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RCFE Administrator Certification
minimum drawer space? - 8 cu ft Residents per room? - 2 bathrooms per resident? - 1 bathroom per 6 residents bathtub or shower per resident? - one bathtub/shower per 10 residents hot water temperature? - 105 to 120 F comfortable room temp? - 78 to 85 F Minimum room temp? - 68 F First Aid training frequency? - Annually Staff performing ADL s need training at what amount of time annd frequency? - 10hrs upon hire and 4hrs annually Personnel records should be retained for how long following termination? - 3 yrs Records for centrally stored nedications should be retained for how long? - 1 year Records for waisted medication should be retained for how long? - 3 yrs How many hour can pass between dinner and lunch? - <15 hrs What are prohibited health conditions? - Stage 3 and 4 pressure injuries, G-tubes, NG tubes, tracheostomies, total care, infectious diseases What are restricted health conditions? - oxygen, catheters, ostomies, IPAP, injections, diabetes, incontinence, enema or suppositories
What percent of your RCFE population can be less than 60 yrs old? - 25% TB sceening frequency? - Within 7 days of hiring, yearly per OSHA in large facilities, not required by DSS after hire, testing not older than 6 months. Staff Training requirement prior to hands on work? - 20hrs After how many hours of work are you required to give a 30 min meal period? - 5 hrs Exempt employees per employment law are executives, administrative, or professional employees? - True Medicare will pay for RCFE? - False EDD requres reporting of new employees by no later than how many days? - 20 days Non exempt employees get overtime after 8hr per day, 40hrs per week, and double time after 12hrs? - True Administrator for 6 bed RCFE education requirements? - High school diploma LPA stands for what? - Licenced Program Analyst An unsual incident report has to be submitted no later than how many days? - 7 If resident falls frequently without injury, do you report to DSS as Unusual Incident? - No If resident falls frequently, but this time gets injured, do you report to DSS as Unusual Incident? - Yes What does DSS require regarding marketing? - facility licence number How many hours can pass between dinner and breakfast? - 15hrs
How many days do you have to report to your LPA that your resident has initiated hospice? - 5 days What do you report to your LPA regarding hospices services? - When started, interrupted, refused, or discharged. How long do you have to report to the fire department that a resident is now bedridden? - 2 days How long do you have to report to the fire department after a resident gets started on oxygen?
- 2 days How often do you complete LIC 603A Resident Appraisal? - On admission, annually, or with change in condition. Bed linens shall be changed at a minimum of...? - once per week Diabetes is a prohibited condition? - True NGT, Gtubes, tracheostomies are all prohibited conditions? - True If resident keeps wondering outside the house, can we lock the house to prevent her exiting? - No List restricted health conditions - Oxygen, IPPB, colostomy/ileostomy, enemas, suppositories, fecal impaction, catheter, incontinence, Stage 1/2 injury, wound care, injections, diabetes, contractures What are Prohibited health conditions? - Stage 3/4 pressure injury, Gtube/NGT, tracheostomy, infections, total care What prohibited health conditions can you have in RCFE if they are in hospice? - Stage 3/4 pressure injury, total care, injections, suppositories, enemas, meds when resident unable Can family or friends medicate hospice resident? - Yes if not receiving monetary compensation Can hospice agency prepour medications for family or friend to give resident? - Yes, but not more than 24hrs in advance Bed linen shall be changed at a minimum of...? - Once per week (87307) For night supervision staff, what training is required? - Emergency procedures, CPR (at least one staff), first aid training (all)
It is required to post weekly staff schedules for facilities with how many residents? - 16 or greater You must keep on record one month sample menu in what size facility? - <6 beds Must post planned activities in what size facility? - 7+ beds Must post procedure for resident or family complaits in facilities of what size? - 7+ Must post copy of resident rights in facility of what size? - 7+ Starting at what size facility is it required to post a meal menu? - 16+ What size facility must post meal menu one week in advance? - 16+ What are the rules around meal menu availability for facilities 16+? - Must be posted one week in advance. A 16 bed facility needs to file meal menu for how long? - 30 days What size facility must have an administrative office, public phone, restroom, laundry room?
