Regulations for Adult Residential Care Facilities, Exams of Nursing

Download Regulations for Adult Residential Care Facilities and more Exams Nursing in PDF only on Docsity! How long will the manager be at the office? - answer>>Be on premises the quantity of hours important to oversee and direct the office in consistence with pertinent regulation and guideline. Director of office with 7 to 15 clients will have what experience? - answer>>1 year work insight in private consideration (T/F) The division might give an endorsement before getting criminal record leeway from the branch of equity, assuming that the candidate expresses that he/she has submitted his.her fingerprints promptly. - answer>>False (T/F) The licensee will give a separation room or region for use by sick occupants - answer>>True The division requires fire up reserves equivalent to ______ months working costs. (85018)(b)(1) - answer>>3 months Office with limit of at least 7, permit will be posted where? - answer>>In a noticeable, openly open area in office Office with limit of 6 or less, permit will be posted where? - answer>>Retained in office and be accessible upon demand An additional charge to the occupant will be considered a confidential room if what? - answer>>A twofold room is made accessible, yet occupant favors a confidential room and game plan is reported in confirmations understanding, charge is restricted to 10% of Board and room piece of SSI/SSP award. An additional charge to the occupant will be considered extraordinary food administrations and items later? - answer>>Resident wishes to buy the administrations and consents to the additional charge in arrangement. In how long will the division be advised recorded as a hard copy of progress in manager? - answer>>30 days What will be remembered for the notice to the division of progress in manager? - answer>>1. Name, home/street number of new chairman 2. Date he/or she accepted position 3. Description of foundation and capabilities, including required director confirmation An overseer will be essentially what age. - answer>>21 years Manager of office with 16-49 clients will have what schooling/experience? - answer>>1. Secondary school certificate or GED 2. 15 school or CE semester units in nourishment, human way of behaving, organization or staff relations 3. 1 year work insight in private consideration. Overseer of office with at least 50 clients will have what instruction/experience? - answer>>1.High school certificate or GED 2. 60 school or CE semester units in organization or staff relations 3. 3 years work insight in direct consideration to clients or aiding office organization The chairman will perform what obligations? - answer>>1. Educate permit on activity regarding office and improvements in field of care and management 2. Development of plan and method to characterize liability, responsibilities and staff management In office of limit of 16 to 49 clients what necessities should be met by the overseer to have arranged exercises? - answer>>1. One individual assigned by head to have liability regarding association, lead arranged exercises 2. Individual assigned have no less than a half year experience in putting together and giving arranged exercises. In office of limit of at least 50 clients, what necessities should be met by the director to have arranged exercises? - answer>>1. One individual assigned by manager to have liability regarding association, lead arranged exercises and have help as the need should arise 2. Individual assigned have no less than 1year involvement with arranging and giving arranged exercises and assessment of client needs, management of representatives and preparing volunteers In office with limit of at least 16 clients, who will be answerable for food arranging, planning and administration? - answer>>One representative will be mindful and have hands on preparing or have related insight. In office with limit of 16 to 49 or at least 50 clients that give 3 dinners each day. Who will have full-time liability of food administration program and gangs what capabilities? - answer>>1. One worker with 1 year experience in food readiness and administration obliging at least 50 individuals. 2. One representative with 2 years experience in food planning and administration obliging 16 to 49 additional individuals. In the event that worker in an office for at least 50 clients isn't a nutritionist, dietician or home financial specialist, an arrangement will be made for what. - answer>>1. Normal counsel from a certified individual 2. Counsel will be during no less than one dinner readiness and administration 3. Put down account of specialists visits What are least day staff-client proportion prerequisites for Provincial focus clients? - answer>>No short of what One direct consideration staff for three clients. What are least day staff-client proportion necessities for any remaining clients? - answer>>No short of what One direct consideration staff for three clients. Workers giving night oversight from 10pm to 7am will have what preparing? - answer>>1. Office arranged crisis methodology 2. Emergency treatment