RCFE TITLE EXAMS AND STUDY GUIDE EXAMS, Exams of Nursing

Download RCFE TITLE EXAMS AND STUDY GUIDE EXAMS and more Exams Nursing in PDF only on Docsity! 1 | P a g e RCFE TITLE EXAMS AND STUDY GUIDE EXAMS WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS 2024(NEWEST) ALREADY GRADED A+ The residents funding source must be disclosed on admission agreement unless resident indicated that they do not wish to disclose the funding source 87507 T F True A telecommunication device Notification form must be completed for all residents upon admission 87507 T F False only if they indicate hearing or visual impairment Admission agreements must be signed no later than ___ days following admission 87507 3 7 10 7 Prior to a persons acceptance as as resident, the licensee shall obtain documentation of a medical assessment signed by a physician, made within the last___ 87458 6 mos 7days 12months 12 Months Hot water shall be between ____ 87303 100-125 105-125 105-120 100-130 105-120 Taps at 125+ F shall have what? 87303 locking mechanism locking mechanism with a warning sign prominently displayed warning sign A Prominently displayed warning sign Grab bars for each toilet, bathtub, shower are required to be installed only if a resident requests them 87303 T F False They all must have Grab Bars 2 | P a g e Non-skid mats or strips shall be in all bathtubs and showers 87303 T F True Resident rooms shall be heated to a minimum ___ 87303 65 68 72 75 68 The facility shall cool rooms to range between ___F or in areas of extreme heat___ F less than outside temp 87303 78 & 85 /30 78 & 85 /30 75 & 85 /30 78/85 30 Emergency lighting which may include flashlights is only required in facilities of 16+ 87303 T F False A signal system must do which of the following? 87303 Operate from each room Transmit visual and/or auditory signal to central staff Identify specific room A B & C A B & C Storage areas for poisons, firearms and other dangerous weapons shall___ 87309 Only be kept in office Not be on the property Be locked Be Locked What size facility must post "No Smoking-O2 in use"? 87618 6+ 15+ all facilities all facilities Ammunition for firearms shall be stored and locked separately from firearms 87309 True False True Firing Pins must be stored and locked separately from firearms 87309 True False True Oxygen tanks that are not portable shall be secured in a stand or to a wall 87618 True False True 5 | P a g e 2 Stage 1, 2, 3, and 4 pressure sores(dermal ulcers) are all considered prohibited conditions 87615 False 3 & 4 are prohibited which of the following conditions are considered restricted 87515 Catheter Diabetes Injections Stage 1& 2 pressure ulcers nasogastric staph A, B, C, D A, B, C, D what size facility must employ a full time activity director 87219 6-49 50-99 50+ 50+ facilities shall be cooled to which temp 87303 80-88 75-85 78-85 or 30 degrees less than outside 78-85 or 30 degrees less than outside A resident who is bedridden because of temporary illness requires notification to the fire department within 48 hrs of admitting. 87633 True False True Facilities must heat rooms to a minimum of 72 degrees 87303 True False False 68 An admission agreement shall be automatically terminated by the death of a resident unless agreed to ___ or ordered by a court 87507 Verbally In Writing In Writing Which of the following are rights of the residents 87468 Mail receive/reject medical care storage space A & C A,B & C A,B & C Facilities licensed for ___ beds or more shall prominently post residents rights or instructions on how to obtain copies of these rights 84768 1 7 16 50 7 6 | P a g e Liquid oxygen is permitted with prior approval from the licensing agency 87618 True False True If a resident is able to determine the need and communicate the need for PRN medication, staff shall be permitted to assist the resident with self-administration 87465 True False True A home health nurse who is not employed by the facility must be criminally cleared by DSS/CCL prior to caring for a resident in the facility 87355 True False False They're cleared from BRN When there is a change of administrator, the licensing agency must be notified in writing within 10 days 87211 True False False 30 Days for Administrators, 10 Days for licensee a ___ medication is any prescription or non-prescription medication which is taken as needed 87101 PNR NPR PRN PRN A provisional license may not exceed ___ months 87101 3 6 12 12 a facility licensed for 6 beds or less does not have to post the license in a prominent place 87113 True False False The department shall be notified within___ calendar days when the address of the licensee changes 87114 7 15 30 10 10 When licensing a RCFE startup funds shall be sufficient to meet a minimum of ___ months operating cost 87155 1 2 3 6 3 7 | P a g e Emergency exit plans & phone numbers must be posted in the facility 87212 True False True Cash resources and valuables of a resident which are entrusted to the licensee may be used for facility petty cash as long as reimbursement is made to the resident 87217 True False False The licensee is not required to handle residents' cash resources 87217 True False True If an application fee is denied, the application fee is _____ 87163 Refunded forfeited forfeited An applicant may appeal a denied license with written notice of appeal within ___ days of the postmark of the denial notice 87163 7 10 15 15 Any duly authorized officer, employee or agent of the Department may enter and inspect the entire premise with or without advance notice 87755 True False True all administrators shall complete at least ___ hrs of CE in areas related to aging and/or administration each year 87405 40 20 10 20 other than the administrator, all persons who supervise employees or supervise or care for residents must be at least 18 years of age or older 87411 True False True Smoking shall be prohibited where oxygen is in use 87618 True False True Linen shall be changed as often as necessary to provide clean linen at all times 87307 True False 10 | P a g e 3 Facility exit doors may be locked at night for the protection of residents by prohibiting intruders from entering the facility 87508 True False True The destruction of medication by the administrator must be witnessed by ___ 87465 a resident CCL Rep non resident adult A, B or C non resident adult common wash cloths and towels may be shared by residents 87307 True False False All RCFE staff who assist residents with ADL's shall receive at least ___ hrs of initial training within the first ___ weeks of employment 87411 4, 4 6, 6 10, 4 10, 6 10/4 In addition to initial training, all RCFE staff who assist with ADL's shall receive at least ___ hrs of training annually 87411 4 8 20 40 4 all personnel shall present a physician report verifying good health, The report may not be older than one year prior to employment 87411 True False False 6 months All employees subject to criminal review shall be criminally cleared______ employment or initial presence in the facility 87411 prior to within 7days after within 30 days after prior to an administrator with one year experience in the last eight years and a record of administering facilities in substantial compliance may conduct initial training for staff 87411 True False False 2 years 11 | P a g e which must be included in all facility advertisements 87206 Licensee name admin name fac lic # A, B & C Facility License # Gastrostomy, tracheostomy and nasogastric tubes are health conditions that are NOT allowed in an RCFE 87615 True False True A written report to licensing is required within ___ days of the death of a resident 87211 1 2 7 5 7 an exception and waiver are the same thing 87101 True false False Casts and Braces are examples of postural supports 87608 True False True when must you verify the health status of a potential resident 87458 within 7 days after admission within 3 days after admission prior to admission prior to admission Must you notify the fire dept when oxygen is to be used in the facility 87618 No Yes Yes stage 1 & 2 pressure sores are prohibited conditions 87631 True False False 3&4 are prohibited stage 3 & 4 pressure sores are prohibited conditions 87631 True False True Maximum number of days for an emergency approval to operate 87101 30 60 90 60 12 | P a g e A planned activity program is to be considered a basic service for all residents 87464 True False True solid waste shall be stored, located and disposed of in a manner that will not ---87303 permit communicable disease transmit odors create a nuisance provide a breeding place or food source for insects or rodents ABC &D A,B,C & D solid waste containers shall be emptied at least___ 87303 once a week once a month every two weeks once a week an "exception" is a variance to a regulation based on the needs of a specific resident or staff person 87101 True False True Being unable to independently reposition in bed could define a resident as bed ridden 87455 True False True Under Title 22"Mild Cognitive impairment" is not considered dementia 87705 True False True residents with a diagnosis of dementia who are unable or unlikely to respond either physically or mentally to oral instructions relating to fire must reside in ___rooms 87705 ambulatory non-ambulatory ambulatory or non-ambulatory non-ambulatory Each resident with dememtia shall have a medical assessment by a physician at least ______ 87705 every 6 mos once a year once every 2 years once a year RCFE stands for 87101 Residential Care For the Elderly Residential Care Facility for the Elderly Retirement Care For the Elderly Rest and Care For the Elderly Residential Care Facility for the Elderly 15 | P a g e Injections are ______health conditions 87612 Restricted prohibited restricted pressure sores are also called _____87615 dermal ulcers healing ulcers skin wound dermal ulcers a colostomy is considered a ____health condition 87612 restricted prohibited restricted a serious injury must be reported to licensing within 7 days 87211 True False True a caregiver is assisting a resident and the resident begins to experience extreme chest pain. The first thing the caregiver should do is call____87465 a physician 911 the family 911 a resident has a PRN med centrally stored, the label must contain 87465 symptom indicating exact dosage min hrs between doses max doses in 24hrs ABC&D AB&D ABC&D Richards facility has a hospice waiver. The dept must be notified within ___working days of initiation of hospice 