California Residential Facility Administration: Licensing Requirements and Regulations, Exams of Nursing

Download California Residential Facility Administration: Licensing Requirements and Regulations and more Exams Nursing in PDF only on Docsity! ARF ADMINISTRATION CERTIFICATION EXAM 2024 ADULT RESIDENTIAL FACILITY CERTIFICATION EXAM QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | VERIFIED ANSWERS | LATEST UPDATE .Whenever a certified administrator assumes or relinquishes responsibility for administering an adult residential facility, he or she shall provide written notice to the local licensing office and the Departments Administrator Certification Section within (85064.3) (j) Page 13.4 Administrator Recertification Requirements A. 10 days B. 30 days C. 60 days D. 90 days ------CORRECT ANSWER---------------B. 30 days .The administrator of a facility for seven to 15 clients shall have one of the following (85064) (g) Page 10 Administrator Qualifications & Duties A. One year of work experience in residential care. B. A degree in Business Administration C. Have experience in working with a Head of Service D. All of the Above ------CORRECT ANSWER---------------A. One year of work experience in residential care. The administrator of a facility for 50 or more clients shall have (85064) (i) (1) (2) Pg.11 Administrator Qualifications & Duties A. Graduated from high school, or possess a GED, B. Completion, with a passing grade, of 60 college or continuing education semester or equivalent quarter units, six of which shall be in administration or staff relations. C. Three years work experience in residential care, one year of which shall have been providing direct care to clients or assisting in facility administration. D. All of the above ------CORRECT ANSWER---------------D. All of the above Payment of a non-refundable Administrator Certification renewal delinquency fee is? (85064.3) (e) (3) Pg. 13.4 Administrator Recertification Requirements A. $100.00 B. $200.00 C. $300.00 D. $400.00 ------CORRECT ANSWER---------------C. $300.00 In facilities providing night care and supervision for 15 or fewer clients, there shall be how many staff on call on the premises? 85065.6 (c) Pg. 16 Night Supervision A. 2 B. 3 C. 1 D. None of the above ------CORRECT ANSWER---------------C. 1 .In facilities providing care and supervision for 101 to 200 clients 85065.6 (e) Pg. 16 Night Supervision A. at least one person shall be on call, on the premises. B. one qualified person shall be on duty, on the premises and awake. C. one person shall be on call and capable of responding within 30 minutes D. All of the Above ------CORRECT ANSWER---------------D. All of the Above The administrator of an adult residential care facility that provides services for residents who have mental illness shall ensure that a written intake assessment is prepared prior to acceptance of the client by: 85069.3 (1) Pg. 20.2 Mental Health Intake Assessment A. A licensed mental health professional B. A student intern if the work is supervised by a properly licensed mental health professional In facilities with a licensed capacity of seven or more clients, notices of planned activities shall be posted. (85079) (d) Spec. Pg.26 Activities A. In a central facility location readily accessible to clients, relatives & representatives of placement and referral agencies. B. Retained in the facility and readily available upon request C. In front of the walkway D. None of the above ------CORRECT ANSWER---------------A. In a central facility location readily accessible to clients, relatives & representatives of placement and referral agencies. Volunteers in an Adult Residential facility must be at least _____years old. (80065) (d) Gen. Pg. 100 Personnel Requirements A. 30 B. 25 C.21 D.18 ------CORRECT ANSWER---------------D.18 Medication can be disguised before giving to a client (80075) (3) Gen Pg. 125 Health-Related Services A. If the client's mood would be seriously altered if medication is not taken B. If client does not take the medication, it could cause a serious illness C. Only when the client refuses the medication D. None of the above ------CORRECT ANSWER---------------D. None of the above Assistance with self-administration does not include forcing a client to take medication, hiding or camouflaging medication in other substances without the client's knowledge and consent, or otherwise infringing upon a client's right to refuse to take a medication All medications, including over the counter must be locked at all times. (80075) (k)(1) Gen. Pg. 128 Health-Related Services A. In the client's dresser drawer B. In the restroom cabinet C. In a safe locked place D. In the administrator's office ------CORRECT ANSWER---------------C. In a safe locked place Fireplaces and open-faced heaters shall be (80088) (c) Gen. Pg. 146 Fixtures, Furniture, Equipment & Supplies A. Inaccessible to clients to ensure protection of the clients' safety B. Allowed only if it is gas burning C. Log burning D. None of the above ------CORRECT ANSWER---------------A. Inaccessible to clients to ensure protection of the clients' safety When a complaint is made to licensing, the licensing analyst must make an onsite inspection of the facility within day(s). (80006) (1) Gen. Pg. 24 Operation Without A License A. 1 B. 7 C. 10 D. 15 ------CORRECT ANSWER---------------C. 10 days Which of the following would not have to obtain an Adult residential facility license to operate? (80007) Gen Pg. 26-29 Exemption from License A. A skilled nursing facility B. A facility which substitutes prayer for medical care C. A school for the developmentally disabled D. All of the above ------CORRECT ANSWER---------------D. All of the above A. A skilled nursing facility B. A facility which substitutes prayer for medical care C. A school for the developmentally disabled A room approved for non-ambulatory clients, may be used