- 16+ What size facility is required to have an administrative office? - 16+ What size facility is required to have a public laundry room? - 16+ What size facility is required to have public restroom? - 16+ What size facility is required to have a public phone? - 16+ What size facility is required to have a designated activities coordinator? - 16+ What size facility is required to have a designated food planning coordinator? - 16+
How many CEU s in dementia are required for administrator recertification? - 8 hours How many CEU in Law and Regulations are required for administrator recertification? - 4 hours How long can a oxygen cannula be? - 7 feet. What size facility requires a designated employee to assist with medications, give first aid and be trained in CPR? - 16+ What medication training is required of employee in a facility with 1 -15 residents? - 10 hrs lecture+ 6 hrs supervised+ 4hrs other within 2 weeks os employment. What medication training is required of employee in a facility with 16+ residents? - 24hrs lecture+ 16 hrs supervised+ 8hrs other within 4 weeks employment How often do you test residents ability to manage their medications? - Quarterly and in change in condition Medication Administration Record should be stored/filed for how long? - 12 months Medication Destruction Record must be stored/filed fir what time period? - 3 years
How many CEU's in LGBT are required for administrator recertification? - 1 year. What specific categories of CEU training must be included in administrator recertification training? - Dementia, Laws and Regulations, LGBT Within how many hours must you *document theft or loss of >$25? - 72 hours You must notify the fire department of any bedridden resident within how many days? - 2 days Within how many days must you report to the fire department the admit of a hospice resident? - 2 days You must maintain 2 days of perishable foid at all times? -
True How many days worth of perishable foods must you have at all times? - 2 days How many days do you have to notify DSS in writing of a notice of eviction? - 5 days How many days do you have to notify DSS that you admitted Hospice resident? - 5 days How many days does a resident or representative have to sign the admission agreement? - 7 days Employee health screening can be done how far in advance, but no later than what date? - 6 months in advance, or within 7 days after employment. How long do you have to submit an Unusual Incident Report to DSS? - 7 days How many days of non-perishable food supply must you have at all times for you residents? - 7 days How many days do you have to notify DSS of applicant or licensee change in address? - 10 days Within how many days will DSS respond to resident complaints? - 10 days Within how many days should you report to DSS a health related condition? - 10 days Licensee may request a review of a deficiency in writing within how many days? - 10 days What is the maximum amount of time a licensee has to correct a deficiency? - 10 days How many days do you have to report to DSS a change in your Chief Executive Officer? - 15 days How many days do you have to appeal a penalty assessment? - 15 days How many days in advance do you provide residents a notice of eviction? - 30 days Within how many days must you notify DSS a change in Administrator? - 30 days
For how long do you store/file oersonnel records? - 3 years Facility temperature can't be colder than what degrees? - 68 degrees Facility temperature should be cooled to what range or at least how many degrees less than the outside temperature? - 78 - 85 degrees or 30 degrees less in really hot weather. Your facilities hot water temperature should be set at what range? - 105 - 120 degrees At what hot water temperature must you place a warning sign? -
125 degrees Maximum refrigerator temperature? - 40 degrees Maximum freezer temperature? - zero degrees Medication refrigerator temperature should be set at what range? - 36 - 46 degrees Narcotics are counted at the change of shift? - True Medications can be pre-poured no more than what time frame in advanced? - 24hrs Residents on oxygen must have what on their door? - A sign on the door stating their is oxygen A resident on oxygen must be on what type of device when getting out of their room? - Portable tank Emergency approval to operate (EAO) is for a max term of how many days? - 60 days Minimum age to qualify for admission into an RCFE? - 60 years old Can the licensee act as DPOA or surrogate decision maker for residents? - No When do you use a Health Condition Relocation order? - When resident develops a prohibited health condition.
