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RCFE Administrator Exam - FINAL
6+ beds and under - CORRECT ANSWER ✔✔✔ - Keep on record a 1-month sample menu
- Caregivers are universal workers (take care of residents, cook, clean, etc.) 7+ beds - CORRECT ANSWER ✔✔✔ - Post notice of planned activities
- Post procedures for complaints
- Post copy of resident rights 16+ beds - CORRECT ANSWER ✔✔✔ - Maintain dated weekly employee schedule
- Post menus
- Prepare menus at least ONE WEEK in advance and keep on file for 30 days
- Maintain admin offices, public phones, and restroom
- Make separate space for laundry For 16+ beds, how long do you have to keep menus on file? - CORRECT ANSWER ✔✔✔ 30 days 16-49 beds - CORRECT ANSWER ✔✔✔ - Administrator (15 college unit, 1 yr experience)
- 1 person w/ primary responsibility for activities (6 month experience)
- 1 person w/ primary responsibility for food planning, prep, and service 50+ beds - CORRECT ANSWER ✔✔✔ - Administrator (2 yrs college, 3 yrs experience)
- FULL TIME employee for planned activities (1 yr experience)
- FULL TIME employee for food service (formal training/experience) Minimum age of Administrator - CORRECT ANSWER ✔✔✔ 21 Minimum age of caregivers/supervisors - CORRECT ANSWER ✔✔✔ 18 Time between third and first meals (dinner and breakfast) - CORRECT ANSWER ✔✔✔ 15 hours Report epidemic outbreaks, poisonings, catastrophes or major accidents to DSS or local health authority, when appropriate - CORRECT ANSWER ✔✔✔ 24 hours Must report theft or loss of $100 or more to local law enforcement agency - CORRECT ANSWER ✔✔✔ 36 hours How many hours of training required to maintain RCFE certification every 2 years? - CORRECT ANSWER ✔✔✔ 40 hours, MUST INCLUDE:
- 8 hours Dementia
- 4 hours Laws and Regulations
- 1 hour LGBT Must document theft or loss of $25 or more - CORRECT ANSWER ✔✔✔ 72 hours 2 days - CORRECT ANSWER ✔✔✔ ~ Notify fire department of bedridden residents ~ Maintain supply of perishable food 3 days - CORRECT ANSWER ✔✔✔ Serve notice of eviction, with DSS approval 5 days - CORRECT ANSWER ✔✔✔ - Send written notice of eviction to DSS
- Notify DSS that a resident is receiving services under your Hospice Waiver 7 days - CORRECT ANSWER ✔✔✔ - Sign admission agreement
- Employee health screening required within 7 days of employment
- Deadline for submitting Unusual Incident Report to DSS
- Maintain supply of non-perishable food 10 days - CORRECT ANSWER ✔✔✔ DSS:
- Notify any change to applicant or licensee mailing address
- Response to a complaint
- Documentation of resident's health-related condition submitted
- Licensee may request deficiency review in writing 15 days - CORRECT ANSWER ✔✔✔ - Notify DSS of change of Licensee's Chief Executive Officer
- Appeal penalty assessment 30 days - CORRECT ANSWER ✔✔✔ - Give resident eviction notice
- Notify DSS of new Administrator
- Apply for facility's license renewal before expiration
- Notify DSS of:
- change in licensee, type or location of license
- intent to sell facility
- change of administrator address 60 days (2 months) - CORRECT ANSWER ✔✔✔ - Notify residents of rate changes
a. diabetes b. stage 3 dermal ulcer c. gastrostomy care d. MRSA - CORRECT ANSWER ✔✔✔ a. diabetes As an administrator, you must complete ___ hours of Alzheimer's Disease/Dementia training as part of your 40 hour renewal requirements (87407). - CORRECT ANSWER ✔✔✔ 8 A resident reappraisal must document changes in the resident's _________ condition (87463). - CORRECT ANSWER ✔✔✔ medical, physical, mental, and social condition. My facility's Plan of Operation must include sketches, showing dimensions of the __________ (87208). - CORRECT ANSWER ✔✔✔ both the interior and exterior grounds. Any change in the chief corporate officer shall be reported to the LPA within ______ days. (87211) - CORRECT ANSWER ✔✔✔ 15 An Emergency Approval to Operate (EAO) means a temporary approval approval to operate a facility for no more than ______ days pending the issuance or denial or a license by the licensing agency (87101). - CORRECT ANSWER ✔✔✔ 60 A financial plan of operations shall include start-up funds sufficient to meet a minimum of _____ operating costs (87155). - CORRECT ANSWER ✔✔✔ 3 months in facilities licensed for ____ or more persons, notices of planned activities shall be posted in a central location, readily accessible to residents (87219). - CORRECT ANSWER ✔✔✔ 7 (87415) In a facility licensed for 16-100 residents, night staff must include - CORRECT ANSWER ✔✔✔ - 1 qualified person on duty on premises, awake
