Download Regulations for Community Care Facilities in California and more Exams Nursing in PDF only on Docsity!
ADULT RESIDENTIAL FACILITY (ARF) PRACTICE
TEST, CALIFORNIA ARF ADMINISTRATOR STUDY
GUIDE, ARF (ARFTITLE 22, DIV 6, CHAPTER 6)
2024 VERSION
The department requires start up funds equal to months operating expenses. (85018)(b)(1) 3 months No other person than the shall alter the prescription label. (80075)(k)(4) Dispensing pharmacist Medication shall be centrally stored when...(80075)(j)
- Preservation of medication requires refrigeration
- Medication is determined by the physician to be hazardous if kept by the resident
- Administrator/licensing determines the medication to be a safety hazard due to physical arrangements and/or conditions/habits of persons in facility Prescription medications which are not taken with the resident upon termination of service shall...(80075)(l) Be destroyed What is required for all staff providing direct care, PRIOR to employment?
- First Aid training
- TB test
- Background clearance How long are client records retained? (80066)(d) 3 years Modifications to the admissions agreement requires how much notice? (80068)(4)
30 CALENDAR days Fingerprints shall be submitted to the Department of Justice (DOJ) within what time frame of employment? (80019)(2)(e) Prior to employment When is an employee fingerprinted? (80065) Prior to employment The death of a client requires a written report submitted to CCLD within how many days? (80061)(b) 7 WORKING days What is required for taps/faucets delivering water temperatures 125°F or above? (80088)(3)(b) A warning/cautious sign What is the mandated water temperature range for taps/faucets? 105°F -- 120°F According to CCLD, what are employees providing night supervision from 10pm to 7am and who assist with care and supervision required to have for emergencies? (85065.6)(b)
- The facility's planned emergency procedures
- A first aide certificate Any changes in the licensee's or applicants mailing address shall be submitted to CCLD within... (80061)(c) 10 WORKING days What are the time frames that a TB test must be performed on facility staff? (80065)(g)(1) No more than 1 year PRIOR TO or WITHIN 7 days after employment Except for children's residential facilities, the licensee may, upon 30 days written notice to the client may only evict them for non-payment of the rate for basic services w/in how many days of the due date? (80068.5)(a)(1) 10 days
Nightlights Admission agreements shall be signed by the clients no later than how many days after admission? (80068)(E) 7 calendar days Documentation of disaster drills shall be documented and maintained in the facility for how long? (80023)(d) 12 months How often are fire drills to be practiced? Once every 3 months A conservator is... (80001)(15) A person appointed by the court to care for the person, or estate, or person and estate of another. (conservators represent adults, guardians represent children) What temperature should hot water controls be maintained at? (80061)(e)(1) 105°F - 120°F (anything over 125°F requires a caution sign to be posted) In addition to sending the report to licensing, who shall a report be submitted to if an epidemic outbreak occurs? (80061)(2) The local health department A licensee may request a review of a notice of deficiency within how many days of receipt of such notice? (80055)(a) 10 working days A verbal report (phone call) shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the specific information shall be submitted to the licensing agency within how many days of the occurrences of any suspected physical or psychological abuse of any client to licensing? (80061)(B)(F) 7 days Refrigerators shall maintain a maximum temperature of what? (85076)(D)(3)
45°F
A dated employee time schedule shall document an employee's... (85066)(b)(3) Hours of work How long are menus to be kept on file in the facility? (80076)(5) 30 days T/F: Admissions agreements are automatically terminated, after the date of the client death, and any debts he/she accrued are stopped. (80068)(10)(h) True What size facility must have regular consultations with a nutritionist, dietician, or a home economist? (85065)(E)(4) 50 or more clients What cannot be used as a beverage/drink? (80076)(9) Powdered milk however, powdered milk may be used in cooking Fresh, perishable foods must be maintained for how long? (85076)(d)(1) 48 hours/2 days A written relocation plan to move a client from the facility shall not exceed how many days? (80078)(b)(1)(a) 30 days How many clients are allowed per room? (85087)(1)(A) No more than 2 Upon receipt of a complaint, licensing shall make an onsite inspection within how many days? (80006)(1) 10 days What size facility must have a reception area and a restroom facility designed for the use by visitors? (85087) (d)(3) 16 or more clients