87632 2 5 7 30 5 when admin assumes or relinquishes responsibility of facility, they have to provide written notice within 30 days to____87407 local lic office dept admin cert section a&b a&b all residents have cell phones therefore facility telephone is not required 87311 True False False all facilities licensed for ___ +and all with separate floors or buildings shall have a signal system 87303 7 16 50 16 16 | P a g e all facility employees need to be criminally cleared 87355 True False True a resident depending on others for all ADL's would not be acceptable for RCFE 87615 True False True the living room must be heated to minimum ___87303 65 66 68 72 68 written incident report must be submitted within 7 days of the event 87211 True False true if licensee hires new admin, he must notify lic within 20 days 87211 True False false prior to or within ___ of residents admission, licensee shall arrange a meeting with the resident and other appropriate parties to prepare written record of care resident will receive 87467 7d 2w 30d 2 weeks in facilities licensed for __or more, menus shall be written at least one week in advance 87555 6 8 16 2 16 In facilities licensed for less than ___shall maintain a sample menu on file 87555 6 15 12 16 16 In the case of a temporary need, tray service of meals shall be provided 87555 True False True which of the following is not a required step when becoming a certified administrator 87406 submit application to DSS complete and initial certification training program pass the state exam pay a $150 processing fee D. Fee is $100 17 | P a g e if an administrator does not renew her certification within four years of exp date, she must 87407 complete initial vert training program obtain 40 hrs CE & Fee do nothing can no longer be an administrator in CA None of the above complete initial certification training program planned activities must be posted in a readily accessible location in facilities licensed for how many residents 87219 all facilities 7+ 16-49 100+ 7+ copies of notices of planned activities must be retained for at least ___ months 87219 1 6 12 24 6 telephone service is required on the premises of all RCFEs 87311 True False True facility license number must be disclosed on all advertisements 87206 True False True residents religious preference, if any, is required to be recorded in the residents record 87506 True False True The minimum age for an administrator of an RCFE is ___ 87405 18 21 19 21 a resident may be evicted with 30 days notice if the rate of basic service is not paid within ___days of the due date 87224 3 30 10 10 restraints may be used when it is in the best interest of the resident 87468 True False False administrators must complete ___hrs of continuing education every two years 87407 10 20 30 40 40 20 | P a g e Fillings and covers for mattresses and pillows shall be flame retardant 87303 T F True At least ___ toilet and wash basin for each ___persons 87307 1/6 1/8 2/6 1/6 Bed rails that extend the entire length of the bed are prohibited, unless a resident is receiving hospice care and has a hospice care plan that specifies the need for full rails T F True In facilities licensed for ____or more, notice of planned activities shall be posted in a central location 87249 6 7 10 7 In facilities licensed for ____residents, one staff member shall have the primary responsibility for the organization, conduct and evaluation of planned activities 87219 6-29 15-49 16-49 16-49 In facilities licensed for 7 residents or more, notices of planned activities shall be retained for at least___ 87219 6mos 12mos 3yrs 6 months In facilities licensed for 15 or less, awake night staff is always required 87415 T F False In facilities licensed for 16-100, at least ___ employees shall be on duty, on the premises and awake, and one employee on call and capable of responding within ___minutes 87415 1/10 2/10 1/30 1/10 For night supervision staff, choose all of the following that are required. 87415 1st aid training know emer procedures CPR A&B Available to assist residents A,B & E A,B & E In what size facility is it a requirement to post a dated weekly employee time schedule 87413 6+ 10+ 16+ 21 | P a g e 16+ In facilities that are required to post a dated weekly time schedule, it must include which 87413 empl name, title, hrs empl name, hrs, days off empl name, title, hrs, days off employee name, job title, hours, days off Residents with problems such as forgetfulness, wandering, confusion, or irritability may be accepted and retained in an RCFE 87455 T F True Oxygen from a portable source shall be used by residents when they are outside their room 87618 T F True A facility licensed for 2 residents does not need a certified administrator 87405 T F False a change in administrator requires written notification to the licensing agency within how many working days 87211 7 10 15 30 30 The admin for a facility licensed for ___shall have completed, with a passing grade, at least 15 college or CE Semester and shall have at least 1 year experience providing care to the elderly 87405 1-6 6-15 16-49 50+ 16-49 The admin for a facility licensed for ___shall have 2 years college and 3 years experience providing care to the elderly 87405 15-40 16-49 50+ 100+ 50+ It is the responsibility of the ____to make special provision for safety of residents with visual or auditory deficiencies 87405 Administrator Licensee Res Family Lic agency Administrator All persons (except Admin) who supervise employees or care for residents shall be at least ___ 21 18 17 18 22 | P a g e A planned on the job training program is required in facilities licensed for___ 87411 6-16 10+ 16+ 16+ Good health of personnel will be verified by a health screening performed by a physician not more than ___prior to employment or ___after employment 87411 1yr/7d 6mo/7d 6mo/30d 6 months / 7 days Residents in good health may substitute for required staff 87411 T F False They may do household chores Volunterers in an RCFE shall be supervised by a staff member at all times 87411 T F True Admission agreements must disclose basic services as well as optional services 87507 T F True (SNF) Patient Care Policies & Procedures shall include but not be limited to: 1. physician services, 2. nursing services, 3. infection control, 4. dietary services, 5. pharmaceutical, 6. activity program, 7. housekeeping services (ICF) Hot water must be kept between: 105-120 (SNF refers to title 24 for hot water temps which states the same as for ICF) (ICF) Tapsw/water temps higher than 125 degress F or more shall be what? IDentified by a warngin sign w/2" letters. (SNF refers to title 24 which states the same as for ICF) (SNF) Water for human consumption from an independent source is subjected to what? 25 | P a g e 1. pharmacist OR licensed nurse employed by the facility, 2. must have 1 other witness, 3. all signatures required, 4. log kept for at least 3 years. kept in a separate log OR patient health record for at least 3 years, 5. log the same details as for schedule II, date destroyed, prescription #, etc. (ICF says pharmacist OR rn plus 2 witnesses) (ICF) list the license categories 1. General Acute Hospital, 2. Acute Psychiatric Hospital, 3. Skilled Nursing Facility, 4. Intermediate Care Facility (SNF) how many hours are there of orientation and how is it broken down? 1. 16 hours a. first 8 hours-tour, pt population, daily routine, used of equipment, call cord and system, disaster and unusual occurrence and intro to pt care. b. second 8 hours (w/in 32 hours) administrative structure, organizational chart, services offered, role, and personnel policies and procedures. (ICF leaves it to the faiclity to create the orientation program/policy and procedures (SNF) what is included in the personnel policies & procedures section of the orientation program? 1. philosophy of care 2. patient's rights 3. legal and ethical issues. 4. direct patient care- transferring, bathing, positioning, training. 5. comfort and environment. 6. federal and state regulations. 7. choking (CPR/First Aid certification) 8. A signed performance evaluation. (SNF) prior to any direct contract with a patient, at least a total of 16 hours of training shall be provided in what areas? 1. communication & interpersonal skills. 2. infection control. 3. safety and emergency procedures including the heimlich maneuver. 4. promoting the independence of patients. 5. respecting the rights of patients 173 173 (SNF) what are some basic requirements for pt rooms and physical plant? 1. they must be lableled on the outside of the door by #, letter, or both for identification. 2. rooms cannot be locked unless they are an approved seclusion room in a psychiatric facility. 3. fences, yards, exits and doorcannot be locked w/out DHS approval 4. rooms w/ ambulatory patients must be labeled "reserved for ambulatory patient" with half inch lettering 26 | P a g e (ICF) what special needs groups cannot be accepted to a SNF or ICF unless their special needs can be met in an approved STP or special disability service unit? 1. development disabled 2. substance abuse-alcohol or drug 3. mentally disordered (residents w/the above special needs cannot be admitted to a SNF or ICF unless the SNF or ICF have the STP or special disability services or rehabilitation unit required and necessary to meet the need. (SNF) What are the requirements for soiled linen? 1. policies and procedures for soiled linen must be posted in the laundry area. 2. must be stored and transported in closed containers. 3. no odor and no cross contamination. 4. soiled l inens must be labeled "soiled" (SNF) back flow preventers (vacuum breakers) are maintained according to who? Part 6 Title 24 of the CA Administrative Code (SNF) what are the requirements for clean linen? 1. policy and procedures for clean linens must be posted in the laundry area. 2. must be stored and transported in a covered unit. 3. must have at least 3 complete bed changes for facility bed capacity. 4. must have sufficient wash cloths to meet the need. 5. must be labeled "clean" 6. must be in good repair (SNF) what are the requirements for solid waste containers? 1. movable bins must be approved by local health department. 2. must have tight fitted lids. 3. must be in good repair. 4. must be leak proof. 5. must be rodent proof unless stored in an enclosure. 6. all containers except for movable bins must have external handles. 7. putrescible waste must be emptied at least every 4 days (SNF) what are the regulations for the use of medical gases? 