by? (80010) (b) Gen. Pg. 30 Limitation on Capacity & Ambulatory Status A. Clients whom the physician has determined to be ambulatory B. Only clients whom licensing has determined to be non-ambulatory C. Both ambulatory and non-ambulatory clients ------CORRECT ANSWER-- -------------. Both ambulatory and non-ambulatory clients What must appear in all advertisements for a facility? (80011) (a) Gen. Pg. 30 Advertisement & License Number A. Facility license number B. Number of open beds C. Facility address D. All of the above ------CORRECT ANSWER---------------Facility license number Which of the following conditions are required for a vehicle to be used in transporting clients (80074) (a) Gen. Pg. 123 Transportation A. The vehicle may only be used in an emergency situation B. The vehicle must be registered to the licensee or administrator C. The client(s) being transported must provide written consent D. The driver must be licensed for the type of vehicle operated ------ CORRECT ANSWER---------------D. The driver must be licensed for the type of vehicle operated The facility license must be kept where in a 6 bed or fewer facility? (85009)(b) Spec. Pg. 6 Posting of License A. On file at the facility available upon request B. On file at the corporate offices C. Posted in a prominent location D. Any of the above ------ CORRECT ANSWER---------------On file at the facility available upon request What type of bed rails are allowed in a facility? (80072) (E)(1) Gen. Pg. 121 Personal Rights A. Double sided bed rails B. Full bed rails C. Circle bed rails D. Half bed rails ------CORRECT ANSWER---------------Half bed rails Disasters drills shall be conducted at least every ______months. A. 3 months B. 12 months C. 6 months D. 24 months ------CORRECT ANSWER---------------6 months For client supervision, there shall be a staff-client ratio of no less than. (85065.5) (a) (1) (2) Spec. Pg. 15 Day Staff-Client Ratio A. One direct care staff to three clients B. One direct care staff to four clients C. Two direct care staff to three clients D. Two direct care staff to four clients ------CORRECT ANSWER--------------- One direct care staff to three clients Each facility, at the request of a majority of its residents, shall assist its residents in establishing and maintaining a _______. (85080) (a) Spec. Pg. 27 Resident Councils A. Communication device B. Bug collection C. Resident Oriented Council D. Family friendship ------CORRECT ANSWER---------------Resident Oriented Council Adults who supervise while clients are using a pool or other body of water from which rescue requires the rescuer's ability to swim, shall have a valid______ (80065) (e) (2) Gen. Pg. 101 Personnel Requirements A. Water Safety Certificate B. Driver's License C. First Aid Card D. Job Performance Review ------CORRECT ANSWER---------------Water Safety Certificate Dishwashing machines shall reach a temperature of... (80076) (20)(A) Gen. Pg. 133 Food Service A. 100 degrees B. 165 degrees C. 160 degrees D. 90 degrees ------CORRECT ANSWER---------------165 degrees Not more than _______shall elapse between the third meal of one day and first meal of the following day (80076) (2) (A) Gen. Pg. 132. Food Service A. 24 Hours B. 10 Hours C.72 Hours D.15 Hours ------CORRECT ANSWER---------------15 Hours What cannot be used as a beverage. (80076)(9) Gen. Pg. 132 Food Service A. Soda B. Powdered milk C.Water D.Milk ------CORRECT ANSWER---------------Powdered milk Upon occurrence, a written report shall be submitted to the licensing agency within _____days. (80061) (b) Gen. Pg. 93 Reporting Requirements A. 10 Days B. 1 Day C.5 days D.7 days ------CORRECT ANSWER---------------7 days When considering placement of a client into the facility, a medical assessment shall be obtained... 80069) (a) (1) Gen. Pg. 111 Client Medical Assessments A. Prior to admission B. Within 10 days of admission C. Within 6 weeks of admission ------CORRECT ANSWER---------------Prior to admission An incident report must be mailed within. (80061) (b) Gen. Pg. 93 Reporting Requirements A. 5 days B. 10 days C. 7 days ------CORRECT ANSWER---------------7 days What portion of servings is recommended by the USDA basic food group plan shall be served at each meal? (80076) (a) (1) Gen. Pg. 130 Food Service A. ¼ B. 1/3 C. ½ D. 2/3 ------CORRECT ANSWER---------------1/3 Facility refrigerators shall maintain a maximum temperature of? (85076) (d)(3) Spec. Pg. 24 Food Service A. 40 degrees B. 45 degrees C. 50 degrees C. Performance reviews D. Hours actually worked ------CORRECT ANSWER---------------Hours actually worked At least ____ such room/s shall be available to clients for relaxation and visitation with friends and/or relatives 85087.3 (a)(1) Spec. Pg. 29 Indoor Activity Space A. 2 rooms B. 3. rooms C. 1 room ------CORRECT ANSWER---------------1 room In facilities with a licensed capacity of seven or more clients, notices of planned activities shall be..... (85079) (d) Spec. Pg. 26 Activities A. Posted in a central facility location readily accessible B. In a locked file cabinet C.Do not have to be posted D.Passed out to each client ------CORRECT ANSWER---------------Posted in a central facility location readily accessible to clients, relatives, and representatives of placement and referral agencies. How many clients can sleep in a bedroom? (85087) (a)(1) Spec. Pg. 28 Buildings & Grounds A. One B. Three C. Two D. Four ------CORRECT ANSWER---------------Two Adult Residential Facility staff may use manual restraint or seclusion with a client only if? (85100) (c)(1) Pg.38 Emergency Interventions (General) A. The restraint does not hurt the client feelings B. The client is getting on the staff's nerves for over an hour C. The force used does not exceed that which is necessary to avert the injury or danger being threatened. D. The client is talking too much, and it bothers his/her peers ------ CORRECT ANSWER---------------The force used does not