Download FLORIDA ALF CORE TRAINING EXAM Expected Questions and Answers (Verified Answers) and more Exams Training and Development in PDF only on Docsity! 1 / 14 FLORIDA ALF CORE TRAINING EXAM Expected Questions and Answers (Verified Answers) 1. All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency? Ans>> The Agency for Health Care Administration 2. The licensing procedures have been established to comply with Ans>> Chapter 429, Part I, F.S. and Chapter 59A-36 of the Administrative Code 3. Top Care ALF has been in business for over 30 years. They have hired many staff members and have recently been faced with a need to hire more care- givers because the resident census increased during the month of November. Top Care ALF's administrator, who has taken the CORE training, is providing the 2 hours orientation training because the newly hired staff have not taken the . Ans>> ALF 26 Core Training 4. The facility received an uncorrected Class III deficiency for non-compliance with medication for the third time in the calendar year. The administrator found herself making corrections as required. The agency corrective plan required that 2 / 14 the operator hire a consultant to assist with deficiency. The administrator was informed by the Agency that the consultant is to remain in place until cleared by the agency Ans>> Registered Nurse or a Pharmacy 5. On July 7 , 2018, there was a fire at Long Wind ALF located in Tallahassee. The fire broke out at about 3am in the morning. Both the residents and the staff were asleep during the time the fire broke out. The facility was not cited for the staff sleeping because there was an alarm that rung, and the staff was able to immediately step into action to save lives. The facility had a licensed capacity. Ans>> less than 17 6. The administrator received an announced visit from the Agency on May 12, 2018 at 9 Ans>>03am. When they arrived, they found her husband with the residents and no staff was on duty as her husband was acting administrator and staff. When the agency asked for him to provide his employee folder, his response was, "I am her husband and I am 50 percent owner, I gave her the money to open the business." The agency agent repeated the request for an employee file. The husband needed at least the following to have direct contact with the residents. Ans>> Eligible Level II, Application on file and free of TB and Communicable disease 5 / 14 of the Attorney General, the state or local Fire Marshall or representative of the long term care ombudsman council shows up to the facility, the owner or administrator cannot refuse the visit because they have the Ans>> Right of entry and inspection 14. Barbara was appointed as a new administrator because of the relative dying unexpected. Her relative was the administrator and now Barbara finds herself as an acting administrator, carrying out the duties that she learned from her relative. She now has days to take the ALF CORE and pass the exam. Ans>> 90 days 15. Bob and Mary's ALF received an unannounced bi-ennial survey visit. The facility has an Limited Nursing Service specialty license. The inspectors were an unlicensed agent and a nurse. The nurse requested to see the resident's progress notes that should have been done on a basis. She also asked to see the nurse with the facility since they had the LNS license. Ans>> monthly, license 16. A standard license includes Ans>> The facility must provide housing, meals and one or more personal services for a period exceeding 24 hours 6 / 14 17. An Emergency Management Plan includes Ans>> Separate plans prepared for each emergency Any emergency internal or external to the facility A plan for fire, tornadoes, hurricane, flood, and electrical failures 7 / 14 18. All of the following activities can be counted toward social and leisure activities EXCEPT Ans>> Watching television 19. The facility did not have any food in the fridge when AHCA arrived to conduct an unannounced inspection. When the agent was conducting the exit interview, she stated that the facility will be receiving a Class I violation, resulting in a fine of Ans>> Ans>> $10,000.00 20. The administrator received a call from the local hospital regarding a potential referral. When asked what is the admission age, the administrator responded? Ans>> 18 years old 21. The medical doctor conducted a face to face for the resident at the As- sisted Living Facility to complete the three-year assessment that is due after the initial health assessment that is conducted either before or within 30 days after the admission to the facility. What type of facility would best describe where the resident resides? Ans>> Standard with LNS 22. The facility provided the family member with a notice when it was determined that the resident can