PLUS RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
SECTION ONE: QUESTIONS 1-50
1. An administrator at a 15-bed Adult Residential Facility (ARF) is reviewing the fire clearance requirements. Which
of the following statements accurately reflects the facility's obligation regarding fire safety?
A. A fire clearance is required only at the time of initial licensure and must be renewed every three years.
B. The facility must have a fire clearance from the local fire authority or the State Fire Marshal prior to licensure and
whenever there is a change of location or floor plan.
C. Fire clearances are the sole responsibility of the local fire department and the administrator is only required to
keep a copy of the inspection report on file.
D. A fire clearance is not required for facilities serving fewer than 16 residents, as they are classified as single-family
dwellings.
Correct Answer: B. The facility must have a fire clearance from the local fire authority or the State Fire Marshal
prior to licensure and whenever there is a change of location or floor plan.
Rationale: Title 22 regulations mandate that a fire clearance is a prerequisite for licensure. This ensures the physical
plant meets fire safety standards for the protection of residents. A new clearance is required if the facility changes its
physical location or significantly alters its floor plan, which could impact evacuation routes and fire safety systems.
,Options A and D are incorrect because a clearance is not required on a regular three-year cycle but only upon specific
triggering events, and size does not exempt a facility from this requirement. Option C is incorrect because while the fire
authority performs the inspection, the licensee is ultimately responsible for ensuring compliance and obtaining the
clearance.**
2. During an unannounced annual visit, a licensing program analyst (LPA) requests to see the personnel records
for all staff. The administrator must ensure which of the following documents is present in each staff file to
comply with regulations?
A. A copy of the staff member's high school diploma or GED.
B. A signed and dated statement by the staff member that they have received and understood the facility's plan for
providing care.
C. A criminal record clearance or exemption, a health screening report, and a record of training.
D. A performance evaluation conducted by a licensed psychologist within the last six months.
Correct Answer: C. A criminal record clearance or exemption, a health screening report, and a record of training.
Rationale: Title 22, Division 6, requires specific, mandatory documents in personnel files to ensure staff are qualified,
healthy, and have no prohibitive criminal history. These are foundational for resident safety. Options A and D are not
,universally required for all staff positions in an ARF. Option B, while good practice, is not a specific mandated document
to be kept in the personnel file.**
3. Which of the following situations would be considered a reportable "unusual incident" that must be
documented and reported to the licensing agency within the prescribed timeframe?
A. A resident refuses to participate in the afternoon recreational activity.
B. A resident's personal belongings are misplaced and found two hours later.
C. A resident sustains a minor abrasion on their arm from a tree branch while gardening.
D. A resident with a known history of wandering leaves the facility premises unattended.
Correct Answer: D. A resident with a known history of wandering leaves the facility premises unattended.
Rationale: An unusual incident is an event that threatens the physical or emotional well-being of a resident. A resident
with a history of wandering leaving the premises unattended constitutes a significant safety risk and a loss of
supervision, fitting the definition of a serious incident requiring immediate reporting. Options A, B, and C, while
requiring documentation, do not typically rise to the level of a reportable "unusual incident" as they do not represent
an immediate threat to health or safety in the same manner.**
, 4. The administrator is developing the facility's disaster preparedness plan. In compliance with California
regulations, the plan must specifically address provisions for which of the following?
A. Relocation of residents to a hotel during a short-term power outage.
B. Evacuation, sheltering in place, and continuity of care for residents.
C. The financial reimbursement process for residents' families after an event.
D. Temporary closing of the facility for up to 30 days without notice to the licensing agency.
Correct Answer: B. Evacuation, sheltering in place, and continuity of care for residents.
Rationale: California regulations require ARFs to have a written disaster plan that outlines specific procedures for a
variety of potential emergencies. This plan must detail how the facility will respond to ensure the safety and care of
residents during disasters, including evacuation plans, sheltering-in-place protocols, and continuity of operations.
Options A, C, and D are not core regulatory requirements for a disaster plan.**
5. An administrator is interviewing a new applicant for a direct care staff position. During the interview, which of
the following is an appropriate question to ask, in compliance with fair employment practices?
A. "Do you have any children at home that might interfere with your work schedule?"
B. "Are you able to lift and transfer a resident weighing up to 150 pounds with assistance?"