1. piped oxygen is tested and regulated by the National Fire Protection Association Bulletin. 2. must be written reports for initial installation, changes to the system and integrity breaches. 3. cannot transfer gases from cylinder to cylinder. (SNF) what are the basic guidelines for a citation review conference? 1. licensee has the right to bring legal counsel or anyone else. 2. the department representative who issued the citation should attend. 3. the conference shall be informal. 27 | P a g e 4. neither party shall record, subpoena witnesses or cross examine. 5. may only present willing witnesses (SNF) List the medical gases Carbon Dioxide, Cyclopropane, Ethylene, Helium, Nitrous Oxide, Oxygen, Helium-Oxygen mixtures and carbon Dioxide-oxygen mixtures (SNF) what are the requirements for equipment in the facility? 1. must meet OSHA requirements 2. portable electrical medical equipment must be 3 pronged and equipped for 110-120 volts. 60 hertz current. 3. cord must be integral part of the equipment (SNF) what are some requirements in the laundry area? 1. must be separate storage for clean and soiled linen. 2. must have hand washing and toilet facilities close by. 3. separate carts clearly labeled "soiled linen" and "clean linen" 4. carts must be made of washable materials 5. written procedures for storage, tranportation and the handling of clean and soiled linens must be posted (SNF) what are the requirements for the emergency system? 1. generator must provide backup for minimum of 6 hours. 2. in an emergency, the following is required to continue operation: lighting, signals, alarms, medical equipment and any other function that is necessary. 3. generator must automatically turn on w/in 10 seconds of a power failure. 4. generator must be tested every 14 days on full load capacity for a minimum of 30 mins and a log must be kept (STP) STP must have the following areas 1. dining 2. recreational 3. program 4. indoor 5. outdoor (ICF) in an ICF telephone orders can be received by who? and signed by the prescriber when? 1. licensed nurse OR pharmacist 2. 48 hours (note: SNF says 5 days) (ICF) what are the nurse staffing requirements in an ICF? 1. less than 100 beds needs an RN or LVN 8 hours per day, day shift only 7 days a week. 2 100+ beds needs an RN 8 hours per day-day shift only 7 days a week. in addition also need an RN or 30 | P a g e 1. p&p for clean linens must be posted in the laundry area. 2. must be stored and transported in a covered unit. 3. must have at least 3 complete bed changes for facility bed capacity. 4. must have sufficient wash cloths to meet the need. 5. must be labeled "clean" 6. must be in good repair (SNF) what are the requirements for solid waste containers? 1. movable bins must be approved by the local health department. 2. must have tight fitted lids. 3. must be in good repair. 4. must be leak proof. 5. must be rodent proof unless stored in an enclosure. 6. all containers except for movable bins must have external handles. 6. putrescible waste must be emptied at least every 4 days. (SNF) what are the regulations for the use of medical gases? 1. Piped oxygen is tested and regulated by the National Fire Protection Association Bulletin 2. must be written reports for initial installation ,changes to the system and integrity breaches. 3. cannot transfer gases from cylinder to cylinder (SNF) what are the requirements for equipment in the facility? 1. must meet OSHA requirements. 2. portable electrical medical equipment must be 3 pronged and equipped for 110 to 120 volts. 60 hertz current. 3. cord must be integral part of the equipment. (SNF) what are some requirements in the laundry area? 1. must be separate storage for clean and soiled linen. 2. must have hand washing and toilet facilities close by 3. separate carts clearly labeled "soiled linen" and "clean linen" 4. carts must be made of washable materials. 5. written procedures for storage, transportation and the handling of clean and soiled linens must be posted (SNF) what are the requirements for the emergency system? 1. generator must provide back up for minimum of 6 hours. 2. in an emergency, the following is required to continue operation: lighting, signals, alarms, medical equipment and any other function that is necessary. 3. generator must automatically turn on within 10 seconds of a power failure. 4. generator must be tested every 14 days on full load capacity for a minimum of 30 minutes and a log must be kept (diesel generators per manufacturers recommendations) 31 | P a g e (ICF) in an ICF telephone orders can be received by who? and signed by the prescriber when? 1. licensed nurse OR pharmacist 2. 48 hours (SNF says 5 days) (ICF) what are the nurse staffing requirements in an ICF? 1. less than 100 beds needs an RN or LVN 8 hours per day, day shift only 7 days a week. 2. 100+ beds needs an RN 8 hours per day-day shift only 7 days a week. in addition also need an rn OR lvn 4 hours per day 7 days per week day shift only for each 50 beds or portion of in excess of 100 3. must have nursing personnel day and night. 4. minimum of 1.1 nursing hours per patient day (ICF) who can administer medications in an ICF personnel who have completed a State approved training program in medication administration. (SNF says licensed nurse only) (ICF) what are the required services in an ICF? 1. activities 2. physician 3. intermittent nursing 4. pharmaceutical 5. dietary (ICF) who reviews the medications in an icf? RN or pharmacist every month (SNF says only pharmacist every month) (SNF) unusual occurences; 1. definition 2. time frame for reporting 3. method of reporting 4. retaining records. 5. reporting fire or explosion 1. epidemic outbreaks, poisonings, fires, major accidents, death from unnatural causes or any other occurrence that threatens the welfare, safety or health of patient's visitors or personnel. 2. within 24 hours by phone or telegraph 3. confirmed in writing. 4. in the facility for one year 5. also report to local fire authority or in the limited areas the state fire marshall (ICF) patient care policy committee in an icf must include who? and be reviewed how often? 1. one physician, the administrator, the supervisor of health services, and other disciplines as needed. 2. at least annually. 32 | P a g e (SNF) a receiver submits a written report to the department including the following 1. physical condition of the plan including the deficiencies affecting the facility operation and recommendations of the current physical condition and the capability of the continuing long term care. 2. assessment of the facilities probability of meeting state standards within four months or an alternate date approved by the department. 3. number of patients remaining and number of patients transferred during the receivership. (ICF) in issuing a written citation to correct the alleged violation the department will include at least the following: 1. the seriousness of the violation 2. number of patients affected 3. available equipment and/or personnel needed to correct the problem. 4. an estimate of time needed for delivery and installation of needed equipment to make the correction 5. plus the same as in on card #207 (SNF) {card 207} a written citation shall include at least the following: Refers to Health & safety Code 1423 (a) for the same information as is on card 206 in addition to the below information. 1. description of violation and the area it occurred. 2. list of residents affected and a list of residents with potential to be affected 3. if all residents are affected, specify in writing, no list of names required. 4. specify the shortest reasonable time to make correction (ICF) define class A, B, and C violations 1. A is imminent danger 2. B is a direct of immediate relationship 3. C is minimal relationship (SNF [72703] for class "A" violation & [72705] for class "B" violation is currently repealed and pending) (ICF) class A violation shall be corrected when? and the civil penalty for class A is what? 1. immediately unless time is given by the department. 2. not less than a $1,000 and not more than a $5,000 per violation (SNF) in fixing the civil penalty to an A violation the following are considered 1. the gravity of the violation A. the degree of substantial probability B. the severity of serious harm most likely to result or did result. C. the extent the regulations were violated 2. good faith 3. previous violations (ICF) what are the civil penalties for a class B violation 35 | P a g e (SNF) define clinical training the portion of the orientation program and the certification training program which includes instruction and demonstration on a patient of the patient care skills by a Director of Staff Development or other competent instructor (ICF) a licenses voluntarily surrendering his/her licnese at least 30 days prior to the date of cancelation may be reinstated within what time frame of the date of cancelation assuming they are in compliance with licensing operational requirements/ within 12 months of the date of cancellation (ICF) when a facility ceases operation, the department shall be informed of the arrangements made for the safe preservation of the patient records within what time frame? immediately (SNF says within 3 business days) (SNF) Define gross negligence means the failure of a person to exercise any care or the exercise of so little care that it is apparent that the person is indifferent to the consequences of his or her conduct and to the welfare of others (SNF) define an hour in an organized learning experience 50 minutes (SNF) define continuing education means provision of structured courses for certified nurse assistants by an agency, a public educational institution or in a health care setting other than the nursing facility where the certified nursing assistant is employed (SNF) what are the rules regarding personal medications in a SNF? medications brought in by any means for a patient upon admission must be examined and identified by the patient's physician or the facility pharmacist. the exception is drugs transferred from other licensed health facilities by any agent of the patient or pharmacy. they do not need to be examined by a physician or pharmacist. (ICF says all medications brought in for a new admission must be examined by the patient's physician or a facility pharmacist) (SNF) how often shall disaster drill (external disaster) be held by a facility? 