KANSAS ADULT CARE HOME OPERATOR (ACHO) EXAM PRACTICE TEST
300 QUESTIONS WITH VERIFIED ANSWERS & DETAILED RATIONALES
UPDATED FOR 2026 KDADS REGULATIONS
SECTION 1: LICENSING & REGULATORY FRAMEWORK (Questions 1–40)
1. Which agency is responsible for licensing and regulating Adult Care Homes in
Kansas?
A) Kansas Department of Health and Environment (KDHE)
B) Kansas Department for Aging and Disability Services (KDADS)
C) Kansas State Fire Marshal
D) County Health Department
Answer: B) Kansas Department for Aging and Disability Services (KDADS) is the
primary regulatory and licensing agency for Adult Care Homes in Kansas. KDADS
conducts inspections, enforces regulations, and issues licenses for facilities
including adult care homes, assisted living facilities, and home plus facilities.
2. What is the minimum age requirement to become an Adult Care Home
Operator (ACHO) in Kansas?
A) 18 years old
B) 19 years old
C) 21 years old
D) 25 years old
Answer: C) K.A.R. 26-43-101 requires that an operator or administrator be at
least 21 years of age. This ensures sufficient maturity and life experience to
manage a care facility.
3. How often must an Adult Care Home license be renewed in Kansas?
A) Every 6 months
B) Annually
C) Every 2 years
D) Every 3 years
1
, Answer: B) According to Kansas Administrative Regulations, an Adult Care Home
license must be renewed annually, on or before the expiration date specified on
the face of the license.
4. What is the maximum number of residents allowed in a Kansas Adult Care
Home?
A) 8
B) 10
C) 12
D) 16
Answer: B) A Kansas Adult Care Home can serve up to 10 residents. This
distinguishes them from larger assisted living facilities. For "Home Plus" facilities,
recent legislation (HB 2520) increased the cap from 12 to 16 residents.
5. Who issues the license for Adult Care Homes in Kansas?
A) County Health Department
B) Kansas Department for Aging and Disability Services (KDADS)
C) Federal Government
D) City Council
Answer: B) KDADS is the licensing agency for Adult Care Homes in Kansas and is
responsible for regulatory oversight.
6. What is the passing score required for the ACHO examination?
A) 70%
B) 75%
C) 80%
D) 85%
Answer: C) According to K.A.R. 26-39-503, a score of 80% or higher constitutes a
passing score. Individuals who fail may retake the test once with an alternative
version.
7. How many hours of annual continuing education are required for ACHOs?
A) 6 hours
2
, B) 10 hours
C) 12 hours
D) 15 hours
Answer: C) ACHOs are required to complete 12 hours of continuing education
annually. This typically includes core areas of Administration and Resident Care to
ensure operators stay current with regulations and best practices.
8. Background checks for ACHOs must include:
A) Criminal history only
B) Credit check only
C) Criminal history and adult abuse registry
D) Employment history only
Answer: C) Operators must undergo background checks that include criminal
history records and the adult abuse registry. Certain crimes involving abuse,
neglect, exploitation of vulnerable adults or children, or violent felonies can
disqualify an applicant.
9. What happens if an individual operates an Adult Care Home without a license?
A) Only a warning is issued
B) Civil infraction with fine only
C) Class B misdemeanor and possible closure
D) No penalty if care is adequate
Answer: C) Operating without a license in Kansas constitutes a Class B
misdemeanor and can result in facility closure. Operating without a valid license is
illegal and can result in fines or closure.
10. What is the definition of an "adult care home" in Kansas?
A) A facility that provides only independent living
B) A facility that provides room, board, and personal care for up to 10 unrelated
adults
C) A nursing facility with skilled nursing services
D) A hospital-based long-term care unit
3
, Answer: B) K.A.R. 26-43-101 defines an adult care home as a facility that
provides room, board, and personal care services to 10 or fewer unrelated adults,
who are not in need of skilled nursing care.
11. The license application fee for an Adult Care Home is established by:
A) Each county individually
B) The Kansas Legislature through statute
C) KDADS by regulation
D) The facility owner
Answer: C) The fee schedule is set by KDADS in regulations. As of 2026, the
initial application fee is approximately $200, and renewal fees are set annually.
12. Which of the following would disqualify a person from becoming an ACHO?
A) A minor traffic violation from 10 years ago
B) A conviction for elder abuse or neglect
C) A dismissed bankruptcy
D) A civil lawsuit for property damage
Answer: B) Any conviction for abuse, neglect, exploitation, or violent felony
against a vulnerable adult is an automatic disqualifier under K.A.R. 26-43-102.
13. How soon must the operator notify KDADS of a change in facility ownership?
A) Within 5 days
B) Within 10 days
C) Within 30 days
D) Within 60 days
Answer: C) K.A.R. 26-43-106 requires written notification to KDADS at least 30
days prior to a change of ownership, unless an emergency situation arises.
14. What is the maximum number of residents with Alzheimer's or dementia that
an adult care home may admit?