exceed that which is necessary to avert the injury or danger being threatened .Administrator certificates issued shall be valid for a period of ______ years. (85064.2) (h) Page 13.1 Administrator Certification Requirements A. (1) B. (2) C. (3) D. (4 ------CORRECT ANSWER---------------2 To become a certified administrator, one must. (85064.2) (b) 1,2,3 Page 13 Administrator Certification Requirements A. Successfully complete an approved Initial Certification Training Program B. Pass the written exam within 60 days of completing the ICTP C. Submit a completed Application for Administrator Certification within 30 days of passing the certification exam. D. All of the above ------CORRECT ANSWER---------------D. All of the above A. Successfully complete an approved Initial Certification Training Program B. Pass the written exam within 60 days of completing the ICTP C. Submit a completed Application for Administrator Certification within 30 days of passing the certification exam. 60.Night lights shall be maintained in. (85088) (e)(2). Spec. Pg. 31 Fixtures, Furniture, Equipment & Supplies A. All bedrooms B. All Bathrooms C. All hallways and passages to non-private bathrooms D. None of the above ------CORRECT ANSWER---------------C. All hallways and passages to non-private bathrooms Menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least (80076) (5) Gen. Pg. 132 Food Services A. 10 days B. 30 days C. 60 days D. One year ------CORRECT ANSWER---------------B. 30 days 2.Supplies of staple nonperishable foods for a minimum of __________ and fresh perishable foods for a minimum of __________ shall be maintained on the premises. (85076) (d)(1) Spec. Pg. 24 Food Service A. 7 days/2 days B. 14 days/7 days C. 10 days/5 days D. 30 Days/15 days ------CORRECT ANSWER---------------A. 7 days/2 days Upon discharge of a client, all cash resources, personal property, and valuables of that client which have been entrusted to the licensee shall be surrendered to the client, or his/her authorized representative, if any (80026) (k) Gen. Pg. 56. Safeguards For Cash Resources, Personal Property & Valuables A. 30 days after discharge B. 10 days after discharge C. Upon discharge D. None of the above ------CORRECT ANSWER---------------C. upon discharge. note: The licensee shall obtain and retain a receipt signed by the client or his/her authorized representative What is the penalty per day that shall be assessed for the operation of an unlicensed facility if the operator has not submitted a completed application for licensure within 15 calendar days of issuance of the Notification of Operation of Law pursuant to 80006 and continues to operate. (80058) (a) (1) Pg. 90 Unlicensed Facility Penalties A. $100.00 B. $150.00 C. $200.00 ------CORRECT ANSWER---------------C. $200.00 The licensee shall maintain the temperature in rooms that clients occupy between a minimum of _____degrees and a maximum of ______degrees F. (80088) (a) (1) Pg. 146 Fixtures, Furniture, Equipment & Supplies A. 70 degrees F 90 degrees F B. 68 degrees F 85 degrees F C. 75 degrees F 80 degrees F ------CORRECT ANSWER---------------B. 68 degrees F 85 degrees F In areas of extreme heat, the maximum shall be _____degrees F less than the outside temperature. (80088) (a) (1) (A) Pg. 146 Fixtures, Furniture, Equipment & Supplies A. 50 B. 30 C. 25 D. 10 ------CORRECT ANSWER---------------B. 30 ._____________________________ means a wrist band or other device, that may be worn by a client or carried on a client's person that triggers a visual or auditory alarm when the client leaves the facility building or grounds. (80001) (e) (1) Pg. 13 Definitions A. Egress-Alert Device B. Inhalation Assistive Device C. Hearing Aid D. Automated External Defibrillator ------CORRECT ANSWER---------------A. Egress-Alert Device If a client is to be admitted, then prior to admission, the licensee shall complete a written Needs and Services Plan, which shall include all of the following except. 85068.2 (1) (A) (B) (C) (D) (E) (F) Pg. 18-19 Needs & Services Plan A. Specific service needs, if any. B. Entrance to the facility. C. An initial review from the case manager. D. Mental and emotional functioning. ------CORRECT ANSWER--------------- C. An initial review from the case manager. A licensee of an adult CCF may accept or retain a client who has diabetes if all of the following conditions are met except: 80092.8 (a) 1 & 2 Pg. 159 Diabetes A. The licensee is in compliance with Section 80092.1. B. The client is mentally and physically capable of administering his/her own medication and performing his/her own glucose testing if applicable, or a licensed professional administers the tests and injections. C. The client does know how to prick his finger, however he does not know how to administer his insulin ------CORRECT ANSWER---------------C. The client does know how to prick his finger, however he does not know how to administer his insulin When the administrator is absent from the facility there shall be coverage by: 85064 (f) page 10 Administrator Qualifications & Duties A. A designated substitute, who meets the qualifications of Section 80065 who shall be capable of, and responsible and accountable for, management and administration of the facility in compliance with applicable law and regulation. B. A designated employee appointed by the administrator who has at least one year experience in a CCL facility. C. Any staff member approved by the licensing agency to act as administrator in the absence of the administrator. D. An employee who has a bachelor's degree and one year experience in a CCL facility and appointed by the Administrator. ------CORRECT ANSWER- --------------A. A designated substitute, who meets the qualifications of Section 80065 who shall be capable of, and responsible and accountable for, management and administration of the facility in compliance with applicable law and regulation. Universal