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ALF Core Training, ALF CORE EXAM 2024- 2025
True or False? An ALF can be only one building? - ANSWER>>False
A resident can be bedridden in an ALF with a standard licence for no more then __ days? - ANSWER>>
Which agency is responsible for regulatory inspections of ALF's? - ANSWER>>ACHA
Capacity in an ALF is the ____ of residents it is licensed to care for. - ANSWER>>number
Which of the following is not considered an ADL? a. Eating b.Dressing c.transferring d.ambulation e.toileting - ANSWER>>c. transferring
Limited nursing services can only be provided by? - ANSWER>>LPN, RN, ARNP
1/2 bed rails are considered a ________ and are allowed in an ALF only if? - ANSWER>>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? - ANSWER>>Adverse Incident
Adverse incidents are submitted on day __ and day __ to ACHA. - ANSWER>> and 15
A fully sprinkled ALF must conduct how many fire drills annually? - ANSWER>>
True or False? A limited mental health resident must receive OSS? - ANSWER>>True
True or False? Facilities licensed for 16 residents must have an awake staff person at night. - ANSWER>>False
The specialty licences for an ALF are? - ANSWER>>LMH, LNS, ECC
The facility must have a surety bond if it has power of attorney or is a? - ANSWER>>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? - ANSWER>>quarterly
A facility must conduct how many elopement drills annually? - ANSWER>>
A minimum weekly staffing hours for an ALF with four residents is? - ANSWER>>168 hours
An ALF with ___ or more residents that receive OSS must have which type of licence? - ANSWER>> Limited mental health licence
What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepressant - ANSWER>>C. psychotherapy
How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - ANSWER>>30 days
ADL - ANSWER>>Activities of Daily Living
ACHA - ANSWER>>Agency Health Care Administartion
DOEA - ANSWER>>Department of elderly affairs
RN - ANSWER>>Registered Nurse
LPN - ANSWER>>Licensed Practical Nurse
ARNP - ANSWER>>Advanced Registered Nurse Practitioner
RD - ANSWER>>Registered Diatitian
LD - ANSWER>>Licensed Diatitian
CLSP - ANSWER>>Community Living Support Plan
CA - ANSWER>>Cooperative Agreement
ACS - ANSWER>>Assisted Care Services
LNS - ANSWER>>Limited Nursing Services Licence
ECC - ANSWER>>Extended Congregate Care Licence
LMH - ANSWER>>Limited Medical Health Licence
AFCH - ANSWER>>Adult Family Care Home
MOR - ANSWER>>Medication Observation Record
DCF - ANSWER>>Department of Children and Families
CNA - ANSWER>>Certified Nursing Assistant
HHA - ANSWER>>Home Health Aide
OSS - ANSWER>>Optional State supplementation
LTCOC - ANSWER>>Long Term Care Ombudsman Council
FPSS - ANSWER>>Florida Protective Service System
POA - ANSWER>>power of attorney
SSI - ANSWER>>Supplemental Security Income
CHOW - ANSWER>>change ownership
CARES - ANSWER>>Comprehensive Assessment and review for long term care services
CPR - ANSWER>>CARDIO PULMONARY RESUSCITATION
RDA - ANSWER>>recommended daily allowance
DOH - ANSWER>>Department of Health
CCRC - ANSWER>>continuing care retirement community
FDLE - ANSWER>>Florida Department of Law Enforcement
What does the "Long Term Care Ombudsman Council" Do? - ANSWER>>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? - ANSWER>>7 days
An ALF owner must be how old? - ANSWER>>
An ALF administrator must be how old? - ANSWER>>
How many days must be given to a resident for notice of discharge? - ANSWER>>
How many days does a resident need to provide for notice of termination? - ANSWER>>30 days
How many months does an administrator have to complete all CORE training requirements? - ANSWER>>3 months
What is the minimum square feet need per resident in an ALF for common living areas? - ANSWER>>
What is the minimum square footage for a private room in an ALF? - ANSWER>>
Is an ALF required to carry liability insurance at all times? - ANSWER>>Yes
What is the maximum number of residents per bedroom? - ANSWER>>
What is the Toilet to sink ratio in an ALF? - ANSWER>>1- 6
In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - ANSWER>>60 days
How many days after Admission must a "health assessment (1823) be completed for a resident? - ANSWER>>30 days
True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - ANSWER>>True
What is a Moratorium? - ANSWER>>the prohibition on the acceptance of new clients
What is the minimum time frame allotted to inform ACHA of a CHOW? - ANSWER>>60 days
Every ___ Years of employment a new background screening must be done. - ANSWER>>
How many days prior must an ALF inform ACHA the discontinuance of operation?
True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - ANSWER>>False 30 days
How many years must copies of ACHA inspections be kept on file? - ANSWER>>
True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - ANSWER>>False The may require one
If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - ANSWER>>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? - ANSWER>>Isolated Deficiency
What class violation would a personal hygiene issue be considered? - ANSWER>>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? - ANSWER>>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 - ANSWER>>30 days
How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - ANSWER>>6 months
In the case of an emergency and ALF may exceed its licensed capacity for how many days? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Assisted Living Facility
A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - ANSWER>>Chemical Restraint
A guardian is a person the law has entrusted what? - ANSWER>>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. - ANSWER>>False
An individual who receives social security disability due to a mental disorder is a what? - ANSWER>>Mental Health Resident
A device that physically limits, restricts or deprives movement or mobility is a what? - ANSWER>>Physical Restraint
A service plan is required for each resident admitted under what licence? - ANSWER>>ECC
True or False A resident under 24-hour-nursing care can be admitted to a ALF. - ANSWER>>False
Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF?