Night administrative faculty prerequisites for office with 15 or less clients will be what? - answer>>At least One individual available for any emergencies in the vicinity Night administrative faculty prerequisites for office with 16 to 100 clients will be what? - answer>>1. Somewhere around One individual on the job, in the vicinity and alert 2. Someone else available for potential emergencies and fit for answering with 30 minutes. Night administrative faculty necessities for office with 101 to 200 clients will be what? - answer>>1. Somewhere around One individual available to work, on premises 2. Another individual working, on premises and conscious 3. Another individual available for potential emergencies and fit for answering in 30 minutes or less Night administrative faculty necessities for offices giving consideration to at least 7 clients who depend upon others to perform exercises will be what? - answer>>1. Somewhere around One individual on the job, on premises and alert 2. Front each expansion 14 clients, there will be someone else working, on premises and conscious Night administrative staff necessities for 100 extra clients or part thereof will be what? - answer>>One extra individual on the job, on premises and conscious A worker time plan will be produced for how long and contain what data? - answer>>1.Developed in some measure month to month 2. Contain: Name, Occupation title, Hours worked and days off Client record should contain what data? - answer>>1. Last known address 2. Religious inclination, name and address of priest or counsel 3. Needs and Administrations plan and any adjustments 4. Mental Wellbeing admission evaluation Licensee will be allowed to hold at death's door clients who get hospice administrations from a hospice office or previously getting hospice administrations when what conditions are met? - answer>>1. Licensee has gotten an office hospice care waiver from division 2. Licensee stays in significant consistence with ARF guidelines 3. Licensee can't contract for hospice administrations for benefit or a current client 4. Written hospice care plan is created for each at death's door client 5. Acceptance of critically ill client doesn't be danger to different clients 6. Hospice and client consent to give all fundamental data 7. Hospice consents to give important clinical intercession connected with clients disease. Licensee will consistently notice every client for what sort of changes? - answer>>1.Physical, mental, close to home, social working 2. Changes, for example, weight gain/misfortune, decay of ailment 3. Suspected of having infectious or irresistible sickness While serving food what necessities will be met? - answer>>1. Dinners will be served in at least one lounge areas or comparative regions in which all furnishings, gear for feasts administration is given 2. Plate administration can be given in the event of brief need. Supplies for staple durable and new transitory food will be held for at least how long? - answer>>1. Durable food varieties - Least multi week 2. New perishables food varieties - 2 days Coolers and fridges will keep up with what temperature? - answer>>Freezer - 0 degrees F Cooler - Max 45 degrees F Clients will be urged to have feasts with who? - answer>>Other clients 3. ID of explicit clients living unit from which sign starts. What is handling charge for seller giving Introductory Accreditation Preparing System? - answer>>$150 An ARF Beginning Confirmation Preparing program will comprise of what number of study hall hours? - answer>>35 hours How much punishment is evaluated lacks that are not remedied in an ICTP? - answer>>$50 each day, per refered to infringement An ARF might exercise manual self control or disconnection with a client provided that? - answer>>1. Force utilized doesn't surpass what is important to turn away injury or peril being undermined 2. Risk of injury brought about by the power applied doesn't surpass the gamble of injury being turned away 3. Manual restriction or confinement is utilized when a client's conduct presents an impending risk for serious injury to self or others 4. Duration of a manual limitation or separation stops when the gamble of up and coming risk or serious injury has stopped Definition of Manual Restraint? - answer>>Means same as Physical Restraint which means use of a manual hold to restrict freedom of movement of all or part of a person's body, or to restrict normal access to the person's body, and that is used as a behavior restraint on a client who presents an immediate danger to his or herself or to others. Definition of Mechanical Restraint? - answer>>Use of a mechanical device, material, or equipment attached or adjacent to the person's body that he or she cannot easily remove and that restricts the freedom of movement of all or part of a person's body or restricts normal access to the person's body, and that is used as a behavioral restraint. Example: cloth ties, handcuffs, restraining sheets, chairs and belts What emergency interventions shall not be used on a client? - answer>>1. Mechanical or Manual restraints 2. Manual restraint or