RCFE TEST PRACTICE TITLE 22 EXAM ACTUAL EXAM 2024 | 2 DIFFERENT EXAMS, Exams of Psychotherapy

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RCFE TEST PRACTICE TITLE 22 EXAM ACTUAL EXAM 2024 | 2 DIFFERENT EXAMS | 400 QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST VERSIONS RCFE Test Practice Title 22 (First Exam) In facilities licensed for ____residents, one staff member shall have the primary responsibility for the organization, conduct and evaluation of planned activities 87219 6-29 15-49 16-49 -----CORRECT ANSWER----------------16-49 In facilities licensed for 7 residents or more, notices of planned activities shall be retained for at least___ 87219 6mos 12mos 3yrs -----CORRECT ANSWER----------------6 months In facilities licensed for 15 or less, awake night staff is always required 87415 T F -----CORRECT ANSWER----------------False In facilities licensed for 16-100, at least ___ employees shall be on duty, on the premises and awake, and one employee on call and capable of responding within ___minutes 87415 1/10 2/10 1/30 -----CORRECT ANSWER----------------1/10 For night supervision staff, choose all of the following that are required. 87415 1st aid training know emer procedures CPR A&B Available to assist residents A,B & E -- ---CORRECT ANSWER----------------A,B & E In what size facility is it a requirement to post a dated weekly employee time schedule 87413 6+ 10+ 16+ -----CORRECT ANSWER----------------16+ In facilities that are required to post a dated weekly time schedule, it must include which 87413 empl name, title, hrs empl name, hrs, days off empl name, title, hrs, days off ----- CORRECT ANSWER----------------employee name, job title, hours, days off Residents with problems such as forgetfulness, wandering, confusion, or irritability may be accepted and retained in an RCFE 87455 T F -----CORRECT ANSWER----------------True Oxygen from a portable source shall be used by residents when they are outside their room 87618 T F -----CORRECT ANSWER----------------True A facility licensed for 2 residents does not need a certified administrator 87405 T F -----CORRECT ANSWER----------------False a change in administrator requires written notification to the licensing agency within how many working days 87211 7 10 15 30 -----CORRECT ANSWER----------------30 The admin for a facility licensed for ___shall have completed, with a passing grade, at least 15 college or CE Semester and shall have at least 1 year experience providing care to the elderly 87405 1-6 6-15 16-49 50+ -----CORRECT ANSWER----------------16-49 The admin for a facility licensed for ___shall have 2 years college and 3 years experience providing care to the elderly 87405 15-40 16-49 50+ 100+ -----CORRECT ANSWER----------------50+ Resident rooms shall be heated to a minimum ___ 87303 65 68 72 75 -----CORRECT ANSWER----------------68 The facility shall cool rooms to range between ___F or in areas of extreme heat___ F less than outside temp 87303 78 & 85 /30 78 & 85 /30 75 & 85 /30 -----CORRECT ANSWER----------------78/85 30 Emergency lighting which may include flashlights is only required in facilities of 16+ 87303 T F -----CORRECT ANSWER----------------False Between meal snacks shall be available to all residents unless limited by a physician, 87555 -----CORRECT ANSWER----------------True Powdered milk may be used as a beverage 87555 -----CORRECT ANSWER--------------- -False ok in cooking ingredients At least one bathtub or shower is required for each ___person(s) which includes residents, family and live-in personnel 87307 5 6 10 -----CORRECT ANSWER----------------10 Which of the following are considered to be "an appropriately skilled professional? 87101 RN CNA Certified administrator All of the Above -----CORRECT ANSWER---------------- Registered Nurse (RN), Licensed Vocational Nurse (LVN), Physical Therapist (PT), Occupational Therapist (OT), Respiratory Therapist (RT) are "Appropriately Skilled Professional" Refrigerators shall maintain a maximum temp of ___F 87555 32 36 40 -----CORRECT ANSWER----------------40 Pesticides may be stored in the kitchen area, providing they are not stored in the same cabinet or area as food supplies 87555 T F -----CORRECT ANSWER----------------False The final rinse cycle of a dishwasher must reach a minimum of ___degrees F or disinfect by using a sanitizing agent 87555 160 165 170 175 -----CORRECT ANSWER----------------170 Which of the following items are required in a residents room? 87307 chair night stand lamp chest/drawers refrigerator abcd abcde -----CORRECT ANSWER- ---------------abcd chair night stand lamp Linen shall be changed at a minimum twice a month 87303 T F -----CORRECT ANSWER----------------False once a week Ironing of a resident's personal clothing is the responsibility of the facility. 87307 T F -----CORRECT ANSWER----------------True No more than ____residents may sleep in a bedroom 87303 1 2 3 4 -----CORRECT ANSWER----------------2 A facility may designate a residents bedroom as a common activity room with the permission of the resident. 87307 T F -----CORRECT ANSWER----------------False Fillings and covers for mattresses and pillows shall be flame retardant 87303 T F -----CORRECT ANSWER----------------True At least ___ toilet and wash basin for each ___persons 87307 1/6 1/8 2/6 -----CORRECT ANSWER----------------1/6 Bed rails that extend the entire length of the bed are prohibited, unless a resident is receiving hospice care and has a hospice care plan that specifies the need for full rails T F -----CORRECT ANSWER----------------True In facilities licensed for ____or more, notice of planned activities shall be posted in a central location 87249 6 7 10 -----CORRECT ANSWER----------------7 A signal system must do which of the following? 87303 Operate from each room Transmit visual and/or auditory signal to central staff Identify specific room A B & C -----CORRECT ANSWER----------------A B & C Storage areas for poisons, firearms and other dangerous weapons shall___ 87309 Only be kept in office Not be on the property Be locked -----CORRECT ANSWER--------- -------Be Locked What size facility must post "No Smoking-O2 in use"? 87618 6+ 15+ all facilities -----CORRECT ANSWER----------------all facilities Ammunition for firearms shall be stored and locked separately from firearms 87309 True False -----CORRECT ANSWER----------------True Firing Pins must be stored and locked separately from firearms 87309 True False -----CORRECT ANSWER----------------True Half rails are never allowed in an RCFE 87608 True False -----CORRECT ANSWER----------------False Ok with Prescription Not more than 12 hrs shall elapse between the third meal of the day and the first meal the following morning 87555 True False -----CORRECT ANSWER----------------False 15 Hours A ___ day supply of non-perishable food must be maintained in the facility 87411 7 10 14 -----CORRECT ANSWER----------------7 A ___ day supply of perishable food must be maintained in the facility 87555 1 2 3 7 -----CORRECT ANSWER----------------2 Stage 1, 2, 3, and 4 pressure sores(dermal ulcers) are all considered prohibited conditions 87615 -----CORRECT ANSWER----------------False 3 & 4 are prohibited which of the following conditions are considered restricted 87515 Catheter Diabetes Injections Stage 1& 2 pressure ulcers nasogastric staph A, B, C, D -- ---CORRECT ANSWER----------------A, B, C, D what size facility must employ a full time activity director 87219 6-49 50-99 50+ -----CORRECT ANSWER----------------50+ facilities shall be cooled to which temp 87303 80-88 75-85 78-85 or 30 degrees less than outside -----CORRECT ANSWER-------------- --78-85 or 30 degrees less than outside A resident who is bedridden because of temporary illness requires notification to the fire department within 48 hrs of admitting. 