ALF Core Training Florida Exam Questions with Verified Answers
True or False? An ALF can be only one building? False
A resident can be bedridden in an ALF with a standard licence for no more then _ days? 7 Which agency is responsible for regulatory inspections of ALF’s? AHCA Capacity in an ALF is the of residents it is licensed to care for. number
Which of the following is not considered an ADL?a. Eatingb.Dressingc.transferringd.ambulatione.toileting c. transferring
Limited nursing services can only be provided by? LPN, RN, ARNP
1/2 bed rails are considered a and are allowed in an ALF only if? Physical Restraintthey are ordered by a physician
An event over which facility personnel could exercise control rather than as result of the resident’s condition and results in? Adverse Incident
Adverse incidents are submitted on day _ and day _ to ACHA. 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? 5 True or False? A limited mental health resident must receive OSS? True True or False? Facilities licensed for 16 residents must have an awake staff person at night. False The specialty licences for an ALF are? LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? Representative payee If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often? quarterly A facility must conduct how many elopement drills annually? 2 A minimum weekly staffing hours for an ALF with four residents is? 168 hours An ALF with or more residents that receive OSS must have which type of licence? 3 Limited mental health licence
What is not commonly used medication to treat symptoms of mental health disorders?a. anti-psychoticb. anti-anxietyc. psychotherapyd. antidepressant C. psychotherapy
Hospice services are allowed in an ALF and must be coordinated through the development of a what? Interdiscplinary care plan
What is not a potentially hazardous food?a. milkb. fruitc. eggsd. poultry Fruit
There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? Insulin injections
True or False? Alzheimer disease is curable by stimulating the brain? False
Any items a facility uses to advertise must contain what two things? Assisted living facility & Licence #
At least one staff member who is trained in _ & must be in the facility at all times. CPR & First Aid
ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? Biennial
Applications for a CHOW must be submitted to ACHA many days prior to the transaction. 60
True or False? Deficiencies cited by ACHA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given. False 30 days
True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence. True
How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? 30 days
ADL Activities of Daily Living
ACHA Agency Health Care Administartion
DOEA Department of elderly affairs
RN Registered Nurse
LPN Licensed Practical Nurse
ARNP Advanced Registered Nurse Practitioner
RD Registered Diatitian
LD Licensed Diatitian
CLSP Community Living Support Plan
CA Cooperative Agreement
ACS Assisted Care Services
LNS Limited Nursing Services Licence
ECC Extended Congregate Care Licence
LMH Limited Medical Health Licence
AFCH Adult Family Care Home
MOR Medication Observation Record
DCF Department of Children and Families
CNA Certified Nursing Assistant
HHA Home Health Aide
OSS Optional State supplementation
LTCOC Long Term Care Ombudsman Council
FPSS Florida Protective Service System
POA power of attorney
SSI Supplemental Security Income
CHOW change ownership
CARES Comprehensive Assessment and review for long term care services
CPR CARDIO PULMONARY RESUSCITATION
RDA recommended daily allowance
DOH Department of Health
CCRC continuing care retirement community
FDLE Florida Department of Law Enforcement
What Licence would be required if you are using a COMMUNITY SUPPORT PLAN? LMH
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? Cooperative Agreement
What is ACS? Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis.
Which Licence allows a nurse to preform any service within the scope of their licence? ECC
What Licence is required if you have 3 or more residents on OSS? LMH
With a LMH licence, how many days do you have to make a Community Living Support Plan? 30 Days
Can a cooperative agreement be included in a community living support plan? Yes
Which Licence allows full help with ADL’s? ECC
Can you care for a stage 3 pressure sore with a LNS licence? No
How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? 6
True or False? In Adult family care homes, care must be provided in the person providing cares own home. True
“What does the “”Long Term Care Ombudsman Council”” Do?” respond and resolve problems for residents in long term care facilities
How many days can a resident be bed ridden in a standard licence ALF? 7 days
An ALF owner must be how old? 18
An ALF administrator must be how old? 21
How many days must be given to a resident for notice of discharge? 45
How many days does a resident need to provide for notice of termination? 30 days
How many months does an administrator have to complete all CORE training requirements? 3 months
What is the minimum square feet need per resident in an ALF for common living areas? 35
What is the minimum square footage for a private room in an ALF? 80
Is an ALF required to carry liability insurance at all times? Yes
What is the maximum number of residents per bedroom? 2
What is the Toilet to sink ratio in an ALF? 1-6
“In how many days must the “”Health Assessment(1823)”” prior to the move-in be completed?” 60 days
“How many days after Admission must a “”health assessment (1823) be completed for a resident?” 30 days
True or False? Residents that store medication may do so in their rooms if the medications are kept locked. True
What is a Moratorium? the prohibition on the acceptance of new clients
What is the minimum time frame allotted to inform ACHA of a CHOW? 60 days
Every Years of employment a new background screening must be done. 5 How many days prior must an ALF inform ACHA the discontinuance of operation? 30 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. False 30 days How many years must copies of ACHA inspections be kept on file? 5 True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. False The may require one If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? 10 days unless alternative time frame is required A deficiency affecting one, or a very limited number of clients or staff would be considered a what? Isolated Deficiency A deficiency in which more then a limited number of clients or staff would be considered a what? Patterned Dificiency A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what? Widespread Deficiency “How soon must a Class “”I”” violation be corrected?” 24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger clients would be considered a what class? “Class “”I””” A violation that directly threatens clients is considered what class? “Class “”II””” A violation that potentially threatens a client is considered what class? “Class “”III””” “True or False For Class “”I”” & “”II”” violations fines can be waved if corrected in a time specified.” False A violation that does not have the potential to negatively affect a client is considered what class? “Class “”IV””” Can ACHA impose an administrative fine for violations not designated as one of the four classes? Yes When a moratorium or emergency suspension is placed on a facility they must post what where? A notice of action in a place visible to the public What class violation would a personal hygiene issue be considered? “Class “”III””” Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your licence, or violating any terms of your licence are considered what type of violation? Unclassified Violation How many days may ACHA extend a denied, revoked or set to terminate licence for the sole purpose of allowing safe and orderly discharge of clients 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? 15 days The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what? Aging in place A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what? Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? Chemical Restraint A guardian is a person the law has entrusted what? the custody and control of a person or property, or both True or False you can provide 24-hour nursing care under a LNS licence. False An individual who receives social security disability due to a mental disorder is a what? Mental Health Resident A device that physically limits, restricts or deprives movement or mobility is a what? Physical Restraint A service plan is required for each resident admitted under what licence? ECC True or False A resident under 24-hour-nursing care can be admitted to a ALF. False Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? yes True or False A home approved by the department of veteran affairs that provides care exclusively to 3 or less veterans is exempt from aquraring a licence True True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service. False An unlicensed ALF commits a felony of the Degree. Third
