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Florida ALF Core Study Guide EXAM 2025 - 2026 QUESTIONS AND
ANSWERS 100 % PASS SOLUTION A+ GRADE
What ALF employees are required to undergo a Level II background screening? - answer>>CFO, Administrator, Direct Care Staff, all employees that come into contact with the resident A resident must be at least how old to live in an ALF? - answer>> ALFs must have a core certified administrator. Newly hired administrators have up to how many days to obtain their core certification? - answer>>90 days All ALF licenses are classified as speciality licanses - answer>>False ALFs should have structured activities for how many days of the week? - answer>> T OR F? ALF staffing hours is based on its census. - answer>>True All resident records must be retained for how many years? - answer>> 2 Individuals who are bedridden cannot be admitted to an ALF. However, residents may be bedridden in an ECC licensed facility. These residents cannot be bedridden for no more than how many days consecutively? - answer>> 14 T OR F? In addition to executed contracts between the residents and the ALF, each ALF shall develop and maintain house rules in their files. - answer>>True T OR F? If food is catered, the ALF must maintain a current contract between the facility and the food service establishment and its current license which shows that the establishment is in compliance with food service regulatory requirements - answer>>True Assisted living facilities are required to provide the residents with a minimum written notice of termination. That written notice of termination should be at a minimum of how many days old?
Bedrooms with two persons must have ______ square feet per resident? - answer>> 60 In a standard license ALF, a CNA may not be delegated to perform nursing services (portable oxygen or colostomy care). However, the CNA may apply anti-embolism stockings without the supervision of the nurse. - answer>>False The sink and toilet ratio in an ECC license ALF is: - answer>> 1 to 4 T OR F? Residents living in an ALF may be as young as 18 years old. - answer>>True T OR F? ALFs with a license capacity of 16 or fewer are not required to have a telephone assessable to their residents. - answer>>False A resident is not required to provide more than days notice to the ALF in order to move? - answer>> 30 T OR F? Does a resident have a right to choose their own roommate? - answer>>True T OR F? Standard license facilities may admit an individual, who otherwise meet admission criteria, who require assistance with the administration and regulation of portable oxygen, assistance with routine colostomy care, or assistance and monitoring of the application of anti- embolism stockings as long as they have a nurse on staff or contract nurse to perform those services. - answer>>True T OR F? Most speciality licenses require an additional fee? - answer>>True ALFs must report adverse incidents to AHCA within what timeline? - answer>>day 1 & day 15 ALFs must have sufficient space to accommodate residents in the common areas (dining room, sitting area, activity area). At a minimum each resident will have how many square feet of common area? - answer>>35 square feet
The bathtub ratio for standard license ALF is: - answer>> 1 to 8 Residents' bedrooms are either private or semi-private. Residents' choosing to live in a semi- private bedroom can expect to a minimum of how many square feet of living area excluding the bathroom and closets for each resident? - answer>>60 square feet T OR F? Assistance with transfer is considered an ADL. - answer>>False The minimum hours of required activities per week are: - answer>> ALFs must review their emergency management plan how often? - answer>>Annually When must licenses for an ALF be renewed? - answer>>every 2 years T OR F? A person with a stage 2 pressure sore may be admitted to an assisted living facility. - answer>>True ALFs must comply with the statutory and rule regulations. What agency or department has statutory authority to take action on an ALF license? - answer>>AHCA How early may a resident health assessment be completed prior to admissions? - answer>> days The sufficient nonperishable food supply is based on the ALF: - answer>>census ALF core certified individual must obtain how many continuing education hours. - answer>> hours every 2 years ALFs must have menus posted. The menus must be reviewed and approved by whom? - answer>>Registered dietician or a licensed dietician
What color is the Fall Precaution wristband that is placed on patients who are a fall risk? - answer>>Yellow Residents' bedrooms are either private or semi-private. Residents' choosing to live in a private bedroom can expect to a minimum of how many square feet of living area excluding the bathroom and closets? - answer>>80 square feet What term is used to denote the maximum number of residents? - answer>>Capacity Residents in an ECC license may be bedridden for how many days? - answer>> T OR F? Non slip stickers, such as a bathmat or non skid surface are required in a shower or bathtub. - answer>>True T OR F? A resident who self administers, may use a pill organizer. - answer>>True T OR F? Non-certified core employees may be left in charge of an ALF for no more than a consecutive period of 21 days or for a total of 60 days within a calendar year in the absence of the administrator or manager. - answer>>True What is the maximum number of persons per room for facilities after October 1999? - answer>> Residents that are on Hospice must develop, in partnership with the ALF and the Hospice provider what type of service document? - answer>>interdisciplinary plan T OR F? Residents who self administer their medications must assure that their medications are stored out of the sight of other residents and staff and/or must keep the medications locked. - answer>>True T OR F? A health care provider is the resident's caregiver. - answer>>False
