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ALF CORE TRAINING FLORIDA /ALF CORE EXAM,
ALF CORE PRACTICE EXAM AND ALF CORE STUDY
GUIDE LATEST 2025/ 2026 ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
As Ms. Jones is allowed to age in place, she developed a stage II before and was given a prescription order that the sore had up to days to heal or she would have to be discharged. The administrator then monitored the care given to the residents by the Registered Nurse who visited the facility to attend the wound. - answer-30 days Beverly Hills Assisted Living Facility 39 residents. How many on duty staff members must always be trained and on duty in CPR and First Aid? - answer-1 staff Clara Jones decided that she did not want to pursue an Assisted Living Facility license because of the many requirements. Therefore, she elected to operate an Adult Family Care Home license where she is required to live on the premises and not to exceed resident capacity and having at least bed reserved for Optional State Supplementation. - answer-5, 1 When a duty designated officer or employee of the department, the Department of Children and Families, the Medicated Fraud Control Unit of the Office of the Attorney General, the state or local Fire Marshall or representative of the long term care ombudsman council shows up to the facility, the owner or administrator cannot refuse the visit because they have the: - answer-Right of entry and inspection Barbara was appointed as a new administrator because of the relative dying unexpected. Her relative was the administrator and now Barbara finds herself as an acting administrator, carrying out the duties that she learned from her relative. She now has days to take the ALF CORE and pass the exam. - answer-90 days Bob and Mary's ALF received an unannounced bi-ennial survey visit. The facility has an Limited Nursing Service specialty license. The inspectors were an unlicensed agent and a nurse. The nurse requested to see the resident's progress notes that should have been done on a basis. She also asked to see the nurse with the facility since they had the LNS license. - answer-monthly, license
A standard license includes - answer-The facility must provide housing, meals and one or more personal services for a period exceeding 24 hours An Emergency Management Plan includes - answer-Separate plans prepared for each emergency Any emergency internal or external to the facility A plan for fire, tornadoes, hurricane, flood, and electrical failures All of the following activities can be counted toward social and leisure activities EXCEPT - answer- Watching television The facility did not have any food in the fridge when AHCA arrived to conduct an unannounced inspection. When the agent was conducting the exit interview, she stated that the facility will be receiving a Class I violation, resulting in a fine of: - answer-$10,000. The administrator received a call from the local hospital regarding a potential referral. When asked what is the admission age, the administrator responded? - answer-18 years old The medical doctor conducted a face to face for the resident at the Assisted Living Facility to complete the three-year assessment that is due after the initial health assessment that is conducted either before or within 30 days after the admission to the facility. What type of facility would best describe where the resident resides? - answer-Standard with LNS The facility provided the family member with a notice when it was determined that the resident can no longer age in place at the facility. The family member told the administrator that she would hire a private nurse to provide the extra care that could not be provided by the ALF staff. The administrator stated that she must carry out the request for a discharge because her license does not allow her to provide services beyond the scope of the license. - answer-45 days Prior to admission the administrator can review the resident's health records or an AHCA form 1823 up to days prior to admission or ________ days after admission. - answer-60, 30 After the resident has been discharged, how long should the facility keep the contract? - answer- 5 years
The resident gave his 30 days' notice as described in the contract. The administrator informs him that she will not refund his money as he did not obey all the rules. The administrator's reasoning was not in the contract. The resident decided to call the number that is posted on the bulletin board at the facility because it reads that they advocate for the residents in long term care facilities. Who did the resident call: - answer-Ombudsman Council Which of the following is not required when applying for license - answer-Picture of facility When should your staff NOT follow the chain of command - answer-During a fire The inspector visited the facility to conduct an unannounced visit, the first thing that they may want to see is your? - answer-Your posted license The facility conducts a fire drill 6 times per year (every other month). What does this mean about the facility? - answer-The facility has a sprinkler system installed. Resident's record must contain the following information - answer-Next of Kin, name, address, phone and relationship All regular and therapeutic menus to be used by the facility must be reviewed by a licensed or registered dietitian, a licensed nutritionist, or a registered dietetic technician supervised by a licensed or registered dietitian, or a licensed nutritionist to ensure the meals meet the nutritional standards - answer-annually The facility's direct care staff was able to take the residents blood glucose test because the facility had a certificate. - answer-CLIA Who is the representing guardian for a resident referred from the state - answer-DCF When there is a need to report abuse, neglect, exploitation, is the best choice of contact first. - answer-The abuse registry Most elders experience fatigue, impaired vision, and hearing loss due to: - answer-Aging
When a resident who uses a pill organizer is going away for the weekend and needs to take his medication what is the best course of action that the administrator can take? - answer-Schedule a visit for the nurse to prepare the pill organizer Have the resident and their family sign out for medication A supply of nonperishable food, based on the number of weekly meals the facility has contracted with residents to serve, must always be on hand - answer-3 days A resident who can have medication in their room is a resident who is and the doctor has indicated this on his health assessment 1823. - answer-competent Which of the following health care providers can give a resident an insulin shot - answer-Medical Assistant Medication can be disposed of with the administrator and. - answer-one other witness Who can transfer medication from one bottle to another - answer-A pharmacist Only a staff member who has been trained in assistance with medication can? - answer-Assist with medication The administrator or designee should contact the doctor immediately, when - answer-resident refuses to take his medication when the resident has an adverse reaction when the staff forgot to give the resident his medication at the appropriate hour A prescription should include all the following EXCEPT - answer-pharmacist name Medication should be kept in the following area - answer-in a secure area where trained staff has the only access