During a CHOW you have how many days to notify residents in writing? 7 days
“True or False ACHA can deny or revoke a licence if the ALF has two or more class “”I”” violations that are similar or identical within the past 2 years” True
When does a LNS, ECC & LMH licence expire? Same time as standard licence regardless of when issued
A conditional licence can not exceed how many months? 6 months
How soon must an owner of an ALF notify ACHA of a change in administration? 10 days
If a facility has _ or more residents they must have an awake staff member on duty at all times. 17 If a facility has fewer that 17 residents they must have and awake staff member on at all times or what? Have mechanisms in place to monitor and ensure safety of all residents. How many hours of initial training are required for an employee with regular contact with Alzheimer’s residents? 4 hours An Event over which facility personnel could exercise control rather than as a result of the residents condition and results in: Death, brain or spinal damage would be considered a what? Adverse incident After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA? 1 day How many day after an Adverse incident does the facility have to report a full report to ACHA? 15 days How often must a facility report any liability claims filed against them? monthly True or False adverse incident reports are confidential and are not discoverable or admissible in any civil or administrative action, except in proceedings by the agency or appropriate regulatory board. True A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident? Adverse incident True or false A RN can not perform their professional duties in an emergency situation at an ALF. False They can until emergency medical personal assume responsibility. An ALF with 17 or more beds must have a functioning what? Automated External Defrillator What is a DNR? Do Not Resuscitate Order Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED? “When presented with a “”do not resuscitate order””” When assisting a resident with self-administration of medication can you remove the prescribed amount while not in the presence of the resident? No, medicine must be opened and removed in residents presence True or False Mixing, compounding, converting or calculating medication doses is allowed with assisting in self-medication. FalseUnless you are measuring the prescribed amount, breaking a scored tablet or crushing a tablet as prescribed. True or False You may assist the resident with medication by lifting the hand, holding the container of medicine to the residents mouth. TrueYou may not however place the medicine directly in their mouth. A facility must notify who and how soon when they acknowledge that a resident is exhibiting signs of dementia or cognitive impairment? A licensed physician with in 30 days Can a resident use their own belongings as space permits in an ALF? Yes, unless they are adjudicated incompetent or incapacitated under state law. True or False A resident does not have the right to choose their own roommate. False Upon mutual consent how much cash can a facility keep in safekeeping for a resident? $200 Can an ALF employee barrow money from a resident? No What are the minimum records kept on file for all staff members? Background screening, compliance with all training and all licenses or certifications. Under what circumstance may a resident give a notice of relocation or termination of residency in less than 45 days? Medical reasons certified my physician to require emergency relocation, or the resident has a pattern of harmful or offensive conduct towards other residents Does a resident have the right to share a room with their spouse? Yes, if they are both residents of the facility Can an ALF require residents to wear uniforms? No Can ACHA have private conversations with residents during a survey? Yes The evacuation evaluation for initial licensure shall be conducted within how many months? 6 Months A facility without a automatic sprinkler system must conduct evacuation capability’s how often? At least Aunnualy What is the maximum time allotted for an evacuation drill in an unsprinkled facility? 3 minutes True or False All new facilities must be equipped with an automatic fire sprinkler system. True, unless the facility houses 8 or fewer residents How many elopement drills must a facility conduct minimum per year? 2 True or False A facility is not required to document the implement of elopement drills. False A deficiency cited during a survey for medication must be corrected how soon? 48 hours True or False A facility associated with a religious organization shall include it in their advertising. True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL’s True Are Alzheimer’s, dimentias or mental retardation considered Mental disorders? No, however schizophrenic and other psychotic disorders are. If ACHA informs a licence applicant of errors or omissions on their application how many days do they have to respond with the required information? 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. True how often does a facilities license need to be renewed? every 2 years True or False when a resident uses a third party provider it is not required to be documented in their records. False True or False When a resident denies the use of a third party provider it must be documented in their resident record. True Can someone with HIV be admitted to an ALF facility? Yes Can a facility accept a resident that requires the administration of medication? Yes, if a nurse is there to provide the service True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility. False Can a facility obtain information omitted from the Health assessment form, from the physician verbally? Yes, but it must be documented in the residents records. A resident must have a face to face medical examination how often to maintain continued residency? Every 3 years or after any significant change how many days a week shall activities be available? 6 days what is the minimum hours of activities required for an ALF per week? 12 hours True or False A one-time special event television program can be counted as an activity? True Can a facility require a resident to see a specific health care provider? No A written order for a half-bed rail must be reviewed by the physician how often? every 6 months How often should staff asses the risk of elopement in residents? at a minimum, Daily True or False A MOR sheet does not need to list known allergies of a resident. False How soon must an abandoned or expired medication be disposed of? within 30 days True or False A stock supply of over the counter products for multiple residents is permitted. False How many separate ALF’s can a administrator supervise? 3 True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. True How often does freedom from tuberculosis need to be documented for staff members? annually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? 30 days A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year? 2 True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission. True In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider? at least every 3 years after initial assessment, or after a significant change. Residents my be bedridden for up to how many days? 7 days True or False A resident requiring care of a stage 2 pressure sore may be retained providing that:- facility has a LNS licence, home health or nurse- the condition is documented in the resident record-the condition has shown improvement with in 40 days False, must show improvement with in 30 days True of False a terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met:-resident has hospice-continued residency is agreeable to the resident and faculty-An ICP is developed and implemented by a licensed Hospice-faculty staff may provide an nursing services permitted under the facility licence-documentation of the requirements of this are in the residents file True True or False the administrator of a facility is responsible for monitoring the continued appropriateness of placement of the resident in the facility. True true or False If the resident no longer meets the criteria for continued residency or the facility is unable to meet the residents need – as determined by the administrator or health care provider the resident shall be discharged. True True or False Significant change means; a sudden change or major shift in behavior or meed or deterioration of health status such as (weight , stroke, hearth condition, or not participating in activities) False, stage 2,3,4 pressure sores instead of activities True of False for admission to a facility a resident must be at least 21 years of age. False, 18 True or False For admission to a facility a resident must be free of communicable diseases True True or False For admission to a facility a resident must be able to preform ADL’s with supervision & assistance as necessary. True True or False For admission to a facility a resident must not have any stage 2,3,4 pressure sores. False, only stage 3,4 not allowed What is the common living area in an ALF? 35 square feet per resident, any area used by all residents and staff what is the minimum square footage for a resident room? 80 square feet what is the minimum square footage for a double occupancy room? 120 square feet an (1823) health assessment must be completed prior to admission or with in days after admission. 60 days and 30 days Menus must be reviewed Annualy