87633 True False -----CORRECT ANSWER----------------True Facilities must heat rooms to a minimum of 72 degrees 87303 True False -----CORRECT ANSWER----------------False 68 An admission agreement shall be automatically terminated by the death of a resident unless agreed to ___ or ordered by a court 87507 Verbally In Writing -----CORRECT ANSWER----------------In Writing Which of the following are rights of the residents 87468 Mail receive/reject medical care storage space A & C A,B & C -----CORRECT ANSWER------ ----------A,B & C Facilities licensed for ___ beds or more shall prominently post residents rights or instructions on how to obtain copies of these rights 84768 1 7 16 50 -----CORRECT ANSWER----------------7 Liquid oxygen is permitted with prior approval from the licensing agency 87618 True False -----CORRECT ANSWER----------------True If a resident is able to determine the need and communicate the need for PRN medication, staff shall be permitted to assist the resident with self-administration 87465 True False -----CORRECT ANSWER----------------True A home health nurse who is not employed by the facility must be criminally cleared by DSS/CCL prior to caring for a resident in the facility 87355 True False -----CORRECT ANSWER----------------False They're cleared from BRN When there is a change of administrator, the licensing agency must be notified in writing within 10 days 87211 True False -----CORRECT ANSWER----------------False 30 Days for Administrators, 10 Days for licensee a ___ medication is any prescription or non-prescription medication which is taken as needed 87101 PNR NPR PRN -----CORRECT ANSWER----------------PRN A provisional license may not exceed ___ months 87101 3 6 12 -----CORRECT ANSWER----------------12 a facility licensed for 6 beds or less does not have to post the license in a prominent place 87113 True False -----CORRECT ANSWER----------------False The department shall be notified within___ calendar days when the address of the licensee changes 87114 7 15 30 10 -----CORRECT ANSWER----------------10 When licensing a RCFE startup funds shall be sufficient to meet a minimum of ___ months operating cost 87155 1 2 3 6 -----CORRECT ANSWER----------------3 Emergency exit plans & phone numbers must be posted in the facility 87212 True False -----CORRECT ANSWER----------------True Cash resources and valuables of a resident which are entrusted to the licensee may be used for facility petty cash as long as reimbursement is made to the resident 87217 Facilities licensed for 16+ shall be listed in the phone directory under the name of the facility 87311 True False -----CORRECT ANSWER----------------True All medications shall be stored in the container in which it was originally received 87465 True False -----CORRECT ANSWER----------------True Finish statement: "On holidays, it may be necessary to furnish 3 meals a day, providing _________87555 licensing grants approval the resident grants approval the total daily food needs are met -----CORRECT ANSWER----------------the total daily food needs are met Copies of menus as served shall be maintained in facilities licensed for 16+ or more for at least ___ days 87555 14 30 60 120 -----CORRECT ANSWER----------------30 If a licensee is convicted of a crime other than a minor traffic violation, the facility license ,ay be revoked 87355 True False -----CORRECT ANSWER----------------True "Capacity" means maximum number of persons authorized to be provided services at any one time in any licensed facility 87101 True False -----CORRECT ANSWER----------------True The death of a resident requires a written report to the licensing agency and the responsible party within ___ days of the death 87211 1 3 5 7 -----CORRECT ANSWER----------------7 A poisoning shall be reported within ___ hours 87211 12 24 36 -----CORRECT ANSWER----------------24 Written verification of a caregivers age is a required component of an employees personnel record 87412 True False -----CORRECT ANSWER----------------True In facilities licensed for ___ beds or more, there shall be a planned on the job training program 87411 7 16 50 -----CORRECT ANSWER----------------16 personnel records must be maintained on file for __ years following termination of employment 87412 1 2 3 -----CORRECT ANSWER----------------3 Facility exit doors may be locked at night for the protection of residents by prohibiting intruders from entering the facility 87508 True False -----CORRECT ANSWER----------------True The destruction of medication by the administrator must be witnessed by ___ 87465 a resident CCL Rep non resident adult A, B or C -----CORRECT ANSWER---------------- non resident adult common wash cloths and towels may be shared by residents 87307 True False -----CORRECT ANSWER----------------False All RCFE staff who assist residents with ADL's shall receive at least ___ hrs of initial training within the first ___ weeks of employment 87411 4, 4 6, 6 10, 4 10, 6 -----CORRECT ANSWER----------------10/4 In addition to initial training, all RCFE staff who assist with ADL's shall receive at least ___ hrs of training annually 87411 4 8 20 40 -----CORRECT ANSWER----------------4 all personnel shall present a physician report verifying good health, The report may not be older than one year prior to employment 87411 True False -----CORRECT ANSWER----------------False 6 months All employees subject to criminal review shall be criminally cleared______ employment or initial presence in the facility 87411 prior to within 7days after within 30 days after -----CORRECT ANSWER----------------prior to an administrator with one year experience in the last eight years and a record of administering facilities in substantial compliance may conduct initial training for staff 87411 True False -----CORRECT ANSWER----------------False 2 years which must be included in all facility advertisements 87206 Licensee name admin name fac lic # A, B & C -----CORRECT ANSWER----------------Facility License # Gastrostomy, tracheostomy and nasogastric tubes are health conditions that are NOT allowed in an RCFE 87615 True False -----CORRECT ANSWER----------------True A written report to licensing is required within ___ days of the death of a resident 87211 1 2 7 5 -----CORRECT ANSWER----------------7 an exception and waiver are the same thing 87101 a resident with dementia may never keep personal grooming and hygiene items in their own possession 87705 True False -----CORRECT ANSWER----------------False In a facility where residents with dementia are residing, what is required if exiting the facility may present a hazard to any resident 87705 locked facility doors auditory device to monitor exits a staff member on duty at each exit -----CORRECT ANSWER----------------auditory device to monitor exits in facilities caring for residents with dementia, fire and earthquake drills must be conducted every____87705 month other month three months -----CORRECT ANSWER----------------three months the licensee shall not accept or retain residents determined by a physician to have a primary diagnosis of a mental disorder unrelated to dementia 87705 True False -----CORRECT ANSWER----------------True staff who provide direct care to residents with dementia shall receive training on 87705 hydration skin care communication therapeutic activities behavioral challenges the environment assisting with ADL's all of the above -----CORRECT ANSWER---------------- all of the above care and supervision includes which of the following 87101 assistance with dressing central med storage house rules all of the above ----- CORRECT ANSWER----------------all of the above the max doses of a PRN med allowed in 24hr must be on the label 87465 True False -----CORRECT ANSWER----------------True CPR training is required for all title 232 staff caring for residents 87465 True False -----CORRECT ANSWER----------------False 1st aid is required Facility staff except those authorized by law, shall not administer injections 87465 True False -----CORRECT ANSWER----------------True ok to assist patient scissors, tweezers and a thermometer are required components of first aid kit 87465 True False -----CORRECT ANSWER----------------True "waiver" means variance to a specific regulation based on facility wide need or circumstance. 