seclusion when imminent risk of serious physical harm to self or others 3. Adverse behavior modifications 4. Pain, induced to control behavior or limit movement 5. Any manual restraint technique that obstructs person's airway or restricts breathing 6. Manual restraint with person's hand held behind person's back 7. Placement of item that covers head 8. Chemical restraint or psychotherapeutic or behavior modifying drugs. The emergency plan shall be approved by who and specify what things? - answer>>1.Approved by applicant or licensee in conjunction with Behavior Management Consultant 2. Specifies less restrictive or non-physical de-escalation methods that may be used to identify and prevent behaviors that lead to use of manual restraint Each use of manual restraint or seclusion shall be reported to whom and in what time frame? - answer>>1. Report to authorized representative by telephone, no later than next business day 2. Report to the department in writing no later than the next business day. What are staff training requirements for emergency interventions? - answer>>1. Staff who use manual restraint shall have minimum of 16 hours of emergency intervention training. 2. Staff shall have a minimum of 6 hours of annual refresher training Where must emergency intervention plan be included and reviewed by whome prior to implementation? - answer>>1.Must be included in Admission agreement and list short description of each emergency interventions 2. Shall be reviewed with and approved by client and his/her authorized representative 3. Provide copy of emergency intervention plan to client When does a emergency intervention plan need to be updated? - answer>>As needed to ensure it meets the safety needs of clients. No other person than the _____ shall alter the prescription label. (80075)(k)(4) - answer>>dispensing pharmacist Medication shall be centrally stored when...(80075)(j) - answer>>1. preservation of medication requires refrigeration 2. medication is determined by the physician to be hazardous if kept by the resident 3. administrator/licensing determines the medication to be a safety hazard due to physical arrangements and/or conditions/habits of persons in facility Prescription medications which are not taken with the resident upon termination of service shall...(80075)(l) - answer>>be destroyed What is required for all staff providing direct care, PRIOR to employment? - answer>>1. First Aid training 2. TB test 3. background clearance How long are client records retained? (80066)(d) - answer>>3 years Modifications to the admissions agreement requires how much notice? (80068)(4) - answer>>30 *CALENDAR* days Fingerprints shall be submitted to the Department of Justice (DOJ) within what time frame of employment? (80019)(2)(e) - answer>>prior to employment When is an employee fingerprinted? (80065) - answer>>prior to employment The death of a client requires a written report submitted to CCLD within how many days? (80061)(b) - answer>>7 WORKING days What is required for taps/faucets delivering water temperatures 125°F or above? (80088)(3)(b) - answer>>a warning/cautious sign (conservators represent adults, guardians represent children) What temperature should hot water controls be maintained at? (80061)(e)(1) - answer>>105°F - 120°F (anything over 125°F requires a caution sign to be posted) In addition to sending the report to licensing, who shall a report be submitted to if an epidemic outbreak occurs? (80061)(2) - answer>>the local health department A licensee may request a review of a notice of deficiency within how many days of receipt of such notice? (80055)(a) - answer>>10 working days A verbal report (phone call) shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the specific information shall be submitted to the licensing agency within how many days of the occurrences of any suspected physical or psychological abuse of any client to licensing? (80061)(B)(F) - answer>>7 days Refrigerators shall maintain a maximum temperature of what? (85076)(D)(3) - answer>>45°F A dated employee time schedule shall document an employee's... (85066)(b)(3) - answer>>hours of work How long are menus to be kept on file in the facility? (80076)(5) - answer>>30 days T/F: Admissions agreements are automatically terminated, after the date of the client death, and any debts he/she accrued are stopped. (80068)(10)(h) - answer>>True What size facility must have regular consultations with a nutritionist, dietician, or a home economist? (85065)(E)(4) - answer>>50 or more clients What cannot be used as a *beverage/drink*? (80076)(9) - answer>>powdered milk however, powdered milk may be used in cooking Fresh, perishable foods must be maintained for how long? (85076)(d)(1) - answer>>48 hours/2 days A written relocation plan to move a client from the facility shall not exceed how many days? (80078)(b)(1)(a) - answer>>30 days How many clients are allowed per room? (85087)(1)(A) - answer>>No more than 2 Upon receipt of a complaint, licensing shall make an onsite inspection within how many days? (80006)(1) - answer>>10 days What size facility must have a reception area and a restroom