6 month intervals for all shift and written report kept in the facility of each drill (ICF says twice a year) In order to request program flexibility for the facility training program, which two things must occur? Use form DHS 5000 and fully explain how it intends to meet the regulatory requirements in an alternate manner. 36 | P a g e Submission of a request for program flexibility must be made in the format and on a form developed by the Dpt. Form DHS 5000, 5/92 is hereby incorporated by reference. Submission of the program flexibility request shall be deemed to occur on the date the request is received by the Dpt. This form can be obtained by writing to the Dpt at the address specified in Section 71833(b). (c)A request is considered complete when the facility, agency or public institution has fully described how it intends to meet the regulatory requirement in an alternate manner. For certified and non-certified nurse assistants, how many hours of orientation must be given prior to direct patient care? 8 hours. (e) certified and noncertified nurse assistants shall receive 16 documented hours of orientation. the orientation shall be completed during the first 40 hours of employment. (1) the first 8 hours of orientation shall be conducted prior to providing direct patient care. How many hours of in-service training or continuing education must a nurse assistant have in a 2 year period? 48 hours. (2) an application is considered complete when when the correct fee is received and the accompanying documentation verifies completion of required 24 hours of in-service training or continuing education per year for a total of 48 hours within the 2 year renewal period. The inservice training and continuing education shall include multiple topics. What does it mean for a space to be "permanently converted" A space that cannot accommodate patients and cannot be converted to accommodate patients within 24 hours. Permanently converted means space which is not available for patient accommodation because the facility has converted the patient accommodation space to some other use and such space could not be reconverted to patient accommodation within 24 hours. What would require a separate license for an ICF? When there is a separate facility not on the premises under the same management. Separate licenses shall be required for ICFs which are maintained on separate premises even though they are under the same mgmt. Separate licenses shall not be required for separate buildings on the same grounds or adjacent grounds. A licensee must file or have on file with the Department a bond issued by a surety company when handling $____ per patient or $_____ or more for all patients in any month $25 per pt and $500 in a month. Bonds (a) each licensee shall file or have on file with the Dpt a bondn issued by a surety company authorized to do business in Ca if the licensee is handling or will handle money in the amount of $25 or more per pt or $500 or more for all pts in any month 37 | P a g e Special treatment programs shall provide programs to serve patients who have a chronic psychiatric impairment and whose adaptive functioning is ____. Moderately impaired (a) special treatment programs shall provide programs to serve pts who have a chronic psychiatric impairment and whose adaptive functioning is moderately impaired. When contesting a citation, upon receipt of the request, the district administrator or his/her designee has how many days to arrange an informal conference? 4 days (a) the district administrator or his designee shall hold, within four business days from the receipt of the licensee's request, an informal conference. (1) the licensee shall have the right to be represented by legal counsel, to present oral and written evidence or other information on its behalf, and to explain any mitigating circumstances. According to OBRA, a resident has the right to be free of interference, _____-, discrimination, and reprisal from the facility in exercising his or her rights. Coercion. (2) the resident has the right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights. According to OBRA, can a facility keep a residents money in petty cash? Yes, (3) deposit of funds. (i)Funds in excess of $50. the facility must deposit any residents personal funds in excess of $50 in an interest bearing acount or accounts that is separate from any of the facility's operating accounts, and that credits all interest earned on resident's funds to that account. (in pooled accounts, there must be a separate accounting for each resident's share.)(ii) Funds less than$50. The facility must maintain a resident's personal funds that do not exceed $50 in a non-interest bearing account, interest-bearing account, or petty cash fund. It is a requirement that each patient in a skilled nursing facility shall be provided care which shows evidence of all but which of the following? Neatly pressed clothing (d) each patient shall be provided care which shows evidence of good personal hygiene, including care of the skin, shampooing and grooming of hair, oral hygiene, shaving or beard trimming, cleaning and cutting of fingernails and toenails. The patient shall be free of offensive odors. When is a facility permitted to use physical restraints for behavioral control without a signed order by a physician? In an emergency. (2) Physical restraints for behavior control shall only be used on the signed order of a physician or other person lawfully authorized to prescribe care, except in an emergency which threatens to bring immediate injury to the patient or others. in such an emergency an order may be received by telephone, and shall be signed within 5 days. 40 | P a g e (a) A license shall not be issued to any skilled nursing facility which does not conform to the State Fire Marshal's requirements on fire and life safety and the state requirements on environmental impact and to local fire safety, zoning and building ordinances. Evidence of such compliances shall be presented in writing to the Department. 42CFR quality of life (social services) (g) Social Services. (1) The facility must provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. (2) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. Review procedures If a licensee does not wish to contest a citation, he may transmit to the Department, within four business days, after the issuance of the citation the sum of $1,000 for each class "A" violation and the sum of $50 for each class "B" violation. Patients' health records Records shall be permanent, either typewritten or legibly written with pen and ink and shall be kept on all patients admitted or accepted for treatment. All health and social records of discharged patients shall be completed and filed within 30 days and such records shall be kept for a minimum of seven years, except for minors whose records shall be kept at least until one year after the minor has reached the age of 18 but in no case less than seven years. ICF patient capacity a) An intermediate care facility shall not have more patients or beds set up for use than the number for which it is licensed except in case of emergency when temporary permission may be granted by the Director or his designee. (b) Five percent of a facility's total licensed bed capacity may be used for a classification other than that designated on the license. Upon application to the Director and a showing that seasonal fluctuations justify, the Director may grant the use of an additional five percent of the beds for other than the classified use. 22 CCR § 73651. Lighting. (a) All rooms, attics, basements, passageways and other spaces shall be provided with artificial illumination. (d) All corridors, storerooms, stairways, ramps, exits and entrances shall have a minimum of five lumens of light measured in the darkest corner. 42CFR Resident Assessment (2) Transmitting data. Within 7 days after a facility completes a resident's assessment, a facility must be capable of transmitting to the CMS System information for each resident contained in the MDS in a format that conforms to standard record layouts and data dictionaries, and that passes standardized edits defined by CMS and the State. 22 CCR § 73541. Annual Reports. 41 | P a g e Each facility on or before the 15th day of February of each year shall file with the Department upon forms furnished by the Department a report for the preceding calendar year upon all matters requested by the Department. Physician Services--General Requirements Registered nurses may perform patient care services utilizing "Standardized Procedures" which have been approved by the medical staff, or by the medical director if there is no organized medical staff, the registered nurse and the administrator as authorized in the Business and Professions Code, Chapter 5, Article 2, Section 2725. 42CFR Resident Rights The facility must inform each resident before, or at the time of admission, and periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare or by the facility's per diem rate. Administrative Policies and Procedures All patients shall have a tuberculosis screening procedure done upon admission. These procedures shall be determined by the patient care policy committee. Subsequent tuberculosis screening procedures shall be determined by attending physicians. A tuberculosis screening procedure may not be required if there is satisfactory written evidence available that a tuberculosis screening procedure has been completed within 90 days of the date of admission to the intermediate care facility. Central Supply and Sterilizing (a) Intermediate care facilities having a licensed bed capacity of 60 or more beds shall maintain a central supply and sterilizing area which shall be adequate to maintain the following services, spaces and equipment as a minimum: (1) Work space. (2) Sterilizing space. (3) Storage space for sterile supplies. (4) Storage space for unsterile supplies. (5) Equipment for clean-up and sterilization of dressings, utensils, supplies and solutions. (b) Autoclaves shall be equipped with recording thermometers in addition to the standard mercury thermometers. 22CCR § 72535(SNF) - 22CCR § 73525(ICF). Employees' Health Examinations and Health Records. (a) All employees working in the facility, including the licensee, shall have a health examination by a physician prior to employment or within seven days after employment and at least annually thereafter. (c) The facility shall maintain a health record for each employee, including reports of all employment- related health examinations. Such records shall be kept a minimum of three years following termination of employment. 