Basic services should include? - care, observation, supervision; help with ADL and IADL; activities, food, help with medical or dental care. Delayed egress device? - Device that adds a time delay to when a door opens used in facilities with dementia patiets Under what conditions can you implement a delayed egress device on a door? - Automatic sprinklers and smoke detectors in place that, if triggered, deactivate the device Egress alert device? - Bracelet that triggeres door alarm Emergency approval to operate is for how many days max? - 60 days Facility Hospice Care Waiver allows for what? - Bedridden patients that require more care and supervision. Health condition relocation order? - Written notice by DSS to licensee requiring relocation of resident to higher level of care Mild Cognitive Impairment - Not normal for age, but not quite dementia Non-ambulatory? - Unable to exit without help, in need of assistive devices, unable to respond mentally Non-conpliance conference? - DSS and licensee meeting to discuss deficiencies What is the current average preadmission fee? - $ When does a provisional license expire? - 12 months What percent of residents must be 60yrs of age or older in a ALF? - 75 percent Simplified Exemption? - Granted exemption by DDS if criminal history meets criteria Terminally ill resident? - Life expectancy less than 6 months
60 days. In an ALF with 7-49 residents, what staff FTE is allocated to the rec therapist? - 0.5 FTE If the licensee dies and the assigned designee chooses to not operate the ALF, what should the designee do? - Notify DSS within one day of the death, notify DSS if NOT planning to apply for licensure, apply for an Emergency Approval to Operate allowing DSS up to 60 days to help relocate residents. How much experience is required of the rec therapist in a 6 bed, 7-49, or >50 bed facility? - less than 6 none, 7-49 6-months, >50 one year experience Within how many days must the designee provide a death certificate to DSS? - 20 days In an ALF with >50 residents, what FTE is allocated to the rec therapist? - 1 FTE The licensee is considered to have abandoned the ALF if? - They are nowhere to be found and don't answer phone x5 consecutive working days or to mail within 7 working days. Can residents run an activity program? - Yes Within how many days should the licensee notify DSS a change in their personal address? - Within 10 calendar days Can volunteers run an activity program? - Yes, under direction and supervision, not as substitute of staff Requirements for emergency APS placements into your ALF? - Agreement letter by APS, permission by DSS, addendum to Plan of Operations, private room with on-call staff Can your ALF specialize in a group of people identified to be in a protected class? - Yes, as long as you dont deny admission to others. How often must a administrator be present in a ALF to be open for resident complaints? - once per week at a set schedule. Within how many days do you submit to DSS the written agreement between APS and Licensee? - 7 calendar days What is the DSS fee for changing facility address? - 50% application fee
Under what conditions are emergency APS placement NOT allowed? - prohobited or restricted health conditions, hospice, bedridden, 24hr skilled care, contagious, disruptive mental disorder. What is the DSS fee for changes in corporate board of directors? - 50% application fee Can APS place adults 18-59 years old under emergency status? - Yes, if there is a local APS need and with prior approval by DSS, need and approval verified yearly What is the DSS fee for changing facility resident capacity? - $ What must be present in order for you to physically receive an emergency APS placement? - APS worker, information packet w/ physician names Fee for DSS orientation? - $ Within what time frame must you perform a medication reconciliation after an emergency APS placement? - within 72hrs or else you must ask APS to relocate How long can you keep a resident 18-49 yrs after an emergency APS placement? - 30 calendar days Probation monitoring fee? - Equal to annual fee What is the late fee added to the annual fee if not paid by due date?? - Additional 50% the annual fee A resident eviction notice must be given in writing how many days in advance? - 30 calendar days What is the penalty fee for not completing a plan of correction by due date? - $ Under what 5 conditions can you evict a resident? - Non-payment, violation of state or local law, violation of facility policies, development of prohibited health condition, change in use If your license was revoked, how long do you have to wait to apply again? - 2 years If there is a planned change in use of a facility, residents should receive a written eviction notice how many days in advance? - 60 days
Any faucet delivering water greater than what degrees should have a warning sign? - 125 degrees F Under what conditions do you need approval of the fire department prior to having residents?