87101 True False -----CORRECT ANSWER----------------True when renewing admin cert, you must submit completion of ___ hrs of CE 87407 20 30 40 -----CORRECT ANSWER----------------40 Administrators who also hold valid nursing home license shall be required to complete only ___ hours of the required 40 hrs of CE when renewing their RCFE admin Cert 87407 10 20 30 -----CORRECT ANSWER----------------20 Mary the administrator likes to eat canned tomatoes at the facility. Mary may serve these canned tomatoes to residents 87555 True False -----CORRECT ANSWER----------------False no home canned foods a third party repair person who is hired for a time limited job and is not left alone with residents does not have to be criminally cleared 87355 True False -----CORRECT ANSWER----------------True The physician prescribed a modified diet for a resident. the facility must provide this modified diet to the resident as part of the basic rate 87555 True False -----CORRECT ANSWER----------------True AED stand for____87607 Automatic Energy Defibrillator Automatic External Defibrillator Automatic External Device None of these -----CORRECT ANSWER----------------Automatic External Defibrillator a staph infection or other serious infection is a prohibited condition 87615 True False -----CORRECT ANSWER----------------True Injections are ______health conditions 87612 Restricted prohibited -----CORRECT ANSWER----------------restricted pressure sores are also called _____87615 dermal ulcers healing ulcers skin wound -----CORRECT ANSWER----------------dermal ulcers a colostomy is considered a ____health condition 87612 restricted prohibited -----CORRECT ANSWER----------------restricted a serious injury must be reported to licensing within 7 days 87211 True False -----CORRECT ANSWER----------------True a caregiver is assisting a resident and the resident begins to experience extreme chest pain. The first thing the caregiver should do is call____87465 a physician 911 the family -----CORRECT ANSWER----------------911 planned activities must be posted in a readily accessible location in facilities licensed for how many residents 87219 all facilities 7+ 16-49 100+ -----CORRECT ANSWER----------------7+ copies of notices of planned activities must be retained for at least ___ months 87219 1 6 12 24 -----CORRECT ANSWER----------------6 telephone service is required on the premises of all RCFEs 87311 True False -----CORRECT ANSWER----------------True facility license number must be disclosed on all advertisements 87206 True False -----CORRECT ANSWER----------------True residents religious preference, if any, is required to be recorded in the residents record 87506 True False -----CORRECT ANSWER----------------True The minimum age for an administrator of an RCFE is ___ 87405 18 21 19 -----CORRECT ANSWER----------------21 a resident may be evicted with 30 days notice if the rate of basic service is not paid within ___days of the due date 87224 3 30 10 -----CORRECT ANSWER----------------10 restraints may be used when it is in the best interest of the resident 87468 True False -----CORRECT ANSWER----------------False administrators must complete ___hrs of continuing education every two years 87407 10 20 30 40 -----CORRECT ANSWER----------------40 a resident who is unable to leave the building due to confusion or cognitive impairment is considered ___ 87101 Ambulatory Nonambulatory -----CORRECT ANSWER----------------Nonambulatory an individual must pass the state administrator certificate exam within ___ days of completing Initial Certification 87406 15 30 60 90 -----CORRECT ANSWER----------------60 when rectifying every two years, administrators must pay a ___ processing fee 87407 $0 $100 $300 $1000 -----CORRECT ANSWER----------------$100 if an administrator renews his certification after the expiration date, but within four years of the expiration date, he must pay a $300 delinquency fee 87407 True False -----CORRECT ANSWER----------------True Licenses are not responsible for monitoring residents for changes in physical condition, that is the physicians job 87466 True False -----CORRECT ANSWER----------------False a licensee is best defined as 87101 individual having responsibility for the operation of a licensed facility an administrator CCL None of the above -----CORRECT ANSWER----------------The individual having responsibility for the operation of a licensed facility The use of common wash cloths and towels shall be prohibited. T F -----CORRECT ANSWER----------------True. Wash cloth and towels shall be dedicated to each residents. RCFE Test Practice Title 22 Exam (SNF) Patient Care Policies & Procedures shall include but not be limited to: ------ CORRECT ANSWER----------------1. physician services, 2. nursing services, 3. infection control, 4. dietary services, 5. pharmaceutical, 6. activity program, 7. housekeeping services (ICF) Hot water must be kept between: ------CORRECT ANSWER----------------105-120 (SNF refers to title 24 for hot water temps which states the same as for ICF) (ICF) Tapsw/water temps higher than 125 degress F or more shall be what? ------ CORRECT ANSWER----------------IDentified by a warngin sign w/2" letters. (SNF refers to title 24 which states the same as for ICF) (SNF) Water for human consumption from an independent source is subjected to what? ------CORRECT ANSWER----------------Bacteriological analysis by the local health Department, state department of health or local licensed commercial lab at least every 3 months. copy of most recent report avialable for inspection. (ICF says same) (ICF) all screens must be what size and screen doors must be approved by who? ------ CORRECT ANSWER----------------1. 6 mesh per centimeter or 16 mesh per inch, 2. approved by the state fire marshall (SNF refers to title 24 which says the same as ICF) (ICF) what is the minimum requirement of a signal system? ------CORRECT ANSWER-- --------------1. visible in the corridor above the patient's room, 2. audible signals and light indiciating the room, 3. must have a reset button in the room where the call originated unless there is a 2 way voice system (snf refers to title 24 which says the same as ICF) (SNF) static pressure drop (air filters) shall be maintained how? ------CORRECT ANSWER----------------1. written record of inspection cleaning or replacement, 2. description of filters originally installed, 3. the efficiency rating by ASHRAE (American Society of Heating Refrigerations and Air Conditioning Engineers), 4. Change the filters according to the recommendation by the manufacturer, 5. after cleaning or replacement, visually inspect fans when they are on and off using flashlight, 6 keep certifications from equipment service companies (ICF says same) (SNF) SChedule II, III, IV drugs shall be destroyed by the facility in the presence of who? Documented How? logged how? ------CORRECT ANSWER----------------1. Pharmacist AND rn employed by the facility, (ICF says the same), 2. patient name, strength amount, date destroyed, prescription, 3. signature of pharmacist and rn, 4. kept in a separate log OR patient health record for at least 3 years. (SNF) drugs that are not schedule II, III, IV shall be destroyed in the presence of who? documented how? logged how? ------CORRECT ANSWER----------------1. pharmacist OR licensed nurse employed by the facility, 2. must have 1 other witness, 3. all signatures required, 4. log kept for at least 3 years. kept in a separate log OR patient health record for at least 3 years, 5. log the same details as for schedule II, date destroyed, prescription #, etc. (ICF says pharmacist OR rn plus 2 witnesses) (ICF) list the license categories ------CORRECT ANSWER----------------1. General Acute Hospital, 2. Acute Psychiatric Hospital, 3. Skilled Nursing Facility, 4. Intermediate Care Facility (SNF) how many hours are there of orientation and how is it broken down? ------ CORRECT ANSWER----------------1. 16 hours a. first 8 hours-tour, pt population, daily routine, used of equipment, call cord and system, disaster and unusual occurrence and intro to pt care. b. second 8 hours (w/in 32 hours) administrative structure, organizational chart, services offered, role, and personnel policies and procedures. (ICF leaves it to the faiclity to create the orientation program/policy and procedures (SNF) what is included in the personnel policies & procedures section of the orientation program? ------CORRECT ANSWER----------------1. philosophy of care 2. patient's rights 3. legal and ethical issues. 4. direct patient care- transferring, bathing, positioning, training. 5. comfort and environment. 6. federal and state regulations. 7. choking (CPR/First Aid certification) 8. A signed performance evaluation. (SNF) prior to any direct contract with a patient, at least a total of 16 hours of training shall be provided in what areas? ------CORRECT ANSWER----------------1. communication & interpersonal skills. 2. infection control. 