Menu substitutions and a copy of them are to be kept on file for 6 months
ALF surveys for the purpose of relicensure are conducted by ACHA on a basis. Biennial
A deficiency must be corrected with in calendar days unless otherwise notified. 30
A facility must provide gallons of water per resident per day in an emergency. 5 Gallons An emergency management plan must be approved annually by the? County emergency management agency How long does a facility keep resident contracts? 5 years How long does a facility keep employee work schedules? 6 months How long does a facility keep major incident reports? 2 years How long does a facility keep fire inspections? 2 years How long does a facility keep health inspections? 2 years All ACHA health inspection reports are at a facility for how long? 5 years Resident records are kept at a facility for how long? 2 years Adverse incident reports are kept at a facility for how long? 2 years An application for CHOW must be submitted to ACHA days prior to the transaction. 60 days
ACHA shall notify the licencee by mail or electronically at least _ days before the expiration of a licence for renewal. 90 days True of False A standard licence may be issued to an applicant at the time of initial licensure, renewed, or CHOW. As long as when issued, applicant is in compliance with all statutory requirements and agency rules. True A standard licence expires _ years after date of issue. 2 years
True or False Provisional licence can be issued to an applicant against whom a proceeding, denying or revoking a licence is pending at the time of licence renewal. True
True of False a provisional licence may be issued to an applicant applying for a CHOW. True
Does a Financial officer of the company need to have a level 2 background screening? Yes
Does any person having controlling interest in a facility need a level 2 background screening? Yes
Do Not Resuscitate DNR
AHCA Agency for Health Care Administration
When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained False
Unlicensed persons who will be providing assistance with self-administered medications must take the requested training Training must be done prior to assuming responsibilities
Assistance with medication by an unlicensed person requires the written informed consent of the resident True
If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR false
MOR Medication Observation Record
OTC Over the counter
If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records. Quarterly
Documents required to be in the admission package shall be in English. If the resident does not understand English and translated documents are not available, the facility must explain policies to a family member or friend of the resident or another individual who can communicate the information to the resident. true
The resident contract shall include a refund policy to be implemented at the time of a resident’s transfer , discharge or death. The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other the normal use have been paid to the license. You have 60 days to give the refund. false
In order for existing facilities to receive an ECC license, they must have no class 3 violations. false
ECC Extended Congregate Care
Residents must participate in all elopement drills. False
“When an “”as needed”” or “”PRN”” medication is labeled without all of the necessary information, you area required to contact the health care provider to obtain any missing information. An unlicensed person may obtain such clarification from the health care provider; revised instructions clarifying the order are not considered a change in the health care provider’s order.” True
A copy of Alternate Care Certification for Optional State Supplemental must be in the resident file. The absence of this form shall not be considered a deficiency if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services. True
Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons. True
During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility. True
Facility records should include: A grievance procedure for receiving and responding to resident complaints and recommendations..
Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. True
Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment. False
Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years. True
How often must facilities have elopement frills? A minimum of two resident elopement prevention and response drills per year.
A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate. True
Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour in service training in infection control, including universal precautions, and facility sanitation procedures. Before providing personal care to residents
If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond. The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident. 14
Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system. True
A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month. True
Facilities with 8 or more residents do not need a fire sprinkler system, unless the local authority with jurisdiction over fire safety requires one to be installed. false
An assisted living facility may not accepts additional supplementation from third parties on behalf of residents receiving OSS False
Every 5 years must have level 2 background rescreening True
Staff required hours of coverage from patients 0-to 5 is 168 hours per week True
Staff required hours per week for 6 to 15 residents 212 per week
LMH Licensed Mental Health
Form 1823 should be done prior to admission True
3 types of contaminants Chemical, physical, biological
Portions must be listed on menu True
A terminally ill resident who no longer meets the criteria for continued residency may remain in the facility if the agreeable to the resident and facility. true
Abuse has many forms True
An ALF must maintain Fiscal Stability at all times to ensure the well being of the residents True
Resident Funds can be combined with Facility funds False, resident and facility funds must be separate
Surety Bond is required and must be filed with the Agency Central Office True
Liability insurance does not have to be maintained False
Within 30 days of employment staff members must submit documentation from a health provider stating that the individual does not have any signs of a communicable disease True
TB exam must be done within six months of being hired True
A Level 2 Backgroud Screening must be done on staff every five years True
3 types of contaminants chemical, physical, biological
physical contaminant nails, hair
biological contaminant bacteria, virus, parasites, protozoan, fungus
Menus in Assisted living must be reviewed by dieticain annually True
Menu must be easily accessible for residents. True
Dietician signature, date and License # is required on Menu True
Portion sizes must be listed on Menu True
There must be a 3 day portion of non perishable for emergency food based on census not capacity. True
Subistution is based on personal resident preferences True
Subistutions must be recorded when meal is served True
Facility policy to centrally locate medication must be give to resident prior to admission. true
OTC RX must be labeled with Residents Name True
PRN RX Label should include under condition when RX should be given, dosage, hours it should be given True
3 types of Advance Directives A Living Will, A Health Care Surrogate, An Anatomical Donation
Advance Directive must be given at or prior to admission True
Living Will is a written document that specifies what type of medical treatment are desired. True
Health Care Surrogate This is a legal documents in which an individual designates another person to make health care decisions if he or she is rendered incapable of making their wishes known.