- Initial licensing, non-ambulatory, bedridden, oxygen use After what capacity does the fire department follower comercial requirements for eggress? - 7 or greater residents How often must you dispose of solid waste with putrescible waste? - At least weekly How long does the fire department have to respond with a request for a facility evaluation? - 45 days Are residents allowed to do their own laundry and iron? - Yes Within how many days must the death of a resident be reported to DSS and family in writing? - 7 days What resident capacity requires a call light system? - 16 or more residents or Within how many days must a serious resident injury be reported to DSS and family - 7 days What is the maximum amount of residents per room? - 2 per room Within how many days must the use of an AED be reported in writing to DSS and family? - 7 days What bedroom furniture must be provided to each resident? - Bed, nightstand, lamp, 8 cf dresser, chair, closet Within how many days do you submit a written report after the elopment of a resident? - 7 days How many toilets are required? - 1 toilet for 6 people including staff Any incident affecting the mental or physical health of a resident should be reported in writing to DSS and family within how many days? - 7 days How many sheorwers or bathtubs are required? -
One bathtub/shower per 10 residents, including live-in personnel A code external should be reported to DSS and families within how many hours? - 24hrs After what capacity do you need an administrative office, reception area, public restroom and phone? -
16 residents Fire ir explosions should be reported to DSS within what time period? - Next working day How must desinfectants, firearms, and medications be stored? - Locked, separate from food, separate from medicine Physical abuse with serious bodily injury needs to be reported to what entities and within what time period? - Ombudsman, local law enforcement, DSS within 2 hours Who is exempt from criminal record clearance that can be in the RCFE? - Resident visitors, resident third party contractors, volunteers, licenced or certified medical professionals Suspected physical abuse that doesn't result in serious bodily injury should be reported to what entities and within what time period? - Ombudsman, local law, DSS within 24hrs What are the limitations of a volunteer in a RCFE? - Can only be present during wake hours, no more than 16hrs/week, always supervised, never helps with ADL's Elder abuse should be reported by mandated reporters within what time frame? - As soon as possible What is the fine for having staff without criminal record clearance on a RCFE? - $100/violation/day up to 5 days If reporting elder abuse via phone call, within what time period should a written report follow? - 2 working days What is the fine for repeated violation within last 12 months of having staff without a criminal record clearance? - $100/violation/day up to 30 days If the licensee becomes default on rent, files bankruptcy, foreclosure, or has a unlawful detainer, who should be notified and in what time period? - Ombudsman, DSS, residents, families, within 2 business days
After passing your RCFE exam, how many days do you have to submit the final Administrator Certification application? - 30 days For how long is an RCFE Administrator certificate before it expires? - 2 years RCFE Administrator certification renewal deadline may be extended by how many days by DSS for good cause? - 60 days How many classroom hours are required to recertify as an administrator? - 40 hours/2 yrs How many hours of dementia training are required for RCFE Administrator recertification? - 8 hrs dementia training How many hours of classroom instruction are required on laws, P&P for Administrator recertification? - 4hrs How many hours of instruction can be completed on line for Administrator recertification? - 20 hours How many hours of instruction can be completed in one day when completing Administrator recertification courses? - 10 hours/day max What is the longest time period that you can lapse your Administrator certification before you can no longer renew? - 4 years What is the fee for renewing an expired Administrator certification? - 3X the renewal fee, $100x3= $ How many hours of class is a Nursing Home administrator supposed to complete when changing certification to RCFE Administrator? - 20 hours What is the fee to replace RCFEE Administrator certificate? - $ Hiw many days does an Administrator have to report a change in personal address to DSS? - 30 days After assuming or relinquishing responsibilities for the management on an RCFE, the administrator should notify DSS within how many days? - 30 days
what is the minimum age of an RCFE caregiver? - 18 yrs old Who is a qualified RCFE staff trainer? - 4yr degree + 2yr experience; Administrator x 2 yrs; licensed provider When is a TB Screen acceptable when hiring a new employee? - 6 moths prior or 7 days after employment If DSS removes records from the RCFE asper protocol, they must be returned within how many days? - 3 days For facilities of 16+ residents, staff schedule should be available in what way? - Weekly, posted or in binder Describe night supervision requirements for a 1-16 resident facility? - one person on call on the premise Describe night supervision for facility with 16-100 residents? - one person on duty awake on premise + one person on call within 10 minutes Describe night supervision for facility with 100-200 residents? - one person on duty on site awake, one person on call on premise, one person on call within 10 min Describe the night supervision for facility with 200+ residents? - Must have one additional staff member on duty on premise awake for every 100 residents Prior to accepting a resident, an administrator or designee should complete what areas of evaluation? - Interview, preadmission appraisal, medical assessment, admissions agreement How often should a resident reappraisal take place in a RCFE? - Yearly and with any change in condition iIf an SSI grant resident chooses to have a private room, how much more can you charge? - 10% Can RCFE caregivers give injections? - No Can RCFE caregivers give PRN medication? - Yes, as long as residents can describe their symptoms Can RCFE caregiver staff give PRN medications if resident is unable to describe their symptoms? - No, unless they contact the resident's physician prior to each dose