facility designed for the use by visitors? (85087) (d)(3) - answer>>16 or more clients The maximum number of a person a facility is authorized to provide care for is referred to as the _________? (80001)(c)(2) - answer>>Capacity What type of bedrails are allowed only for assisting the client with mobility? (80072)(e)(1) - answer>>Half rails, that extend from the head to half the length of the bed A $2000.00 bond is necessary if the licensee safeguards how much money per month for all clients? (80025)(c) - answer>>$751 to $1500 Where are soap, detergents and cleaning compounds stored? (80076)(16) - answer>>In areas that are separate from food supplies What should be provided for clients eating needs if *temporarily* he/she must dine in their room and not in the facility's assigned dining area? (80076)(2) - answer>>Tray service for their meals As recommended by the USDA basic food group plan what portion of serving shall be served at each meal? (80076)(a)(1) - answer>>1/3 (protein, starch, and veg./fruit) What is the maximum hours to elapse between the third meal (dinner) and first meal (breakfast) of the day? (80076)(a)(2) - answer>>15 hours In facilities providing care and night supervision for 16 to 100 clients, how many staff is required? (80065.6)(d) (85065.6)(d) - answer>>One person on the premise and awake and another on call and capable of responding within 30 minutes When shall licensing be notified if there is a change of facility's administrator? (85061)(B) - answer>>Within 30 days According to regulations, how long/often should the administrator of an adult residential facility be on the premises? (85064) (D)(1) - answer>>The number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations. A non-transferrable written authorization issued by the licensing agency to use alternative means which meet the intent of the specific regulation and which are based on the unique needs or circumstances of a specific client(s)or staff person(s) is called what? (80001)(e)(6) - answer>>An exception Client linens should be changed at least ____ or more often when necessary to ensure that clean linens are in use by the client at all times. (85088)(4)(a) - answer>>once per week The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license? (80044)(a)(1) - answer>>90 days T/F: Clients who wish to eat alone in their rooms, shall be in encouraged to have meals with other clients. (85076)(E) - answer>>true T/F: the licensing agency does not have authority to restrict care to specific individuals. (85044)(D) - answer>>false T/F: Certificates shall be valid for a period of two years and expire on either the anniversary date of initial issuance or on the individual's birthday during the second calendar year following recertification. (85064)(H) - answer>>True T/F: Certificates is not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated. (85064.3)(f) - answer>>true T/F: Within six months of becoming an administrator, the individual shall receive training on HIV/TV. (85064)(6)(A)(K) - answer>>true T/F: Unlicensed care provider staff may provide a manual removal of fecal impaction, provided they are trained to do so by licensed care professional. (80092.5)(D)(3) - answer>>False (ARF is *non-medical*) T/F: In facilities providing care and supervision for 16 to 100 clients, there shall be at least five persons on duty, on the premises and awake. (85065.6)(D) - answer>>False T/F: Certificates renewed after the expiration date, but within four years of the certificate expiration date are subject to a $300 deficiency fee. (850643.3)(E)(3) - answer>>True T/F: Full-length bed rails are *prohibited* for use in a community care facility. (80072)(8)(E)(1) - answer>>True T/F: Initial certification training program vendors do not have to be approved by the department. (850902)(A) - answer>>False T/F: Supplies of staple, non-perishable foods shall be maintained on the premises for a minimum of two days. (85076) - answer>>False. 7 days: non-perishable 2 days: perishable T/F: in cases where the individual is both a licensee and the administrator of an adult residential facility, the individual shall comply with all licensee and certified administrator requirements. (85064)(M) - answer>>True The client suspected of having a contagious or infectious disease shall be isolated and a physician contacted to determine suitability of the client's retention in the facility. (85075.4)(D) - answer>>True T/F: Any person willfully making any false representations as being a certified ARF administrator is guilty of a misdemeanor. (85064.2)(F) - answer>>True To become a certified adult residential administrator in California, what is required? - answer>>- Complete all 35 hours of training from an approved vendor certification program -Must have a high school diploma or pass a general education development test(GED) -Register to complete the state examination within 60 days of completing the initial certification training program(ICTP) -Successfully pass the state ARF administrator exam T/F: A licensed program analyst from CCLD must show their identification and make an appointment prior