3. safety and emergency procedures including the heimlich maneuver. 4. promoting the independence of patients. 5. respecting the rights of patients 173 ------CORRECT ANSWER----------------173 (SNF) what are some basic requirements for pt rooms and physical plant? ------ CORRECT ANSWER----------------1. they must be lableled on the outside of the door by #, letter, or both for identification. 2. rooms cannot be locked unless they are an approved seclusion room in a psychiatric facility. 3. fences, yards, exits and doorcannot be locked w/out DHS approval 4. rooms w/ ambulatory patients must be labeled "reserved for ambulatory patient" with half inch lettering (ICF) what special needs groups cannot be accepted to a SNF or ICF unless their special needs can be met in an approved STP or special disability service unit? ------ CORRECT ANSWER----------------1. development disabled 2. substance abuse-alcohol or drug 3. mentally disordered (residents w/the above special needs cannot be admitted to a SNF or ICF unless the SNF or ICF have the STP or special disability services or rehabilitation unit required and necessary to meet the need. (SNF) What are the requirements for soiled linen? ------CORRECT ANSWER--------------- -1. policies and procedures for soiled linen must be posted in the laundry area. 2. must be stored and transported in closed containers. 3. no odor and no cross contamination. 4. soiled l inens must be labeled "soiled" (SNF) back flow preventers (vacuum breakers) are maintained according to who? ------ CORRECT ANSWER----------------Part 6 Title 24 of the CA Administrative Code (SNF) what are the requirements for clean linen? ------CORRECT ANSWER---------------- 1. policy and procedures for clean linens must be posted in the laundry area. 2. must be stored and transported in a covered unit. 3. must have at least 3 complete bed changes for facility bed capacity. 4. must have sufficient wash cloths to meet the need. 5. must be labeled "clean" 6. must be in good repair (SNF) what are the requirements for solid waste containers? ------CORRECT ANSWER- ---------------1. movable bins must be approved by local health department. 2. must have tight fitted lids. 3. must be in good repair. 4. must be leak proof. 5. must be rodent proof unless stored in an enclosure. 6. all containers except for movable bins must have external handles. 7. putrescible waste must be emptied at least every 4 days (SNF) what are the regulations for the use of medical gases? ------CORRECT ANSWER----------------1. piped oxygen is tested and regulated by the National Fire Protection Association Bulletin. 2. must be written reports for initial installation, changes to the system and integrity breaches. 3. cannot transfer gases from cylinder to cylinder. (SNF) what are the basic guidelines for a citation review conference? ------CORRECT ANSWER----------------1. licensee has the right to bring legal counsel or anyone else. 2. the department representative who issued the citation should attend. 3. the conference shall be informal. 4. neither party shall record, subpoena witnesses or cross examine. 5. may only present willing witnesses (ICF) how often must a social worker write progress notes in an ICF? ------CORRECT ANSWER----------------monthly (SNF says weekly) (ICF) a physician, a psychiatrist, a clinical psychologist, a social worker, a special education teacher, or a person with an academic degree in learning disabilities who has at least one year experience or training in the care of the mentally disordered, developmentally disabled or substance abusers is the definition of what? ------ CORRECT ANSWER----------------Special disability professional (ICF) a person who through experience, vocational training, formal educationo or licensure has developed expertise in social disability work; social worker, psychiatric technician, recreation therapist, occupational therapy aid, program therapist or an activity therapist is the definition of what? ------CORRECT ANSWER----------------Special disability worker (ICF) Patient care policy committee in an ICF must include who? And be reviewed how often? ------CORRECT ANSWER----------------1. one physician, admin, supervisor of health services and other disciplines as needed. 2. at least annually (ICF) annual reports to DHS are due when? ------CORRECT ANSWER----------------On or before February the 15th of each year. must be on correct forms discussing matters requested by the department. (SNF) Patient Care Policies and Procedures shall include but not be limited to: ------ CORRECT ANSWER----------------1. physician services 2. nursing services 3. infection control 4. dietary services 5. pharmaceutical 6. activity program 7. housekeeping services (SNF) what is the requirement in notifying the department of defaced or destroyed health records? ------CORRECT ANSWER----------------The department must be notified in writing within 3 business days (ICF says immediately and in writing) (SNF) define: 1. substantial probability 2. serious physical harm. 3. direct relationship. 4. class "c" violation ------CORRECT ANSWER----------------1. the likelihood that an event is real and substantial. 2. bodily injury resulting in a literal loss of a body part or reduced capacity to use/function either temporary or permanent or loss of internal function resulting in a temporary or permanent reduction in physical, mental capacity or shortened life (ICF) {card 179} What special needs groups cannot be accepted to a SNF or ICF unless their special needs can be met in an approved STP or special disability services unit? -- ----CORRECT ANSWER----------------1. developmentally disabled 2. substance abuse-alcohol or drug 3. mentally disordered (note: residents with the above special needs cannot be admitted to a SNF or ICF unless the SNF or ICF have the STP or special disability services or rehabilitation unit required and necessary to meet the need) (SNF) what are the requirements for soiled linen? ------CORRECT ANSWER--------------- -1. policies and procedures for soiled linen must be posted in the laundry area. 2. must be stored and transported in closed containers. 3. no odor and no cross contamination. 4. soiled linens must be labeled "soiled" (SNF) back flow preventers (vacuum breakers) are maintained according to who? ------ CORRECT ANSWER----------------part 6 title 24 of the california administrative code (SNF) what are the requirements for clean linen? ------CORRECT ANSWER---------------- 1. p&p for clean linens must be posted in the laundry area. 2. must be stored and transported in a covered unit. 3. must have at least 3 complete bed changes for facility bed capacity. 4. must have sufficient wash cloths to meet the need. 5. must be labeled "clean" 6. must be in good repair (SNF) what are the requirements for solid waste containers? ------CORRECT ANSWER- ---------------1. movable bins must be approved by the local health department. 2. must have tight fitted lids. 3. must be in good repair. 4. must be leak proof. 5. must be rodent proof unless stored in an enclosure. 6. all containers except for movable bins must have external handles. 6. putrescible waste must be emptied at least every 4 days. (SNF) what are the regulations for the use of medical gases? ------CORRECT ANSWER----------------1. Piped oxygen is tested and regulated by the National Fire Protection Association Bulletin 2. must be written reports for initial installation ,changes to the system and integrity breaches. 3. cannot transfer gases from cylinder to cylinder (SNF) what are the requirements for equipment in the facility? ------CORRECT ANSWER----------------1. must meet OSHA requirements. 2. portable electrical medical equipment must be 3 pronged and equipped for 110 to 120 volts. 60 hertz current. 3. cord must be integral part of the equipment. (SNF) what are some requirements in the laundry area? ------CORRECT ANSWER------- ---------1. must be separate storage for clean and soiled linen. 2. must have hand washing and toilet facilities close by 3. separate carts clearly labeled "soiled linen" and "clean linen" 4. carts must be made of washable materials. 5. written procedures for storage, transportation and the handling of clean and soiled linens must be posted 5. plus the same as in on card #207 (SNF) {card 207} a written citation shall include at least the following: ------CORRECT ANSWER----------------Refers to Health & safety Code 1423 (a) for the same information as is on card 206 in addition to the below information. 