ALF Core Exam (2026 Update)
Questions With Correct Verified And
Well Analyzed Answers Graded A+
When outside temperatures are 65°F (18°C) or below, you must
maintain a temperature of at least XX when residents are AWAKE.
an indoor temperature of at least 72°F (22°C) shall be maintained
AGENCY
Agency for Health Care Administration
AGING IN PLACE
process of providing increased or adjusted services to a person to
compensate for physical or mental decline that may occur with the
aging process in order to maximize a person's dignity and
independence and permit them to remain in a familiar, non
institutional resident environment for as long as possible.
ASSISTED LIVING FACILITY
any building or residential facility provides housing, meals and one or
more personal services for a period exceeding 24 hours to one or
more adults who are not relatives of the owner or administrator.
Residents do not require the 24-hour nursing.
DEPARTMENT
Department of Elderly Affairs
EXTENDED CONGREGATE CARE
means acts beyond personal services / ADL's may be performed by
persons licensed under part 1 chapter 464. TOTAL CARE
PERSONAL SERVICES / ADL's
,direct physical assistance or supervision of the activities of daily
living, the self-administration of medication. Does not include
transferring, medical, nursing, dental or mental health services.
LIMITED NURSING SERVICES
for ALF residents who meet admissions criteria but do NOT require 24
hour nursing supervision. May include routine dressings, care of
casts, braces and splints.
When residents are asleep, what is the min inside temperature at
night?
68 degrees
When the outside temperature is 90 degrees or less, what is the
maximum inside temperature permitted?
Maximum indoor temperature is 85 degrees with mechanical cooling
devices
When it is hotter than 90 degrees outside- what temp must remain
inside at night and day?
81.
Maximum temperature allowed inside a resident space? As per EEC/
CEMP Hurricane Irma regulations.
90 degrees maximum indoor temp allowed.
What is the min sq ft required of living and dining space per resident
if the facility is not comprised of apartments?
35 sq ft
Those facilities also serving as adult day care centers must provide
an additional 35 sq ft of living space per adult day care client? true or
false
True
IF you also serve as an adult day care center how much extra space
per resident must you have?
extra 35 sq ft
,When calculating the minimum square footage requirements for living
and dining space who else besides residents MUST be included?
live-in staff and family members must be included in the ratio.
T/F ...ALF's must provide areas separate from bedrooms for activities
True
how much usable floor space, not including closet or bathroom
should be provided to a single occupancy?
80 sq ft
how much usable floor space, not including closet or bathroom
should be provided to a double occupancy?
60 sq ft per person. Total min 120 sqft
In an ALF, how many toilets and sinks, and bathtubs must there be
per person to accommodate all residents, live in staff and family
members.
1 sink: toilet per 6 people
1 bathtub per 8 people NEW for 2019
when you have 16 or less residents, do you have to have job
descriptions.
No, you do not
A resident room must have the following if provided by an ALF:
bed, no smaller than 36 inches wide and 72 inches long, a closet/
wardrobe/place to hang clothes, dresser, a table or nightstand, floor
or table lamp, waste basket and comfortable chair if requested.
Mandatory physical plant standards include:
no standing water; keeping all electrical mechanics in good working
order; keeping a set of master keys on the property at all times;
providing adequate clean non-stained, no rips/ tear linens/ laundry
services. Must have policy on bed bugs.
Legacy Facilities are...
, communities that have received certificate of occupancy before July
1, 2016 and comply with 1994 1995 editions of the National Fire
Protection Association , Life Safety Code NFPA 101 and NFPA 101A.
NFPA is
National Fire Protection Association
T/ F? Every facility shall post a copy of the last inspection report of
the agency for that facility in a prominent location within the facility
so as to be accessible to all residents and the public. Upon request,
the facility shall also provide a copy of the report to any resident or to
an applicant to the facility.
TRUE- 429.35 (3)
Fire evacuation capability determination must be completed when?
Within 6 months of becoming licensed as an ALF.
Resident bathrooms MUST have
a working door
T/ F Cooking operations in small legacy facilities (16 beds or less)
must comply with ventilation standards like bigger (17 or more beds)?
FALSE
Legacy facilities that are fully sprinklered must conduct how may fire
drills per year?
6 drills per year; NEW FOR 2019; if legacy facility is sprinklered and in
full compliance with AHJ- Authority having jurisdiction- usually the
fire marshall- then only need 1 drill b/w 11p-7am and can conduct the
second mandatory overnight drill before 11pm.
Legacy facilities that are NOT sprinklered must conduct how may fire
drills per year?
12 per year total with one monthly and at least 4 drills on each shift.
NEW FOR 2019
A sprinklered ALF that receives a certificate of occupancy on or after
July 1, 2016 must conduct how many fire drills per year and when?
6 drills per year with a min of 2 when residents are asleep.