precautions consist of all the following except: 80001 (u) (1) (A) (B) (C) (D) pgs. 20 & 21 Definitions A. Gloves B. Hand-washing C. Disposal of infectious materials by placing in a paper bag and tying it with a secure tie. D. Cleaning with a disinfectant. ------CORRECT ANSWER---------------C. Disposal of infectious materials by placing in a paper bag and tying it with a secure tie Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action. The plan shall be subject to review by the licensing agency and shall include which of the following: (80023) (a) (b) (1) pg. 51 Disaster & Mass Casualty Plan A. Dispensing medication to each client prior to evacuation. B. Designation of administrative authority and staff assignments. C. Sufficient supply of water is always on premises D. None of the above ------CORRECT ANSWER---------------B. Designation of administrative authority and staff assignments. Within _____ days of receipt of an acceptable request for a waiver or an exception, the licensing agency shall notify the applicant or licensee, in writing, whether the request has been approved or denied. 80024 (d) pg. 52 Waivers & Exceptions A. 10 B. 15 C. 30 Medication can be disguised in food or liquid before giving to the client 80075 (3) G Reg Pg 125 A) True B) False ------CORRECT ANSWER---------------B) False All medication including over-the-counter, must be locked at all times 80075 (k)(1) G Reg Pg. 128 A) True B) False ------CORRECT ANSWER---------------A) True The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications which is retained for at least one year 80075 (7) G Reg Pg 129 A) True B) False ------CORRECT ANSWER---------------True Upon discharge of a client, all cash resources, personal property, and valuables of that client which have been estrusted to the licensee shall be surrendered to the client, or his/her authorized representative, if any 80026(k) G Reg Pg 56 A) True B) False ------CORRECT ANSWER---------------True Menu shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least 30 days. 80076(5) Gen Reg. Pg. 132 A) True B) False ------CORRECT ANSWER---------------True What's the minimum required age to be an ARF administrator and how old do you have to be to work in the industry? ------CORRECT ANSWER--------- -------21 Years old to be an administrator -18 years old to work in the industry What are the requirements to be an ARF administrator for a 6 bed facility? - -----CORRECT ANSWER---------------High school diploma or General Education Development (GED) What are the requirements to be an ARF administrator for a 7-15 bed facility? ------CORRECT ANSWER---------------1 year of experience in a residential care facility What are the requirements to be an ARF administrator for a 16-49 bed facility? ------CORRECT ANSWER---------------15 units of college, 3 in nutrition, human behavior or staff relations OR 1 year of experience in a residential care facility What are the requirements to be an ARF administrator for a 50 or more bed facility? ------CORRECT ANSWER---------------60 units of college, 6 in administration or staff relations OR 3 years of experience in residential care facility What is one of the requirements to be an ARF administrator? ------ CORRECT ANSWER---------------Criminal Record Clearance What are the ongoing recertification requirements? ------CORRECT ANSWER---------------40 hours of continued education/recertification every two years (up to 20 hours may be taken online but the remaining 20 hours must be in a classroom) What is an adult residential facility (ARF)? ------CORRECT ANSWER-------- -------Facilities of any capacity that provide 24 hour non-medical care and supervision for adults ages 18-59, who are unable to provide for their own daily needs *50% of clients of the census can be over 60 Adult Residential Facilities serve persons: A. 18-59 years of age B. With Developmental Disability C. Who need Care and Supervision D. With Mental Disorder E. All of the Above ------CORRECT ANSWER---------------*E. All of the Above Administrators of Adult Residential Facilities must be: A. At least 21 years of age B. Certified C. College Graduate D. At least 18 years of age E. Both A & B ------CORRECT ANSWER---------------E. Both A & B Prior to admitting a person with a Mental Disorder the facility must obtain: A. Approval from Community Care Licensing B. Mental Health Assessment C. Physician's Order What is considered an Elderly Person? ------CORRECT ANSWER------------ ---Any person who is 60 years of age or older What is "Emergency Approval to Operate"? ------CORRECT ANSWER------- --------It is a temporary approval to operate a facility for no more than 60 days pending the Department's decision on whether to approve or deny a provisional license What is an Evaluator or LPA (License Program Analyst)? ------CORRECT ANSWER---------------Is any person who is a duly authorized officer, employee or agent of the Department, including any officer, employee or agent of a county or other public agency authorized by the Department to license community care facilities What is an Exception? ------CORRECT ANSWER---------------These are non-transferrable requests to make an exception to the regulations for a specific staff or client based upon the unique needs or circumstances of that individual. The regulation in question will still apply to all other residents and staff in the facility What is a Waiver? ------CORRECT ANSWER---------------These are non- transferrable requests to waive a particular regulation on a facility-wide basis. They are not tied to a specific individual and may remain in effect regardless of changes in clients and staff What is an Exemption? ------CORRECT ANSWER---------------A non- transferrable exception to the requirements of Health and Safety Code Section 11522 and applicable regulations What is a License? ------CORRECT ANSWER---------------An authorization to operate a community care facility