1. description of violation and the area it occurred. 2. list of residents affected and a list of residents with potential to be affected 3. if all residents are affected, specify in writing, no list of names required. 4. specify the shortest reasonable time to make correction (ICF) define class A, B, and C violations ------CORRECT ANSWER----------------1. A is imminent danger 2. B is a direct of immediate relationship 3. C is minimal relationship (SNF [72703] for class "A" violation & [72705] for class "B" violation is currently repealed and pending) (ICF) class A violation shall be corrected when? and the civil penalty for class A is what? ------CORRECT ANSWER----------------1. immediately unless time is given by the department. 2. not less than a $1,000 and not more than a $5,000 per violation (SNF) in fixing the civil penalty to an A violation the following are considered ------ CORRECT ANSWER----------------1. the gravity of the violation A. the degree of substantial probability B. the severity of serious harm most likely to result or did result. C. the extent the regulations were violated 2. good faith 3. previous violations (ICF) what are the civil penalties for a class B violation ------CORRECT ANSWER--------- -------not less than $50 and not more than $250 for each violation (a separate civil penalty of $50 for each day beyond the set completion date for each (A or B violation)********* (SNF) what are the requirements in a SNF regarding smoking? ------CORRECT ANSWER----------------Both ICF & SNF require supervision and or periodic supervision for smokers. They both also require signs marking open flamed areas and oxygen areas. the difference between SNF & ICF is that SNF requires DESIGNATED "smoking" and "non-smoking" areas (ICF) who is in charge of re-stocking the emergency supply kit after the seal has been broken? ------CORRECT ANSWER----------------the pharmacist within 72 hours and will also re-seal the kit (SNF) who approves the pharmaceutical emergency supplies for each nursing station? - -----CORRECT ANSWER----------------Patient Care Policy Committee or Pharmaceutical Service Committee (ICF says PCP only)** (SNF) emergency drug supplies in a SNF shall meet the following requirements: ------ CORRECT ANSWER----------------1. legend drugs shall not be stored in the emergency supply except under the following conditions: A. injectables shall be limited to a max of 3 single doses or 1 container of the smallest multi dose vial. must be sealed and in unused containers in B. sublingual or inhalation drugs shall be limited to single sealed containers of the smallest available size. C. no more than 6 emergency drugs in solid or oral dosage form or suppository form for anti-infective, anti-diarrheal, anti-nausea, or analgesic use may be stored if in sealed containers. not more than 4 doses of any one drug may be stored. 2. emergency drug supply shall be stored in a portable container sealed with a tamper proof seal. DON or Charge Nurse will notify the pharmacist when the seal has been broken. drugs used from the kit shall be replaced within 72 hours and released by the pharmacist. Each nursing station must have an emergency drug supply kit (SNF) WHAT IS THE 2 HOUR RULE ------CORRECT ANSWER----------------medications cannot be administered more than 2 hours after the dose has been prepared. doses shall be administered within 1 hour of the prescribed time unless otherwise indicated by the prescriber and medications can only be administered by the person who prepared them (ICF says the same) (SNF) what is a stop order policy? ------CORRECT ANSWER----------------drugs may be administered in the absence of a specific duration of therapy on a licensed prescribers new drug order if the facility applies its stop order policy for such drugs. the prescriber shall be contacted prior to discontinuing therapy as established by stop order policy. (ICF says the same) (ICF) Emergency drug supplies in an ICF shall meet the following requirements? ------ CORRECT ANSWER----------------1. emergency legend drugs must be on at least 1 nursing station 2. the seal must be broken in the presence of a physician, pharmacist or lcensed nurse. 3. supply kit must be checked at least monthy by the pharmacist 4. if the seal is broken, the supervisor of health services must notify the pharmacist and the pharmacist must replace the drugs and re-seal the kit within 72 hours. 5. legend drugs shall be limited to a max of 3 single doses in either sealed ampules or vials of any 1 emergency drug. if emergency drugs are not available in parenteral form a supply of the drug in inhalation or sublingual form may be maintained in the smallest sealed manufacturer's package (NO OTHER ORAL LEGEND DRUGS MAY BE STORED) (SNF) what is the protocol for bowel and bladder management? ------CORRECT ANSWER----------------1. written assessment by a licensed nurse within 2 weeks after admission for an incontinent resident to determine the patient's ability to participate in a B&B retraining program. 2. care plan for B&B training. 3. weekly written evaluations by a licensed nurse of patient progress in B&B retraining porgram. 4.fluid intake and output shall be recorded for each patient as follows: A. if ordered by the physician. B. for a patient with an indwelling catheter. 1. intake and output evaluated weekly and included in weekly progress notes. 2. after 30 days re-evaluate the need to continue recording intake and output. (ICF does not require bowel and bladder management) (SNF) postural support versus physical restraint ------CORRECT ANSWER---------------- Postural support means a method other than an orthopaedic brace used to assist patients to achieve proper body position and balance. these methods are not considered restraints. treatment restraints may be used for the protection of the patient during treatment and diagnostic procedures such as IV therapy or catheterization Submission of the program flexibility request shall be deemed to occur on the date the request is received by the Dpt. This form can be obtained by writing to the Dpt at the address specified in Section 71833(b). (c)A request is considered complete when the facility, agency or public institution has fully described how it intends to meet the regulatory requirement in an alternate manner. For certified and non-certified nurse assistants, how many hours of orientation must be given prior to direct patient care? ------CORRECT ANSWER----------------8 hours. (e) certified and noncertified nurse assistants shall receive 16 documented hours of orientation. the orientation shall be completed during the first 40 hours of employment. (1) the first 8 hours of orientation shall be conducted prior to providing direct patient care. How many hours of in-service training or continuing education must a nurse assistant have in a 2 year period? ------CORRECT ANSWER----------------48 hours. (2) an application is considered complete when when the correct fee is received and the accompanying documentation verifies completion of required 24 hours of in-service training or continuing education per year for a total of 48 hours within the 2 year renewal period. The inservice training and continuing education shall include multiple topics. What does it mean for a space to be "permanently converted" ------CORRECT ANSWER----------------A space that cannot accommodate patients and cannot be converted to accommodate patients within 24 hours. Permanently converted means space which is not available for patient accommodation because the facility has converted the patient accommodation space to some other use and such space could not be reconverted to patient accommodation within 24 hours. What would require a separate license for an ICF? ------CORRECT ANSWER-------------- --When there is a separate facility not on the premises under the same management. Separate licenses shall be required for ICFs which are maintained on separate premises even though they are under the same mgmt. Separate licenses shall not be required for separate buildings on the same grounds or adjacent grounds. A licensee must file or have on file with the Department a bond issued by a surety