DNR Do Not Resuscitate
Portable DNR Used with Paramedics
Resident ill of right must be posted in a prominent place infacility. Noticesh shall include name address anc telephone number of local ombudsan council, central abuse hotlineand when applicable the advocacy. center for persons with disabities and the Florida local advocacy council, where complaints may be lodged. True
No resident. of a facility shall be deprived of any civilor legal right, benefits, or privileges guaranteed bylaw. True
Residents shall have the right to Live in a safe and decent living environment, free from abuse and neglect.
Residents shall have the right to Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy..
Residents shall have the right to Retain and use his/her own clothes and other personal property in his or her. immediate living quarters, as to maintain individuality and personal dignity, except when the facility can demonstrate that su such would be impractical or an infringement upon the rights of other residents.
Residents shall have the right to Unrestricted private communication, including receiving and sending correspondence, access to a telephone, and visiting with any person of his/her choice at any time between 9am & 9pm at a minnium. Upon request the facility shall make provision to extend hours for caregiivers and out of town guest, and in similar situations.
Residents shall have the right to Freedom to participate in benefit from community services and activities and to achieve the highest possible level of independence, autonomy, and interaction, within the community.
Residents shall have the right to Manage his/her financial affairs unless the resident or resident representative. in fact authorizes the administrator of the facility to provide safekeeping for funds as provided.
Residents shall have the right to Share a room with his or her spouse if both are residents of the facility
Residents shall have the right to Reasonable opportunity for regular exercise several times a week and to. be outdoors at regular and frequent intervals except when prevented by inclement weather
Residents shall have the right to Exercise civil and religious liberties including the right to independent personal decisions. No religious belief or practice, nor any attendance at religious services, shall be imposed upon any resident.
Residents shall have the right to Access to adequate and appropriate health care consistent with established and recognized standards swithin the community.
Residents shall have the right to At least 45days notice of relocation or termination of residency from the facility unless for medical reasons, the resident is certified by a physician to require an emergency relocation to a facility providing a more skilled level of care or the resident in a pattern of conduct that is harmful or offensive to other residents.
Residents shall have the right to Present grievances and recommend change in policies, procedures and services to the staff of the facility, governing officials, or any other person without restraint, interference, coercion, discrimination, or reprisal.
Do Not Resuscitate DNR
AHCA Agency for Health Care Administration
When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained False
Unlicensed persons who will be providing assistance with self-administered medications must take the requested training Training must be done prior to assuming responsibilities
Assistance with medication by an unlicensed person requires the written informed consent of the resident True
If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR false
MOR Medication Observation Record
OTC Over the counter
If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records. Quarterly
Documents required to be in the admission package shall be in English. If the resident does not understand English and translated documents are not available, the facility must explain policies to a family member or friend of the resident or another individual who can communicate the information to the resident. true
The resident contract shall include a refund policy to be implemented at the time of a resident’s transfer , discharge or death. The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other the normal use have been paid to the license. You have 60 days to give the refund. false
In order for existing facilities to receive an ECC license, they must have no class 3 violations. false
ECC Extended Congregate Care
Residents must participate in all elopement drills. False
“When an “”as needed”” or “”PRN”” medication is labeled without all of the necessary information, you area required to contact the health care provider to obtain any missing information. An unlicensed person may obtain such clarification from the health care provider; revised instructions clarifying the order are not considered a change in the health care provider’s order.” True
A copy of Alternate Care Certification for Optional State Supplemental must be in the resident file. The absence of this form shall not be considered a deficiency if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services. True
Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons. True
During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility. True
Facility records should include: A grievance procedure for receiving and responding to resident complaints and recommendations..
Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. True
Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment. False
Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years. True
How often must facilities have elopement frills? A minimum of two resident elopement prevention and response drills per year.
A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate. True
Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour in service training in infection control, including universal precautions, and facility sanitation procedures. Before providing personal care to residents
If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond. The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident. 14
Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system. True
A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month. True
Facilities with 8 or more residents do not need a fire sprinkler system, unless the local authority with jurisdiction over fire safety requires one to be installed. false
An assisted living facility may not accepts additional supplementation from third parties on behalf of residents receiving OSS False
Every 5 years must have level 2 background rescreening True
Staff required hours of coverage from patients 0-to 5 is 168 hours per week True
Staff required hours per week for 6 to 15 residents 212 per week
LMH Licensed Mental Health
Form 1823 should be done prior to admission True
3 types of contaminants Chemical, physical, biological
Portions must be listed on menu True
A terminally ill resident who no longer meets the criteria for continued residency may remain in the facility if the agreeable to the resident and facility. true
Abuse has many forms True
An ALF must maintain Fiscal Stability at all times to ensure the well being of the residents True
Resident Funds can be combined with Facility funds False, resident and facility funds must be separate
Surety Bond is required and must be filed with the Agency Central Office True
Liability insurance does not have to be maintained False
Within 30 days of employment staff members must submit documentation from a health provider stating that the individual does not have any signs of a communicable disease True
TB exam must be done within six months of being hired True
A Level 2 Backgroud Screening must be done on staff every five years True
3 types of contaminants chemical, physical, biological
physical contaminant nails, hair
biological contaminant bacteria, virus, parasites, protozoan, fungus
Menus in Assisted living must be reviewed by dieticain annually True
Menu must be easily accessible for residents. True
Dietician signature, date and License # is required on Menu True
Portion sizes must be listed on Menu True
There must be a 3 day portion of non perishable for emergency food based on census not capacity. True
Subistution is based on personal resident preferences True
Subistutions must be recorded when meal is served True
Facility policy to centrally locate medication must be give to resident prior to admission. true
OTC RX must be labeled with Residents Name True
PRN RX Label should include under condition when RX should be given, dosage, hours it should be given True
3 types of Advance Directives A Living Will, A Health Care Surrogate, An Anatomical Donation
Advance Directive must be given at or prior to admission True
Living Will is a written document that specifies what type of medical treatment are desired. True
Health Care Surrogate This is a legal documents in which an individual designates another person to make health care decisions if he or she is rendered incapable of making their wishes known.