What can you do if a resident refuse to eat and his medication requires a meal before taking the medication? - answer-Report it to the doctor immediately What is the minimum number of hours allowed between meals - answer- 2 hours How frequently do you need to revise your menus? - answer-annually The administrator manages three facilities currently. She wants to own the facility on 56th and Parkway; what can she do? - answer-Purchases the facility. Regardless of the outside temperature, the inside temperature must be? - answer- 72 degrees What is the time measurement for a SLOW evacuation capability? - answer-over 5 min How many days does an owner have to notify AHCA for change of administrator - answer- 10 days AHCA wrote the applicant about the omission to their submitted application and it stated that they have day to return the corrections. - answer- 21 The resident has 30 days to inform you that he or she is leaving the facility, you have days to inform them. - answer-45 days Ms. Clara and her husband decided they are ready for retirement after operating an ALF for the past 15 years. They have decided to sell it to their daughter and son in-law. The daughter and her husband are considered and Ms. Clara and her husband are considered. - answer-New owners and Old owners Ms. Barton was operating a facility that had 5 residents as maximum capacity and she must reside in the facility as the administrator/operator, which type of setting is this? - answer-AFCH How often shall an Extended Congregate Care review the service plan? - answer-Quarterly
A mental health resident returning to a facility from treatment in a hospital or crisis stabilization unit will not be considered a new admission and will not require a new. - answer-Assessment Which specialty license would you need if you were willing to have 1 mental health resident? - answer- Limited Mental Health In the Florida Administrative Codes 59A-36, a resident is entitled to which of the following rights? - answer-Live in a safe environment Have the choice of roommate Have the right to guest Ms. Jones owns a standard only ALF and she is ready to sell after 32 years of service to the adult population. She found Ms. Margaret who is willing to purchase her beautiful facility. She informs the Agency and informs Ms. Margaret that she needs to inform the agency that she is the buyer. They both inform the agency within days. - answer- 60 days All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency? - answer- The Agency for Health Care Administration The licensing procedures have been established to comply with - answer-Chapter 429, Part I, F.S. and Chapter 59A-36 of the Administrative Code Top Care ALF has been in business for over 30 years. They have hired many staff members and have recently been faced with a need to hire more caregivers because the resident census increased during the month of November. Top Care ALF's administrator, who has taken the CORE training, is providing the 2 hours orientation training because the newly hired staff have not taken the. - answer- ALF 26 Core Training The facility received an uncorrected Class III deficiency for non-compliance with medication for the third time in the calendar year. The administrator found herself making corrections as required. The agency corrective plan required that the operator hire a consultant to assist with deficiency. The administrator was informed by the Agency that the consultant is to remain in place until cleared by the agency - answer-Registered Nurse or a Pharmacy
Ms. Jones admitted an additional mental health resident to the facility with a limited mental license. She asked the social worker to come to the facility and bring the two required documents. - answer- Community Living Support Plan & Cooperative Agreement At Ms. Jones facility, there was a tragic accident that resulted in the death of a resident. The roof caved in and killed a resident and injured 3 other residents. Ms. Jones was told to repair the roof and neglected to do so. What Class violation is Ms. Jones most likely to receive? - answer-Class 1 Ms. Jones was ordered by her county official to install a sprinkler system because she had 3 to many evacuation readings, which is the worst of the three evacuation capability readings. - answer- Impractical What is the maximum amount that the CORE exam can be, according to F.A.C 59A-36. - answer-$ Who is the best person who can administer medication at a facility to a resident who is not incompetent? - answer-Resident Where is the best place for resident's medication to be kept at a facility? - answer-In a locked, central location where only a trained staff can access the medication When should a facility have their biennial application at the Agency? - answer- 60 days before expiration What is the definition of a nurse? - answer-LPN, RN, ARNP If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made, and the plan resubmitted to the local office within days of receiving notification that the plan must be revised - answer- 30 days What is the Department? - answer-DOEA Which of the following does not have to be licensed by the Agency? - answer-Independent Living
What is the best color to paint a resident's private room? - answer-The color of his choice What is the minimum education requirement for an administrator? - answer-A Highschool Diploma or GED True or False? An ALF can be only one building? - answer-False A resident can be bedridden in an ALF with a standard license for no more than ___days? - answer- 7 Capacity in an ALF is the of resident it is licensed to care for. - answer-number Which of the following is not considered an ADL? a. Eating b. Dressing c. Transferring d. ambulation e. toileting - answer-c. Transferring Limited nursing services can only be provided by? - answer-LPN, RN, ARNP 1/2 bed rails are considered a and are allowed in an ALF only if? - answer-Physical Restraint they are ordered by a physician An event over which facility personnel could exercise control rather than as result of the resident's condition and results in? - answer-Adverse Incident Adverse incidents are submitted on day and day to ACHA. - answer- 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - answer- 5
