FLORIDA ALF CORE EXAM 225 QUESTIONS COMPLETE WITH CORRECT ANSWERS 2023-2024 GRADED A, Exams of Nursing

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FLORIDA ALF CORE EXAM 225 QUESTIONS

COMPLETE WITH CORRECT ANSWERS

2023 - 2024 GRADED A

When outside temperatures are 65°F (18°C) or below, you must maintain a temperature of at least:- when they are awake - ANS________________ an indoor temperature of at least 72°F (22°C) shall be maintained During night hours when it is 65 degrees or cooler what temp must it be inside? During the day? - ANS________________ 68 degrees 72 degrees When it is hotter than 90 degrees- what temp must remain inside at night and day? - ANS________________ 81. What is the min sq ft required of living and dining space per resident if the facility is not comprised of apartments? - ANS________________ 35 sq ft Those facilities also serving as adult day care centers must provide an additional 35 sq ft of living space per adult day care client? true or false - ANS________________ True IF you also serve as an adult day care center how much extra space per resident must you have? - ANS________________ extra 35 sq ft how much usable floor space , not including closet or bathroom should be provided to a single occupancy? - ANS________________ 80sq ft how much usable floor space , not including closet or bathroom should be provided to a double occupancy? - ANS________________ 60 sq ft per person how many toilets,sinks, and bathtubs must there be per person must there be for all residents, live in staff and family members. FOR A ALF and ECC - ANS________________ 1 per 6 people 1 per 4 people when you have 16 or less residents, do you have to maintain an accessible telephone in each building, have job descriptions or have staff awake at night? - ANS________________ No you do not if we furnish an apartment, it must have the following: - ANS________________ bed, no smaller than 36 inches wide and 72 inches long, a closet or place to hang clothes, a table or nightstand, lamp, waste basket and comfortable chair if requested. how many elopement drills per year must ALF's do - ANS________________ 2

Staff that provide direct care or regular contact with reisdents residing in secured areas must complete what level of training? - ANS________________ Level 1 Alzheimer's training If you have 16 or less residents, do you have to have a accessible phone, job descriptions or staff up at night? - ANS________________ NO when should the initial fire safety evac capability be completed? - ANS________________ with in 6 months after the date of licensure how often must the drill be done by the local fire marshal or authority? - ANS________________ once a year how many fire drills on site must be done if you have fire sprinklers? - ANS________________ 4 times a year What level back ground screening must the key members of the team have? - ANS________________ level 2 who are the key people: - ANS________________ The licensee holder, if an individual The administrator for day to day operation The financial officer Anyone who is a controlling interest any person who has a license that will be working with clients change of ownership- all funds on deposit, resident trust funds must be transferred to the applicant? - ANS________________ yes what is a conditional license? - ANS________________ if the facility is found to have uncorrected violations that the community has not had a chance to correct If transfer or relocation is needed due to NON emergency reasons such as: adjudicated mentally incapacitated. how many days must the guardian be given? - ANS________________ 45 days in writing Are facilities allowed to go over their resident capacity for a RESPITE care? - ANS________________ NO , they are counted on the census what exception is there to this rule of not going over capacity? - ANS________________ emergency shelter as long as it will not jeopardize the safety of any individual , needs can be met, facitliy reports it to the agency with 48 hours. maintains a log Advertising: is a telephone directory considered advertising? - ANS________________ NO