The number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations. A non-transferrable written authorization issued by the licensing agency to use alternative means which meet the intent of the specific regulation and which are based on the unique needs or circumstances of a specific client(s)or staff person(s) is called what? (80001)(e)(6) An exception Client linens should be changed at least or more often when necessary to ensure that clean linens are in use by the client at all times. (85088)(4)(a) Once per week The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license? (80044)(a)(1) 90 days All community care facilities shall be inspected and evaluated for quality of care by licensing personnel at least... (800045)(b)(1) Once per year In facilities with a licensed capacity of 16 or more clients, what shall a food service employee shall be designated with? (85065)(2)(a) On-the-job training or related experience by safe and effective performance All persons providing care and supervision to residential care client shall have... (80065)(1) Received a criminal record clearance from the department of justice prior to having any client contact The licensing agency may issue a professional license for maximum of... (80030)(d), (80027) 12 months When a complete facility application has been received, the licensing agency shall notify the applicant that it has either been approved or denied within... (80031)(a) 90 days
When a licensee agrees to safeguard $750 or less per month, they must have on file a bond issued by a surety company to the State of California as a principal in the amount of? (80025) $ $750 or less ---> $1, $751-$1,500 ---> $2, $1,501-$2,500---> $3, How many toilets and wash basins are required for every 10 person residing in the facility, including clients, family and facility staff? (85088)(B)(3) At least ONE toilet and wash basin What bedroom furniture is required per consumer? (85088)
- bed
- chair
- nightstand
- lamp
- at least 8 ft.³ of drawer space The Department may deny or revoke any administrator certificate upon... (85064.4)
- The certificate holder procured a certificate by fraud or misrepresentation.
- The certificate holder knowingly made or gave false statements in conjunction with the application for certificate.
- The department has issued an exclusion order against the certificate holder. An administrator applying for recertification must complete... (85064.3) 40 units (20 can be online & 20 in-person) Of continuing education during the two- year certification period To apply for recertification prior to the expiration date of the certificate, the certificate holder must submit... (85064.3)(D)
- An application to recertify post-marked on or before the certificate expiration date
- Evidence of completion of 40 hours continuing education hours
- Payment of a $100 processing fee
T/F: In facilities providing care and supervision for 16 to 100 clients, there shall be at least five persons on duty, on the premises and awake. (85065.6)(D) False T/F: Certificates renewed after the expiration date, but within four years of the certificate expiration date are subject to a $300 deficiency fee. (850643.3)(E)(3) True T/F: Full-length bed rails are prohibited for use in a community care facility. (80072)(8)(E)(1) True T/F: Initial certification training program vendors do not have to be approved by the department. (850902)(A) False T/F: Supplies of staple, non-perishable foods shall be maintained on the premises for a minimum of two days. (85076) False. 7 days: non-perishable 2 days: perishable T/F: in cases where the individual is both a licensee and the administrator of an adult residential facility, the individual shall comply with all licensee and certified administrator requirements. (85064)(M) True The client suspected of having a contagious or infectious disease shall be isolated and a physician contacted to determine suitability of the client's retention in the facility. (85075.4)(D) True T/F: Any person willfully making any false representations as being a certified ARF administrator is guilty of a misdemeanor. (85064.2)(F) True To become a certified adult residential administrator in California, what is required?