- 1 employee on call and capable of responding within 10 minutes (87415) In a facility for 120+ residents, night staff must include - CORRECT ANSWER ✔✔✔ - 1 employee on premises, awake
- 1 qualified person on call, on premises
- 1 employee on call and capable of responding within 10 minutes All facilities licensed for ___ or more and all residential facilities having separate floors or buildings shall have a signal system (87303). - CORRECT ANSWER ✔✔✔ 16 Employee health screenings must be done within ___ days of employment and cannot be more than ___ old (87411). - CORRECT ANSWER ✔✔✔ 7 days; 6 months You must be at least ____ years old to be an Administrator of an RCFE (87405). - CORRECT ANSWER ✔✔✔ 21
A written report of any eviction shall be sent to the licensing agency within ___ days (87244). - CORRECT ANSWER ✔✔✔ 5 The facility's theft and loss policy must be reviewed with all employees within _____ days of employment (87218). - CORRECT ANSWER ✔✔✔ 90 Which one of these items is not considered a basic service per DSS (87101)? a. safe and healthful living accommodations b. personal assistance and care c. transportation d. observation and supervision - CORRECT ANSWER ✔✔✔ c. transportation The licensee shall notify the department in writing within ___ working days of initiation of hospice care services in the facility for any terminally ill resident (87632). - CORRECT ANSWER ✔✔✔ 5 Postural supports shall be (87608): - CORRECT ANSWER ✔✔✔ - limited to appliances or devices such as braces, spring release trays, or soft ties
- used to achieve proper body position and balance
- used to improve a resident's mobility and independent functioning T/F: The facility license cannot be transferred (87109). - CORRECT ANSWER ✔✔✔ True In facilities licensed for ____ or more, one staff member must have full time responsibility for activities (87219). - CORRECT ANSWER ✔✔✔ 50 In facilities licensed for ___ or more, sufficient support staff shall be employed to ensure provision of personal assistance and care (87411). - CORRECT ANSWER ✔✔✔ 16 In facilities licensed for ____, one person shall be designated who has primary responsibility for food planning, preparation, and service (87555). - CORRECT ANSWER ✔✔✔ 16- T/F: The licensee shall complete and maintain in the resident's file a Telecommunications Device Notification form for each resident (87507). - CORRECT ANSWER ✔✔✔ False; ONLY if their pre-admission appraisal or medical assessment indicates he/she is deaf, hearing-impaired, or otherwise disabled. In facilities for 16 persons or more, menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least ____ days (87608). - CORRECT ANSWER ✔✔✔ 30 T/F: A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed (87608). - CORRECT ANSWER ✔✔✔ True
Article 5 - CORRECT ANSWER ✔✔✔ Physical Environment and Accommodations (87303-87312) Article 6 - CORRECT ANSWER ✔✔✔ Background Check (87355-87356) Article 7 - CORRECT ANSWER ✔✔✔ Personnel (87405-87415) Article 8 - CORRECT ANSWER ✔✔✔ Resident Assessments, Fundamental Services and Rights (87452-87470) Article 9 - CORRECT ANSWER ✔✔✔ Resident Records (87505-87508) Article 10 - CORRECT ANSWER ✔✔✔ Food Services (87555) Article 11 - CORRECT ANSWER ✔✔✔ Health-Related Services and Conditions (87605-87639) Article 12 - CORRECT ANSWER ✔✔✔ Dementia (87705-87725.2) Article 13 - CORRECT ANSWER ✔✔✔ Enforcement (87755-87769) Article 14 - CORRECT ANSWER ✔✔✔ Administrative Actions - General (87775-
What is Article 15's main policy? - CORRECT ANSWER ✔✔✔ Vendors must be approved by DSS. OSHA requires me to TB test/screen my employees on an annual basis - CORRECT ANSWER ✔✔✔ True All staff (except minors), persons, residing in the facility and some volunteers must have a criminal background clearance or exemption - CORRECT ANSWER ✔✔✔ Prior to their first day of work If an employee works more than ___ hours, an unpaid 30 minute meal period is required - CORRECT ANSWER ✔✔✔ 5 Exception is exactly 6 hr shift Exempt employees are usually executives, administrative or professional employees