no longer age in place at the facility. The family member told the administrator that she would hire a private nurse to provide the extra care that could not be provided by the ALF staff. The administrator stated that she must carry out the request for a discharge because 10 / 14 30. Exploitation is when Ans>> It has been determined that a staff has been financially manipulating a resident 31. It has been verified that the resident was being deprived of his medication. Which of the following would you report to the abuse hotline? Ans>> Neglect 32. Family and friends can visit your facility, according to the Residents Bill of Rights, during to . When a resident is deprived of this visita- tion during these hours the administrator is violating the resident's rights. Ans>> - 9am-9pm 33. The food director is to ensure that the resident's meals are cooked ac- cording to the menu prepared by the to avoid food adverse incidents. Ans>> dietician 34. Resident does not like the decorations at the ALF. What should the Admin- istrator do? Ans>> Consult with the resident to get ideas and change them. 35. The resident gave his 30 days' notice as described in the contract. The administrator informs him that she will not refund his money as he did not obey all the rules. The administrator's reasoning was not in the contract. The resident decided to call the number that is posted on the bulletin board at the facility because it reads that they advocate for the residents in long term care facilities. Who did the resident call Ans>> 11 / 14 Ans>> Ombudsman Council 36. Which of the following is not required when applying for license Ans>> Picture of facility 37. When should your staff NOT follow the chain of command Ans>> During a fire 38. The inspector visited the facility to conduct an unannounced visit, the first thing that they may want to see is your ? Ans>> Your posted license 39. The facility conducts a fire drill 6 times per year (every other month). What does this mean about the facility? Ans>> The facility has a sprinkler system installed. 40. Resident's record must contain the following information Ans>> Next of Kin, name, address, phone and relationship 41. All regular and therapeutic menus to be used by the facility must be re- viewed by a licensed or registered dietitian, a licensed nutrition- ist, or a registered dietetic technician supervised by a licensed or registered dietitian, or a licensed nutritionist to ensure the meals meet the nutritional standards Ans>> annually 42. The facility's direct care staff was able to take the residents blood glucose test because the facility had a certificate. Ans>> CLIA 43. Who is the representing guardian for a resident referred from the state Ans>> - 12 / 14 DCF 15 / 14 59. In which of the following facilities is it required to use an interdisciplinary care plan and service plan? Ans>> Extended Congregate Care 60. A daughter brings her mother to your standard facility and the daughter states, "My mother has mental health issues, I know it, I know it" and the 16 / 14 mother is not receiving OSS. What can you recommend? Ans>> She can stay in the standard facility. 61. Margaret the daughter visited a standard ALF to place her mother who has dementia. Which is the best facility for her? Ans>> Standard ALF 62. After trained staff has assisted and observed resident take his medication, where should the staff record it? Ans>> MOR 63. A hospice resident MUST have Ans>> an Interdisciplinary plan a Service Plan 64. A 32 bed facility staff record must include all the following EXCEPT Ans>> blood type 65. A stage 2 pressure sore resident can be admitted to an ALF if there is a and a . Ans>> prescription order and a care plan 66. What is the danger zone in food preparation Ans>> 40 degrees to 140 degrees 67. What can you do if a resident refuse to eat and his medication requires a meal before taking the medication? Ans>> Report it to the doctor immediately 68. What is the minimum number of hours allowed between meals Ans>> 2 hours 69. How frequently do you need to revise your menus? 17 / 14 Ans>> annually 70. The administrator manages three facilities currently. She wants to own the facility on 56th and Parkway; what can she do? Ans>> Purchases the facility. 71. Regardless of the outside temperature, the inside temperature must be?