what is contiguous property - ANS________________ facility that consists of more than one building under one license must be on contiguous property- separated by no more than a two-lane street that traverses the property. A copy of the annual fire safety and sanitation inspection must be submitted how ofter to the central office and within how much time? - ANS________________ annually, no later than 30 calendar days what agency is responsible for inspecting, food hygiene and sanitary practices? - ANS________________ County health department who is responsible for fire safety? - ANS________________ state fire marshal or local authority having jurisdiction who is responsible for inspection all license applicants and licensed facilities in all other matters regulated by this rule chapter? - ANS________________ the agency how many days notice must a license give AHCA if they will be selling their facility? - ANS________________ 60 days prior to transfer For advertising purposes what must be on the advertisement? - ANS________________ Assisted living facility # how often must a license be renewed? - ANS________________ every two years 58 A refers to what? - ANS________________ Florida Building code and uniform fire safety standards for ALF"s physical standards if you have more than 2 people being cared for on a 24 hour basis, do you have to have a license? - ANS________________ yes what grade felony is to operate without a license? - ANS________________ 3rd degree in order for existing facilities to receive an ECC they must have no class ____ violations? - ANS________________ class one or class 2 true or false, with a resident's permission, a facility whose owner, administrator, or staff, or representative thereof, serves as the representative payee or attorney-in-fact for facility residents, does not need to maintain a surety bond. - ANS________________ false Can residents trust funds be held in one account? - ANS________________ Yes can one surety bond be given for two communities in the same state? - ANS________________ yes

If the facility provides safekeeping for money or property; holds resident money or property in a trust fund; or if the facility owner, administrator, or staff, or representative thereof, acts as a representative payee; how often must the facility must provide a statement detailing the income and expense records? - ANS________________ quartley If the facility owner, administrator, or staff, or representative thereof, serves as a resident's attorney-in-fact, the resident shall be given, on an annual basis, a written statement of any transaction made on behalf of the resident. - ANS________________ false- statement provided monthly If serving as representative payee: The minimum bond proceeds must: - ANS________________ a. equal twice the average monthly aggregate income or personal funds CorrectCorrect. How often must a facility submit a copy of the bond with the AHCA central office? - ANS________________ Upon the annual issuance of a new bond or continuation bond How much money/personal belongings can be kept on behalf of the resident? - ANS________________ 200 personal funds /500 in personal property How many days after hiring a new employee must they have written notice that they have no communicable diseases? - ANS________________ 30 days , no early than 6 months prior How often is TB done? - ANS________________ annualy Community with 17 or more people, what must they have? - ANS________________ written job descriptions and time sheets and level 2 back ground How often do you have to rescan for background? - ANS________________ every five years within how many days must you tell the agency if you change administrators? - ANS________________ 10days How many days can you serve as a administrator without having your license? - ANS________________ 90 days what is the max amt of facilities one can manage on one property? - ANS________________ 3 how many hours of continuing ed must u have and how often? - ANS________________ 12 hours every two years Number of Residents Staff Hours/Week

0 - 5 168

6 - 15 212

16 - 25 253

26 - 35 294

36 - 45 335

46 - 55 375

56 - 65 416

66 - 75 457

76 - 85 498

86 - 95 539 - ANS________________ ...

No staff member shall be in charge of a facility for a consecutive period of __days or more, or for a total of __days within a calendar year, without being an administrator or manager. - ANS________________ 21/ 60 can the administrators hours be counted as hours towards min? - ANS________________ yes, as long as they are active in the day to day how long must orientation be? - ANS________________ 2 hours in addition to 2 hours orientation you must have what other training? - ANS________________ 1 hour in-service training in infection control, including universal precautions, and facility sanitation procedures before providing personal care to residents. 1 hour in-service training in infection control, including universal precautions, and facility sanitation procedures before providing personal care to residents. (d) Staff who provide direct care to residents, other than nurses, CNAs, or home health aides trained in accordance with Rule 59A-8.0095, F.A.C., must receive 3 hours of in- service training within 30 days of employment that covers the following subjects: - ANS________________ 1. Resident behavior and needs.