company when handling $____ per patient or $_____ or more for all patients in any month ------CORRECT ANSWER----------------$25 per pt and $500 in a month. Bonds (a) each licensee shall file or have on file with the Dpt a bondn issued by a surety company authorized to do business in Ca if the licensee is handling or will handle money in the amount of $25 or more per pt or $500 or more for all pts in any month Special treatment programs shall provide programs to serve patients who have a chronic psychiatric impairment and whose adaptive functioning is ____. ------CORRECT ANSWER----------------Moderately impaired (a) special treatment programs shall provide programs to serve pts who have a chronic psychiatric impairment and whose adaptive functioning is moderately impaired. When contesting a citation, upon receipt of the request, the district administrator or his/her designee has how many days to arrange an informal conference? ------ CORRECT ANSWER----------------4 days (a) the district administrator or his designee shall hold, within four business days from the receipt of the licensee's request, an informal conference. (1) the licensee shall have the right to be represented by legal counsel, to present oral and written evidence or other information on its behalf, and to explain any mitigating circumstances. According to OBRA, a resident has the right to be free of interference, _____-, discrimination, and reprisal from the facility in exercising his or her rights. ------ CORRECT ANSWER----------------Coercion. (2) the resident has the right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights. According to OBRA, can a facility keep a residents money in petty cash? ------ CORRECT ANSWER----------------Yes, (3) deposit of funds. (i)Funds in excess of $50. the facility must deposit any residents personal funds in excess of $50 in an interest bearing acount or accounts that is separate from any of the facility's operating accounts, and that credits all interest earned on resident's funds to that account. (in pooled accounts, there must be a separate accounting for each resident's share.)(ii) Funds less than$50. The facility must maintain a resident's personal funds that do not exceed $50 in a non-interest bearing account, interest-bearing account, or petty cash fund. It is a requirement that each patient in a skilled nursing facility shall be provided care which shows evidence of all but which of the following? ------CORRECT ANSWER-------- --------Neatly pressed clothing (d) each patient shall be provided care which shows evidence of good personal hygiene, including care of the skin, shampooing and grooming of hair, oral hygiene, shaving or beard trimming, cleaning and cutting of fingernails and toenails. The patient shall be free of offensive odors. When is a facility permitted to use physical restraints for behavioral control without a signed order by a physician? ------CORRECT ANSWER----------------In an emergency. (2) Physical restraints for behavior control shall only be used on the signed order of a physician or other person lawfully authorized to prescribe care, except in an emergency which threatens to bring immediate injury to the patient or others. in such an emergency an order may be received by telephone, and shall be signed within 5 days. Which of the following is an acceptable form of sterilizing bedside equipment? ------ CORRECT ANSWER----------------Submersion in boiling water for a minimum of 30 minutes. (c) bedside equipment including but not limited to washbasins, emesis basins, bedpans, and urinals shall be sanitized only by one of the following methods: (1) submersion in boiling water for a minimum of 30 minutes. (2) autoclaving at 15 pounds pressure and 121 degree celcius (250F) for 20 minutes. (3) gas sterilization Which of the following is not a requirement for a nurses station? ------CORRECT ANSWER----------------Chair (c) each nursing staiton shall have a cabinet, a desk, space for records, a bulletin board, a telephone and a specifically designated and well illuminated medication storage compartment with a lockable door. if a separate medication room is maintained, it shall have a lockable door and a sink with water connections for care of equipment and for hand washing. A facility that has patients certified for special treatment programs, sufficient staff is required to provide a minimum daily average of how many nursing hours per patient day Safety, zoning, and building clearance ------CORRECT ANSWER----------------(a) A license shall not be issued to any skilled nursing facility which does not conform to the State Fire Marshal's requirements on fire and life safety and the state requirements on environmental impact and to local fire safety, zoning and building ordinances. Evidence of such compliances shall be presented in writing to the Department. 42CFR quality of life (social services) ------CORRECT ANSWER----------------(g) Social Services. (1) The facility must provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. (2) A facility with more than 120 beds must employ a qualified social worker on a full- time basis. Review procedures ------CORRECT ANSWER----------------If a licensee does not wish to contest a citation, he may transmit to the Department, within four business days, after the issuance of the citation the sum of $1,000 for each class "A" violation and the sum of $50 for each class "B" violation. Patients' health records ------CORRECT ANSWER----------------Records shall be permanent, either typewritten or legibly written with pen and ink and shall be kept on all patients admitted or accepted for treatment. All health and social records of discharged patients shall be completed and filed within 30 days and such records shall be kept for a minimum of seven years, except for minors whose records shall be kept at least until one year after the minor has reached the age of 18 but in no case less than seven years. ICF patient capacity ------CORRECT ANSWER----------------a) An intermediate care facility shall not have more patients or beds set up for use than the number for which it is licensed except in case of emergency when temporary permission may be granted by the Director or his designee. (b) Five percent of a facility's total licensed bed capacity may be used for a classification other than that designated on the license. Upon application to the Director and a showing that seasonal fluctuations justify, the Director may grant the use of an additional five percent of the beds for other than the classified use. ------CORRECT ANSWER----------------22 CCR § 73651. Lighting. (a) All rooms, attics, basements, passageways and other spaces shall be provided with artificial illumination. (d) All corridors, storerooms, stairways, ramps, exits and entrances shall have a minimum of five lumens of light measured in the darkest corner. 42CFR Resident Assessment ------CORRECT ANSWER----------------(2) Transmitting data. Within 7 days after a facility completes a resident's assessment, a facility must be capable of transmitting to the CMS System information for each resident contained in the MDS in a format that conforms to standard record layouts and data dictionaries, and that passes standardized edits defined by CMS and the State. 22 CCR § 73541. Annual Reports. ------CORRECT ANSWER----------------Each facility on or before the 15th day of February of each year shall file with the Department upon forms furnished by the Department a report for the preceding calendar year upon all matters requested by the Department. Physician Services--General Requirements ------CORRECT ANSWER---------------- Registered nurses may perform patient care services utilizing "Standardized Procedures" which have been approved by the medical staff, or by the medical director if there is no organized medical staff, the registered nurse and the administrator as authorized in the Business and Professions Code, Chapter 5, Article 2, Section 2725. 