DNR Do Not Resuscitate
Portable DNR Used with Paramedics
Resident ill of right must be posted in a prominent place infacility. Noticesh shall include name address anc telephone number of local ombudsan council, central abuse hotlineand when applicable the advocacy. center for persons with disabities and the Florida local advocacy council, where complaints may be lodged. True
No resident. of a facility shall be deprived of any civilor legal right, benefits, or privileges guaranteed bylaw. True
Residents shall have the right to Live in a safe and decent living environment, free from abuse and neglect.
Residents shall have the right to Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy..
Residents shall have the right to Retain and use his/her own clothes and other personal property in his or her. immediate living quarters, as to maintain individuality and personal dignity, except when the facility can demonstrate that su such would be impractical or an infringement upon the rights of other residents.
Residents shall have the right to Unrestricted private communication, including receiving and sending correspondence, access to a telephone, and visiting with any person of his/her choice at any time between 9am & 9pm at a minnium. Upon request the facility shall make provision to extend hours for caregiivers and out of town guest, and in similar situations.
Residents shall have the right to Freedom to participate in benefit from community services and activities and to achieve the highest possible level of independence, autonomy, and interaction, within the community.
Residents shall have the right to Manage his/her financial affairs unless the resident or resident representative. in fact authorizes the administrator of the facility to provide safekeeping for funds as provided.
Residents shall have the right to Share a room with his or her spouse if both are residents of the facility
Residents shall have the right to Reasonable opportunity for regular exercise several times a week and to. be outdoors at regular and frequent intervals except when prevented by inclement weather
Residents shall have the right to Exercise civil and religious liberties including the right to independent personal decisions. No religious belief or practice, nor any attendance at religious services, shall be imposed upon any resident.
Residents shall have the right to Access to adequate and appropriate health care consistent with established and recognized standards swithin the community.
Residents shall have the right to At least 45days notice of relocation or termination of residency from the facility unless for medical reasons, the resident is certified by a physician to require an emergency relocation to a facility providing a more skilled level of care or the resident in a pattern of conduct that is harmful or offensive to other residents.
Residents shall have the right to Present grievances and recommend change in policies, procedures and services to the staff of the facility, governing officials, or any other person without restraint, interference, coercion, discrimination, or reprisal.
All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency? The Agency for Health Care Administration
The licensing procedures have been established to comply with Chapter 429, Part I, F.S. and Chapter 59A-36 of the Administrative Code
Top Care ALF has been in business for over 30 years. They have hired many staff members and have recently been faced with a need to hire more caregivers because the resident census increased during the month of November. Top Care ALF’s administrator, who has taken the CORE training, is providing the 2 hours orientation training because the newly hired staff have not taken the . ALF 26 Core Training
The facility received an uncorrected Class III deficiency for non-compliance with medication for the third time in the calendar year. The administrator found herself making corrections as required. The agency corrective plan required that the operator hire a consultant to assist with deficiency. The administrator was informed by the Agency that the consultant is to remain in place until cleared by the agency Registered Nurse or a Pharmacy
On July 7 , 2018, there was a fire at Long Wind ALF located in Tallahassee. The fire broke out atabout 3am in the morning. Both the residents and the staff were asleep during the time the fire broke out. The facility was not cited for the staff sleeping because there was an alarm that rung, and the staff was able to immediately step into action to save lives. The facility had a __licensed capacity. less than 17 “The administrator received an announced visit from the Agency on May 12, 2018 at 9:03am. When they arrived, they found her husband with the residents and no staff was on duty as her husband was acting administrator and staff. When the agency asked for him to provide his employee folder, his response was, “”I am her husband and I am 50 percent owner, I gave her the money to open the business.”” The agency agent repeated the request for an employee file. The husband needed at least the following to have direct contact with the residents.” Eligible Level II, Application on file and free of TB and Communicable disease Barbara is the administrator of Barbara’s Loving Home ALF; it is time to renew her license. The application must be received by the Agency for Health Care Administration (AHCA) within how many days? 60 days prior to license expiration The facility was visited by AHCA and during their unannounced visit the surveyor found that one of three staff members did not complete the HIV / AIDS training course. Which class violation did the facility receive? Class 3 Which class violation may not result in a financial penalty if corrected during the survey? Class 4 As Ms. Jones is allowed to age in place, she developed a stage II before and was given a prescription order that the sore had up to ___days to heal or she would have to be discharged. The administrator then monitored the care given to the residents by the Registered Nurse who visited the facility to attend the wound. 30 days Beverly Hills Assisted Living Facility 39 residents. How many on duty staff members must always be trained and on duty in CPR and First Aid? 1 staff Clara Jones decided that she did not want to pursue an Assisted Living Facility license because of the many requirements. Therefore, she elected to operate an Adult Family Care Home license where she is required to live on the premises and not to exceed resident capacity and having at least bed reserved for Optional State Supplementation. 5, 1
When a duty designated officer or employee of the department, the Department of Children and Families, the Medicated Fraud Control Unit of the Office of the Attorney General, the state or local Fire Marshall or representative of the long term care ombudsman council shows up to the facility, the owner or administrator cannot refuse the visit because they have the: Right of entry and inspection
Barbara was appointed as a new administrator because of the relative dying unexpected. Her relative was the administrator and now Barbara finds herself as an acting administrator, carrying out theduties that she learned from her relative. She now has _____ days to take the ALF CORE and pass the exam. 90 days