22CCR § 73721. Informal Conference. (e) If a licensee notifies the district administrator, or his designee, in writing by registered or certified mail that he intends to contest a citation or the assessment of a proposed civil penalty, after an informal 42 | P a g e conference has been held, the department shall refer the matter immediately to the Attorney General for appropriate action in the Superior Court of the county in which the facility is located. 2CCR § 72529. Safeguards for Patients' Monies and Valuables. (3) Patients' monies not kept in the facility shall be deposited in a demand trust account in a local bank authorized to do business in California, the deposits of which are insured by the Federal Deposit Insurance Corporation, or in a federally insured bank or savings and loan association under a plan approved by the Department. If a facility is operated by a county, such funds may be deposited with the county treasurer. If a facility is operated by the State, such funds may be deposited with the State Treasurer. All banking records related to these funds, including but not limited to deposit slips, checks, cancelled checks, statements and check registers, shall be maintained in the facility for a minimum of three years from the date of transaction. Identification as a patient trust fund account shall be clearly printed on each patient's trust account checks and bank statements. 42CFR 483.5 Definitions. (v) A single institution can have a maximum of only one distinct part SNF and one distinct part NF 42CFR 483.5 Definitions. (v) A single institution can have a maximum of only one distinct part SNF and one distinct part NF 42CFR 483.13 Resident behavior and Facility Practices. (3) The facility must have evidence that all alleged violations are thoroughly investigated, and must prevent further potential abuse while the investigation is in progress. (4) The results of all investigations must be reported to the administrator or his designated representative and to other officials in accordance with State law (including to the State survey and certification agency) within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken. 22CCR § 72645. Solid Waste Containers. (a) All containers, except movable bins used for storage of solid wastes, shall have tight-fitting covers in good repair, external handles and be leak proof and rodent proof. (c) All containers receiving putrescible wastes shall be emptied at least every four days or more if necessary. 22CCR § 73727. Discrimination or Retaliation. (b) Any attempt to expel a patient from an intermediate care facility or any type of discriminatory treatment of a patient by whom, or upon whose behalf, a complaint has been submitted to the Department or any proceeding instituted under or related to this article within 120 days of the filing of the complaint or the institution of such action, shall raise a rebuttable presumption that such action was taken by the licensee in retaliation for the filing of the complaint. 22CCR § 73649. Water Supply and Plumbing | 22CCR § 72651. Water Supply and Plumbing (b) Plumbing and drainage facilities shall be maintained in compliance with Part 5, Title 24, California 45 | P a g e educational programs in nursing. These must either be courses approved by the Board of Registered Nursing or courses administered by an accredited educational institution. A transcript of successfully completed courses shall be sent to the Department and shall be used as a basis for approval of the qualifications of the Director of Staff Development or Instructor. A copy of the transcript shall be kept on file at the nursing facility, agency or public educational institution. Column A Column B Number of Beds Required Hours Number of Beds Required Hours Per Month Per Week 100 or more 93 100 or more 40 60-99 54 60-99 30 1-59 26 1-59 20 Administrative P&Ps (if providing nurse assistant training) (b) Policies shall include but not be limited to: (1) Job descriptions detailing qualifications, duties, responsibilities, and limitations for the licensed nurse program director and the instructors. (2) An organizational chart showing the person in charge of the program, the lines of authority, responsibility, communication, staff assignments, and schedules. (3) The method of monitoring instructors by the individual responsible for the training program. (4) The ratio of students to instructor(s) for the clinical training, not to exceed a ratio of one (1) instructor to fifteen (15) students. (5) How student absenteeism and makeup classes will be handled. (c) No nursing facility shall permit students to practice their clinical skills training or have contact with patients unless they have been screened and there is no indication they have been convicted of crimes defined in sections 220, 243.4, 261, 264.1, 273a, 288, 289, and 368 of the Penal Code. (d) No nursing facility, agency, or public institution shall make or disseminate false or misleading statements or advertisements regarding training provided. (e) No nursing facility, agency, or public institution shall make a claim that completion of their program may lead to a student receiving a nurse assistant certification unless the nursing facility, agency, or public institution provides a nurse assistant training program approved by the Department. § 71827. Student Performance Standard. Student performance standard means a standard which is used as a method of measuring student learning. §71813. Hour. Hour means fifty (50) minutes of participation in an organized learning experience. Each hour of classroom theory shall be accepted as one (1) hour of certification training, in-service training or continuing education. § 71807. Core Curriculum. 46 | P a g e Core curriculum means a description of each category of study within a program which covers the minimum knowledge and skills required for nurse assistants and builds on their knowledge in a logical and methodical manner. continuing education Continuing education means provision of structured courses for certified nurse assistants by an agency, a public educational institution, or in a health care setting other than the nursing facility where the certified nurse assistant is employed. Clinical training Clinical training means that portion of the orientation program and the certification training program which includes instruction and demonstration on a patient of patient care skills by a Director of Staff Development or other instructor and a return demonstration of competence in these skills by the student. ICF required services (a) Intermediate care facilities shall provide as a minimum, but shall not be limited to, the following required services: Physician, intermittent nursing, dietary, pharmaceutical and an activity program. Dance therapist "Dance therapist" means a person who is registered or eligible for registration as a dance therapist registered by the American Dance Therapy Association. Nursing sufficient staff ratio (e) Each facility shall employ sufficient staff to provide a minimum average of 1.1 nursing hour per patient day. Fed med records requirements § 483.75 Administration.(2) Clinical records must be retained for—(i) The period of time required by State law; or(ii) Five years from the date of discharge when there is no requirement in State law; or(iii) For a minor, three years after a resident reaches legal age under State law. § 71829. Director of Staff Development or Instructor. The Department shall be notified within thirty (30) calendar days following the employment of a new Director of Staff Development or Instructor. § 72607. Patient Capacity. (1) The bed is to be designated and utilized for training purposes only.(2) The bed is to be located in nonpatient sleeping areas, e.g., classroom, examining room, etc. The location of the bed is to be indicated.(3) The bed shall not be equipped with linen except during staff training hours. Storage 47 | P a g e (b) Intermediate care facilities shall maintain combined general and specialized storage in accordance with the following schedule: 1-10 bed 11 square meters (120 square feet) minimum 11-100 beds 1.1 square meters (12 square feet) per bed over 100 beds 11 square meters plus 0.5 square meters (120 square feet plus five square feet) per bed for each bed over 100 § 72321. Nursing Service — Patients with Infectious Diseases .(a) Patients with infectious diseases shall not be admitted to or cared for in the facility unless the following requirements are met:(1) A patient suspected of or diagnosed as having an infectious or reportable communicable disease or being in a carrier state who the attending officer determines is a potential danger, shall be accommodated in a room, vented to the outside, and provided with a separate toilet, hand-washing facility, soap dispenser and individual towels. Food storage (c) All readily perishable foods or beverages shall be maintained at temperatures of 7°C (45°F) or below, or at 60°C (140°F) or above, at all times, except during necessary periods of preparation and service. Fire safety The licensee shall conform to the regulations adopted by the State Fire Marshal establishing minimum standards for the prevention of fire and for the protection of life and property against fire and panic. Patients' room furnishings A clean and comfortable bed with an adequate mattress, pillow, blankets, bed linen, night stand, a comfortable arm chair and reading lamp shall be provided for each bed licensed. § 72003. Accredited Record Technician. Accredited record technician means a person who is accredited as such by the American Medical Record Association. § 72641. Emergency Lighting and Power System. (a) Auxiliary lighting and power facilities shall be provided as required by Sections E702-5, E702-6, E702- 8 and E702-21 of Title 24, California Administrative Code. Flashlights shall be in readiness for use at all times. Open-flame type of light shall not be used.