- Complete all 35 hours of training from an approved vendor certification program
- Must have a high school diploma or pass a general education development test(GED)
- Register to complete the state examination within 60 days of completing the initial certification training program(ICTP)
- Successfully pass the state ARF administrator exam T/F: A licensed program analyst from CCLD must show their identification and make an appointment prior to entering or inspecting an adult residential care facility. False. No appointment needed and anticipate unexpected visits. ID is available upon request and encouraged T/F: A room approved for non-ambulatory clients maybe used only by a client whose physician has determined to be non-ambulatory. False An exception is a written authorization to use alternative means granted for...
- a particular client
- A particular staff person During an emergency, a person who's physically able to leave the facility unassisted, but because of a cognitive impairment requires assistance is considered to be... Non-ambulatory T/F: Cultural competence requires that organizations have a defined set of value and principles and demonstrate behaviors, attitudes, policies and structures that enables them to work effectively within a cross-cultural environment. True T/F: If the consumer is to be admitted Into the ARF, prior to admission, the licensee's designated social worker shall complete a written needs and service plan (IPP) indicating the consumer's entrance date into the facility. True What is the minimum age of an ARF administrator?
The licensee shall ensure that what planned recreational activities are provided for the consumer?
- Community service activities
- Concerts, tours, dances, plays, celebrating a birthday/anniversaries, etc.
- Exercising their rights to vote for the political party of their choice
- Physical activities that do not require group interaction T/F: The consumer is responsible for providing space and posting notices for their meetings. False According to the California code, title 22 regarding bedrooms... Not more than two clients/consumers shall sleep in the bedroom. T/F: At least one toilet and shower fixture shall be maintained for each nine persons residing in the facility? False T/F: It is not necessary for the bathroom to be located near the client's or consumer's bedroom. Fall. The bathroom must be close by the consumers bedroom. Licensee must ensure the quality of linen provided shall permit changing the linen every other week. False. Linens must be changed weekly and have an extra set of blanket, fitted and flat sheet, and mattress pad available per consumer/client. T/F: For day-staff, all clients/consumers other than Regional Center clients/consumers, shall be a staff to client ratio of no less than one direct care staff to three clients. True. 1 staff:3 clients According to California Code Regulations, Title 22, what is true for staff providing night supervision from 10 PM to 7 AM?
- Staff must have received training in their facility's planned emergency procedures.
- In facilities providing care and supervision for 16 to 100 clients, there shall be at
least one person on duty in the premises and wait. Another shall be on-call and capable of responding within 30 minutes. T/F: Personal rights and general facility policies (house rules) allow the consumer to have visitors, representatives to visit privately during waking hours, provided that such visitations do not infringe upon the rights of the other clients. True In an ARF, prior to accepting a client/consumer into care, licensee shall obtain and keep on file documentation of the client's medical assessment, and that assessment should not be more than... 12 months/1 year old when obtained T/F: the mission agreement must specify the following: The general facility policies or "House Rules" are intended to ensure that no client/consumer, IN the exercise of his/her personal rights, infringe upon the personal rights of any other client. True T/F: The licensee may accept or retain any person whose primary need is a acute psychiatric care due to a mental illness. False. (ARF is non-medical ) Prior to accepting a client/consumer for care and supervision, the person responsible for mission must do what?
- Provide him/her or the representative with information contained in the admission agreement.
- Make a prior determination of the facility's ability to meet the needs of the client/consumer. When a licensee agrees to safeguard a client's money, they must have a bond issued by a surety company on file depending on the amounts: $750 or less ---> $1, $751-$1,500 ---> $2, $1,501-$2,500---> $3, The licensing agency shall conduct an inspection of a newly licensed facility within how many days of issuance of a license.
None of the above. Which of the following bedroom furniture is not required:
- Full-length mirror
- Chair
- Night stand
- All of the above Full-length mirror The Department may deny or revoke any administrator certificate upon which of the following grounds:
- The certificate holder procured a certificate by fraud or misrepresentation.
- The certificate holder knowingly made or gave false statements in conjunction with the application for certificate.