Bob and Mary’s ALF received an unannounced bi-ennial survey visit. The facility has an Limited Nursing Service specialty license. The inspectors were an unlicensed agent and a nurse. The nurse requested to see the resident’s progress notes that should have been done on a _ basis. She also asked to see the nurse ______ with the facility since they had the LNS license. monthly, license
A standard license includes The facility must provide housing, meals and one or more personal services for a periodexceeding 24 hours
An Emergency Management Plan includes Separate plans prepared for each emergencyAny emergency internal or external to the facilityA plan for fire, tornadoes, hurricane, flood, and electrical failures
All of the following activities can be counted toward social and leisure activities EXCEPT Watching television
The facility did not have any food in the fridge when AHCA arrived to conduct an unannounced inspection. When the agent was conducting the exit interview, she stated that the facility will be receiving a Class I violation, resulting in a fine of: $10,000.00
The administrator received a call from the local hospital regarding a potential referral. When asked what is the admission age, the administrator responded? 18 years old
The medical doctor conducted a face to face for the resident at the Assisted Living Facility to complete the three-year assessment that is due after the initial health assessment that is conducted either before or within 30 days after the admission to the facility. What type of facility would best describe where the resident resides? Standard with LNS
The facility provided the family member with a notice when it was determined that the resident can no longer age in place at the facility. The family member told the administrator that she would hire a private nurse to provide the extra care that could not be provided by the ALF staff. The administrator stated that she must carry out the request for a discharge because her license does not allow her to provide services beyond the scope of the license. 45 days
Prior to admission the administrator can review the resident’s health records or an AHCA form 1823 up to days prior to admission or days after admission. 60, 30
After the resident has been discharged, how long should the facility keep the contract? 5 years
An administrator can own ALF’s and administer ALF’s. Many, 3
The occupancy cycle is one of the most important cycles of the ALF business operation. What is the BEST format to conduct the process? Initial Interview, Orientation and Screening, Data Collection, Move in
To help a resident cope with change, it is important to Respect the resident’s rightsEncourage the personal interest of a residenttreat resident with the respect and allow them to express their feeling
Laura operates a standard ALF. She has 2 mental health residents. What specialty license must she have with her standard? Limited Mental Health
What are some responsibilities of the Ombudsman’s Council? Advocate for residents of ALF’s
Exploitation is when It has been determined that a staff has been financially manipulating a resident
It has been verified that the resident was being deprived of his medication. Which of the following would you report to the abuse hotline? Neglect
Family and friends can visit your facility, according to the Residents Bill of Rights, during to . When a resident is deprived of this visitation during these hours the administrator is violating the resident’s rights. 9am-9pm
The food director is to ensure that the resident’s meals are cooked according to the menu prepared by the _____ to avoid food adverse incidents. dietician
Resident does not like the decorations at the ALF. What should the Administrator do? Consult with the resident to get ideas and change them.
The resident gave his 30 days’ notice as described in the contract. The administrator informs him that she will not refund his money as he did not obey all the rules. The administrator’s reasoning was not in the contract. The resident decided to call the __ number that is posted on the bulletin board at the facility because it reads that they advocate for the residents in long term care facilities. Who did the resident call: Ombudsman Council
Which of the following is not required when applying for license Picture of facility
When should your staff NOT follow the chain of command During a fire
The inspector visited the facility to conduct an unannounced visit, the first thing that they may want to see is your _______? Your posted license
The facility conducts a fire drill 6 times per year (every other month). What does this mean about the facility? The facility has a sprinkler system installed.
Resident’s record must contain the following information Next of Kin, name, address, phone and relationship
All regular and therapeutic menus to be used by the facility must be reviewed___________ by a licensed or registered dietitian, a licensed nutritionist, or a registered dietetic technician supervised by a licensed or registered dietitian, or a licensed nutritionist to ensure the meals meet the nutritional standards annually
The facility’s direct care staff was able to take the residents blood glucose test because the facility had a __ certificate. CLIA
Who is the representing guardian for a resident referred from the state DCF
When there is a need to report abuse, neglect, exploitation, is the best choice of contact first. The abuse registry
Most elders experience fatigue, impaired vision, and hearing loss due to: Aging
When a resident who uses a pill organizer is going away for the weekend and needs to take his medication what is the best course of action that the administrator can take? Schedule a visit for the nurse to prepare the pill organizerHave the resident and their family sign out for medication
A _ supply of nonperishable food, based on the number of weekly meals the facility has contracted with residents to serve, must always be on hand 3 days
A resident who can have medication in their room is a resident who is _ and the doctor has indicated this on his health assessment 1823. competent
Which of the following health care providers can give a resident an insulin shot Medical Assistant
Medication can be disposed of with the administrator and _. one other witness
Who can transfer medication from one bottle to another A pharmacist
Only a staff member who has been trained in assistance with medication can? Assist with medication
The administrator or designee should contact the doctor immediately, when resident refuses to take his medicationwhen the resident has an adverse reactionwhen the staff forgot to give the resident his medication at the appropriate hour
A prescription should include all the following EXCEPT pharmacist name
Medication should be kept in the following area in a secure area where trained staff has the only access
Which of the following could lead to an adverse incident the medication was given to the wrong resident, however later given to the right resident
“Which of the following is not a part of the “”5 rights””” Right feeling
LKJ Assisted Living has 3 residents who are competent. On Thursday morning it was time to take medications. Who is the BEST person to administer medication to the three residents’? The residents
In which of the following facilities is it required to use an interdisciplinary care plan and service plan? Extended Congregate Care
“A daughter brings her mother to your standard facility and the daughter states, “”My mother has mental health issues, I know it, I know it”” and the mother is not receiving OSS. What can you recommend?” She can stay in the standard facility.