42CFR Resident Rights ------CORRECT ANSWER----------------The facility must inform each resident before, or at the time of admission, and periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare or by the facility's per diem rate. Administrative Policies and Procedures ------CORRECT ANSWER----------------All patients shall have a tuberculosis screening procedure done upon admission. These procedures shall be determined by the patient care policy committee. Subsequent tuberculosis screening procedures shall be determined by attending physicians. A tuberculosis screening procedure may not be required if there is satisfactory written evidence available that a tuberculosis screening procedure has been completed within 90 days of the date of admission to the intermediate care facility. Central Supply and Sterilizing ------CORRECT ANSWER----------------(a) Intermediate care facilities having a licensed bed capacity of 60 or more beds shall maintain a central supply and sterilizing area which shall be adequate to maintain the following services, spaces and equipment as a minimum: (1) Work space. (2) Sterilizing space. (3) Storage space for sterile supplies. (4) Storage space for unsterile supplies. (5) Equipment for clean-up and sterilization of dressings, utensils, supplies and solutions. (b) Autoclaves shall be equipped with recording thermometers in addition to the standard mercury thermometers. 22CCR § 72535(SNF) - 22CCR § 73525(ICF). Employees' Health Examinations and Health Records. ------CORRECT ANSWER----------------(a) All employees working in the facility, including the licensee, shall have a health examination by a physician prior to employment or within seven days after employment and at least annually thereafter. (c) The facility shall maintain a health record for each employee, including reports of all employment-related health examinations. Such records shall be kept a minimum of three years following termination of employment. 22CCR § 73721. Informal Conference. ------CORRECT ANSWER----------------(e) If a licensee notifies the district administrator, or his designee, in writing by registered or certified mail that he intends to contest a citation or the assessment of a proposed civil penalty, after an informal conference has been held, the department shall refer the matter immediately to the Attorney General for appropriate action in the Superior Court of the county in which the facility is located. 2CCR § 72529. Safeguards for Patients' Monies and Valuables. ------CORRECT ANSWER----------------(3) Patients' monies not kept in the facility shall be deposited in a demand trust account in a local bank authorized to do business in California, the deposits of which are insured by the Federal Deposit Insurance Corporation, or in a federally insured bank or savings and loan association under a plan approved by the Department. If a facility is operated by a county, such funds may be deposited with the county treasurer. If a facility is operated by the State, such funds may be deposited with the State Treasurer. All banking records related to these funds, including but not limited to deposit slips, checks, cancelled checks, statements and check registers, shall be Persons responsible for therapeutic diets shall have sufficient knowledge of food values to make appropriate substitutions when necessary. Physician Services--General Requirements ------CORRECT ANSWER----------------(1) Patient evaluation including a written report of a physical examination within 5 days prior to admission or within 72 hours following admission. (2) An evaluation of the patient and review of orders for care and treatment on change of attending physicians. program flexibility ------CORRECT ANSWER----------------(b) Submission of a request for program flexibility must be made in the format and on a form developed by the Department. Form DHS 5000, 5/92, is hereby incorporated by reference. Submission of the program flexibility request shall be deemed to occur on the date the request is received by the Department. This form can be obtained by writing to the Department at the address specified in Section 71833(b). (c) A request is considered complete when the facility, agency or public institution has fully described how it intends to meet the regulatory requirement in an alternate manner. (d) The Department shall inform the facility, agency, or public institution within thirty (30) calendar days of receipt of a request for flexibility that the request is complete and accepted for consideration or that the request is deficient and what specific information or documentation is required to complete the request. (e) The Department shall within sixty (60) days of a completed request, notify the facility, agency or public institution in writing, of the Department's decision regarding the request. (f) The Department's time frames for processing a program flexibility request from the day a complete request is received are as follows: (1) Minimum . . 30 days. (2) Median . . . . 45 days. (3) Maximum . . 60 days. DSD: ------CORRECT ANSWER----------------(a) Each nursing facility, agency or public educational institution providing nurse assistant training shall be responsible for hiring qualified staff and shall submit a resume to the Department reflecting the qualifications of a Director of Staff Development or Instructor who must be approved by the Department. In nursing facilities a licensed nurse who meets the qualifications in this section may provide the training in place of the DSD when the DSD is absent due to illness or vacation or when the DSD has terminated employment. In the latter instance the facility must show evidence of recruitment efforts. A copy of the resume must be kept on file at the facility or agency. The Department shall be notified within thirty (30) calendar days following the employment of a new Director of Staff Development or Instructor. (1) Submission of a resume shall be deemed to occur on the date the resume is received by the Department. (2) A resume shall be considered complete when it clearly addresses all the qualifications required by this section (b) The Department shall inform the facility, agency or public institution, within thirty (30) calendar days of receipt of the resume that it is complete and accepted or that it is deficient and what specific information or documentation is required to complete the resume. (c) The Department's maximum time period to approve a resume for an Instructor or Director of Staff Development shall be sixty (60) calendar days, from the receipt of the initial application to the final decision regarding the resume. To prevent delays, the Department may provide telephone approvals whenever possible. Telephone approvals shall be followed by written confirmations. (d) The nursing facility, agency or public educational institution is responsible for assuring that the Director of Staff Development or Inst ------CORRECT ANSWER----------------Column A Column B Number of Beds Required Hours Number of Beds Required Hours Per Month Per Week 100 or more 93 100 or more 40 60-99 54 60-99 30 1-59 26 1-59 20 Administrative P&Ps (if providing nurse assistant training) ------CORRECT ANSWER----- -----------(b) Policies shall include but not be limited to: (1) Job descriptions detailing qualifications, duties, responsibilities, and limitations for the licensed nurse program director and the instructors. (2) An organizational chart showing the person in charge of the program, the lines of authority, responsibility, communication, staff assignments, and schedules. (3) The method of monitoring instructors by the individual responsible for the training program. (4) The ratio of students to instructor(s) for the clinical training, not to exceed a ratio of one (1) instructor to fifteen (15) students. (5) How student absenteeism and makeup classes will be handled. (c) No nursing facility shall permit students to practice their clinical skills training or have contact with patients unless they have been screened and there is no indication they have been convicted of crimes defined in sections 220, 243.4, 261, 264.1, 273a, 288, 289, and 368 of the Penal Code. (d) No nursing facility, agency, or public institution shall make or disseminate false or misleading statements or advertisements regarding training provided. (e) No nursing facility, agency, or public institution shall make a claim that completion of their program may lead to a student receiving a nurse assistant certification unless the nursing facility, agency, or public institution provides a nurse assistant training program approved by the Department. § 71827. Student Performance Standard. ------CORRECT