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 - ANSWER>>True
True or False A facility with an ECC licence may serve a resident requiring 24-hour- nursing service. - ANSWER>>False
An unlicensed ALF commits a felony of the __ Degree. - ANSWER>>Third
During a CHOW you have how many days to notify residents in writing? - ANSWER>>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 - ANSWER>>True
When does a LNS, ECC & LMH licence expire? - ANSWER>>Same time as standard licence regardless of when issued
A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident? - ANSWER>>Adverse incident
True or false A RN can not perform their professional duties in an emergency situation at an ALF. - ANSWER>>False They can until emergency medical personal assume responsibility.
An ALF with 17 or more beds must have a functioning what? - ANSWER>>Automated External Defrillator
What is a DNR? - ANSWER>>Do Not Resuscitate Order
Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED? - ANSWER>>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? - ANSWER>>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. - ANSWER>>False Unless 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. - ANSWER>>True You 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? - ANSWER>>A licensed physician with in 30 days
Can a resident use their own belongings as space permits in an ALF? - ANSWER>>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. - ANSWER>>False
Upon mutual consent how much cash can a facility keep in safekeeping for a resident? - ANSWER>>$
Can an ALF employee barrow money from a resident? - ANSWER>>No
What are the minimum records kept on file for all staff members? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Yes, if they are both residents of the facility
Can an ALF require residents to wear uniforms? - ANSWER>>No
Can ACHA have private conversations with residents during a survey? - ANSWER>>Yes
The evacuation evaluation for initial licensure shall be conducted within how many months? - ANSWER>>6 Months
how often does a facilities license need to be renewed? - ANSWER>>every 2 years
True or False when a resident uses a third party provider it is not required to be documented in their records. - ANSWER>>False
True or False When a resident denies the use of a third party provider it must be documented in their resident record. - ANSWER>>True
Can someone with HIV be admitted to an ALF facility? - ANSWER>>Yes
Can a facility accept a resident that requires the administration of medication? - ANSWER>>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. - ANSWER>>False
Can a facility obtain information omitted from the Health assessment form, from the physician verbally? - ANSWER>>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? - ANSWER>>Every 3 years or after any significant change
how many days a week shall activities be available? - ANSWER>>6 days
what is the minimum hours of activities required for an ALF per week? - ANSWER>>12 hours
True or False A one-time special event television program can be counted as an activity? - ANSWER>>True
Can a facility require a resident to see a specific health care provider? - ANSWER>>No
A written order for a half-bed rail must be reviewed by the physician how often? - ANSWER>>every 6 months
How often should staff asses the risk of elopement in residents? - ANSWER>>at a minimum, Daily
True or False A MOR sheet does not need to list known allergies of a resident. - ANSWER>>False
How soon must an abandoned or expired medication be disposed of? - ANSWER>>within 30 days
True or False A stock supply of over the counter products for multiple residents is permitted. - ANSWER>>False
How many separate ALF's can a administrator supervise? - ANSWER>>
True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. - ANSWER>>True
How often does freedom from tuberculosis need to be documented for staff members? - ANSWER>>annually
How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? - ANSWER>>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? - ANSWER>>
administrator or health care provider the resident shall be discharged. - ANSWER>>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) - ANSWER>>False, stage 2,3, pressure sores instead of activities
True of False for admission to a facility a resident must be at least 21 years of age.
True or False For admission to a facility a resident must be free of communicable diseases - ANSWER>>True
True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary. - ANSWER>>True
True or False For admission to a facility a resident must not have any stage 2,3, pressure sores. - ANSWER>>False, only stage 3,4 not allowed
What is the common living area in an ALF? - ANSWER>>35 square feet per resident, any area used by all residents and staff
what is the minimum square footage for a resident room? - ANSWER>>80 square feet
what is the minimum square footage for a double occupancy room? - ANSWER>>120 square feet
an (1823) health assessment must be completed ___ prior to admission or with in ___ days after admission. - ANSWER>>60 days and 30 days
Menus must be reviewed ______ - ANSWER>>Annualy
Menu substitutions and a copy of them are to be kept on file for ____ - ANSWER>>6 months
ALF surveys for the purpose of relicensure are conducted by ACHA on a _____ basis. - ANSWER>>Biennial
A deficiency must be corrected with in ___ calendar days unless otherwise notified. - ANSWER>>
A facility must provide ____ gallons of water per resident per day in an emergency. - ANSWER>>5 Gallons
An emergency management plan must be approved annually by the? - ANSWER>>County emergency management agency
How long does a facility keep resident contracts? - ANSWER>>5 years
How long does a facility keep employee work schedules? - ANSWER>>6 months
How long does a facility keep major incident reports? - ANSWER>>2 years
How long does a facility keep fire inspections? - ANSWER>>2 years
How long does a facility keep health inspections? - ANSWER>>2 years
All ACHA health inspection reports are at a facility for how long? - ANSWER>> years
Resident records are kept at a facility for how long? - ANSWER>>2 years
Adverse incident reports are kept at a facility for how long? - ANSWER>>2 years
