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Florida ALF Core Study Guide 2024/
with Complete Solutions
When a change of ownership occurs, the transferor shall notify the agency ✔✔at least 60 days before transfer
Withholding evidence of financial instability from the agency is... ✔✔evidenced by things like purposely hiding from the agency things like unpaid liens and taxes
A person who needs total care with their ADLs is not appropriate for admission to an ALF with a standard license but... ✔✔may be admitted to a facility with an ECC license
Menus must be developed by a licensed or registered dietician, a licensed nutritionist, or a registered dietetic tech supervised by a licensed or registered dietician or licensed nutritionist and reviewed how often? ✔✔annually
An ALF may provide safekeeping of a resident's funds and property in the amount of ✔✔up to $500 cash and $500 personal effects
ALFs with a standard license ✔✔may employ nurses to administer medications to residents.
Who must participate in elopement drills? ✔✔administrators and direct care staff
Issued when the agency determines imminent danger to residents ✔✔class I violation
Any entity that provides housing, meals, and one or more personal services to more than 2 persons who are not relatives for a period exceeding 24 hours must have an ALF license unless ✔✔licensed as an Adult Family Care Home
Resident contracts must be retained for a period of ✔✔5 years
ALFs must provide ✔✔supervision appropriate for each resident
Which of the following must be provided at the time of admission if not previously included in information shared with potential residents? ✔✔Copy of the resident contract, copy of bill or rights, and copy of LTC ombudsman brochure.
What is the most important thing you can do to prevent foodborne illness? ✔✔Wash your hands
When assisting residents with their medications, unlicensed staff may... ✔✔prepare items such as water, cups, spoons, and juice
There must be at least one person in the facility at all times who ✔✔has completed first aid and CPR courses and holds currently valid CPR and first aid cards
Providing "personal services" includes providing direct physical assistance with or supervision of ✔✔the self-administration of medication
ALFs must provide ✔✔areas separate from bedrooms for activities
Therapeutic diets... ✔✔must be provided in accordance with a health care provider's order
Resident funds and property held in safekeeping shall be held... ✔✔in a Florida banking institution
Medications may be administered by... ✔✔a nurse
The agency may deny or revoke a license... ✔✔when the administrator is found to have misappropriated a resident's property
You are the happy owner and administrator of Sea Bonnet's ALF I and II and are excited to be opening your third ALF. All of your ALFs are licensed for 6 beds and you are the administrator of all three. Sea Bonnet I and II are located approximately 17 miles from each other and Sea Bonnet III is opening 21 miles south of Sea Bonnet II. How many managers must you have? ✔✔You must have a manager for all three ALFs because they are located more than 15 miles away from each other
Assistance with self-administration of medication training must be provided by ✔✔A licensed pharmacist or a registered nurse
Prior to assisting residents with their medications, staff should ✔✔wash their hands
Assistance with the self-administration of medication does not include ✔✔injecting medications
Your dinner entree is chicken noodle soup, a garden salad, 3 ounces of lemon broiled tilapia, cauliflower Au Gratin, mashed potatoes and a roll. Your new resident, Mrs. Sandallwood, does not like fish. What do you do? ✔✔Offer Mrs. Smallwood 4 ounces of baked chicken in place of the tilapia.
Controlling interest means an applicant or licensee that serves as an officer, is on the board of directors OR ✔✔has a 5% ownership interest
Security deposits must be ✔✔kept in a Florida banking institution
The recommended way to thaw food is ✔✔under refrigeration
Relicensure surveys are conducted by AHCA how often? ✔✔Biennially
The times between meals for facilities serving 3 meals per day must be ✔✔not more than 6 hours and no less than 2 hours between meals
You provide personal care in your home for your Aunt Mary, and your former neighbors Mr. Dixby, Mr. Timmons, and now Miss Port. ✔✔You are considered an ALF and must have a license unless you are licensed as an Adult Family Care Home
Resident sleeping rooms must be a minimum of ✔✔80sqft
A "mental health resident" must be assessed to determine ✔✔whether or not the person is appropriate to reside in an ALF
When a licensee discontinues operations, the agency must be notified when? ✔✔30 days prior to the discontinuance
You operate 3 ALFs licensed for 25 beds, all located within a 15 mile radius of each other. You must/,may ✔✔must appoint 3 managers, one for each ALF, if you serve as the administrator of all three.
PRN or "as needed" medications may be administered by ✔✔a licensed nurse
You received a class II deficiency related to unsafe medication practices. What do you need to do? ✔✔Contract with a licensed consultant pharmacist within 7 days of receiving the violation to consult regarding how to correct the unsafe practices.
In an ALF with a standard license, nurses are allowed to ✔✔administer medications, give pre- packaged enemas and supervisor the taking of vital signs
Third party providers must ✔✔follow the facility's policies and coordinate with the facility regarding the resident's condition
Resident sleeping rooms designed for double occupancy must have a minimum square footage of _____ usable floor space per occupant ✔✔60 square feet
Copies of menus as served, including substitutions must be kept on file for ✔✔6 months
The Marketing Director indicated to a potential resident and her family that the ALF requires that an executed DNR is required in order for the person to move into the ALF. What is wrong
with this statement? ✔✔The facility could be sanctioned and their ALF license revoked because their policy is inconsistent with state law
Residents may not be required to provide more than _____ days notice of move-out ✔✔30 days
Resident contracts must include ✔✔a refund policy
When a resident returns from the doctor with a sample medication in its original package, what must be on the label? ✔✔The resident's name, the practitioner's name, and the date dispensed.