- Ans>> 72 degrees 72. What is the time measurement for a SLOW evacuation capability? Ans>> over 5 min 73. How many days does an owner have to notify AHCA for change of admin- istrator Ans>> 10 days 74. AHCA wrote the applicant about the omission to their submitted applica- tion and it stated that they have day to return the corrections. Ans>> 21 75. The resident has 30 days to inform you that he or she is leaving the facility, you have days to inform them. Ans>> 45 days 76. Ms. Clara and her husband decided they are ready for retirement after operating an ALF for the past 15 years. They have decided to sell it to their daughter and son in-law. The daughter and her husband are considered and Ms. Clara and her husband are considered . Ans>> New owners and Old owners 77. Ms. Barton was operating a facility that had 5 residents as maximum 20 / 14 Ans>> Grievance 85. How long can a resident wait to eat from the night before to the morning?- Ans>> 14 hours 86. Ms. Jones admitted an additional mental health resident to the facility with a limited mental license. She asked the social worker to come to the facility and bring the two required documents. Ans>> Community Living Support Plan & Cooperative Agreement 87. At Ms. Jones facility, there was a tragic accident that resulted in the death of a resident. The roof caved in and killed a resident and injured 3 other residents. Ms. Jones was told to repair the roof and neglected to do so. What Class violation is Ms. Jones most likely to receive? Ans>> Class 1 88. Ms. Jones was ordered by her county official to install a sprinkler system because she had 3 to many evacuation readings, which is the worst of the three evacuation capability readings. Ans>> Impractical 89. What is the maximum amount that the CORE exam can be, according to F.A.C 59A-36. Ans>> $200 90. Who is the best person who can administer medication at a facility to a resident who is not incompetent? Ans>> Resident 21 / 14 91. Where is the best place for resident's medication to be kept at a facility? Ans>> In a locked, central location where only a trained staff can access the medication 22 / 14 92. When should a facility have their biennial application at the Agency? Ans>> 60 days before expiration 93. What is the definition of a nurse? Ans>> LPN, RN, ARNP 94. If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made, and the plan resubmitted to the local office within days of receiving notification that the plan must be revised Ans>> 30 days 95. What is the Department? Ans>> DOEA 96. Which of the following does not have to be licensed by the Agency? Ans>> Inde- pendent Living 97. What is the best color to paint a resident's private room? Ans>> The color of his choice 98. What is the minimum education requirement for an administrator? Ans>> A High- school Diploma or GED 99. True or False? An ALF can be only one building? Ans>> False 100. A resident can be bedridden in an ALF with a standard license for no more than days? Ans>> 7 101. Capacity in an ALF is the of resident it is licensed to care for. 25 / 14 112. If a facility decides to hold monies or property for a resident for safekeep- ing,a statement must be provided to the resident and/or legal representative how often? Ans>> quarterly 113. A facility must conduct how many elopement drills annually? Ans>> 2 114. A minimum weekly staffing hours for an ALF with four residents is? Ans>> 168 hours 115. An ALF with or more residents that receive OSS must have which type of licence? Ans>> 3 Limited mental health license 116. What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepreassant Ans>> c. psychotheraphy 117. Hospice services are allowed in an ALF and must be coordinated through the development of a what? Ans>> Interdisciplinary care plan 118. What is not a potentially hazardous food? a. milk 26 / 14 b. fruit c. eggs d. poultry Ans>> fruit 119. There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? Ans>> Insulin injections 120. Any items a facility uses to advertise must contain what two things? Ans>> As- sisted living facility and License # 121. At least one staff member who is trained in and must be in the facility at all times. Ans>> CPR and First Aid 122. ALF surveys conducted by ACHA will occur how often to ensure compli- ance with all regulations and rules? Ans>> Biennial 123. Application for a CHOW must be submitted to AHCA days prior to the transaction. Ans>> 60 124. True or False? Deficiencies cited by AHCA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given. Ans>> False 30 days 125. True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license. 