Margaret the daughter visited a standard ALF to place her mother who has dementia. Which is the best facility for her? Standard ALF
After trained staff has assisted and observed resident take his medication, where should the staff record it? MOR
A hospice resident MUST have an Interdisciplinary plana Service Plan
A 32 bed facility staff record must include all the following EXCEPT blood type
A stage 2 pressure sore resident can be admitted to an ALF if there is a and a . prescription order and a care plan What is the danger zone in food preparation 40 degrees to 140 degrees What can you do if a resident refuse to eat and his medication requires a meal before taking the medication? Report it to the doctor immediately What is the minimum number of hours allowed between meals 2 hours How frequently do you need to revise your menus? annually The administrator manages three facilities currently. She wants to own the facility on 56th and Parkway; what can she do? Purchases the facility. Regardless of the outside temperature, the inside temperature must be? 72 degrees What is the time measurement for a SLOW evacuation capability? over 5 min How many days does an owner have to notify AHCA for change of administrator 10 days AHCA wrote the applicant about the omission to their submitted application and it stated that they have day to return the corrections. 21
The resident has 30 days to inform you that he or she is leaving the facility, you have days to inform them. 45 days Ms. Clara and her husband decided they are ready for retirement after operating an ALF for the past 15 years. They have decided to sell it to their daughter and son in-law. The daughter and her husband are considered and Ms. Clara and her husband are considered . New owners and Old owners
Ms. Barton was operating a facility that had 5 residents as maximum capacity and she must reside in the facility as the administrator/operator, which type of setting is this? AFCH
How often shall an Extended Congregate Care review the service plan? Quarterly
A mental health resident returning to a facility from treatment in a hospital or crisis stabilization unit will not be considered a new admission and will not require a new _. Assessment
Which specialty license would you need if you were willing to have 1 mental health resident? Limited Mental Health
In the Florida Administrative Codes 59A-36, a resident is entitled to which of the following rights? Live in a safe environmentHave the choice of roommateHave the right to guest
Ms. Jones owns a standard only ALF and she is ready to sell after 32 years of service to the adult population. She found Ms. Margaret who is willing to purchase her beautiful facility. She informs the Agency and informs Ms. Margaret that she needs to inform the agency that she isthe buyer. They both inform the agency within __days. 60 days The service plan needs to be completed within days after a resident has moved into an Extended Congregate Care facility. 14 days Every Assisted Living Facility in the state of Florida must allow residents to express their feelingsand needs by having which policy and procedures. Grievance How long can a resident wait to eat from the night before to the morning? 14 hours Ms. Jones admitted an additional mental health resident to the facility with a limited mental license. She asked the social worker to come to the facility and bring the two required documents. Community Living Support Plan & Cooperative Agreement At Ms. Jones facility, there was a tragic accident that resulted in the death of a resident. The roof caved in and killed a resident and injured 3 other residents. Ms. Jones was told to repair the roof and neglected to do so. What Class violation is Ms. Jones most likely to receive? Class 1 Ms. Jones was ordered by her county official to install a sprinkler system because she had 3 to many _____evacuation readings, which is the worst of the three evacuation capability readings. Impractical What is the maximum amount that the CORE exam can be, according to F.A.C 59A-36. $200 Who is the best person who can administer medication at a facility to a resident who is not incompetent? Resident Where is the best place for resident’s medication to be kept at a facility? In a locked, central location where only a trained staff can access the medication When should a facility have their biennial application at the Agency? 60 days before expiration What is the definition of a nurse? LPN, RN, ARNP If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made, and the plan resubmitted to the local office within ____daysof receiving notification that the plan must be revised 30 days What is the Department? DOEA Which of the following does not have to be licensed by the Agency? Independent Living What is the best color to paint a resident’s private room? The color of his choice What is the minimum education requirement for an administrator? A Highschool Diploma or GED True or False? An ALF can be only one building? False A resident can be bedridden in an ALF with a standard license for no more than days? 7
Capacity in an ALF is the of resident it is licensed to care for. number
Which of the following is not considered an ADL? a. Eating b. Dressingc. Transferringd. ambulatione. toileting c. Transferring
Limited nursing services can only be provided by? LPN, RN, ARNP
1/2 bed rails are considered a and are allowed in an ALF only if? Physical Restraint they are ordered by a physician
An event over which facility personnel could exercise control rather than as result of the resident’s condition and results in? Adverse Incident
Adverse incidents are submitted on day _ and day _ to ACHA. 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? 5 True or False? A limited mental health resident must receive OSS? True True or False? Facilities licensed for 16 residents must have an awake staff person at night. False The specialty licenses for an ALF are? LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? Representative payee If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often? quarterly A facility must conduct how many elopement drills annually? 2 A minimum weekly staffing hours for an ALF with four residents is? 168 hours An ALF with or more residents that receive OSS must have which type of licence? 3Limited mental health license
What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxietyc. psychotherapyd. antidepreassant c. psychotheraphy
Hospice services are allowed in an ALF and must be coordinated through the development of a what? Interdisciplinary care plan
What is not a potentially hazardous food?a. milkb. fruitc. eggsd. poultry fruit
There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? Insulin injections
Any items a facility uses to advertise must contain what two things? Assisted living facility and License #
At least one staff member who is trained in and _ must be in the facility at all times. CPR and First Aid
ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? Biennial
Application for a CHOW must be submitted to AHCA days prior to the transaction. 60
True or False? Deficiencies cited by AHCA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given. False 30 days
True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license. True
How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? 30 days
ADL Activities of Daily Living
What license would be required if you are using a COMMUNITY SUPPORT PLAN? LMH
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? Cooperative Agreement
What is ACS? Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis.