a. milk b. fruit c. eggs d. poultry - answer-fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - answer-Insulin injections Any items a facility uses to advertise must contain what two things? - answer-Assisted living facility and License # At least one staff member who is trained in and must be in the facility at all times. - answer-CPR and First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - answer-Biennial Application for a CHOW must be submitted to AHCA ________ days prior to the transaction. - answer- 60 True or False? Deficiencies cited by AHCA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given. - answer-False 30 days True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license. - answer-True How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - answer-30 days ADL - answer-Activities of Daily Living What license would be required if you are using a COMMUNITY SUPPORT PLAN? - answer-LMH
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? - answer-Cooperative Agreement What is ACS? - answer-Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis. Which license allows a nurse to perform any service within the scope of their license? - answer-ECC What license is required if you have 3 or more residents on OSS? - answer-LMH With a LMH license, how many days do you have to make a Community Living Support Plan? - answer- 30 Days Can a cooperative agreement be included in a community living support plan? - answer-yes Which license allows full help with ADL's? - answer-ECC Can you care for stage 3 pressure sore with a LNS license? - answer-No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - answer- 6 What does the "Long Term Care Ombudsman Council" Do? - answer-respond and resolve problems for residents in long term care facilities How many days can a resident be bed ridden in a standard license ALF? - answer- 7 days How many days must be given to a resident for notice of discharge? - answer- 45 How many days does a resident need to provide for notice of termination? - answer- 30 days
If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - answer-10 days unless alternative time frame is required A deficiency affecting one, or a very limited number of clients or staff would be considered a what? - answer-Isolated Deficiency A deficiency in which more than a limited number of clients or staff would be considered a what? - answer-Patterned Deficiency A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what? - answer-Widespread Deficiency How soon must a Class "I" violation be corrected? - answer- 24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger would be considered a what class? - answer-Class "I" A violation that directly threatens clients is considered what class? - answer-Class "II" A violation that potentially threatens a client is considered what class? - answer-Class "III" True or False? For Class "I" and "II" violations fines can be waved if corrected in a time specified. - answer-False A violation that does not have the potential to negatively affect a client is considered what class? - answer-Class "IV" Can ACHA impose an administrative fine for violations not designated as one of the four classes? - answer-Yes
When a moratorium or emergency suspension is placed on a facility they must post what where? - answer-A notice of action in a place visible to the public. What class violation would a personal hygiene issue be considered? - answer-Class "III" Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your license, or violating any terms of your license are considered what type of violation? - answer- Unclassified Violation How many days may ACHA extends a denied, revoked or set to terminate license for the sole purpose of allowing safe and orderly discharge of clients. - answer-30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - answer- 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - answer- 15 days The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what? - answer-Aging in place A building that provides housing, meals, one or more personal services exceeding 24 hours to one or more adult is considered a what? - answer-Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - answer-Chemical Restraint A guardians is a person the law has entrusted what? - answer-the custody and control of a person or property, or both A service plan is required for each resident admitted under what license? - answer-ECC
How many elopement drip must a facility conduct minimum per year? - answer- 2 How often does a facilities license need to be renewed? - answer-every 2 years A resident must have a face to face medical examination how often to maintain continued residency? - answer-Every 3 years or after any significant change What is the minimum hours of activities required for an ALF per week? - answer- 12 hours A written order for a half-bed rail must be reviewed by the physician how often? - answer-every 6 months How soon must an abandoned or expired medication be disposed of? - answer-within 30 days How often does freedom from tuberculosis need to be documented for staff members? - answer- annually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? - answer-30 days A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year? - answer- 2 Residents may be bedridden for up to how many days? - answer- 7 days True or False? A terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met:
- resident has hospice
- continued residency is agreeable to the resident and faculty
- An ICP is developed and implemented by a licensed Hospice
- faculty staff may provide an nursing services permitted under the facility license
- documentation of the requirements of this are in the residents file - answer-True What is the common living area in an ALF? - answer- 35 square feet per resident, any area used by all residents and staff What is the minimum square footage for a resident room? - answer- 80 square feet What is the minimum square footage for a double occupancy room? - answer- 120 square feet Menu substitutions and a copy of them are to be kept on file for - answer- 6 months A facility must provide__________gallons of water per resident per day in an emergency. - answer- 5 Gallons An emergency management plan must be approved annually by the? - answer-County emergency management agency How long does a facility keep residents contacts? - answer- 5 years How long does a facility keep employee work schedules? - answer- 6 months How long does a facility keep major incident reports? - answer- 2 years How long does a facility keep fire inspections? - answer- 2 years How long does a facility keep health inspections? - answer- 2 years All ACHA health inspection reports are at a facility for how long? - answer- 5 years