(b) The licensee shall provide and maintain an emergency electrical system in safe operating condition and in compliance with subsections (d), (e), and (f)- The system shall serve all lighting, signals, alarms and equipment required to permit continued operation of all necessary functions of the facility for a minimum of six hours. Second degree of consanguinity (d) Except where provided for in approved continuing care agreements, or except when approved by the Department, no facility owner, administrator, employee or representative thereof shall act as guardian 50 | P a g e content shall be designed to enhance knowledge and skills acquired during the basic certification training.(2) The number of hours scheduled for presentation.(3) A sample of an evaluation tool. §71845. Continuing Education. (3) Starting from the date a completed application is received, the Department will make a decision, whether to approve or disapprove it within 90 days. The Department's time frames for acting on an application for approval of a continuing education program are as follows:(A) Minimum . . . .30 days.(B) Median . . . . . 60 days.(C) Maximum . . . .90 days. § 483.315 Specification of resident assessment instrument. (c) State requirements in specifying an RAI. (1) Within 30 days after CMS notifies the State of the CMS- designated RAI or changes to it, the State must do one of the following:(i) Specify the CMS-designated RAI.(ii) Notify CMS of its intent to specify an alternate instrument. § 73465. Physical Therapy Service Unit — Equipment. & § 73467. Physical Therapy Service Unit — Space.( a) Physical therapy equipment shall be sufficient to provide an adequate physical therapy service. This shall include, but not be limited to:(1) Parallel bars(2) Full view mirror(3) Overhead pulley and weights(4) Set of training stairs(5) Treatment table enclosed by cubicle curtains for privacy(6) Availability of wheelchairs, walkers, canes, crutches and other ambulation aids.(b) A sink shall be provided in the treatment area and shall have controls other than hand controls. § 71843. Provider Identification Training Number. (c) If two (2) or more providers cosponsor a course, only one (1) provider identification number shall be used for that course and the provider whose number is used shall assume full responsibility for the course. 72305. Physician Services — Medical Director. (a) The facility shall have a medical director who shall be responsible for standards, coordination, surveillance and planning for improvement of medical care in the facility. 6 things drugs records shall include 1-Name of patient 2-Drug name 3-Strength of drug 4-Date ordered 5-Date and amount received 6-Name of issuing pharmacy List 4 requirement that emergency drug supplies should meet: 1-Injectable supplies of legend drugs shall be limited to a maximum of three single doses in ampules or vials or one container of the smallest multi-dose vial and shall be sealed in unused containers 2- Sublingual or inhalation emergency drugs shall be limited to single sealed containers of the smallest available size 3-Not more than 6 emergency drugs in solid, oral dosage form or suppository form for anti-infective, anti-diarrheal, anti-nausea, or analgesic use may be stored if in sealed containers 4-Not more than 4 doses of any one drug may be stored define occupational therapy services 51 | P a g e Medically prescribed services in which selected purposeful activity is used as treatment in the rehabilitation of persons with a physical or mental disability define formites An object or an article of clothing that is not in itself contaminated, but is able to harbor pathogenic microorganisms which may be transmitted to others audiologist definition/requirements Audiologist means a person licensed as an Audiologist by the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board. Dentist definition/requirements Dentist means a person licensed as such by the California Board of Dental Examiners. Licenses: Pharmacist definition/requirements Pharmacist means a person licensed as such by the California Board of Pharmacy. Podiatrist definition/requirements Podiatrist means a person licensed as a podiatrist by the Board of Podiatric Medicine. Recreation Therapist definition/requirements Recreation therapist means a person with specialization in therapeutic recreation and who is registered or eligible for registration as such by the California Board of Park and Recreation Personnel or the National Therapeutic Recreation Society. Registered Nurse definition/requirement Registered Nurse means a person licensed as such by the California Board of Registered Nursing. Unlicensed persons may, under direct supervision of a licensed nurse or medical personnel, during training or after completion of training and demonstrated evidence of competence administer: 1. Medicinal shampoos and baths. 2. Laxative suppositories and laxative enemas. 3. Non-legend topical ointments, creams, lotions and solutions when applied to intact skin surfaces. Unlicensed persons shall not administer any medication associated with treatment of eyes, ears, nose, mouth, or genitourinary tract. When shall a written assessment be completed by a licensed nurse to determine a patients ability to participate in a bowel/bladder management program? Within 2 weeks of admission of an incontinent patient Administrator; 87101 a.1. Individual designated by the licensee to act on behalf of the licensee in the overall management of the facility 52 | P a g e Admission Agreement; 87101 a.2. All documents that a resident or resident's representative must sign at the time of, or as a condition of admission Adult; 87101 a.3. a person who is 18 years or older Advance Health Care Directive; 87101 a.5. A written instruction that relates to the provision of health care when the individual is incapacitated. includes, Durable Power of Attorney for Health Care, DNR form, POST Allowable Health Condition; 87101 a.6. any health condition that the licensee is allowed to care for either in accordance with regulation or by exception approval by the agency Ambulatory Person; 87101 a.7. A person who is capable of demonstrating the mental competence and physical ability to leave a building without assistance. Automated External Defibrillator; 87101 a.8. "AED" A portable device used to administer electric shock to the heart. Appropriately Skilled Professional; 87101 a.10 "ASP" People who hold a professional title. ie., RN, LVN, PT, OT, RT, NP, MD, PA. Basic Rate; 87101 b.1. the established SSI/SSP rate. does not include incidental needs Basic Services; 87101 b.2. Services required to be provided by the facility in order to obtain and maintain a license. including 1. safe and healthful living accommodations; 2. personal assistance and care; 3. observation and supervision; 4 planned activities; 5. food service; 6. arrangements for obtaining incidental medical and dental care. Facilities required to be licensed shall provide at least the following services; Health & Safety Code 1569.312 a. Care and Supervision; b. Assistance with instrumental activities of daily living (ADL); c. Helping residents gain access to appropriate supportive services in the community; d. Being aware of the resident's general whereabouts; Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being; f. Encouraging the residents to maintain and develop their maximum functional ability & independence. California Clearance; 87101 c.1. 55 | P a g e Healing Wounds; 87101 h.1. Includes cuts, stage 1 & 2 dermal ulcers as diagnosed by a physician, incisions that are being treated by an appropriate skill professional Health Care Surrogate Decision Maker; 87101 h.3. an individual who participates in healthcare decision making on behalf of an incapacitated resident. (Durable Power of Attorney for Healthcare or by a court in a conservatorship Proceeding) may be recognized by virtue of a relationship. THE LICENSEE OR ANY STAFF MEMBER OF THE FACILITY SHALL NOT BE APPOINTED. Health Condition Relocation Order; 87101 h.4 Written notice by the Department to a licensee requiring the relocation of a resident. Hospice; 87101 h.6 an entity which provides service to terminally ill patients. has a license or Home Health Agency license from the California Department of Public Health. Immediate Need; 87101 i.1. a situation where prohibiting the operation of the facility would be detrimental to a resident's physical health, mental health, safety, or welfare. ie,. a change in facility location or change of facility of ownership. Interdisciplinary Team; 87101 i.4. a team that shall assist the Department in evaluating the need for relocating a resident of a RCFE. Team consists of Department's nurse consultant and a social worker. Mandated Reporter; 87101 m.1. / H&S.C. 15630(a) Any person who has assumed full or intermittent responsibility for the care or custody of an elder or dependent adult, whether or not he or she receives compensation. Medical Professional; 87101 m.2. Licensed or Certified to perform medical procedures. MD, NP, RN, LVN Mild cognitive impairment (MCI); 87101 m.3 "not dementia" between normal aging and dementia. characterized by short term memory problems Non-ambulatory Person; 87101 n.2. Unable to leave a building unassisted under emergency conditions. they need mechanical aids to move. also includes person unable to responds physically or mentally to oral instructions. Non-Compliance Conference; 87101 n.3. A meeting initiated by the Department to correct licensing violations. 56 | P a g e Pre-admission fee; 87101 p.3. a fee associated to any of the following; application fee, processing fee, admission fee, entrance fee, community fee or others designated by the facility prior to admission. PRN; 87101 p.4. pro re nata PRN medication; 87101 p.4 any non prescriptive or prescription medication which is to be taken as needed Provisional License; 87101 p.5. A temporary, nonrenewable license. Not to exceed twelve months. Residential Care Facility for the Elderly (RCFE); 87101 r.5. 