Which license allows a nurse to perform any service within the scope of their license? ECC
What license is required if you have 3 or more residents on OSS? LMH
With a LMH license, how many days do you have to make a Community Living Support Plan? 30 Days
Can a cooperative agreement be included in a community living support plan? yes
Which license allows full help with ADL’s? ECC
Can you care for stage 3 pressure sore with a LNS license? No
How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? 6
“What does the “”Long Term Care Ombudsman Council”” Do?” respond and resolve problems for residents in long term care facilities
How many days can a resident be bed ridden in a standard license ALF? 7 days
How many days must be given to a resident for notice of discharge? 45
How many days does a resident need to provide for notice of termination? 30 days
How many months does an administrator have to complete all CORE training requirements? 3 months
What is the minimum square feet needed per resident in an ALF for common living areas? 35
What is the minimum square footage for a private room in an ALF? 80
Is an ALF required to carry liability insurance at all times? Yes
What is the Toilet to sink ratio in an ALF? 1-6
“In how many days must the “”Health Assessment(1823)”” prior to the move-in be completed?” 60 days
“How many days after Admission must a “”Health Assessment (1823)”” be completed for a resident?” 30 days
True or False? Residents that store medication may do so in their rooms if the medications are kept locked. True
What is a Moratorium? the prohibition on the acceptance of new clients
What is the minimum time frame allotted to inform ACHA of a CHOW? 60 days
Every years of employment a new background screening must be done. 5
How many days prior must an ALF inform ACHA the discontinuance of operation? 30
How many years must copies of ACHA inspections be kept on file? 5
If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? 10 days unless alternative time frame is required
A deficiency affecting one, or a very limited number of clients or staff would be considered a what? Isolated Deficiency
A deficiency in which more than a limited number of clients or staff would be considered a what? Patterned Deficiency
A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what? Widespread Deficiency
“How soon must a Class “”I”” violation be corrected?” 24 hours unless a fixed time period is determined by ACHA
A Violation that presents an imminent danger would be considered a what class? “Class “”I”””
A violation that directly threatens clients is considered what class? “Class “”II”””
A violation that potentially threatens a client is considered what class? “Class “”III”””
“True or False? For Class “”I”” and “”II”” violations fines can be waved if corrected in a time specified.” False
A violation that does not have the potential to negatively affect a client is considered what class? “Class “”IV”””
Can ACHA impose an administrative fine for violations not designated as one of the four classes? Yes
When a moratorium or emergency suspension is placed on a facility they must post what where? A notice of action in a place visible to the public.
What class violation would a personal hygiene issue be considered? “Class “”III”””
Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your license, or violating any terms of your license are considered what type of violation? Unclassified Violation
How many days may ACHA extends a denied, revoked or set to terminate license for the sole purpose of allowing safe and orderly discharge of clients. 30 days
How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? 6 months
In the case of an emergency and ALF may exceed its licensed capacity for how many days? 15 days
The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what? Aging in place
A building that provides housing, meals, one or more personal services exceeding 24 hours to one or more adult is considered a what? Assisted Living Facility
A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? Chemical Restraint
A guardians is a person the law has entrusted what? the custody and control of a person or property, or both
A service plan is required for each resident admitted under what license? ECC
Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? Yes
an unlicensed ALF commits a felony of the Degree. third
During a CHOW you have how many days to notify residents in writing? 7 days
When does a LNS, ECC and LMH license expire? Same time as standard license regardless of when issued.
A conditional license can not exceed how many months? 6 months
How soon must an owner of an ALF notify ACHA of a change in administration? 10 days
If a facility has or more residents they must have an awake staff member on duty at all times. 17
How many hours of initial training are required for an employee with regular contact with Alzheimer’s residents? 4 hours
An ALF with 17 or more beds must have a functioning what? Automated External Defoliator
What is a DNR? do not resuscitate order
Upon metal consent how much cash can a facility keep in safekeeping for a resident? $200
The evacuation evaluation fro initial licensure shall be conducted within how many months? 6 Months
A facility without a automatic sprinkler must conduct evacuation capability’s how often? At least Annually
How many elopement drip must a facility conduct minimum per year? 2
How often does a facilities license need to be renewed? every 2 years
A resident must have a face to face medical examination how often to maintain continued residency? Every 3 years or after any significant change
What is the minimum hours of activities required for an ALF per week? 12 hours
A written order for a half-bed rail must be reviewed by the physician how often? every 6 months
How soon must an abandoned or expired medication be disposed of? within 30 days
How often does freedom from tuberculosis need to be documented for staff members? annually
How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? 30 days
A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year? 2
Residents may be bedridden for up to how many days? 7 days
True or False? A terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met: -resident has hospice -continued residency is agreeable to the resident and faculty-An ICP is developed and implemented by a licensed Hospice -faculty staff may provide an nursing services permitted under the facility license-documentation of the requirements of this are in the residents file True
What is the common living area in an ALF? 35 square feet per resident, any area used by all residents and staff
What is the minimum square footage for a resident room? 80 square feet
What is the minimum square footage for a double occupancy room? 120 square feet
Menu substitutions and a copy of them are to be kept on file for _ 6 months A facility must provide gallons of water per resident per day in an emergency. 5 Gallons
An emergency management plan must be approved annually by the? County emergency management agency
How long does a facility keep residents contacts? 5 years
How long does a facility keep employee work schedules? 6 months
How long does a facility keep major incident reports? 2 years
How long does a facility keep fire inspections? 2 years
How long does a facility keep health inspections? 2 years
All ACHA health inspection reports are at a facility for how long? 5 years
Resident records are kept at a facility for how long? 2 years
Adverse incident reports are kept at a facility for how long? 2 years
An application for CHOW must be submitted to ACHA _ days prior to the transaction. 60 days ACHA shall notify the licencee by mail or electronically at least days before the expiration of a licence for renewal. 90 days