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KANSAS ADULT CARE HOME OPERATOR
(ACHO) EXAM PRACTICE ASSESSMENT |
QUESTIONS AND VERIFIED ANSWERS |
ALREADY GRADED A+ | Plus RATIONALES (3
SECTIONS)
Course Name: Adult Care Home Operator Certification Preparation
Subject: Kansas Adult Care Home Operations and Regulatory
Compliance
SECTION 1: QUESTIONS 1–50
1. Under Kansas law, what is the maximum resident capacity for a
"Home Plus" facility following recent legislation (HB 2520)?
A) 12 residents
B) 10 residents
C) 8 residents
D) 16 residents
❖ Rationale: Recent legislation (HB 2520) increased the cap for
Home Plus facilities from 12 to 16 residents. This legislative
change is critical for operators to know, as it affects facility
capacity planning, staffing requirements, and regulatory
compliance .
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2. Which Kansas agency is responsible for licensing adult care facilities
and registering operators?
A) Kansas Department of Health and Environment (KDHE)
B) Kansas Department for Aging and Disability Services (KDADS)
C) Kansas Department for Children and Families (DCF)
D) Kansas State Fire Marshal
❖ Rationale: KDADS is the regulatory authority responsible for
licensing assisted living facilities, residential health care facilities,
home plus facilities, boarding care homes, and adult day care
facilities in Kansas .
3. An operator fails to renew the facility license but continues
admitting residents. This is considered:
A) Civil infraction only
B) Misdemeanor and possible closure
C) Acceptable if care quality is maintained
D) Fine only with no other consequences
❖ Rationale: Operating without a license in Kansas constitutes a
Class B misdemeanor, and KDADS can pursue facility closure. This
underscores the operator's critical responsibility for maintaining
current licensure .
4. What is the minimum age requirement for an individual to serve as
an administrator or operator of an adult care home in Kansas?
A) 18 years old
B) 21 years old
C) 25 years old
D) No age requirement specified
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❖ Rationale: K.A.R. 26-41-101 requires that each licensee appoint an
administrator or operator who is at least 21 years of age,
possesses a high school diploma or equivalent, and holds a Kansas
license as an adult care home administrator or has completed an
operator training course and passed the approved test .
5. A resident with dementia attempts to leave the facility at night.
What should the operator do first?
A) Install a locked security gate immediately
B) Begin antipsychotic medication per standing orders
C) Conduct a person-centered risk assessment
D) Notify local law enforcement daily
❖ Rationale: Kansas regulations require a person-centered
assessment before implementing any restraint or limitation on
freedom of movement. The assessment must identify the
underlying cause of the behavior and explore less restrictive
alternatives .
6. How often must a Functional Capacity Screen (FCS) be completed
for residents?
A) Only upon admission
B) At least once every 365 days, following significant change, and at
least quarterly if receiving assistance with eating
C) Every 6 months
D) Every 2 years
❖ Rationale: The FCS must be completed at least once every 365
days, following any significant change in condition, and at least
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quarterly if the resident receives assistance with eating from a
paid nutrition assistant .
7. Which Kansas statute defines an adult care home?
A) K.S.A. 39-973 through 39-980
B) K.S.A. 39-923
C) K.S.A. 65-3501
D) K.S.A. 40-2400
❖ Rationale: K.S.A. 39-923 is the statute that defines adult care
homes in Kansas and establishes the requirements for facility
operation and operator qualifications .
8. Who can perform a Functional Capacity Screen (FCS) in an adult
care home?
A) Only a physician
B) Only a registered nurse
C) A licensed nurse, licensed social worker, or the
administrator/operator
D) Any staff member who has completed training
❖ Rationale: The FCS may be completed by a licensed nurse, a
licensed social worker, or the administrator/operator. A licensed
nurse must assess any resident whose FCS indicates the need for
health care services .
9. A competent resident refuses assistance with bathing. What should
staff do first?