Questions With Correct Verified And
Well Analyzed Answers Graded A+
When outside temperatures are 65°F (18°C) or below, you must
maintain a temperature of at least XX when residents are AWAKE.
an indoor temperature of at least 72°F (22°C) shall be maintained
AGENCY
Agency for Health Care Administration
AGING IN PLACE
process of providing increased or adjusted services to a person to
compensate for physical or mental decline that may occur with the
aging process in order to maximize a person's dignity and
independence and permit them to remain in a familiar, non
institutional resident environment for as long as possible.
ASSISTED LIVING FACILITY
any building or residential facility provides housing, meals and one or
more personal services for a period exceeding 24 hours to one or
more adults who are not relatives of the owner or administrator.
Residents do not require the 24-hour nursing.
DEPARTMENT
Department of Elderly Affairs
EXTENDED CONGREGATE CARE
means acts beyond personal services / ADL's may be performed by
persons licensed under part 1 chapter 464. TOTAL CARE
PERSONAL SERVICES / ADL's
,direct physical assistance or supervision of the activities of daily
living, the self-administration of medication. Does not include
transferring, medical, nursing, dental or mental health services.
LIMITED NURSING SERVICES
for ALF residents who meet admissions criteria but do NOT require 24
hour nursing supervision. May include routine dressings, care of
casts, braces and splints.
When residents are asleep, what is the min inside temperature at
night?
68 degrees
When the outside temperature is 90 degrees or less, what is the
maximum inside temperature permitted?
Maximum indoor temperature is 85 degrees with mechanical cooling
devices
When it is hotter than 90 degrees outside- what temp must remain
inside at night and day?
81.
Maximum temperature allowed inside a resident space? As per EEC/
CEMP Hurricane Irma regulations.
90 degrees maximum indoor temp allowed.
What is the min sq ft required of living and dining space per resident
if the facility is not comprised of apartments?
35 sq ft
Those facilities also serving as adult day care centers must provide
an additional 35 sq ft of living space per adult day care client? true or
false
True
IF you also serve as an adult day care center how much extra space
per resident must you have?
extra 35 sq ft
,When calculating the minimum square footage requirements for living
and dining space who else besides residents MUST be included?
live-in staff and family members must be included in the ratio.
T/F ...ALF's must provide areas separate from bedrooms for activities
True
how much usable floor space, not including closet or bathroom
should be provided to a single occupancy?
80 sq ft
how much usable floor space, not including closet or bathroom
should be provided to a double occupancy?
60 sq ft per person. Total min 120 sqft
In an ALF, how many toilets and sinks, and bathtubs must there be
per person to accommodate all residents, live in staff and family
members.
1 sink: toilet per 6 people
1 bathtub per 8 people NEW for 2019
when you have 16 or less residents, do you have to have job
descriptions.
No, you do not
A resident room must have the following if provided by an ALF:
bed, no smaller than 36 inches wide and 72 inches long, a closet/
wardrobe/place to hang clothes, dresser, a table or nightstand, floor
or table lamp, waste basket and comfortable chair if requested.
Mandatory physical plant standards include:
no standing water; keeping all electrical mechanics in good working
order; keeping a set of master keys on the property at all times;
providing adequate clean non-stained, no rips/ tear linens/ laundry
services. Must have policy on bed bugs.
Legacy Facilities are...
, communities that have received certificate of occupancy before July
1, 2016 and comply with 1994 1995 editions of the National Fire
Protection Association , Life Safety Code NFPA 101 and NFPA 101A.
NFPA is
National Fire Protection Association
T/ F? Every facility shall post a copy of the last inspection report of
the agency for that facility in a prominent location within the facility
so as to be accessible to all residents and the public. Upon request,
the facility shall also provide a copy of the report to any resident or to
an applicant to the facility.
TRUE- 429.35 (3)
Fire evacuation capability determination must be completed when?
Within 6 months of becoming licensed as an ALF.
Resident bathrooms MUST have
a working door
T/ F Cooking operations in small legacy facilities (16 beds or less)
must comply with ventilation standards like bigger (17 or more beds)?
FALSE
Legacy facilities that are fully sprinklered must conduct how may fire
drills per year?
6 drills per year; NEW FOR 2019; if legacy facility is sprinklered and in
full compliance with AHJ- Authority having jurisdiction- usually the
fire marshall- then only need 1 drill b/w 11p-7am and can conduct the
second mandatory overnight drill before 11pm.
Legacy facilities that are NOT sprinklered must conduct how may fire
drills per year?
12 per year total with one monthly and at least 4 drills on each shift.
NEW FOR 2019
A sprinklered ALF that receives a certificate of occupancy on or after
July 1, 2016 must conduct how many fire drills per year and when?
6 drills per year with a min of 2 when residents are asleep.