- CORRECT ANSWER ✔✔✔ True Medicare will help pay for RCFE - CORRECT ANSWER ✔✔✔ False Federal law requires all employers to report information on newly hired employees to the EDD "New Employee Registry" no later than ___ days after they start of work date - CORRECT ANSWER ✔✔✔ 20 Non-exempt employees in CA must be paid overtime if they work more than 8 hours in a day or more than 40 hours in a week and for over 12 hours in a day must be paid twice the standard rate - CORRECT ANSWER ✔✔✔ True DSS requires all marketing and advertising pieces state the facility license number - CORRECT ANSWER ✔✔✔ True
If you have your LPA's approval you can use home-canned foods - CORRECT ANSWER ✔✔✔ False You have 75 residents. How much formal training must your food service manager have? - CORRECT ANSWER ✔✔✔ There is no specific timeframe in Title 22 Injections are a ______ health condition. (87612) - CORRECT ANSWER ✔✔✔ Restricted health condition Water taps delivering water at ____ degrees or above shall be prominently identified by warning signs. (87303) - CORRECT ANSWER ✔✔✔ 125 degrees F All personnel records shall be retained for at least ___ years following termination of employment. (87412) - CORRECT ANSWER ✔✔✔ 3 years The facility's theft and loss policy must be reviewed with all employees within ____ days of employment. (87218) - CORRECT ANSWER ✔✔✔ 90 days The date for correcting a deficiency shall not be more than ____ calendar days following service of the notice of deficiency, unless the evaluator determines that the deficiency cannot be completely corrected in ____ calendar days. (87756) - CORRECT ANSWER ✔✔✔ 30, 30 Good physical health of all personnel shall be verified by a health screening not more than ____ prior to employment or ____ after employment. (87411) - CORRECT ANSWER ✔✔✔ 6 months prior; 7 days after The Licensee shall be permitted to accept or retain a resident who requires the use of liquid oxygen under the following circumstance: (87618) - CORRECT ANSWER ✔✔✔ The Licensee obtains prior approval from the licensing agency The Licensee is responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least _______. (87465)
- CORRECT ANSWER ✔✔✔ One year Unusual Incident Reports are sent to CCLD and must be reported to the resident's responsible person within ____ days. (87211) - CORRECT ANSWER ✔✔✔ 7 days Incidental medical care may be provided to residents through a licensed home health agency provided one of the following conditions is met: (87609) - CORRECT ANSWER ✔✔✔ The Licensee informs the home health agency of any duties regulations prohibit facility staff from performing, and of any regulations that address the resident's specific conditions Which document is NOT required when requesting a transfer of a criminal record exemption from one state licensed facility to another? (87355) - CORRECT ANSWER ✔✔✔ Birth certificate A facility shall notify the local fire jurisdiction within _____ hours of accepting or retaining any bedridden person. (87606) - CORRECT ANSWER ✔✔✔ 48 hours
Volunteers may be utilized but may not be included in the facility staffing plan. Volunteers shall be: (87411) - CORRECT ANSWER ✔✔✔ Supervised All training shall be conducted by a person knowledgeable in the subject and who satisfies at least one of the following: (87411) - CORRECT ANSWER ✔✔✔ Holds a license to work as a health care provider in California (also acceptable: a 4-year degree + 2 years relevant experience; or 2 years experience as an RCFE administrator with facilities in substantial compliance) Where all food is provided by the facility, arrangements shall be made so that each resident has available at least three meals per day. Exceptions may be allowed on weekends and holidays providing: (87555) - CORRECT ANSWER ✔✔✔ The total daily food needs are met The Licensee may provide care for residents with which restricted health conditions? (87612) - CORRECT ANSWER ✔✔✔ Stage 1 & 2 pressure sores, diabetes, catheter care, and injections (i.e., A, B, C & D only; nasogastric tubes and staph infection are prohibited) The Department shall be notified within ____ calendar days when the mailing address of the Licensee changes. (87114) - CORRECT ANSWER ✔✔✔ 10 calendar days The Licensee shall notify the licensing agency within ____ working days of the initiation of hospice