Assisted Living Facility Core Exam
(ALFCE) Exam Questions and Answers
When outside temperatures are 65°F (18°C) or below, you must maintain a
temperature of at least XX when residents are AWAKE. - ANSWER>>an indoor
temperature of at least 72°F (22°C) shall be maintained
AGENCY - ANSWER>>Agency for Health Care Administration
AGING IN PLACE - ANSWER>>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 - ANSWER>>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 - ANSWER>>Department of Elderly Affairs
EXTENDED CONGREGATE CARE - ANSWER>>means acts beyond personal services
/ ADL's may be performed by persons licensed under part 1 chapter 464. TOTAL
CARE
PERSONAL SERVICES / ADL's - ANSWER>>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 - ANSWER>>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? -
ANSWER>>68 degrees
When the outside temperature is 90 degrees or less, what is the maximum inside
temperature permitted? - ANSWER>>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? - ANSWER>>81.
Maximum temperature allowed inside a resident space? As per EEC/ CEMP
Hurricane Irma regulations. - ANSWER>>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? - ANSWER>>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 - ANSWER>>True
IF you also serve as an adult day care center how much extra space per resident
must you have? - ANSWER>>extra 35 sq ft
When calculating the minimum square footage requirements for living and dining
space who else besides residents MUST be included? - ANSWER>>live-in staff and
family members must be included in the ratio.
,T/F ...ALF's must provide areas separate from bedrooms for activities -
ANSWER>>True
how much usable floor space , not including closet or bathroom should be
provided to a single occupancy? - ANSWER>>80 sq ft
how much usable floor space , not including closet or bathroom should be
provided to a double occupancy? - ANSWER>>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. - ANSWER>>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. -
ANSWER>>No you do not
A resident room must have the following if provided by an ALF: - ANSWER>>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: - ANSWER>>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... - ANSWER>>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 - ANSWER>>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. - ANSWER>>TRUE- 429.35
(3)
Fire evacuation capability determination must be completed when? -
ANSWER>>Within 6 months of becoming licensed as an ALF.
Resident bathrooms MUST have - ANSWER>>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)? - ANSWER>>FALSE
Legacy facilities that are fully sprinklered must conduct how may fire drills per
year? - ANSWER>>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? - ANSWER>>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? - ANSWER>>6 drills per
year with a min of 2 when residents are asleep.
An ALF that receives a certificate of occupancy on or after July 1, 2016 must
comply with ____ fire standards? - ANSWER>>NFPA 101 and NFPA 101A current
editions
(ALFCE) Exam Questions and Answers
When outside temperatures are 65°F (18°C) or below, you must maintain a
temperature of at least XX when residents are AWAKE. - ANSWER>>an indoor
temperature of at least 72°F (22°C) shall be maintained
AGENCY - ANSWER>>Agency for Health Care Administration
AGING IN PLACE - ANSWER>>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 - ANSWER>>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 - ANSWER>>Department of Elderly Affairs
EXTENDED CONGREGATE CARE - ANSWER>>means acts beyond personal services
/ ADL's may be performed by persons licensed under part 1 chapter 464. TOTAL
CARE
PERSONAL SERVICES / ADL's - ANSWER>>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 - ANSWER>>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? -
ANSWER>>68 degrees
When the outside temperature is 90 degrees or less, what is the maximum inside
temperature permitted? - ANSWER>>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? - ANSWER>>81.
Maximum temperature allowed inside a resident space? As per EEC/ CEMP
Hurricane Irma regulations. - ANSWER>>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? - ANSWER>>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 - ANSWER>>True
IF you also serve as an adult day care center how much extra space per resident
must you have? - ANSWER>>extra 35 sq ft
When calculating the minimum square footage requirements for living and dining
space who else besides residents MUST be included? - ANSWER>>live-in staff and
family members must be included in the ratio.
,T/F ...ALF's must provide areas separate from bedrooms for activities -
ANSWER>>True
how much usable floor space , not including closet or bathroom should be
provided to a single occupancy? - ANSWER>>80 sq ft
how much usable floor space , not including closet or bathroom should be
provided to a double occupancy? - ANSWER>>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. - ANSWER>>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. -
ANSWER>>No you do not
A resident room must have the following if provided by an ALF: - ANSWER>>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: - ANSWER>>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... - ANSWER>>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 - ANSWER>>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. - ANSWER>>TRUE- 429.35
(3)
Fire evacuation capability determination must be completed when? -
ANSWER>>Within 6 months of becoming licensed as an ALF.
Resident bathrooms MUST have - ANSWER>>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)? - ANSWER>>FALSE
Legacy facilities that are fully sprinklered must conduct how may fire drills per
year? - ANSWER>>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? - ANSWER>>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? - ANSWER>>6 drills per
year with a min of 2 when residents are asleep.
An ALF that receives a certificate of occupancy on or after July 1, 2016 must
comply with ____ fire standards? - ANSWER>>NFPA 101 and NFPA 101A current
editions