- The Department has issued an exclusion order against the certificate holder.
- All of the above. All of the above An administrator applying for recertification must complete 40 units of continuing education during the two year certification period To apply for recertification prior to the expiration date of the certificate, the certificate holder must submit a. A written request to recertify post-marked on or before the certificate expiration date. B. Evidence of completion of 40 hours continuing education hours c. Payment of a one hundred dollar ($100) processing fee d. All of the above D. All of the Above The Emergency Approval of Operate (EAO) is a temporary approval to operate the facility for no more than: 60 days Any person who operates an unlicensed facility may be assessed an immediate civil penalty in the amount of: $200/day
The minimum height of a fence surrounding a swimming pool must be at least: 5 feet A "waiver" is a non-transferable written authorization, issued by licensing, to use alternate means in which to meet the intent of a specific regulation and are based on: A facility wide need and/or circumstances The licensee shall reveal each facility licensee number in: All advertisements All administrates of arfs must be: a. A certified administrator b. At least 21 years old c. On the premises the number of hours necessary to manage and administer the facility in compliance with applicable laws and regulations d. All of the above D. All of the above The Plan of Operation must include sample menus and a schedule indicating the time of day that meals and snacks are served for: One calendar week Select the statement that is true regarding safeguard of cash resources, personal property and valuable of residents: a. The licensee shall be required to continue to care for any resident whose incapacities would require the licensee to handle such resident cash resources. B. All cash resources, personal property and valuables handled by the licensee shall be free from any liability that the licensee incurs. C. The licensee may always accept appointment as guardian for one of their residents. D. The residents' cash resources, entrusted to the licensee may be kept in the resident's unlocked beside drawer if the resident wishes. B. All cash resources, personal property and valuables handled by the licensee shall be free from any liability that the licensee incurs. Licensing may issue a provisional license for the maximum of:
The licensee shall ensure that residents are given the opportunity to attend and participate in community activities that include: Self help organizations and community events (including but not limited to; concerts, tours, dances, plays, and celebrations) When a licensee dies, an adult relative who have control of property may be permitted to operate a previously licensed facility, provided they request an EAO and notify licensing by telephone within: The first working day after the licensee's death When a deficiency in compliance results in penalties being assessed, the deficiency must be corrected within: 24 hours Any change in the facility's plan of operation which affects the service to residents, must be reported to licensing within: 10 working days All facility personnel who provide care and supervision to residents must be at least: 18 years old Bedrooms must meet the following requirements: No resident bedroom shall be used as a public or general passageway o another room, bath or toilet. The licensee shall meet the following food supply and storage requirement: a. Maintain on the premises supplies of staples, non perishable foods for a minimum of one week b. Freezers and refrigerators shall be kept clean c. Maintain on the premises supplies of perishable foods for a minimum of two days. D. All of the above D. All of the above (T/F) Unless otherwise provided, a certified administrator may administer more than one licensed Adult Residential Facility.
True (T/F) An individual shall be a certificate holder prior to being employed as an administrator. False (T/F) Adult Residential Care Facilities may not accept and retain clients whose primary need is acute psychiatric care due to mental disorder. True (T/F) The licensee may evict a client by serving the client with a 30 day written notice to quit for non payment of the rate for basic services, within ten days of the due date. True (T/F) Clients who wish to eat alone in their rooms shall be encouraged to have meals with other clients. False (T/F) The licensing agency does not have authority to restrict care to specific individuals. False (T/F) Certificates shall be valid for a period of two years and expire on either the anniversary date of initial issuance or on the individual's birthday during the second calendar year following recertification. True (T/F) Certificates not renewed within four years of their expiration date shall not be renewed, restored, reissued, or reinstated True (T/F) Within six months of becoming an administrator, the individual shall receive training on HIV or TB True (T/F) Unlicensed care provider staff may provide a manual removal of fecal impaction, provided they are trained to do so by a licensed care professional.