and to provide care and supervision. The license is non transferable What is a Licensed Professional? ------CORRECT ANSWER---------------A person who is licensed in California to provide medical care or therapy. (i.e. physicians and surgeons, physician assistants, nurse practitioners, registered nurses, licensed vocational nurses, psychiatric technicians, physical therapists, occupational therapists and respiratory therapists etc.) What is a Licensee? ------CORRECT ANSWER---------------The adult, firm, partnership, association, corporation, county, city, public agency, or other governmental entity having the authority and responsibility for the operation a licensed community care facility What is a Licensing Agency? ------CORRECT ANSWER---------------Is the State Department of Social Services or any state, county or other public agency authorized by the Department to assume specified licensing responsibilities (pursuant to section 1511 of the Health and Safety Code) What is a Medical Professional? ------CORRECT ANSWER---------------An in individual who is licensed or certified in California to perform the necessary medical procedures within his/her scope of practice (*similar to "Licensed Professional" but only Doctors and Nurses are included in this group) What is a Needs and Service Plan? ------CORRECT ANSWER---------------A written plan that identifies the specific needs of an individual client, and outlines those services necessary to meet client's identified needs What is a Non ambulatory Person? ------CORRECT ANSWER---------------A person unable to leave a building unassisted under emergency conditions -A person who uses postural supports What is a Provisional License? ------CORRECT ANSWER---------------A temporary non-renewable license for issued for a period not to exceed 12 months What is a Serious Deficiency? ------CORRECT ANSWER---------------A deficiency that presents an immediate or substantial threat to the physical health, mental health or safety of the clients of a community care center What is a Social Worker? ------CORRECT ANSWER---------------A person who has a graduate degree from an accredited school of social work What is the SSI/SSP? ------CORRECT ANSWER---------------The Supplemental Security Income/State Supplemental Program, which is a federal/state program that provides financial assistance to aged, blind and/or disabled residents of California What is Substantial Compliance? ------CORRECT ANSWER---------------Is the absence of any serious deficiencies What are False Claims? ------CORRECT ANSWER----------------No licensee, officer, or employee of a license shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility -No licensee, officer, or employee of a licensee shall alter a license, or disseminate and altered license Nondiscrimination of Applicants ------CORRECT ANSWER----------------Any adult shall be permitted to apply for a license regardless of age, sex, race, religion, color, political affiliation, national origin, disability, marital status, actual or perceived sexual orientation, gender identity, HIV status or ancestry Application for License? ------CORRECT ANSWER---------------*If the applicant in a corporation which issues stock, the name and address of each person owning more than 10 percent of stock in such corporation. -If the applicant is a corporation or association, a copy of the articles of the incorporation, constitutions and bylaws. -If the applicant is a corporation, each member of the board of director, executive director, and any officer shall list the name of the facilities which they have been licensed to operate, employed by or a member of the board of directors, executive director or an officer. a. Name and address of owner of facility premises if applicant is leasing or renting Application for License, Incidents/Complaints: ------CORRECT ANSWER---- ------------Any community care facility providing residential care for six or fewer person at which the owner does not reside shall provide a procedure approved by the licensing agency for immediate response to incidents and complaints. -Any facility with a non resident owner shall establish a fixed time on a weekly basis when the owner, licensee or person designated by the owner or licensee will be present -Facilities with nonresident owners shall establish procedures to comply with the requirements of this section on or before July 1, 1987. True or False? A 3-month start up fee is required for new facilities. ------CORRECT ANSWER---------------True What information is required in the application process regarding the fire department? ------CORRECT ANSWER---------------Name, address and telephone number of the city or county fire department, the district providing fire protection services, or the State Fire Marshal's Office having jurisdiction in the area where the facility is located. Fire Clearance ------CORRECT ANSWER---------------All facilities shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal 1. Exit signs (designate two emergency exits) 2. 