Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 2026/2027 | Page 1 | Passing Score: 75%
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
Florida ALF Core Study Guide Jan 2026/2027
Questions & Answers Already Passed!! 2026/2027
ASSISTED LIVING FACILITY CORE · Official Exam 2026/2027
100 75% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Florida Statutes & Rules Governing ALFs Q1-20
Section 2 Resident Rights, Advocacy & Grievance Procedures Q21-40
Section 3 Admission, Assessment & Care Planning Q41-60
Section 4 Medication Management & Administration Q61-80
Section 5 Safety, Emergency Preparedness & Facility Operations Q81-100
Instructions: Select the single best answer for each question. This exam is designed for Florida
Assisted Living Facility Core certification preparation. Passing score: 75% (75 questions correct).
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 1 of 35
, SEC 1 | Florida Statutes & Rules Gover... | Q1-Q20 | ALF Core 2026/2027
Q1 Question 1 of 100
A 72-year-old resident in a Florida assisted living facility with a standard license wishes to remain in
the facility despite developing a condition requiring continuous nursing care. The facility
administrator reviews Chapter 429, Florida Statutes, to determine whether the resident may
continue residing there. Under what specific circumstance may a standard-licensed ALF resident
remain when continuous nursing care is needed?
A. The resident qualifies for a limited nursing service exemption under a written care
plan approved by a physician and the facility meets staffing requirements
B. The resident may remain indefinitely as long as the family provides daily nursing visits at their
own expense
C. The resident must be transferred to a nursing home within 48 hours of the nursing care
determination
D. The facility may keep the resident only if the county health department grants a special
variance
Correct Answer: A
Rationale:
Under Florida Statute 429.255 and Rule 58A-5.0182, a standard-licensed ALF may provide limited nursing services
under specific conditions including a physician-approved care plan, adequate staffing, and informed consent.
Indefinite family-provided nursing does not satisfy statutory requirements, and mandatory transfer within 48 hours
applies only when the facility cannot meet the resident's needs under the limited nursing service exception.
Q2 Question 2 of 100
A new assisted living facility in Florida is applying for a specialty license to serve residents with
Alzheimer's disease and related disorders. The administrator is reviewing the additional
requirements under Chapter 58A-5.019, F.A.C. Which requirement is specific to the limited mental
health specialty license and not required for the limited Alzheimer's license?
A. Staff completion of a six-hour Alzheimer's disease training course within the first three
months of employment
B. A community living arrangement with mental health treatment services and a
managing entity agreement
C. Secure perimeter doors with delayed egress hardware and wander management technology
D. A minimum staff-to-resident ratio of one direct care staff per five residents during awake
hours
Correct Answer: B
Rationale:
The limited mental health specialty license under Rule 58A-5.019 requires a community living arrangement that
provides mental health treatment services through a managing entity agreement, which is not a requirement for the
limited Alzheimer's license. Alzheimer's-specific training and secure perimeter requirements apply to the limited
Alzheimer's license rather than the mental health specialty.
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 2 of 35
,Q3 Question 3 of 100
An assisted living facility administrator in Florida is reviewing the definition of 'assistance with
activities of daily living' under Section 429.02, Florida Statutes. A resident's family member
questions what level of assistance the facility is legally permitted to provide for bathing and dressing.
Which statement most accurately reflects the statutory definition?
A. The facility may provide total care for all activities of daily living including complete bed baths
and full dressing assistance
B. The facility may only provide verbal cues and reminders for ADLs but no physical hands-on
assistance
C. Assistance includes supervision, verbal cueing, stand-by assistance, and hands-on
physical help with bathing, dressing, and other personal care tasks
D. The facility may assist with bathing but dressing assistance requires a separate home health
agency agreement
Correct Answer: C
Rationale:
Section 429.02(5) defines assistance with activities of daily living to include individual supervision, verbal cueing,
stand-by assistance, and hands-on physical assistance with personal care tasks such as bathing and dressing. Total
care exceeds the ALF scope, and verbal-only assistance is too restrictive under the statutory definition.
Q4 Question 4 of 100
A Florida ALF administrator receives notice that the Agency for Health Care Administration plans to
conduct an annual inspection. The administrator wants to understand the survey process under
Section 429.19, F.S. Which statement about the AHCA survey process is correct?