75% of the residents are sixty years or older. Younger residents must have needs compatible with other residents Responsible Person; 87101 r.6. Representative of the patient, guardian or conservator or family relative Room and Board; 87101 r.7. living arrangement where care and supervision is neither provided or available (only food and shelter provided) Serious Bodily Injury; 87101 s.1. bodily injury that involves a substantial risk of death; protracted unconsciousness; extreme physical pain; protracted or obvious disfigurement; or protracted loss or substantial impairment of a function of a bodily member, organ or mental faculty Serious Deficiency; 87101 s.2. any deficienty that presents an immediate or substantial threat to the death, mental health or safety of the residents or clients of community care facility Shall; 87101 s.3 means "mandatory" / "may" means permissive Significant Other; 87101 s.4. a person, including a person of the same gender, with whom the resident was sharing a partnership/relationship. Simplified Exemption; 87101 s.5. an exemption granted on the department's own motion as authorized in heath and safety code section, if the individual's criminal history meets specific criteria established by Department regulation 57 | P a g e SSI/SSP; 87101 s.8 Supplemental Security Income/ State Supplemental Program Standard Precautions; 87101 s.9 same as Universal Precautions Universal Precautions; 87101 u.1. actions taken to prevent the spread of disease by treating all blood and other body fluids as if they contained pathogens/infectious What are universal precautions?; 87101 u.1.A. A) Hand washing, B) Use of gloves, C) Cleaning with Disinfectant<bleach solution-1/4 cup bleach w/ one gallon tap water>, D) Proper disposal of infections materials Unlicensed Residential Facility for the Elderly; H&S.C. 1569.44; 87101 u.2.A. A facility acting as a licensed RCFE by the Department Waiver; 87101 w.1. A variance to a specific regulation based on a facility-wide need or circumstance which is not typically tied to a specific resident or staff person. License Required; 87105 a. Facility providing care shall obtain a license by the Department. Waivers are required when patients care or needs change. Operation without a license; 87106 Unlicensed facility, unless the facility is exempted from licensure. The licensing agency shall conduct a site visit. Civil Penalty $100 per day of violation, Civil Penalty is doubled if facility doesn't seek licensure. Exempt from Licensure; 87107 Acute Hospital; Acute Psych Hospital; ICF; Correction Treatment; Outpatient Surgery; SNF; Birthing Center; Free Clinic; Psychology Clinic; facility that depends on religious prayer for healing; Board and Room only institution; alcoholism recovery facility; care and supervision provided by a family member. integral facilities; 8718 a single license to a facility conducting multiple related programs which would otherwise require separate licenses. Transferability of License; 87109 The license shall not be transferable Change of Ownership; 87109 Must notify the agency and residents in writing at least 60 days prior to effective change of ownership 60 | P a g e alt. concepts, programs, services, procedures, techniques, equipment, space, personnel qualifications, conduct of experimental projects need a waiver prior to initiation. How long to submit a written report to agency and responsible person after the following; Death Serious Injury, determined by physician Use of AED Incident that threatens welfare, safety or health; 87211 within 7 days How long to report epidemic outbreaks, poisoning, catastrophes or major accidents to residents, personnel or visitors; 87211 within 24 hours How long to report fires/explosions to fire authorities; 87211 immediately or within 24 hours to state fire marshal if no local How long to report suspected physical abuse that results in serious bodily injury to local ombudsman, agency, and local law enforcement; 87211 Within 2 hours what is a mandated reporter; 87211 any employee or visiting professional who observes the residents How long to report suspected physical abuse that does not result in serious bodily injury to local ombudsman, agency, and local law.; 87211 within 24 hours How long to notify the Department in writing after the hiring of a new administrator; 87211 within 30 days How long to report any change in chief corporate officer; 87211 within 15 working days Disaster plan should include; 87212 Fire safety plan means of exiting plan for evacuation staff assignments transportation arrangements assembly of residents to a evacuation site relocation sites supervision of residents during evacuation 61 | P a g e means of contacting local agencies, FD, PD and other disaster authorities emergency exit plans and phone numbers shall be posted Finances; 87213 Financial plan shall be adequate and ready to be submitted when requested by the agency Comingling of funds; 87215 don't mix residents money with money/funds of RCFE Bonding Requirements; 87216 $1000 bond when safeguarding $750 or less $2000 bond when safeguarding $751 to $1500 $3000 bond when safeguarding $1501 to 2500 incremental $1000 bond for every $1000 safeguarded How long to report to local law when something with more than $100 has been stolen.; 87218 within 36 hours and kept on record for 12 months notices of planned actives shall be posted for __ and for how long; 87219 Facilities of 7 or more and kept on file for 6 months one staff designated shall have primary responsibility for organization, conduct and eval for planned activities, for facilities ______ and staff should have had how much experience; 87219 16 to 49 residents and 6 months prior experience or have completed or enrolled in a training program one staff shall have full-time responsibility to organize, conduct and eval of planned activities, for facilities ______ and staff should have had how much experience; 87219 50 or more residents and had one year prior experience APS means; 87222 Adult Protective Services How many days written notice for an eviction, for one of the following reasons; nonpayment for basic services within 10 days of due failure of resident to comply with law failure of resident to comply with house rules upon reappraisal facility isn't appropriate for resident change of use of facility; 87224 30 days written notice to resident How many days written notice with preapproval from agency. agency needs good cause; 87224 3 days written notice to resident to quit heated temperature for residents; 87303 62 | P a g e minimum 68 degrees Cooled temperature for residents; 87303 78 to 85 degrees or 30 degrees cooler than outside temperature Hot water temperature should be at; 87303 not less than 105 degrees but no more than 120 degrees How hot should tap water be before posting a warning sign; 87303 125 degrees Minimum amount of closet, drawer space; 87307 8 cubic feet one toilet and wash basin for; 87307 each six persons (includes residents, family and personnel) one bathtub or shower for; 87307 each ten persons (includes residents, family and live-in personnel) how many residents before a administrative office is required; 87308 16 or more Facility with ___ amount of residents are required to be listed in the telephone directory; 87311 16 or more Age for a designated substitute for administrator; 87405 21 years or older Administrator for 16 to 49 residents shall have; 87405 completed 15 college courses with passing grade and have at least one year experience Administrator for 50 or more residents; 87405 2 years of college and three years experience Administrator recertifications requirement; 87407 40 classroom hours for each two year cert period personnel must be how old to work in RCFE; 87411 18 years of age to work, not to be a substitute administrator How many hours of training must staff to perform ADL; 87411 40 hours initial and 20 hours annually 65 | P a g e All personnel records shall be retained for at least Three years The applicant or licensee shall file his/her mailing address in writing with the licensing agency, and shall notify the agency in writing of any changes within how many days 10 calendar days The plan of operation and related materials shall contain which of the following Administrative organization Plan for training staff A copy of the admission agreement That administrator should have which of the following qualifications Knowledge of inability, to conform to the applicable laws, rules, and regulations Ability to maintain or supervise the maintenance of financial and other records Good character in a continuing reputation of personal integrity Whenever a certified administrator assumes a relinquishes responsibility for administering a residential care facility for the elderly he she shall provide written notice within 30 days to The licensing district office responsible for the license facility with whom that administrator is associated The administrator certification section Except as provided and approved, continuing care agreements, no licensee or employee of a facility shall Become the joint tenant on any account with the A resident Accept any general or special power of attorney for any such person Except appointment as a guardian or conservator of the person and or estate of any resident The medical assessment shall include Determination of the persons ambulatory status Each residence record shall contain the following Ambulatory status, religious preference if any last known address Original resident records or photographic reproductions, shall be retained for a minimum of 66 | P a g e Three years following termination of service Equipment and supplies necessary for personal care and maintenance of adequate hygiene. Practice shall be readily available to each resident as follows. Clean linen, including blankets, bedspreads, and towels Hygiene items, such as soap and toilet paper Basic laundry, service of personal clothing Freezer Shelby maintained at a temperature of 0°F Bathroom grab bars are required in every residential care facility for the elderly with Non-ambulatory residents A capacity of more than six residents Ambulatory residents Each resident shall have personal rights which include, but they're not limited to freedom from Mental abuse Intimidation Corporal punishment All license facility shall receive personnel on a nondiscriminatory basis, according to Eagle treatment and services, without regard to Race Color Religion Which of the following are true if the licensee is also the administrator? Administrator must have a high school diploma or equivalent, such as a general education development certificate Be at least 21 years of age The department may revoke administrators certificate for Fraud or misrepresentation Program flexibility is allowed if A written request for waiver, or exception, and substantial evidence supporting the request, shall be submitted in advance to the licensing agency by the applicant or licensee 67 | P a g e The disaster and mass casualty plan or action shall Be in writing and readily available The admission agreement must be signed Seven days after admission When must the staff be fingerprinted? Prior to working in a facility How many hours of training should each employee have annually? 