2-3 "all-purpose" fire extinguishers (kitchen, laundry room, garage) 3. Surge Protectors All community care facilities where water for human consumption is from a private source shall meet the following requirements: ------CORRECT ANSWER----------------The applicant shall provide evidence of an on-site inspection of the source of the water and bacteriological analysis which establishes the safety of the water, conducted by the local health department, the State of Department of Health Services or a licensed commercial laboratory *6 or fewer beds requires analysis in the initial licensing phase, periodic subsequent analysis is not required unless evidence supports the need for such analysis to protect clients. How often should disaster drills be conducted? ------CORRECT ANSWER-- -------------Every six months How often should fire drills be conducted? ------CORRECT ANSWER-------- -------Every 3 months Disaster/Fire Drill records should be maintained in the facility for how long? ------CORRECT ANSWER---------------At least 1 year Within 90 days of receipt of the application by the licensing agency, the licensing agency shall give written notice to the applicant of one of the following: ------CORRECT ANSWER---------------1. Application is complete, OR 2. The application is deficient, describing what documents are outstanding and/or inadequate, and informing the applicant that the information must be submitted with 30 DAYS of the date of the notice. a. If the applicant fails to submit the required information within 30 days the application shall be deemed withdrawn unless either the licensing agency has denied the application or the facility is under construction Withdrawal of Application ------CORRECT ANSWER---------------An applicant shall have the right to withdraw an application, such a withdrawal must be in writing Whenever a client who relies upon others to perform all activities of daily living is present, what is the minimum staffing requirement? ------ CORRECT ANSWER---------------There shall be a staff-client ratio of ONE DIRECT CARE STAFF to THREE CLIENTS Employees providing night supervision (10pm to 7am) shall be available to assist in the care and supervision of clients in the event of an emergency and shall receive training in the following: ------CORRECT ANSWER--------- -------Facility's planned emergency procedures -First Aid In facilities providing care and supervision for 15 or fewer clients,there must be: ------CORRECT ANSWER----------------At least one person, on call, on the premises In facilities providing care and supervision for 16 to 100 clients,there must be: ------CORRECT ANSWER----------------At least one person on duty, on the premises, awake -Another person must be on call and capable of responding within 30 minutes In facilities providing care and supervision for 101 to 200 clients,there must be: ------CORRECT ANSWER----------------At least one person on call, on the premises -Another person on duty, on the premises and awake -Another person shall be on call and capable of responding within 30 minutes In facilities providing care and supervision for every additional 100 clients after 200 clients there shall be: ------CORRECT ANSWER----------------One additional person on duty, on the premises and awake (The licensee shall provide for direct supervision of clients during participation in or presence at potentially dangerous activities or in the facility.) Adults who supervise while clients are using a pool or other body of water from which rescue requires the rescuer's ability to swim, shall have what? -- ----CORRECT ANSWER---------------Valid water safety certificate *If you have a pool, all of your employees must have water safety certifications All personnel, including licensee, administrator and volunteers, shall be in good health, and shall be physically, mentally, and occupationally capable of performing assigned tasks. How would physical health be verified? ------CORRECT ANSWER------------ ---Health screening including a test for tuberculosis, performed by or under supervision of a physician not more than one year prior to or seven days after employment or licensure What shall be done if anything is missing, $25 or higher? ------CORRECT ANSWER---------------You must file a police and an incident report What are unacceptable employment inquiries? ------CORRECT ANSWER-- --------------Religion -Credit Report In facilities providing meals to clients, the following shall apply: ------ CORRECT ANSWER---------------All food shall by safe and of the quality and quantity necessary to meet the needs of the clients: Each meal shall meet at least 1/3 of the servings recommended in the USDA Basic Food Group Plan-Daily Food Guide for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner. Where all food is provided by the facility, arrangements shall be made so that each client has available at least three meals per day. Not more than ___ hours shall elapse between the third meal one day and first meal of the following day ------CORRECT ANSWER---------------15 hours Menus shall be made available for review by the clients or their authorized representatives and the licensing agency upon request. Menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for how many days? ------ CORRECT ANSWER---------------At least 30 days Commercial Foods ------CORRECT ANSWER---------------Needs approval by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be for human consumption. Food in damaged container shall not be accepted, used or retained A bed rail that extends from the head half of the length of the bed and used only for assistance with mobility shall be allowed. What kind of bed rails are prohibited? ------CORRECT ANSWER---------------Bed rails that extend the entire length of the bed. (*except for for clients who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. ) What shall be prominently posted in areas accessible to clients and their visitors? ------CORRECT ANSWER----------------Visiting Hours -Condition of Client -Client's Rights The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of_______, _________ and ________. ------ CORRECT ANSWER---------------clients, employees and visitors The licensee shall take measures to keep the facility free of _____ and other _______. ------CORRECT ANSWER---------------Flies and other insects The licensee shall provide for the safe disposal of _____ and other _________ used for cleaning purposes. ------CORRECT ANSWER----------- ----water; chemicals Fences shall be at least ____ feet high and shall be constructed so that the fence does not obscure the pool from view. ------CORRECT ANSWER------- --------5 The licensee shall maintain the temperature in rooms that clients occupy between a minimum of __ degrees F and a maximum of __ degrees