2. Providing assistance with the activities of daily living. thoes handlimg food must have? - ANS________________ 1 hour safe food handling practices what are two things all staff must be trained on? - ANS________________ elopement and HIV and communicable diseases ECC training requirements - ANS________________ core training and 4 hours of initial training in ecc care within 3 months of beginning employment any staff preforming ecc care must have - ANS________________ 2 hours of inservice training LNS must have - ANS________________ 6 hours of specialized training

alz and dementia training - ANS________________ 4 hours of initial training for anyone that has "regular contact" not just caring for them- this is called Level 1 ADRD training (Alzheimer's disease and related disorders DNR training - ANS________________ Administrator, managers and direct care staff must have one hour on DNR training when your staff completes their training, what must they do? - ANS________________ Keep copies in their file with the following: Titlte of training program the subject matter training program agenda number of hours trainee's name, date and location Trainors name, signature and credentials (lic numb etc) how soon should a fire and safety evacuation capability be done for a new facility? - ANS________________ 6 months how fast do you have to evacuate people - ANS________________ three minutes or less is prompt more than three no more then 13 is slow more than 13 impractical after 1996 what must all facilities have- except for those housing less than 8 people? - ANS________________ fire sprinklers if you are 8 or fewer people and you are considered impractical to evacuate, do you have to install a fire sprinkler? - ANS________________ YES if you do not have fire sprinklers, how often must you preform drills? - ANS________________ monthly or 12 a year a community that has sprinklers must have drills how often? - ANS________________ 6 a year , one every two months, - 2 of them must be conducted at night if you are in compliance with other fire safety, can you get out of doing the night drill? - ANS________________ Yes how often must you do elopement drill - ANS________________ 2 time a year what must be included in an emergency plan? - ANS________________ provision for all hazards provision for the care of those remaining during, provision for the care of those evacuated

resident records, transportation, sheltering, supplies, staffing, emergency equipment and meds Identification of residents with alz disease, mobility limitation identification and coordination with the local emergency management agency post disaster activities identification of staff if the emergency management agency wants a change made to your plan when does it need to be turned back in? - ANS________________ 30 days how often do you send changes? - ANS________________ annually can the facility provide shelter if it is over their occupancy number? - ANS________________ yes as long as it is reported and lfe safety is not jeopardized, immediate needs of residents must be met. log must be kept what is considered a major incident? - ANS________________ Death, missing person, injury that requires a health care provider, fire, natural disaster, disruption of normal activities what is an adverse incident? - ANS________________ 3 questions must be answered yes, basically where the community was involved with this happening - if you answered No to all three, it is considered a Major incident what is automatically defined as adverse? - ANS________________ abuse, neglect, exploitation or if someone filed a report to the law enforcement, elopement how soon must this be reported? - ANS________________ 1 busines day or 15 calendar days full report how is this reported? - ANS________________ filed online true or false You should always place a copy of the incident report in the residents medical records. - ANS________________ false t/f If you make a mistake, you may use "white out" to correct it. - ANS________________ false cross out and wirte error above it How many facilities may an administrator supervise at any give time? - ANS________________ 3 From the date an employee begins work as an administrator or manager, how much time do they have to complete the assisted living facility core training requirements? - ANS________________ 3 months Unlicensed persons who provide assistance with self-administered medications and have successfully completed the initial 4 hour training, must obtain... -

ANS________________ minimum of 2 hours of continuing education training on the subject every year What is the continuing education requirement for the administrator and the extended congregate care supervisor, if different from the administrator? - ANS________________ The correct answer is: a minimum of 4 hours of continuing education every two years in topics relating to the physical, psychological, or social needs of frail elderly and disabled persons, or persons with Alzheimer's disease or related disorders. The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive: - ANS________________ 3 hours continuing ed t/f- When there is a change of ownership of an assisted living facility you have 45 days prior to the change to inform the agencies central office. - ANS________________ false written 60 days t/f- ]]Administrators and managers shall participate in 12 hours of continuing education in topics related to assisted living every 2 years as provided under Section 429.52, F.S. - ANS________________ true The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive: - ANS________________ 3 hours t/f The administrator or person designated by the administrator as responsible for the facility's food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. - ANS________________ tre The administrator and extended congregate care supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility's receiving its extended congregate care license or within 3 months of beginning employment in the facility as an administrator or ECC supervisor.> - ANS________________ true t/f uccessful completion of the assisted living facility core training is not a prerequisite for the initial 4 hour ECC training.1. A minimum of 6 hours of specialized training in working with individuals with mental health diagnoses. - ANS________________ false t/f The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive the following training:

• ANS________________ true

t/f Facility staff who provide direct care to residents with ADRD must obtain an additional 4 hours of training, entitled "Alzheimer's Disease and Related Disorders Level II Training," within 9 months of employment. - ANS________________ true Facility staff who have regular contact with or provide direct care to residents with ADRD, shall obtain 2 hours of initial training within 3 months of employment. - ANS________________ false- 4 hours, within 3 months t/f Direct care staff of a facility which advertise that they provide special care for persons with ADRD, or who maintain secured areas that shall participate in 4 hours of continuing education annually. - ANS________________ true t/f An existing, unsprinklered ALF's monthly fire exit drills must be completed four times per year on each new shift. - ANS________________ true what must be included on admission sheet? - ANS________________ pressure 2 bed sores must be noted Facalites must have the following Readily availble for review by the agency? - ANS________________ 1.) resident records 2.) list of residnets, resipite, admission sheet and discharge sheet, residents out on emergency 3.) emergecy plan 4.) elopment procedure 5.) Food plan 6.) santation 7.) liabilty insurance policy 8.) copy of surety bond 9>) admission pkt/ advertisting info for MC 10.) fire saftey inspection 11.) records of ecc, lns and lms employee records must have? - ANS________________ 1.) proof of elopment training 2.) Level 2 back ground test 3.) written hours of entire staff 4.) staff training and continuing ed 5.) job description for 17 or more staff 6.) state licenes if they have one do you have to have employee records for contract labors? - ANS________________ no Do you have to have a copy of the contract of an outside contractor hired? - ANS________________ yes how long do you keep resident contracts? - ANS________________ five contracts

weight must be recoded how offten if resident is being assisted with ADL's? - ANS________________ semi - annualy what is OSS? - ANS________________ optional state supplementation how many days notice must the facility give if they will be moving residents items or taking a portion of the residents deposit? - ANS________________ 14 days if a resident has a stage 2 wound, how long can they have that wound and remain in an ALF? - ANS________________ 30 days how many days do you have to refund deposit? - ANS________________ 45 days if facility fail to adhere to refund policy, how much can the agency charge the facility in a fine? - ANS________________ 3 times the amount due how often must a nursing assesment be done for sommeone under LNS? - ANS________________ montly What must you have for med managment log? - ANS________________ bottle OR presription number doseage pharmacey that dispensed doctor name and strenght date dispensed directions MOR? - ANS________________ Medication observation record what must be on he MOR - ANS________________ known allergies dose taken medication refused time taken health care provider missed dosage signiture of person admistrating if a chemical restraint is being used, how often must a physician review the medication and client? - ANS________________ annualy hiow many years must you keep a record of major adverse incidents - ANS________________ 2 years do you have to keep record of when a radon test was conducted? - ANS________________ yes