20 hours A stable condition that a licensee is allowed to Care for either in accordance with the specific regulation, or with an exception approved by The licensing agency Allowable health condition A person who has a current administrator certificate issue by the department, regardless of whether the person is employed as an administrator in an RCFE Certificate holder For purpose of admission into a residential care facility for the elderly this is the person who is 60 years old or older Elderly person All monetary gifts, and any gifts exceeding an estimate value of_______, which are given to the licensee by or on behalf of a resident shall be recorded. This does not include monetary gift, survival given by the friends of relative of the deceased resident. $100 Portable or permanent closet and drawer space in the bedroom must be provided for clothing and personal belongings. A minimum of______ cubic feet of drawer space per resident shall be provided. 8 At least, how often must've resonate with dementia receive a reappraisal if there have been no significant changes in his/her physical medical or social condition Once every 12 months Which of the following professionals may prescribe medication for a resident with dementia? Psychiatrist All of the following is a risk factor for Alzheimer's disease, 70 | P a g e Three times operating cost Liquid oxygen requirements Exception approval from licensing SB1382 is for what fees and increases Initial and annual licensing fee increases by 10% based on capacity of facility Senate bill, 895 Requires licensee to remedy deficiencies within 10 days of notification unless otherwise specify in the plan of correction, requires a poster be posted of the reporting agency designed by the department AB 2386 requires what kind of smoke detectors in the facility Hardwired Senate bill 911 requires which of the following Prohibits RCFE from discriminating or retaliating against a resident employee or other persons for contacting 911 What does LPA mean? Licensing program analyst What is the name of the licensing division that licenses RCFE? Community care, licensing, division In addition to a smoke detector all RCFE are required to install one or more of the following Carbon monoxide detector How many days must a licensing notify of a change of address? 10 days The minimum age of an administrator is 21 years Do you have how many hours/days to report an epidemic breakout? 24 hours How many days do you have to notify DSS that you served an eviction on a resident? Five days All personnel, including the licensing and administrator, shall be in good health and physically and mentally capable of performing assigned task. Good physical health shall be verified by health screening in chest x-ray. 71 | P a g e Within six months of employment Personnel record shall contain Date of employment Social Security number Employees full name The admission agreement is what kind of agreement Written agreement The admission agreement must be printed in the following size 12 point type size When you advertise for dementia, the following is required Add additional training for staff What is the required bedroom furniture for each resident? Bed lamp, chair, dresser drawer, nightstand closet space Nightlight are required in the following areas Stairways hallways Do you have how many days to take the state exam completing the 80 hour ICTP 60 days The Administer shall complete how many hours every two years 20 hours How many training hours after the first four weeks of employment does a staff have to complete? 40 hours How many training hours are required prior to a staff having hands on contact with a resident? 16 If you advertise for dementia, and then change your mind later, who do you notify first? Licensing Where should the dining area be close to? Kitchen What does capacity mean? Number of residence authorized by licensing to care for 72 | P a g e How many hours of training show staff who assist with medication have in a 15 or less bed facility? 10 How many hours of trading show staff who assist with medication have in a 16 or larger facility? 16 In order to increase a residence rate for more service based on needing a higher level of care how many days do you have to do it? 2 In areas of extreme temperature, how many degrees below the outside must shoe cool the facility to 30 How many days does a license have to respond to the resident council? 14 days What are some signs of depression? Isolation crying, feeling anxious When a resident that is diagnosed with dementia, wanders, wife and facility. What do you do? Investigating attempt to locate the resident What are the qualifications of an administrator? Must have integrity and good character What does a certified administrator mean? Someone that works a RCFE In facility for 16 persons or more menus are written One week in advance Menus for 16 persons or more shall Be kept on file for 30 days Facilities license for 16 - 49 residents, one person shall be Primary responsibility And facilities license for 16 persons or more there shall be a Weekly employee schedule The administrator of a facility licensed for 16 to 49 15 college credits 75 | P a g e the facility license number. A room approved for ambulatory clients must be used by ambulatory clients What is included in the facility license application? Name of facility name & address of owner facility premises information concerning the city or county fire dept having jurisdiction what is required when a facility changes location or transfers the majority of stock? a new license application Start up funds of how many months are required 3 months No person other than who can alter a prescription label only the dispensing pharmacist Meds must ________ upon a consumers termination of services? destroyed what type of medical training must direct care staff have first aid CCL requires what amount of direct care staff? sufficient staff to ensure provision to meet consumers needs and supervison Volunteers must be supervised Criminal record clearances must be obtained prior to initial presence in the faciltiy Staff working 10pm - 7am must receive what type of trng? first aid & emergency procedures. What portion of meals must be from the basic food group plan 1/3 Personnel records shall be retained for how many years 3 76 | P a g e T/F - an administrator can restrict the right of a resident to leave the facility if it is deemed appropriate by licensee? NO FALSE pg120 regs T/F - A licensee must set curfew and house rules True (p 120) T/F - Postural supports require a MD order True Examples of postural supports are? Posey restraint braces/casts restraint belt made out of soft fabric wrist restraint Facilities licensed for ______ or more shall post their activity plan 7 or more consumers what are the requirements for resident council meetings must have notices of meetings meeting times posted recommendations from council meetings any changes to CEO position must be submitted within how many days 10 working days client records are retained for how many years 3 years modifications to admission agreements must be communicated to consumers at least 30 days in advance of changes The death of a client must be reported in writing within 7 days faucets delivering water above 120 degree must have what a warning sign Changes to the licensee address must be reported within 10 days Examples of proof of control of property include 77 | P a g e A deed an estate settlement a lease in lieu of locked firearms, a licensee can use what Trigger locks or remove firing pins What size facility must post license in prominent location 7 or larger how many days of non perishable stable food must be on hand one week (7 days) An EAO (emergency approval to operate) is good for 60 days (p68) In the hallways and passages to non private bathrooms there must be what nightlights (p.31) admission agreements must be signed no later than 7 days after admission disaster drill documentation must be maintained how long 12 months. An epidemic outbreak must be reported to who local health officer A licensee can request a notice of deficiency review within how many days 10 days (p. 89) refrigerators must be maintained at what degrees 45 degrees How long are menus kept on file 30 days what size facility must have regular nutritionist consultation 50 or more clients what can not be used as a beverage 80 | P a g e 10 Upon receipt of a complaint, CCL will make an onsite inspection within ___ days? 10 Staff providing direct care must have ___ training. First Aid Admission agreements are signed no more than ___ days after admission? 7 How long in advance do menus need to be written? 1 week Supplies for staples, NON-perishable foods must be maintained for ___________? 7 days Freezers must maintain a temperature of ___ degrees? zero You must have _______ supply of fresh perishable food on hand? 2 days Refrigerator temperature should be less than ___ degrees? 45 The temperature in client's rooms should be a minimum of __ degrees? 68 How long are client records of centrally stored medications kept? 1 year How often does the Needs and Services Plan or IPP need to be updated? Every year or as frequently as necessary to ensure its accuracy, and to document significant occurrences that result in changes in the client's physical, mental and/or social functioning. The licensee shall not accept or retain clients who need the following types of care: 1. Care for prohibitive health conditions or In-patient care in a health facility. 2. Residents who needs conflict with the needs of others in the home. 3. Residents who require more care than the home can provide Persons whose primary need is acute psychiatric care due to a MI. How large does licensing require bedrooms to be? 81 | P a g e Large enough to allow easy passage and comfortable use of any required client-assistive devices such as wheelchairs, walkers or oxygen equipment. What are the nighttime care and supervision requirements for a home with 16 to 100 residents? 1 person on duty, on the premises and awake. And another person on call and capable of responding within 30 minutes. What is required in laundry areas in addition to washers and dryers Space for ironing and mending of personal clothing. What is the civil penalty if an unlicensed facility is operated and the operator refuses to seek licensure? $200 per day