27 / 14 Ans>> True 126. How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? Ans>> 30 days 10 / 14 146. What is the Toilet to sink ratio in an ALF? Ans>> 1-6 147. In how many days must the "Health Assessment(1823)" prior to the move-in be completed? Ans>> 60 days 148. How many days after Admission must a "Health Assessment (1823)" be completed for a resident? Ans>> 30 days 149. True or False? Residents that store medication may do so in their rooms if the medications are kept locked. Ans>> True 150. What is a Moratorium? Ans>> the prohibition on the acceptance of new clients 11 / 14 151. What is the minimum time frame allotted to inform ACHA of a CHOW? Ans>> 60 days 152. Every years of employment a new background screening must be done. Ans>> 5 153. How many days prior must an ALF inform ACHA the discontinuance of operation? Ans>> 30 154. How many years must copies of ACHA inspections be kept on file? Ans>> 5 155. If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? Ans>> 10 days unless alternative time frame is required 156. A deficiency affecting one, or a very limited number of clients or staff would be considered a what? Ans>> Isolated Deficiency 157. A deficiency in which more than a limited number of clients or staff would be considered a what? Ans>> Patterned Deficiency 158. 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? Ans>> Widespread Deficiency 159. How soon must a Class "I" violation be corrected? 12 / 14 Ans>> 24 hours unless a fixed time period is determined by ACHA 160. A Violation that presents an imminent danger would be considered a what class? Ans>> Class "I" 161. A violation that directly threatens clients is considered what class? Ans>> Class "II" 162. A violation that potentially threatens a client is considered what class?- Ans>> Class "III" 163. True or False? For Class "I" and "II" violations fines can be waved if corrected in a time specified. Ans>> False 164. A violation that does not have the potential to negatively affect a client is considered what class? Ans>> Class "IV" 165. Can ACHA impose an administrative fine for violations not designated as one of the four classes? Ans>> Yes 166. When a moratorium or emergency suspension is placed on a facility they must post what where? Ans>> A notice of action in a place visible to the public. 167. What class violation would a personal hygiene issue be considered? Ans>> - Class "III" 15 / 14 Ans>> ECC 177. Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? Ans>> Yes 178. an unlicensed ALF commits a felony of the Degree. Ans>> third 179. During a CHOW you have how many days to notify residents in writing? Ans>> 7 days 180. When does a LNS, ECC and LMH license expire? Ans>> Same time as standard license regardless of when issued. 181. A conditional license can not exceed how many months? Ans>> 6 months 182. How soon must an owner of an ALF notify ACHA of a change in adminis- tration? Ans>> 10 days 183. If a facility has or more residents they must have an awake staff member on duty at all times. Ans>> 17 184. How many hours of initial training are required for an employee with regular contact with Alzheimer's residents? Ans>> 4 hours 185. An ALF with 17 or more beds must have a functioning what? Ans>> Automated External Defoliator 186. What is a DNR? 16 / 14 Ans>> do not resuscitate order 187. Upon metal consent how much cash can a facility keep in safekeeping for a resident? Ans>> $200 17 / 14 188. The evacuation evaluation fro initial licensure shall be conducted within how many months? Ans>> 6 Months 189. A facility without a automatic sprinkler must conduct evacuation capabil- ity's how often? Ans>> At least Annually 190. How many elopement drip must a facility conduct minimum per year? Ans>> 2 191. How often does a facilities license need to be renewed? Ans>> every 2 years 192. A resident must have a face to face medical examination how often to maintain continued residency? Ans>> Every 3 years or after any significant change 193. What is the minimum hours of activities required for an ALF per week? Ans>> 12 hours 194. A written order for a half-bed rail must be reviewed by the physician how often? Ans>> every 6 months 195. How soon must an abandoned or expired medication be disposed of? Ans>> - within 30 days 196. How often does freedom from tuberculosis need to be documented for staff members? Ans>> annually 20 / 14 205. A facility must provide gallons of water per resident per day in an emergency. Ans>> 5 Gallons 206. An emergency management plan must be approved annually by the? Ans>> - County emergency management agency 207. How long does a facility keep residents contacts? Ans>> 5 years 208. How long does a facility keep employee work schedules? Ans>> 6 months 209. How long does a facility keep major incident reports? Ans>> 2 years 210. How long does a facility keep fire inspections? Ans>> 2 years 211. How long does a facility keep health inspections? Ans>> 2 years 212. All ACHA health inspection reports are at a facility for how long? Ans>> 5 years 213. Resident records are kept at a facility for how long? Ans>> 2 years 214. Adverse incident reports are kept at a facility for how long? Ans>> 2 years 215. An application for CHOW must be submitted to ACHA days prior to the transaction. 21 / 14 Ans>> 60 days 216. ACHA shall notify the licencee by mail or electronically at least days before the expiration of a licence for renewal. Ans>> 90 days