All completed survey, inspection and complaint investigation reports, and notices of sanctions and moratoriums issued by the agency must be kept for how many years? - ANS________________ 5 yrs The facility shall maintain the facility's written work schedules and staff time sheets as required for how long? - ANS________________ 6 months t/f Personnel records for each staff member shall contain, at a minimum, a copy of the original employment application with references furnished and verification of freedom from communicable disease including tuberculosis. - ANS________________ true t/f You need to include documentation of the appointment of a health care surrogate, guardian, or the existence of a power of attorney in the resident records and include it with the emergency plan. - ANS________________ false Each mental health resident and the resident's mental health case manager shall, in consultation with the facility administrator, prepare a plan within 30 days of the resident's admission to the facility or within (???) days after receiving then appropriate placement assessment - ANS________________ 30 A mental health cooperative agreement. The mental health care provider for each mental health resident and the facility administrator or designee shall, within 30 days of the resident's admission to facility or receipt of the resident's appropriateplacement assessment, whichever is later, prepare a written statement which includes all te following EXCEPT: - ANS________________ d. Doesn't need to include the Community Living Support Plan described in subparagraph 3. Missing documentation shall not be considered a deficiency if the facility can demonstrate that it has made a good faitheffort to obtain the required documentation from the Department of Children and Family Services, or the mental health care provider under contract to provide mental health services to clients of the department. Facilty records should include: - ANS________________ a. Ahca's central agencies phone number. b. A grievance procedure for receiving and responding to resident complaints and recommendations c. A log of all visitors who have entered the facility in the past 6 months. d. All the above. Incorrect A copy of the facility's resident elopement response policies and procedures should be : - ANS________________ in the admission policy If the resident's possessions are not claimed within ??? days after notification, the facility may dispose of them. The contract shall also specify any other conditions under which claims will be made against the refund due the resident. Except in the case of death or a discharge due to medical reasons, the refunds shall be computed in accordance with the notice of relocation requirements specified in the contract.

However, a resident may not be required to provide the licensee with more than 30 days' notice of termination - ANS________________ 45 days Limited mental health records should include all the following EXCEPT: - ANS________________ a. Documentation, provided by the Department of Children and Family Services within 45 days of the resident's admission to the facility, that the resident is a mental health resident. Documentation that the resident is receiving socialsecurity disability or supplemental security income, optional state supplementation, and any of the following shall meet this requirement. b. An affirmative statement on the Alternate Care Certification for Optional State Supplementation (OSS) Form, CFES 1006, March 1998, that the resident is receiving SSI/SSDI due to a psychiatric disorder. c. Written verification provided by the Social Security Administration that the resident is receiving SSI or SSDI for a mental disorder. Such verification may be acquired from the Social Security Administration upon obtaining a release from the resident permitting the Social Security Administration to provide such information to the Department of Children and Family Services. d. A written statement from the resident's case manager that the resident is an adult with severe and persistent mental illness. The case manager shall consider the following minimum criteria in making that determination. Incorrect A is the answer how many days prior can an assessment have been done for placement? - ANS________________ 60 days how soon do we have to have 1823 form? - ANS________________ 30 days after placement if a governmental agency places someone can the assessment be completed after move in? - ANS________________ no, before move not more than 30 days prior If Cares agency places someone can their assessment be used? - ANS________________ yes if a resident is places for emergency purposes, does an assessment have to be completed? - ANS________________ no can a community go over capacity to house someone on an emergency basis? - ANS________________ no how often must a face to face assessment be done for continued residency? - ANS________________ 3 years or after a significant change if a resident is terminaly ill, how can they stay in the facility? - ANS________________ an interdiciplinary care plan must be completed in the facilty and added to their file

how many days notice must be given to a resident that no longer meets criteria? - ANS________________ 45 days if a rsident is receiving state funds, can they receive addtional funds to pay for care? - ANS________________ The additional supplementation shall not exceed two times the provider rate recognized under the optional state supplementation program. Parishable items that are potentiall hazardous food requring refrigeration shall be raidly cooled to ____ degree - ANS________________ true What temp should meat be cooked to - ANS________________ 155 F for at least 15 seconds what tempt should stuffed meats be cooked to - ANS________________ 165 What temp should eggs and fish be cooked to - ANS________________ 145 What temp should frsh frozen or canned fruits and vegetables that are cooked for hot holdign be cooked to? - ANS________________ 140 Raw animale food in microwave shall be cooked to - ANS________________ 165 how many inches above the floor must food be kept - ANS________________ 6 inches how many days of supply of non-perishable food must a facility have on hand? - ANS________________ 3 days What temp should left overs be cooked to - ANS________________ 165 T/F do no kee eggs at room temp for more than 2 hours - ANS________________ Ture A community must offer 6 ounches in 2 or more servings a day? - ANS________________ True Facilites must offer 3-5 servings a day - ANS________________ Ture A facility must ofer 2-4 servings of fruit per week? - ANS________________ False- 2 - 4 a day How many starches must you serve per day - ANS________________ 6- 11 how often must a menu be reviewed by a dietician - ANS________________ annualy