F. ----- -CORRECT ANSWER---------------between a minimum of 68 degrees F and a maximum of 85 degrees F Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to clients to attain a temperature of no less than ___ degrees F and not more than ___ degrees F is required ------CORRECT ANSWER---------------105 degrees F and not more than 120 degrees F Taps delivering water at 125 degrees or above shall be promptly identified by _____________. ------CORRECT ANSWER---------------warning signs The licensee ensures that the licensed professional reviews staff performance as he/she deems necessary, but a review must be conducted at least ___ a year. ------CORRECT ANSWER---------------Once In adult CCF's what health conditions will prohibit clients from being admitted to a facility? ------CORRECT ANSWER----------------Active, communicable TB (tuberculosis) -Conditions that require 24-hour nursing care and/or monitoring. Catheter ------CORRECT ANSWER---------------The licensee ensures that either catheter care is provided by a licensed professional when the client is unable to provide self-care, or the catheter bag and tubing are changed and bags are emptied by facility staff who receive training from the licensed professional. A licensee of an adult CCF may accept or retain a client who requires manual fecal impaction removal, enemas or use of suppositories when ----- -CORRECT ANSWER----------------The licensee monitors the client's ongoing ability to provide his/her own routine care in accordance with the physician's instructions. -The licensee ensures that a licensed professional administers the fecal impaction removal, the enemas or suppositories when the client is unable to do so for himself/herself Clients shall have access to telephones in order to make and receive confidential calls. What are the stipulations? ------CORRECT ANSWER------ ---------calls do not infringe upon the rights of other clients and do not restrict availability of the telephone during emergencies. Clients have the right to ____ and ________ un opened correspondance --- ---CORRECT ANSWER---------------mail; receive The licensees shall ensure that clients are given the opportunity to attend and participate in community activities including: ------CORRECT ANSWER---------------1) Worship services and activities of the client's choice 2) Community Service activities 3) Community events, including but not limited to concerts, tours, dances, plays and celebrations of special events. 4) Self-Help organizations 5) Senior citizen groups, sports leagues and service clubs An extra charge to the resident shall be allowed for a private room if ------ CORRECT ANSWER---------------a double room is made available but the resident prefers a private room The licensee shall notify the department, in writing, within __ days of a change of administrator ------CORRECT ANSWER---------------30 days Reporting requirements (Pg. 93, TITLE 22) ------CORRECT ANSWER------- --------Upon the occurrence, a report 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 information shall be submitted to the licensing agency within 7 DAYS following the occurrence of such event. Events include: Deaths, Injuries, Catastrophes, Poisonings, Fires etc. The licensee shall complete and maintain in the client's ____________________________________ for each client whose pre- admission appraisal or medical assessment indicates he/she is deaf, hearing-impaired, or otherwise disabled. ------CORRECT ANSWER----------- ----Telecommunications Device Notification Form A licensee shall be permitted to retain terminally ill clients who receive hospice services from a hospice agency if ------CORRECT ANSWER--------- ------The licensee has received a facility hospice care waiver from the Department The licensee shall maintain a record of all hospice-related training provided to the licensee or facility staff for a period of ___ years. ------CORRECT ANSWER---------------3 The record of each hospice-related training session shall ------CORRECT ANSWER---------------specify the names and credentials of the trainer, the person in attendance, the subject matter covered, and the date and duration of the training session. You must notify licensing within ___ days of admitting a hospice client ------ CORRECT ANSWER---------------5 days The Department shall notify the applicant or licensee of the hospice care waiver request within ___ calendar days of receipt. ------CORRECT ANSWER---------------30 days The licensee shall regularly observe each client for changes in ------ CORRECT ANSWER---------------physical, mental, emotional and social functioning The licensee shall meet the following food supply and storage requirements: ------CORRECT ANSWER----------------Supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises -Freezers shall be large enough to accommodate required perishables and shall be maintained at a temperature of zero degrees F -Refrigerators shall be large enough to accommodate required perishables and shall maintain a maximum temperature of 45 degrees F -Freezers and refrigerators shall be kept clean, and food and storage shall permit the air circulation necessary to maintain the temperatures specified During dining hours, clients shall be encouraged to ------CORRECT ANSWER---------------have meals with other clients Bonding (80025, pg. 53 TITLE 22) True or False? The licensee shall submit an affidavit, on a form provided by the licensing agency stating whether he or she safeguards or will safeguard cash resources of clients and the maximum amount of cash resources to be safe guarded for all clients or each client every month. ------CORRECT ANSWER---------------True. For 6 clients what is the amount safeguarded a month and what is the bond required (pg. 53 TITLE 22) ------CORRECT ANSWER---------------$750 or less for the amount safegaurded and $1000 for bond required Any change in the chief executive officer of the