A. Annual surveys are conducted only when a complaint has been filed against the facility
B. The facility must receive at least 30 days written notice before any inspection occurs
C. AHCA conducts unannounced inspections at least annually and may conduct follow-up visits
as needed to verify compliance
D. Annual surveys are limited to reviewing medication administration records and do not
include resident interviews
Correct Answer: D
Rationale:
Under Section 429.19, AHCA conducts unannounced surveys at least annually to assess compliance with all
applicable standards, including resident interviews, record reviews, and physical plant inspections. Complaints trigger
additional surveys, but annual inspections occur regardless of complaint history, and no advance notice is required.
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 3 of 35
, Q5 Question 5 of 100
A 68-year-old resident in a Florida ALF requests to move out and return to her daughter's home.
The facility administrator is uncertain about the proper discharge procedures under Chapter
58A-5.025, F.A.C. Which procedure must the facility follow when a resident voluntarily discharges?
A. Document the voluntary discharge, provide the resident with a 30-day notice of
discharge rights, and ensure a discharge plan is developed with appropriate referrals
B. The facility may discharge the resident immediately upon request without any documentation
or planning
C. The facility must obtain AHCA approval before allowing any voluntary discharge
D. The facility must notify the ombudsman and wait 10 business days before the resident may
leave
Correct Answer: A
Rationale:
Rule 58A-5.025 requires that even voluntary discharges must be documented, the resident must receive notice of
discharge rights, and a discharge plan with appropriate referrals must be developed. Immediate discharge without
documentation violates regulatory requirements, and neither AHCA approval nor ombudsman notification is required
for voluntary discharges.
Q6 Question 6 of 100
A Florida ALF administrator is reviewing the facility's license renewal application and discovers that
one of the required background screening results for a newly hired caregiver has not yet been
returned by the Florida Department of Law Enforcement. Under Chapter 435, F.S., and Rule
58A-5.0191, F.A.C., what is the proper course of action?
A. The caregiver may begin working immediately as long as the background screening
application has been submitted
B. The caregiver may not begin working until the background screening results have
been received and cleared
C. The caregiver may work under direct supervision for up to 60 days while awaiting screening
results
D. The caregiver may begin working if two professional references confirm good moral
character
Correct Answer: B
Rationale:
Florida law under Chapter 435 and ALF rules require that background screening results must be received and
cleared before a caregiver may have any direct contact with residents. Working under supervision or pending results
is not permitted, and professional references cannot substitute for the statutory background screening requirement.
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 4 of 35
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
Florida ALF Core Study Guide Jan 2026/2027
Questions & Answers Already Passed!! 2026/2027
ASSISTED LIVING FACILITY CORE · Official Exam 2026/2027
100 75% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Florida Statutes & Rules Governing ALFs Q1-20
Section 2 Resident Rights, Advocacy & Grievance Procedures Q21-40
Section 3 Admission, Assessment & Care Planning Q41-60
Section 4 Medication Management & Administration Q61-80
Section 5 Safety, Emergency Preparedness & Facility Operations Q81-100
Instructions: Select the single best answer for each question. This exam is designed for Florida
Assisted Living Facility Core certification preparation. Passing score: 75% (75 questions correct).
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 1 of 35
, SEC 1 | Florida Statutes & Rules Gover... | Q1-Q20 | ALF Core 2026/2027
Q1 Question 1 of 100
A 72-year-old resident in a Florida assisted living facility with a standard license wishes to remain in
the facility despite developing a condition requiring continuous nursing care. The facility
administrator reviews Chapter 429, Florida Statutes, to determine whether the resident may
continue residing there. Under what specific circumstance may a standard-licensed ALF resident
remain when continuous nursing care is needed?
A. The resident qualifies for a limited nursing service exemption under a written care
plan approved by a physician and the facility meets staffing requirements
B. The resident may remain indefinitely as long as the family provides daily nursing visits at their
own expense
C. The resident must be transferred to a nursing home within 48 hours of the nursing care
determination
D. The facility may keep the resident only if the county health department grants a special
variance
Correct Answer: A
Rationale:
Under Florida Statute 429.255 and Rule 58A-5.0182, a standard-licensed ALF may provide limited nursing services
under specific conditions including a physician-approved care plan, adequate staffing, and informed consent.
Indefinite family-provided nursing does not satisfy statutory requirements, and mandatory transfer within 48 hours
applies only when the facility cannot meet the resident's needs under the limited nursing service exception.
Q2 Question 2 of 100
A new assisted living facility in Florida is applying for a specialty license to serve residents with
Alzheimer's disease and related disorders. The administrator is reviewing the additional
requirements under Chapter 58A-5.019, F.A.C. Which requirement is specific to the limited mental
health specialty license and not required for the limited Alzheimer's license?