ANSWER----------------Student performance standard means a standard which is used as a method of measuring student learning. §71813. Hour. ------CORRECT ANSWER----------------Hour means fifty (50) minutes of participation in an organized learning experience. Each hour of classroom theory shall be accepted as one (1) hour of certification training, in-service training or continuing education. § 71807. Core Curriculum. ------CORRECT ANSWER----------------Core curriculum means a description of each category of study within a program which covers the minimum knowledge and skills required for nurse assistants and builds on their knowledge in a logical and methodical manner. continuing education ------CORRECT ANSWER----------------Continuing education means provision of structured courses for certified nurse assistants by an agency, a public educational institution, or in a health care setting other than the nursing facility where the certified nurse assistant is employed. Clinical training ------CORRECT ANSWER----------------Clinical training means that portion of the orientation program and the certification training program which includes instruction and demonstration on a patient of patient care skills by a Director of Staff Development or other instructor and a return demonstration of competence in these skills by the student. ICF required services ------CORRECT ANSWER----------------(a) Intermediate care facilities shall provide as a minimum, but shall not be limited to, the following required services: Physician, intermittent nursing, dietary, pharmaceutical and an activity program. Second degree of consanguinity ------CORRECT ANSWER----------------(d) Except where provided for in approved continuing care agreements, or except when approved by the Department, no facility owner, administrator, employee or representative thereof shall act as guardian or conservator of a patient therein or of that patient's estate, unless that patient is a relative within the second degree of consanguinity. § 72419. Occupational Therapy Service Unit — Equipment.( ------CORRECT ANSWER- ---------------a) Necessary equipment shall be available to provide the occupational therapy services offered. The equipment shall include but not be limited to:(1) Supportive slings, supportive and assistive hand splints and the materials from which to fabricate these and other assistive devices.(2) Adaptive devices to aid in the performance of daily living skills such as eating, dressing, grooming and writing, with instructions for their use.(3) Equipment and supplies for the development of creative skills.(4) Means and supplies for adapting equipment for reeducation in activities of daily living. § 72417. Occupational Therapy Service Unit — Staff. ------CORRECT ANSWER---------- ------(a) The occupational therapy service unit shall be under the direction of an occupational therapist.(b) An occupational therapy assistant shall work only under the supervision of an occupational therapist. § 71851. Disciplinary Actions and Appeals. ------CORRECT ANSWER----------------The Department shall conduct the informal hearing within five (5) business days of receipt of a timely request for a hearing. § 71831. Program Flexibility. ------CORRECT ANSWER----------------(b) Submission of a request for program flexibility must be made in the format and on a form developed by the Department. Form DHS 5000, 5/92, is hereby incorporated by reference. Submission of the program flexibility request shall be deemed to occur on the date the request is received by the Department. § 483.356 Protection of residents. ------CORRECT ANSWER----------------(4) Restraint and seclusion must not be used simultaneously. § 73385. Activity Program — Staff ------CORRECT ANSWER----------------.(a) Activity program personnel with appropriate training and experience shall be provided to meet the needs of patients.(b) Each facility shall designate an activity leader who, under the direction of the administrator, shall:(1) Develop, implement and supervise the activity program.(2) Obtain from the supervisor of health services a list of those patients who can participate in each activity program. § 72451. Special Treatment Program Service Unit — Program Requirements. ------ CORRECT ANSWER----------------(b) Each patient admitted shall have an initial evaluation and assessment by facility staff of his medical, nursing dietetic, social and physical needs within 15 days of admission unless an evaluation has been done by the referring agency within 30 days prior to admission to the facility. § 71831. Program Flexibility. ------CORRECT ANSWER----------------(f) The Department's time frames for processing a program flexibility request from the day a complete request is received are as follows:(1) Minimum . . 30 days.(2) Median . . . . 45 days.(3) Maximum . . 60 days. § 73657. Screens ------CORRECT ANSWER----------------.Where necessary to protect against flies and other insects, screens of six mesh per centimeter (16 mesh per inch) shall be provided on doors and windows. Screen doors shall be of a type or installed as approved by the State Fire Marshal. Hill View Hospital in San Mateo has just opended a DP SNF. How should the hospital and SNF handle expense? Keep everything separate so there is no chance of resident monies becoming missing. They must share expense and income. They are not allowed to share expenses or income, so they will need to have two separate accounting offices. They can share expenses such as materials, linen, supplies, etc..but they can not share income for reporting purposes. ------CORRECT ANSWER----------------§ 483.5 Definitions.(iv) The SNF or NF is financially integrated with the institution of which it is a distinct part, as evidenced by the sharing of income and expenses with that institution, and the reporting of its costs on that institution's cost report. § 73317. Nursing Service — Policies and Procedures. ------CORRECT ANSWER--------- -------(a) Written policies and procedures developed by the supervisor of health services and approved by the Patient Care Policy Committee shall be available to all nursing personnel. Such policies and procedures shall include:(1) An organization chart of the nursing service showing staff positions, lines of authority and communication. § 73307. Physician Services — Equipment and Supplies. ------CORRECT ANSWER----- -----------Equipment for physical examinations and emergency treatment of patients shall be available in the facility and shall include at least:stethoscope - scales for weighing patientssphygmomanometer - vaginal speculumflashlight - rectal speculumgloves (sterile and unsterile) - appropriate record formstongue depressors - sterile dressingexamination spotlight - suture tray § 73303. Physician Services — General. ------CORRECT ANSWER----------------(a) Physician services are services provided by physicians responsible for the care of individual patients in the facility. All persons admitted or accepted for care by the intermediate care facility shall be under the care of a physician. Physician services shall include but are not limited to:(6) Periodic reevaluation of the patient's condition and the review and updating of treatment orders and care program at least every 60 days unless otherwise approved by the Department. §71845. Continuing Education. ------CORRECT ANSWER----------------(c) Application for approval of an initial continuing education programs shall include the following:(1) A course title, course outline, core curriculum and lesson plan(s). Lesson plans shall include student performance standards and an outline of content to be provided for each particular lesson. Lesson plans must provide the Department with adequate detail (i.e., method, technique, procedure) to discern what is being taught. Plans must also include the method of evaluating the results of the training. Course content shall be designed to enhance knowledge and skills acquired during the basic certification training.(2) The number of hours scheduled for presentation.(3) A sample of an evaluation tool. §71845. Continuing Education. ------CORRECT ANSWER----------------(3) Starting from the date a completed application is received, the Department will make a decision, whether to approve or disapprove it within 90 days. The Department's time frames for