue a license to a health care provider subject to a CON, if the provider has not been issued a CON or exemption: True 119. Inspections for relicensure shall be conducted how often Ans>> Biennially 120. Are Agency inspection records are available to the public Ans>> Yes 121. T or F: If someone is aware of an unlicensed operation, they are not required to report that provider Ans>> False, they are must report 122. A class I violation shall be abated or eliminated when Ans>> Within 24 hours 123. Can the agency impose a fine that is not a class I, II, III or IV violation Ans>> Yes, but the fine may not exceed $500 for each violation. 20 / 12 143. Training for Assistance with Self-Administered Medication require- ments Ans>> Unlicensed staff assisting with self admin 4 hour class 2 CE hours per year 144. Before providing care, Direct Care Staff should be provided with what training Ans>> Infection Control, Universal Precautions & Facility Sanitation Procedures - 1 hour 145. Within 30 days of employment, Direct Care Staff should be provided with what training Ans>> 1. Reporting major incidents, adverse incidents, & emergency procedures - 1 hour 2. Resident Rights & Abuse, Neglect & Exploitation - 1 hour 3 Resident Behavior & Need & ADLs - 3 hours 146. Safe Food Handling Practices should be completed for staff within how many days Ans>> 30 days 147. Elopement, HIV/AIDS, and DNR training must be completed within how many days Ans>> 30 days 148. Supplemental Security Income (SSI): a person worked a brief period or did not work at all (formal job), points in SSA very low or zero (federal income; Social Security Administration) 149. Optional State Supplementation (OSS): a person who receives SSI and moves into an ALF (state income) 150. Social Security Disability Income (SSDI): a person who has worked a long time (formal job), points in SSA are high; SSA has considered them to have a mental illness, their 21 / 12 level of income from SSA is much higher because of points. 151. A facility must keep resident records for how long Ans>> 2 years 152. A facility must keep a resident contract for how long Ans>> 5 years 153. A facility must keep an AHCA inspection for how long Ans>> 5 years 154. If a facility advertises or has business cards, must include what Ans>> Assisted Living Facility, License #xxxx 155. If a facility serves 3 or more mental health residents they must Ans>> 1. hold a standard license 2. not have any uncorrected deficiencies 3. within 6 months, the administrator and staff in direct contact with mental resident must complete training of no less than 6 hours (provided by Dept. of Children & Family Svcs). Staff are required to do 3 hours of CE every 2 years. 156. A facility does not need to provide a 45 day notice if Ans>> 1. physician requires that resident needs a higher level of care 2. resident engages in a pattern of conduct that is harmful or offensive to other residents 10 / 12 157. T or F: Elopement is considered an adverse incident Ans>> Yes, if it presents the resident at risk of harm or injury 158. A facility can accept a resident who requires administration of medication if Ans>> 1. the facility has a nurse 2. resident's legal rep contracts with 3rd party 159. What is the admission criteria for an ALF Ans>> 1. 18 y/o 2. free of communicable diseases 3. can perform ADLs 4. be able to transfer 5. can take own meds 6. not be a danger to others 7. not require mental health treatment 24 hours/day 8. not be bedridden 9. not have stage 3 or 4 pressure sore 10. not require 24 hour nursing services 160. Contiguous Property: a facility with more than one building under 1 license, separated by no more than a two-lane street that traverses the property 161. A resident may be bedridden for up to how many days Ans>> 7 days 162. A resident must have a face-to-face medical examination by a health care provider how often Ans>> every 3 years after the initial assessment, or after a significant change, whichever comes first. 12 / 12 181. Assisted Living Core Training Requirements: 26 hours of training plus a competency test 12 hours of CE every 2 years 182. T or F: A facility is not required to have a staff member trained in First Aid and CPR at all times Ans>> False 183. Hospice services are allowed in an ALF and coordinated through the development of what Ans>> Interdisciplinary Care Plan 184. Which of the following is not an antipsychotic medication? Haldol, Mellaril, Lithium, Thorazine: A: Lithium 185. Define Assisted Living Facility: any building or buildings, section or distinct part of a building, private home, boarding home, home for the aged, or other residential facility, whether operated for profit or not, which undertakes through its ownership or management, to provide housing, meals, and one or more personal services for a period exceeding 24 hours to one or more adults who are not relatives of the owner or administrator. 186. The ALF capacity is the of residents the ALF licensed to care for Ans>> - number 13 / 12 187. Resident records for mental health residents (LMH license) must include:- : 1. documentation by DCF within 30 days; receiving SSD or SSI, OSS 2. An 1823 3. Community Living Support Plan within 30 days or 30 days after placement in ALF 4. Cooperative Agreement within 30 days 188. How long can a resident be bedridden with an ECC license Ans>> 14 days 189. T or F: With an ECC license, nursing service may be performed within the scope of their license including 24 hour nursing supervision and total help with ADLs Ans>> True 190. With an ECC license and once admitted, a new health assessment must be obtained how often Ans>> annually 191. Distance requirement 1-6 residents: 1000 ft. radius 192. Distance requirement 7-14 residents: 1200 ft. radius 193. Nutrition and Food Service Continuing Education Requirements: 2 hours of CE every year 194. Stand License Services: assistance with self med or admin meds; vital signs; manage pill organizer; prepackaged enemas, catheters (no insert or remove); resi- dent self maintain o2; stage 2 pressure sore (no 3 or 4) 195. Limited Nursing Services: any service under standard license; passive range of motion; ice caps or collars; apply heat related things; cut toe nails; ear and eye irrigations; urine dipstick; replace indwelling urinary catheter; digital stool therapy, care for casts, braces and splints; conduct nurse assessments; for hospice residents 24 hour supervision and total help with ADLs, anti-embolism stockings, portable o2, nerve stimulator; colostomy 196. ECC: Any nursing service within the scope of nurse's license; total catheter care; any 14 / 12 o2 service; feeding tube except nasogastric; hospice residents 24 hour supervision and total help with ADLs; 197. ECC Training Requirements - Initial: 4 hours 198. ECC Training Requirements - Cont. Ed: 4 hours every 2 years 199. LMH Training Requirements: Provided by DCF within 6 months of licensure or 6 months of employement 6 hours; 3 hours CE 200. What are the 5 types of surveys by AHCA: initial, standard, abbreviated, complaint and followup