corporation shall be submitted within? ------CORRECT ANSWER---------------10 working days All employee records shall be maintained for how many years? ------ CORRECT ANSWER---------------3 years How long are clients records retained? ------CORRECT ANSWER------------- --3 years What size facility shall post the license in a prominent location? ------ CORRECT ANSWER---------------7 or larger Supply of staple NONPERISHABLE foods for a minimum of _____ shall be maintained? ------CORRECT ANSWER---------------One week The temperature in a clients room should be heated to at least_____? ------ CORRECT ANSWER---------------68 degrees An emergency approval to operate is for not more than ------CORRECT ANSWER---------------60 days What should be maintained in hallways and passages to non-private bathrooms? ------CORRECT ANSWER---------------Nightlights Admission agreement shall be signed by the client no later than how many days after admission? ------CORRECT ANSWER---------------7 days Who can alter a prescription label? ------CORRECT ANSWER--------------- Dispensing pharmacist Documentation of disaster drills shall be documented and maintained in the facility for how long? ------CORRECT ANSWER---------------12 months A conservator is________? ------CORRECT ANSWER---------------A person appointed by the Superior Court to care for the person, estate or person and estate of another What temperature should hot water controls be maintained at? ------ CORRECT ANSWER---------------105-120 degrees In addition to licensing a report shall be submitted to a _________if an epidemic outbreak occurs? ------CORRECT ANSWER---------------Local health officer A licensee may request a review of a notice of deficiency within how many days? ------CORRECT ANSWER---------------10 days Staff providing direct care must have what training? ------CORRECT ANSWER---------------First aid training How long do you have to submit a written report of any suspected physical abuse to licensing? ------CORRECT ANSWER---------------7 days Refrigerators shall maintain a maximum temperature of _____ °F ------ CORRECT ANSWER---------------45 degrees In all cases, personnel records shall document what? ------CORRECT ANSWER---------------Hours actually worked How long are menus kept on file? ------CORRECT ANSWER---------------30 days Admission agreements are automatically terminated and liability or debt occurred are stopped when the client dies? ------CORRECT ANSWER------- --------True What size facility must have regular consultation from a nutritionist, dietitian or home economist? ------CORRECT ANSWER---------------50 or more clients What cannot be used as a beverage? ------CORRECT ANSWER-------------- -Raw and powdered milk FRESH PERISHABLE foods for a minimum _____ of shall be maintained? ------CORRECT ANSWER---------------2 days How many clients may sleep in a room? ------CORRECT ANSWER----------- ----No more than 2 Upon receipt of a complaint, licensing shall make an on-site inspection within how many days? ------CORRECT ANSWER---------------10 days ARF administrators must receive training in HIV and TB within _______ of becoming an administrator? ------CORRECT ANSWER---------------6 months The death of a licensee must be reported to the licensing agency by telephone within? ------CORRECT ANSWER---------------The first working day after the death The licensee may except or retain a client with a urinary catheter with the following restriction: ------CORRECT ANSWER---------------Insertion and removal of the catheter is performed by a licensed professional The staff may be trained to empty the bag if the client needs assistance The administrator may restrict the right of a resident to leave the facility if it is deemed appropriate by the licensee ------CORRECT ANSWER------------- --False A licensee may set curfews and House rules ------CORRECT ANSWER----- ----------True Postural supports require a physician order ------CORRECT ANSWER------- --------True An example of a postural support is ------CORRECT ANSWER--------------- Braces/ casts In facilities license for ___ or more there shall be a posted activity program ------CORRECT ANSWER---------------7 What documentation is required related to resident Council meetings ------ CORRECT ANSWER---------------Notice of meetings Meeting times Recommendation from the council meetings Volunteers shall be ------CORRECT ANSWER---------------Supervised Every adult residential facility must have a certified administrator ------ CORRECT ANSWER---------------True An administrator must be at least ------CORRECT ANSWER---------------21 years of age Who will require criminal record clearance ------CORRECT ANSWER-------- -------Direct care staff The administrator A spouse living in the facility with an administrator who performs no care whatsoever The physical health of a staff shall be verified by a health screening within how many days of employment ------CORRECT ANSWER---------------7 days What must be included in every advertisement for the facility? ------ CORRECT ANSWER---------------Facility license number A room approved for ambulatory clients may be used by ------CORRECT ANSWER---------------Ambulatory clients What is included in the facility license application ------CORRECT ANSWER---------------Name or proposed name of the facility Name and address of the owner of facility premises of applicant is renting or leasing Information concerning the city or county fire department having jurisdiction in the area where the facility is located Evidence of an on-site bacteriological analysis of the water (when from a private source) shall be conducted in a six bed facility ------CORRECT ANSWER---------------Upon initial license and when evidence supports the need What is required when a facility changes location or transfers the majority of the stock or possibly when increasing capacity? ------CORRECT ANSWER---------------New license application