to entering or inspecting an adult residential care facility. - answer>>False. No appointment needed and anticipate unexpected visits. ID is available upon request and encouraged T/F: A room approved for non-ambulatory clients maybe used only by a client whose physician has determined to be non-ambulatory. - answer>>False An exception is a written authorization to use alternative means granted for... - answer>>-a particular client -A particular staff person During an emergency, a person who's physically able to leave the facility unassisted, but because of a cognitive impairment requires assistance is considered to be... - answer>>non-ambulatory T/F: Cultural competence requires that organizations have a defined set of value and principles and demonstrate behaviors, attitudes, policies and structures that enables them to work effectively within a cross-cultural environment. - answer>>True T/F: If the consumer is to be admitted Into the ARF, prior to admission, the licensee's designated social worker shall complete a written needs and service plan (IPP) indicating the consumer's entrance date into the facility. - answer>>True What is the minimum age of an ARF administrator? - answer>>21 years old (18 years old for STAFF) Who is required to get a criminal record clearance? - answer>>Anyone with regular contact including: -The administrator -Direct care staff -An employee who does not work in a facility but lives on the premises with his/her spouse T/F: If an ARF has a facility manager on duty for every shift, then ARF does not need to hire a certified administrator. - answer>>False. ARF must always have an admin T/F: the mission agreement must specify the following: The general facility policies or "House Rules" are intended to ensure that no client/consumer, IN the exercise of his/her personal rights, infringe upon the personal rights of any other client. - answer>>True T/F: The licensee may accept or retain any person whose primary need is a acute psychiatric care due to a mental illness. - answer>>False. (ARF is *non-medical*) Prior to accepting a client/consumer for care and supervision, the person responsible for mission must do what? - answer>>-Provide him/her or the representative with information contained in the admission agreement. -Make a prior determination of the facility's ability to meet the needs of the client/consumer. When a licensee agrees to safeguard a client's money, they must have a bond issued by a surety company on file depending on the amounts: - answer>>$750 or less ---> $1,000 $751-$1,500 ---> $2,000 $1,501-$2,500---> $3,000 The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license. - answer>>60 days Each applicant shall submit a financial plan of operation that shall document the availability of start-up funds to finance the first - answer>>3 months of operation All community care facilities shall be inspected and evaluated for quality of care by licensing agency personnel at least - answer>>Twice per year In facilities with a licensed capacity of 16 or more clients, a food service employee shall be designated with the following experiences - answer>>On-the-job training or related experience evidenced by safe and effective 50 performance All persons providing care and supervision to residential care clients shall have - answer>>Submitted fingerprints for criminal record clearance to the Department of Justice prior to having any client contact. The licensing agency may issue a provisional license for a maximum of - answer>>60 days. When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or denied within - answer>>60 days. When a licensee agrees to safeguard $750 or less per month, they must have on file a bond issued by a surety company to the State of California as principal in the amount of - answer>>$1000. Which of the following is required: • At least one toilet and washbasin shall be maintained for every 10 persons residing in the facility, including clients, family and personnel. • At least one bathtub or shower shall be maintained for every 20 persons residing in the facility. • Toilets and bathrooms shall be located near client bedrooms. • None of the above. - answer>>None of the above. Which of the following bedroom furniture is not required: • Full-length mirror • Chair • Night stand • All of the above - answer>>Full-length mirror The Department may deny or revoke any administrator certificate upon which of the following grounds: • The certificate holder procured a certificate by fraud or misrepresentation. • The certificate holder knowingly made or gave false statements in conjunction with the application for certificate. • The Department has issued an exclusion order against the certificate holder. • All of the above. - answer>>All of the above An administrator applying for recertification must complete - answer>>40 units of continuing education during the two year certification period To apply for recertification prior to the expiration date of the certificate, the certificate holder must submit a. A written request to recertify post-marked on or before the certificate expiration date. b. Evidence of