=no more than how many hours shall elapse between the end of an evening meal and beginning of a morning meal - ANS________________ 14 Do portions have to be used on menus? - ANS________________ yes how far in advance must menus be posted to residents - ANS________________ one week staff must receive how much training and how soon - ANS________________ 1 hr, 30 days do ear nose and eye medicine need to be kept separate? - ANS________________ yes when a medication is discontinued , what do you have to do? - ANS________________ write date and doctor that diconuted and write discontinued, keep separate from their other meds separate, discontinued drawer can you reuse a script if doctor reorders it? - ANS________________ yes how many days are medications considered abandoned? - ANS________________ 15 days when you dispose of meds do you have to make note in residents file? - ANS________________ yes how soon before meds run out must they be re-ordered? - ANS________________ 7 days mor - ANS________________ medication observation record PRN - ANS________________ as needed medication T/F Only a scored tablet may be broken in half. - ANS________________ True how many days and hours must you have activities? - ANS________________ least 6 days a week for a total of not less than 12 hours per week if a resident helps plan an activity can that be counted towards hours? - ANS________________ yes- 3 hours PIES? - ANS________________ Physical, intelectural, emotional, social and spiritual T/F facility with a standard license may give prepackaged enemas pursuant to a physician's order. - ANS________________ false

staff that provide special care to alz residents must have howmuch training within how much time- - ANS________________ 4 hours of initial dementia-specific training developed or approved by the department. staff that provide direct care to alz residents must have howmuch training within how much time- - ANS________________ must complete the required initial training and 4 additional hours of training developed or approved by the department. The training shall be completed within 9 months after beginning employment and shall satisfy the core training requirements of s. 429.52(2)(g). An individual who is employed by a facility that provides special care for residents with Alzheimer's disease or other related disorders, but who only has incidental contact with such residents, - ANS________________ at a minimum, general information on interacting with individuals with Alzheimer's disease or other related disorders, within 3 months after beginning employment. In addition to the training required under subsection (2), a direct caregiver must participate in a minimum of ___ contact hours of continuing education each calendar yea - ANS________________ 4 staff with regular contact must have how much training? - ANS________________ level 1 how long can they keep you you against your will under baker act - ANS________________ 72 hours LNS training - ANS________________ minimum of 6 hours of specialized training in working with individuals with mental health diagnoses how many days does the agency have to give you the deficiency? - ANS________________ 10 days can the agency require you to hire a contract the services of a pharmacist licensed pursuant to Section 465.0125, F.S., or registered nurse or dietician? as determined by the agency. - ANS________________ yes, If a class I, class II, or uncorrected class III deficiency directly relating to facility medication practices as established in Rule 58A- 5.0185, F.A.C., is documented by the agency pursuant to an inspection of the facility, how soon does the agency have to come back after a violation? - ANS________________ F.S., the initial on-site consultant visit must take place within 7 working days of the notice of the class I or II deficiency and within 14 working days of the notice of an uncorrected class III defic how many days after visit do they have to give you signed review? - ANS________________ 10 days