If a consultant is required by AHCA because of a dietary or medication issue, the facility must provide a plan of correction, if a plan is required by the agency, no later than how many days from the on-site visit. - answer>>10 calendar days ALFs with one ore more mental health resident, enrolled in the optional state supplementation program must have what type of specialty license or licenses? - answer>>LMH T OR F? Bed hold policies are not required in contracts for ALFs with a licensed bed capacity of 16 or fewer. - answer>>False How long after admission must a resident health assessment be done? - answer>>30 days T OR F? ALFs may suggest to residents, as a condition of the being admitted to their facility to waive or execute a DNRO. - answer>>False Which state agency writes the rules for ALFs? - answer>>Department of Elder Affairs ALF Core certified individual must obtain how many continuing education hours? - answer>> hours every 2 years T OR F? ALFs with no more than two limited mental health residents are not required to have a limited mental health license - answer>>False If a consultant is required by AHCA because of a dietary or medication issue, the facility must provide a plan of correction, if a plan is required by the agency, no later than how many days from the on-site visit - answer>>10 calendar days???? T OR F? AHCA may deny, revoke or suspend an ALF license, if the facility receives one ore more class II deficiencies. - answer>>False An ALF with sprinklers must conduct how many fire drills annually? - answer>>6 drills and 2 of those have to be at night.
Residents who require limited nursing services must receive those services from with staff? - answer>>Nurse A resident is not required to provide more than days notice to the ALF in order to move - answer>>30 days According to the Fire Protection Association a fire drill is considered prompt if executed within what timeframe? - answer>>3 minutes T OR F? Individuals on hospice may be admitted to an ALF as long as they otherwise meet admission criteria. - answer>>True Residents that are on hospice must develop, in partnership with the ALF and the hospice provider what type of service document? - answer>>Interdisciplinary plan T OR F? Regardless of your licensed bed capacity, the ALF must have an awake staff on duty at all times - answer>>False What term is used to describe the max number of residents? - answer>>Capacity Medications storage locations always remain - answer>>locked How many years must fire safety inspections be kept on file? - answer>>3 years????? T OR F? ALFs may suggest to residents, as a condition of them being admitted to their facility to waive or execute a DNRO. - answer>>False How many specialty licenses are there for ALFs? - answer>>
T OR F? The long-term care ombudsman may impose fines and take other administrative actions on an ALF license. - answer>>False ALFs are required to provide how many snacks daily? - answer>>At least one Residents who self administer their medications must assure that their medications are stored out of the sight of other residents and staff and/or must keep the medications locked. - answer>>True ALFs are required to have how many elopement drills per year? - answer>> ALFs with one or more mental health residents, enrolled in the optional state supplementation program must have what type of speciality license or licenses? - answer>>LMH T OR F? ALF residents that do not require supervision, maybe left alone in an ALF. - answer>>False If an ALF license is up for renewal, how many days at a minimum before the license expires must a renewal application must be received by AHCA? - answer>>???? 60 days???? If an ALF receives a Class I violation, the fine may be levied for a max of. - answer>>$10, Direct care staff is expected to provide assistance with the ADLs in an ALF. ADLs consist of how many required services? - answer>>4????? TO OR F? In a standard license ALF, a CNA may not be delegated to perform nursing services (portable oxygen or colostomy care). However, the CNA may apply anti-embolism stockings without the supervision of the nurse. - answer>>False T OR F? Assistance with a transfer is considered and ADL. - answer>>False
Menus and menu substitutions should be maintained in the facility records for at least: - answer>>six months of menus and menu substitutions T OR F? All residents' incidents are reported to AHCA within 48 hours. - answer>>False T OR F? Any device, including half-bed rails, which the resident chooses to use and can remove or avoid without assistance, is not considered a physical restraint. - answer>>True T OR F? Non slip stickers, such as a bathmat or non skid surface are required in a shower or bathtub - answer>>True How many days written notice must be given before a rate increase? - answer>>30 days T OR F? A staff member who has completed courses in First Aid and CPR and holds a currently valid card documenting completion of such courses must be in the facility at all times? - answer>>True Every resident that is admitted to an ALF must execute a health care assessment, form 1823 within what time frames? - answer>>60 days prior to admission or 30 days after admission T OR F? All ALF licenses are classified as specialty licenses. - answer>>False May bed rails be used in an ALF? - answer>>Yes When a change of ownership occurs, the transferor shall notify the agency - answer>>at least 60 days before transfer Withholding evidence of financial instability from the agency is... - answer>>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... - answer>>may be admitted to a facility with an ECC license