completion of 40 hours continuing education hours c. Payment of a one hundred dollar ($100) processing fee d. All of the above - answer>>d. All of the Above The Emergency Approval of Operate (EAO) is a temporary approval to operate the facility for no more than: - answer>>60 days Any person who operates an unlicensed facility may be assessed an immediate civil penalty in the amount of: - answer>>$200/day The minimum height of a fence surrounding a swimming pool must be at least: - answer>>5 feet A "waiver" is a non-transferable written authorization, issued by licensing, to use alternate means in which to meet the intent of a specific regulation and are based on: - answer>>A facility wide need and/or circumstances The licensee shall reveal each facility licensee number in: - answer>>All advertisements When a deficiency in compliance results in penalties being assessed, the deficiency must be corrected within: - answer>>24 hours Any change in the facility's plan of operation which affects the service to residents, must be reported to licensing within: - answer>>10 working days All facility personnel who provide care and supervision to residents must be at least: - answer>>18 years old Bedrooms must meet the following requirements: - answer>>No resident bedroom shall be used as a public or general passageway o another room, bath or toilet. The licensee shall meet the following food supply and storage requirement: a. maintain on the premises supplies of staples, non perishable foods for a minimum of one week b. freezers and refrigerators shall be kept clean c. Maintain on the premises supplies of perishable foods for a minimum of two days. d. all of the above - answer>>d. all of the above (T/F) Unless otherwise provided, a certified administrator may administer more than one licensed Adult Residential Facility. - answer>>True (T/F) An individual shall be a certificate holder prior to being employed as an administrator. - answer>>False (T/F) Adult Residential Care Facilities may not accept and retain clients whose primary need is acute psychiatric care due to mental disorder. - answer>>True (T/F) The licensee may evict a client by serving the client with a 30 day written notice to quit for non payment of the rate for basic services, within ten days of the due date. - answer>>True (T/F) Clients who wish to eat alone in their rooms shall be encouraged to have meals with other clients. - answer>>False (T/F) The licensing agency does not have authority to restrict care to specific individuals. - answer>>False (T/F) Certificates shall be valid for a period of two years and expire on either the anniversary date of initial issuance or on the individual's birthday during the second calendar year following recertification. - answer>>True (T/F) Certificates not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated - answer>>True (T/F) Within six months of becoming an administrator, the individual shall receive training on HIV or TB - answer>>True (T/F) Unlicensed care provider staff may provide a manual removal of fecal impaction, provided they are trained to do so by a licensed care professional. - answer>>False (T/F) The Department may revoke the certificate of any administrator who knowingly made or gave false statements or information in conjunction with the application for a certificate. - answer>>True (T/F) In facilities providing care and supervision for 16 to 100 clients, there shall be at least five persons on duty, on the premises, and awake. - answer>>True (T/F) Certificates renewed after the expiration date, but within four years of the certificate expiration date, are not subject to a $300 deficiency fee. - answer>>False (T/F) Full-length bed rails are prohibited for use in a community care facility. - answer>>True (T/F) Initial Certification Training Program vendors do not have to be approved by the Department - answer>>False (T/F) Space and equipment for washing and ironing and mending of personal clothing is requires in laundry areas - answer>>True (T/F) Supplies of staple, non perishable foods shall be maintained on the premises for a minimum of two days. - answer>>False (T/F) In cases where the individual is both the licensee and the administrator of an Adult Residential Facility, the individual shall comply with all licensee and certified administrator requirements. - answer>>True (T/F) A client suspected of having a contagious or infectious disease shall be isolated, and a physician contacted, to determine suitability of the client's retention in the facility. - answer>>True (T/F) Any person willfully making any false representation as being a certified, Adult Residential Facility administrator is guilty of a misdemeanor - answer>>True (T/F) Insertion and removal of a urinary catheter shall only be performed by a licensed professional - answer>>True (T/F) In facilities providing care and supervision for 15 or fewer residents, there shall be one person in duty and awake on the premises - answer>>False (T/F) The register of residents, including their name and ambulatory status, shall be made available to public inquiry, if required. - answer>>False