A) No restriction
B) Up to 2
C) Up to 4
4
300 QUESTIONS WITH VERIFIED ANSWERS & DETAILED RATIONALES
UPDATED FOR 2026 KDADS REGULATIONS
SECTION 1: LICENSING & REGULATORY FRAMEWORK (Questions 1–40)
1. Which agency is responsible for licensing and regulating Adult Care Homes in
Kansas?
A) Kansas Department of Health and Environment (KDHE)
B) Kansas Department for Aging and Disability Services (KDADS)
C) Kansas State Fire Marshal
D) County Health Department
Answer: B) Kansas Department for Aging and Disability Services (KDADS) is the
primary regulatory and licensing agency for Adult Care Homes in Kansas. KDADS
conducts inspections, enforces regulations, and issues licenses for facilities
including adult care homes, assisted living facilities, and home plus facilities.
2. What is the minimum age requirement to become an Adult Care Home
Operator (ACHO) in Kansas?
A) 18 years old
B) 19 years old
C) 21 years old
D) 25 years old
Answer: C) K.A.R. 26-43-101 requires that an operator or administrator be at
least 21 years of age. This ensures sufficient maturity and life experience to
manage a care facility.
3. How often must an Adult Care Home license be renewed in Kansas?
A) Every 6 months
B) Annually
C) Every 2 years
D) Every 3 years
1
, Answer: B) According to Kansas Administrative Regulations, an Adult Care Home
license must be renewed annually, on or before the expiration date specified on
the face of the license.
4. What is the maximum number of residents allowed in a Kansas Adult Care
Home?
A) 8
B) 10
C) 12
D) 16
Answer: B) A Kansas Adult Care Home can serve up to 10 residents. This
distinguishes them from larger assisted living facilities. For "Home Plus" facilities,
recent legislation (HB 2520) increased the cap from 12 to 16 residents.
5. Who issues the license for Adult Care Homes in Kansas?
A) County Health Department
B) Kansas Department for Aging and Disability Services (KDADS)
C) Federal Government
D) City Council
Answer: B) KDADS is the licensing agency for Adult Care Homes in Kansas and is
responsible for regulatory oversight.
6. What is the passing score required for the ACHO examination?
A) 70%
B) 75%
C) 80%
D) 85%
Answer: C) According to K.A.R. 26-39-503, a score of 80% or higher constitutes a
passing score. Individuals who fail may retake the test once with an alternative
version.
7. How many hours of annual continuing education are required for ACHOs?
A) 6 hours
2
, B) 10 hours
C) 12 hours
D) 15 hours
Answer: C) ACHOs are required to complete 12 hours of continuing education
annually. This typically includes core areas of Administration and Resident Care to
ensure operators stay current with regulations and best practices.
8. Background checks for ACHOs must include:
A) Criminal history only
B) Credit check only
C) Criminal history and adult abuse registry
D) Employment history only
Answer: C) Operators must undergo background checks that include criminal
history records and the adult abuse registry. Certain crimes involving abuse,
neglect, exploitation of vulnerable adults or children, or violent felonies can
disqualify an applicant.
9. What happens if an individual operates an Adult Care Home without a license?
A) Only a warning is issued
B) Civil infraction with fine only
C) Class B misdemeanor and possible closure
D) No penalty if care is adequate
Answer: C) Operating without a license in Kansas constitutes a Class B
misdemeanor and can result in facility closure. Operating without a valid license is
illegal and can result in fines or closure.
10. What is the definition of an "adult care home" in Kansas?
A) A facility that provides only independent living
B) A facility that provides room, board, and personal care for up to 10 unrelated
adults
C) A nursing facility with skilled nursing services
D) A hospital-based long-term care unit
3
, Answer: B) K.A.R. 26-43-101 defines an adult care home as a facility that
provides room, board, and personal care services to 10 or fewer unrelated adults,
who are not in need of skilled nursing care.
11. The license application fee for an Adult Care Home is established by:
A) Each county individually
B) The Kansas Legislature through statute
C) KDADS by regulation
D) The facility owner
Answer: C) The fee schedule is set by KDADS in regulations. As of 2026, the
initial application fee is approximately $200, and renewal fees are set annually.
12. Which of the following would disqualify a person from becoming an ACHO?
A) A minor traffic violation from 10 years ago
B) A conviction for elder abuse or neglect
C) A dismissed bankruptcy
D) A civil lawsuit for property damage
Answer: B) Any conviction for abuse, neglect, exploitation, or violent felony
against a vulnerable adult is an automatic disqualifier under K.A.R. 26-43-102.
13. How soon must the operator notify KDADS of a change in facility ownership?
A) Within 5 days
B) Within 10 days
C) Within 30 days
D) Within 60 days
Answer: C) K.A.R. 26-43-106 requires written notification to KDADS at least 30
days prior to a change of ownership, unless an emergency situation arises.
14. What is the maximum number of residents with Alzheimer's or dementia that
an adult care home may admit?
A) No restriction
B) Up to 2
C) Up to 4
4