a) Class "I" violations are defined in s. 408.813. The agency shall impose an administrative fine for a cited class I violation in an amount - ANS________________ not less than $5,000 and not exceeding $10,000 for each violation. Class "II" violations are defined in s. 408.813. The agency shall impose an administrative fine for a cited class II violation in an amount - ANS________________ not less than $1,000 and not exceeding $5,000 for each violation. Class "III" violations are defined in s. 408.813. The agency shall impose an administrative fine for a cited class III violation in an amount not less than $500 and not exceeding $1,000 for each violation. - ANS________________ amount not less than $500 and not exceeding $1,000 for each violation. Class "IV" violations are defined in s. 408.813. The agency shall impose an administrative fine for a cited class IV violation in an amount - ANS________________ amount not less than $100 and not exceeding $200 for each violation. Any facility whose owner fails to apply for a change-of-ownership license in accordance with part II of chapter 408 and operates the facility under the new ownership is subject to a fine of - ANS________________ $ In addition to any administrative fines imposed, the agency may assess a survey fee, equal to - ANS________________ the lesser of one half of the facility's biennial license and bed fee or $500, Culture change is about: - ANS________________ creating home b. creating community c. staff empowerment Approximately how many Americans are affected by Alzheimer's Disease/Dementia today? - ANS________________ 5 million Dyskenesias are: - ANS________________ involuntary An example of Parkinson's symptoms may be: - ANS________________ sleep disturances Levodopa is: - ANS________________ most comonly prescribed The most current surgery for PD is called: - ANS________________ deep brain stimulstion

how many hours at a minumum are residets permitted to have private conversations /guests/ phone etc? - ANS________________ 9am - t0 9:pm on the off year when you are not survyed-does the agency have to come visit? - ANS________________ yes, if there was a class 1, 2 or 3 violition how many days must be given for non emergency termination? for alf and daycare - ANS________________ 45 day/30 days ltcoc? - ANS________________ longterm care obdsman council How many days written notice do you give to a resident that you are being forced to store their items and there will be a charge to move the items? - ANS________________ 14 days How many days after items are being stored can you dispose of them? - ANS________________ 45 days How many days does the facility have to refund a deposit? - ANS________________ 45 days what four things do you have to send aHCA annually - ANS________________ Annual department of health, annual fire , surety (it applies) and liability insurance Is a bed hold a re-admission - ANS________________ No Nursing progress notes - ANS________________ Can only be done under a lns or ECC. List of services other than meds and vitals. Unscheduled service need - ANS________________ Need for for personal service, nursing service, That cannot be predicted in advance that must be met properly turn sure that the health safety and welfare of the resident is preserved Change of owner what happens to deposits? - ANS________________ Must be transfers to the applicant Conditional license - ANS________________ Conditional license is issued if at the time of renewal there are uncorrected violations that the facility has had the opportunity to correct. If you have an oss resident what type of license must you have? - ANS________________ Lmh Contiguous property - ANS________________ Facility consist of more than one building all buildings included under a simple license must be considered as property meaning not be separated by no more than a 2 Lane St. that transverse is the property

How many days plus the aspect has been submitted? - ANS________________ 30 days For people receiving state funded services what must you update annually? - ANS________________ 1823 and list of residents receiving funds administration of medication must be done by - ANS________________ A nurse As a resident starts having trouble taking her own medications do you have to alert their health care provider? - ANS________________ Yes How many days prior can you obtain an 1823 - ANS________________ 60 day's How many days after must you obtain an 1823 if they don't have one done prior - ANS________________ 30 Medication technicians or unlicensed persons must have how many hours of training and how much continuing education? - ANS________________ 6 hour and 2 hours annually Food and safety standards designated person- must complete what? - ANS________________ Either the core class, food and nutrition services module prior to assuming responsibility How many hours of continuing education must a designee of the food service standards complete? - ANS________________ 2 hours annually If you have 16 or fewer residents do you have to provide standardize recipes? - ANS________________ No How far in advance must menus be dated and planned? - ANS________________ At least one week How long was you keep record of substitutions and food? - ANS________________ 6 months Times between meals - ANS________________ no more than 14 hours between the end of an evening meal and the beginning of a morning meal. Not less than two hours not more than six hours between the end of one meal and the bee another next How long do you have to keep copies of the inspection reports by the county health - ANS________________ 2 years