All staff must have training on HIV/AIDS and elopement policies and procedures within _____ days of employment ✔✔ 30
Mrs. Jenkins appears really confused today and did not recognize her daughter when she came to visit. This is unusual for Mrs. Jenkins. In fact, she is the Woman's Club President and generally plays bridge twice per week. What should you do? ✔✔Contact the health care provider immediately and schedule an appointment.
Medications which are stored centrally must be ✔✔accessible only to staff who are responsible for and qualified to assist residents with their medications.
Snacks must be available ✔✔when residents do not have access to kitchen facilities
Mr. Parker self-administers his medications and tells you he is no longer taking one of them because it makes him feel funny. What is your next step? ✔✔Call Mr. Parker's health care provider.
Menus must be planned... ✔✔at least a week in advance
Miss Barnes moved out of your ALF on January 5th. She did not provide any advance notice that she would be leaving your community. Your contract requires a 30 day notice of move-out from residents. When do you need to ensure she receives a refund for any monies due? ✔✔Within 45 days of the day she vacated her apartment
Lately you've noticed fewer and fewer residents are participating in activities and family members have been complaining their loved ones are bored. What do you do? ✔✔Schedule a family council meeting to discuss the family's concerns and a resident meeting to discuss what types of activities might be of interest.
AHCA must deny a license when ✔✔the facility has two class I violations from unrelated circumstances during the same survey
When a resident experiences a "significant change", the ALF must ✔✔obtain a new 1823 from the health care provider
When is a community living support plan for a mental health resident required to be updated? ✔✔at least annually or whenever there is a significant change in the person's behavioral health
Sarah is assisting Mrs. Johnson with her medications. She checked the medication observation record (MOR) against the medication label, told Mrs. Johnson what medications she was taking and left a souffle cup with the medications next to Mrs. Johnson's orange juice for her to take when she is ready. Sarah then signed the MOR indicating she had provided assistance to Mrs. Johnson to take her medication. Is this correct> ✔✔No. Sarah did not observe Mrs. Johnson take the medication
Mr. Tomkin moved out of your ALF on May 20th and left some medications behind. It is June 15th. What do you need to do with his medications? ✔✔Destroy the medications and document this in Mr. Tomkin's file
Assistance with the self-administration of medication does not include ✔✔injecting medications
Mrs. Mills has dementia and recently moved into your ALF> Every day for the past week, she has called the LTC Ombudsman telling them that she has been kidnapped. Twice this week, the ombudsman has been to visit your community and has spent hours talking to your residents. What do you do? ✔✔Mrs. Mills should be provided additional support while she transitions into your community and a problem solving approach should be used to address her behavior
Residents receiving ECC services must have a service plan completed how often? ✔✔quarterly
Staff who prepare, handle or serve food must receive training on safe food handling ✔✔within 30 days of employment.
Food service regulations address ✔✔fingernails
residents may be admitted to ECC if they require ✔✔total care with their ADLs
When the agency places a moratorium on admissions... ✔✔the facility must post the notice of moratorium to the public
Mr. Nagel is 95 years old and has macular degeneration which makes it difficult for him to see his prescription labels on his medications. He has been using a pill organizer to take his medications independently and a nurse has been coming in weekly to fill the pill organizer. The nurse came to you today and informed you that Mr. Nagel had medications left over from last week. What should you do? ✔✔Talk with Mr. Nagel and let him know what services you have such as assistance with self=administration of medication and contact his health care provider regarding any concerns
Unlicensed staff trained to assist with the self-administration of medication may ✔✔assist a competent resident who requires a prescribed "as needed" sedative
Assisted living facilities must ✔✔use a recognized accounting system.
An ALF must maintain a surety bond if ✔✔it serves as a representative payee for a resident who receives optional state supplementation (OSS).
Newly licensed ALFs must submit their emergency management plan to the local emergency management agency within how many days? ✔✔30 days
T OR F? Facilities with more than 16 residents must have an awake staff person at all times? ✔✔True
T OR F? Pursuant to the ALF regulations "agency" means the Agency for Persons with Disabilities. ✔✔False
How many days prior to a change of ownership must AHCA be notified? ✔✔60 days
T OR F? OTC medications which are prescribed should only contain the resident's name somewhere on the medication container. ✔✔False
Narcotic medication must be kept separate and locked from non-narcotic medication. ✔✔True
All ALF administrators must have at least what type of education? ✔✔HS Diploma or GED
For ALFs serving three or more meals a day, no more than how many hours shall lapse between the end of evening meal and the beginning of the morning meal? ✔✔14 hours
Individuals who are bedridden cannot be admitted to an ALF. However, residents may be bedridden in an extended congregate care licensed facility. These residents cannot be bedridden for no more than how many days consecutively? ✔✔14 days
T OR F? Grab bars are required in showers and bath tubs ✔✔True
T OR F? The LTC ombudsman may impose fines and take other administrative actions on an ALF license. ✔✔False
What does ALF stand for? ✔✔Assisted Living Facility
For the purpose of assisted living in the State of Florida, what does AHCA stand for? ✔✔Agency for Health Care Administration
Individuals on Hospice may be admitted to an ALF as long as they otherwise meet admission criteria. ✔✔True