services. (87633) - CORRECT ANSWER ✔✔✔ 5 working days How many days do you have to respond in writing to a family/resident council's written concern? - CORRECT ANSWER ✔✔✔ 14 calendar days A bed rail that extends from the head half length of the bed shall be allowed for: (87608) - CORRECT ANSWER ✔✔✔ Assistance with mobility (not for restraint) Upon proper identification and stating the purpose of the visit, who may enter and inspect the entire premises at any time, with or without advance notice? (87755) - CORRECT ANSWER ✔✔✔ Any duly authorized officer, employee, or agent of the licensing agency Admission Agreements shall be signed and dated by the resident or resident's representative no later than ____ days following admission. (87507) - CORRECT ANSWER ✔✔✔ 7 days All personnel shall be given on-the-job training in which topics? (87411) - CORRECT ANSWER ✔✔✔ Principles of good nutrition, good food preparation and storage, and menu planning Emergency lighting (e.g., flashlights) is required in a facility licensed for ____ or more residents. (87303) - CORRECT ANSWER ✔✔✔ 1 or more residents (i.e., all facilities must maintain emergency lighting) The refrigerator shall maintain a maximum temperature of ____ degrees Fahrenheit. (87555) - CORRECT ANSWER ✔✔✔ 40 degrees F
The final dishwasher rinse cycle must reach a minimum temperature of ____ degrees F OR disinfect by using a sanitizing agent. (87555) - CORRECT ANSWER ✔✔✔ 170 degrees F There shall be a dated weekly employee time schedule displayed conveniently for employee reference and it must contain: (87413) - CORRECT ANSWER ✔✔✔ Employee's name, job title, hours of work, and days off The Licensee shall assure provision of bedroom furniture for each resident, which shall include: (87307) - CORRECT ANSWER ✔✔✔ A bed, chair, night stand, lamp or lights sufficient for reading, and a chest of drawers To apply for recertification prior to the expiration date of the certificate, the certificate holder shall submit to the department's administrator certification section, post-marked on, or up to ___ days before the certification expires - CORRECT ANSWER ✔✔✔ 90 All medications shall be stored in the container in which it was received unless it is a refill of the same medication - CORRECT ANSWER ✔✔✔ False All centrally stored medications shall be labeled and maintained in compliance with the state and federal laws. No persons other than _____ shall alter a prescription label - CORRECT ANSWER ✔✔✔ The dispensing pharmacist During the application review, the licensing agency shall consider for the purpose of determining capacity ____ - CORRECT ANSWER ✔✔✔ -The physical energy and skills of the licensee as it relates to their ability to meet the needs of the residents
- number of staff available to meet the care needs of the residents
- any other household members who may reside at the facility and their individual needs A Licensee is permitted to establish house rules that may include: - CORRECT ANSWER ✔✔✔ Locking doors at night to protect residents All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: - CORRECT ANSWER ✔✔✔ - operate from each resident's living room
- transmit a visual or auditory signal to a central staffed location
- identify the specific resident living unit Which of the following are required for night supervision staff: - CORRECT ANSWER ✔✔✔ - familiar with the facilities planned emergency procedures
- Available to assist residents
- first aid training
The ______ shall have the responsibility to make special provisions for the safety and guidance of residents with visual or auditory deficiencies - CORRECT ANSWER ✔✔✔ Adminstrator A request for a hospice waiver shall include - CORRECT ANSWER ✔✔✔ a specification of the max number of terminally ill residents which the facility wants to have at any one time Applicant may appeal the denial of the application by sending a written notice of appeal within ___ days - CORRECT ANSWER ✔✔✔ 15 A written disaster and mass casualty plan of action is required for a facility with - CORRECT ANSWER ✔✔✔ EVERY FACILITY - REGARDLESS OF SIZE The qualifications and duties of an ADMIN shall include - CORRECT ANSWER ✔✔✔ - The responsibility and authority to cary out the policies of the licensee
- shall have the sufficient freedom from other responsibilities