Mr. Williams is no longer able to participate in dressing himself and needs his medications administered. Your ALF does not have a nurse available to administer medications. Under what circumstances would Mr. Williams be able to remain living in your ALF? - answer>>Mr. Williams no longer meets the residency criteria for your ALF. Your menu says that your main entree is roasted pork loin served with broccoli and carrots but you only have asparagus to serve this evening... - answer>>Prior to serving the meal, make a note on the menu that you will be serving asparagus instead of broccoli and carrots Mr. Thompson is a messy eater and this upsets his tablemates... - answer>>You assist Mr. Thompson in a dignified manner in the dining room. Mrs. Costello's family obtains her medications for her from a local pharmacy. They have been late in picking up the medications and delivering them to the ALF the past three months. What should you do? - answer>>Meet with the family and establish a back-up plan if they cannot deliver the medications on time. When assisting residents with their medications, unlicensed staff may... - answer>>prepare items such as water, cups, spoons, and juice There must be at least one person in the facility at all times who - answer>>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
- answer>>the self-administration of medication ALFs must provide - answer>>areas separate from bedrooms for activities Therapeutic diets... - answer>>must be provided in accordance with a health care provider's order
Resident funds and property held in safekeeping shall be held... - answer>>in a Florida banking institution Medications may be administered by... - answer>>a nurse The agency may deny or revoke a license... - answer>>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? - answer>>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 - answer>>A licensed pharmacist or a registered nurse Prior to assisting residents with their medications, staff should - answer>>wash their hands Assistance with the self-administration of medication does not include - answer>>injecting medications Administrators and managers must complete the core competencies requirements within - answer>>3 months of becoming the administrator or manager ALFs must keep record of - answer>>changes in a resident's condition which resulted in the provision of additional services Pro-rated refunds must be calculated based on - answer>>the termination date
A "mental health resident" must be assessed to determine - answer>>whether or not the person is appropriate to reside in an ALF When a licensee discontinues operations, the agency must be notified when? - answer>>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 - answer>>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 - answer>>a licensed nurse Residents who are capable of self-administering their medications may be required: - answer>>to store their medications centrally. Your new staff member, Sarah, started on October 29th. She is a CNA. You do not use perimeter controls or have alarms on the doors. Which is true of this scenario? - answer>>Sarah must receive a copy of your elopement policies and procedures and this must be documented in her personnel file. Staffing schedules must be kept on file for a period of - answer>>6 months A facility whose owner, administrator or staff serves as the attorney-in-fact (power of attorney) for a resident, must - answer>>maintain a surety bond equal to twice the average monthly income of the resident, plus the value of resident property. For every 20 total conbined residents, respite care residents and day care participants over 05, how many additional staff hours per week must be included to meet minimum staff hours per week? - answer>>
Staff assisting with the self-administration of medications must have hours of training - answer>>6 hours, prior to providing assistance. You received a class II deficiency related to unsafe medication practices. What do you need to do? - answer>>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 - answer>>administer medications, give pre-packaged enemas and supervisor the taking of vital signs Third party providers must - answer>>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 - answer>>60 square feet Copies of menus as served, including substitutions must be kept on file for - answer>>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? - answer>>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 - answer>>30 days Resident contracts must include - answer>>a refund policy When a resident returns from the doctor with a sample medication in its original package, what must be on the label? - answer>>The resident's name, the practitioner's name, and the date dispensed.
Snacks must be available - answer>>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? - answer>>Call Mr. Parker's health care provider. Menus must be planned... - answer>>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? - answer>>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? - answer>>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 - answer>>the facility has two class I violations from unrelated circumstances during the same survey When a resident experiences a "significant change", the ALF must - answer>>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? - answer>>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> - answer>>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? - answer>>Destroy the medications and document this in Mr. Tomkin's file Evidence of freedom from communicable disease, including tuberculosis, must be documented for each employee how often? - answer>>every year Emergency management plans must be reviewed by the county emergency management agency - answer>>annually Mrs. Wittaker moved out of your community on June 1st and left some medications behind. What do you do? - answer>>Destroy the medications within 30 days and document this in the resident record When staff are assisting residents with their medications, they should - answer>>ensure privacy, ensure dignity, and follow the community's infection control policies Which of the following services must an ALF provide? - answer>>assistance with scheduling doctor's appointments Supervision includes - answer>>contacting the resident's family when the resident exhibits a significant change Assistance with the self-administration of medication does not include - answer>>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.