A. Staff completion of a six-hour Alzheimer's disease training course within the first three
months of employment
B. A community living arrangement with mental health treatment services and a
managing entity agreement
C. Secure perimeter doors with delayed egress hardware and wander management technology
D. A minimum staff-to-resident ratio of one direct care staff per five residents during awake
hours
Correct Answer: B
Rationale:
The limited mental health specialty license under Rule 58A-5.019 requires a community living arrangement that
provides mental health treatment services through a managing entity agreement, which is not a requirement for the
limited Alzheimer's license. Alzheimer's-specific training and secure perimeter requirements apply to the limited
Alzheimer's license rather than the mental health specialty.
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 2 of 35
,Q3 Question 3 of 100
An assisted living facility administrator in Florida is reviewing the definition of 'assistance with
activities of daily living' under Section 429.02, Florida Statutes. A resident's family member
questions what level of assistance the facility is legally permitted to provide for bathing and dressing.
Which statement most accurately reflects the statutory definition?
A. The facility may provide total care for all activities of daily living including complete bed baths
and full dressing assistance
B. The facility may only provide verbal cues and reminders for ADLs but no physical hands-on
assistance
C. Assistance includes supervision, verbal cueing, stand-by assistance, and hands-on
physical help with bathing, dressing, and other personal care tasks
D. The facility may assist with bathing but dressing assistance requires a separate home health
agency agreement
Correct Answer: C
Rationale:
Section 429.02(5) defines assistance with activities of daily living to include individual supervision, verbal cueing,
stand-by assistance, and hands-on physical assistance with personal care tasks such as bathing and dressing. Total
care exceeds the ALF scope, and verbal-only assistance is too restrictive under the statutory definition.
Q4 Question 4 of 100
A Florida ALF administrator receives notice that the Agency for Health Care Administration plans to
conduct an annual inspection. The administrator wants to understand the survey process under
Section 429.19, F.S. Which statement about the AHCA survey process is correct?
A. Annual surveys are conducted only when a complaint has been filed against the facility
B. The facility must receive at least 30 days written notice before any inspection occurs
C. AHCA conducts unannounced inspections at least annually and may conduct follow-up visits
as needed to verify compliance
D. Annual surveys are limited to reviewing medication administration records and do not
include resident interviews
Correct Answer: D
Rationale:
Under Section 429.19, AHCA conducts unannounced surveys at least annually to assess compliance with all
applicable standards, including resident interviews, record reviews, and physical plant inspections. Complaints trigger
additional surveys, but annual inspections occur regardless of complaint history, and no advance notice is required.
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 3 of 35
, Q5 Question 5 of 100
A 68-year-old resident in a Florida ALF requests to move out and return to her daughter's home.
The facility administrator is uncertain about the proper discharge procedures under Chapter
58A-5.025, F.A.C. Which procedure must the facility follow when a resident voluntarily discharges?
A. Document the voluntary discharge, provide the resident with a 30-day notice of
discharge rights, and ensure a discharge plan is developed with appropriate referrals
B. The facility may discharge the resident immediately upon request without any documentation
or planning
C. The facility must obtain AHCA approval before allowing any voluntary discharge
D. The facility must notify the ombudsman and wait 10 business days before the resident may
leave
Correct Answer: A
Rationale:
Rule 58A-5.025 requires that even voluntary discharges must be documented, the resident must receive notice of
discharge rights, and a discharge plan with appropriate referrals must be developed. Immediate discharge without
documentation violates regulatory requirements, and neither AHCA approval nor ombudsman notification is required
for voluntary discharges.
Q6 Question 6 of 100
A Florida ALF administrator is reviewing the facility's license renewal application and discovers that
one of the required background screening results for a newly hired caregiver has not yet been
returned by the Florida Department of Law Enforcement. Under Chapter 435, F.S., and Rule
58A-5.0191, F.A.C., what is the proper course of action?
A. The caregiver may begin working immediately as long as the background screening
application has been submitted
B. The caregiver may not begin working until the background screening results have
been received and cleared
C. The caregiver may work under direct supervision for up to 60 days while awaiting screening
results
D. The caregiver may begin working if two professional references confirm good moral
character
Correct Answer: B
Rationale:
Florida law under Chapter 435 and ALF rules require that background screening results must be received and
cleared before a caregiver may have any direct contact with residents. Working under supervision or pending results
is not permitted, and professional references cannot substitute for the statutory background screening requirement.
Florida ALF Core Study Guide Jan 2026/2027 Questions & Answers Already Passed!! 2026/2027 - 2026/2027 | Passing Score: 75% | Page 4 of 35