A) Force the resident to comply for hygiene reasons
B) Document the refusal and attempt to understand the reason
KANSAS ADULT CARE HOME OPERATOR
(ACHO) EXAM PRACTICE ASSESSMENT |
QUESTIONS AND VERIFIED ANSWERS |
ALREADY GRADED A+ | Plus RATIONALES (3
SECTIONS)
Course Name: Adult Care Home Operator Certification Preparation
Subject: Kansas Adult Care Home Operations and Regulatory
Compliance
SECTION 1: QUESTIONS 1–50
1. Under Kansas law, what is the maximum resident capacity for a
"Home Plus" facility following recent legislation (HB 2520)?
A) 12 residents
B) 10 residents
C) 8 residents
D) 16 residents
❖ Rationale: Recent legislation (HB 2520) increased the cap for
Home Plus facilities from 12 to 16 residents. This legislative
change is critical for operators to know, as it affects facility
capacity planning, staffing requirements, and regulatory
compliance .
,Page 2 of 58
2. Which Kansas agency is responsible for licensing adult care facilities
and registering operators?
A) Kansas Department of Health and Environment (KDHE)
B) Kansas Department for Aging and Disability Services (KDADS)
C) Kansas Department for Children and Families (DCF)
D) Kansas State Fire Marshal
❖ Rationale: KDADS is the regulatory authority responsible for
licensing assisted living facilities, residential health care facilities,
home plus facilities, boarding care homes, and adult day care
facilities in Kansas .
3. An operator fails to renew the facility license but continues
admitting residents. This is considered:
A) Civil infraction only
B) Misdemeanor and possible closure
C) Acceptable if care quality is maintained
D) Fine only with no other consequences
❖ Rationale: Operating without a license in Kansas constitutes a
Class B misdemeanor, and KDADS can pursue facility closure. This
underscores the operator's critical responsibility for maintaining
current licensure .
4. What is the minimum age requirement for an individual to serve as
an administrator or operator of an adult care home in Kansas?
A) 18 years old
B) 21 years old
C) 25 years old
D) No age requirement specified
,Page 3 of 58
❖ Rationale: K.A.R. 26-41-101 requires that each licensee appoint an
administrator or operator who is at least 21 years of age,
possesses a high school diploma or equivalent, and holds a Kansas
license as an adult care home administrator or has completed an
operator training course and passed the approved test .
5. A resident with dementia attempts to leave the facility at night.
What should the operator do first?
A) Install a locked security gate immediately
B) Begin antipsychotic medication per standing orders
C) Conduct a person-centered risk assessment
D) Notify local law enforcement daily
❖ Rationale: Kansas regulations require a person-centered
assessment before implementing any restraint or limitation on
freedom of movement. The assessment must identify the
underlying cause of the behavior and explore less restrictive
alternatives .
6. How often must a Functional Capacity Screen (FCS) be completed
for residents?
A) Only upon admission
B) At least once every 365 days, following significant change, and at
least quarterly if receiving assistance with eating
C) Every 6 months
D) Every 2 years
❖ Rationale: The FCS must be completed at least once every 365
days, following any significant change in condition, and at least
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quarterly if the resident receives assistance with eating from a
paid nutrition assistant .
7. Which Kansas statute defines an adult care home?
A) K.S.A. 39-973 through 39-980
B) K.S.A. 39-923
C) K.S.A. 65-3501
D) K.S.A. 40-2400
❖ Rationale: K.S.A. 39-923 is the statute that defines adult care
homes in Kansas and establishes the requirements for facility
operation and operator qualifications .
8. Who can perform a Functional Capacity Screen (FCS) in an adult
care home?
A) Only a physician
B) Only a registered nurse
C) A licensed nurse, licensed social worker, or the
administrator/operator
D) Any staff member who has completed training
❖ Rationale: The FCS may be completed by a licensed nurse, a
licensed social worker, or the administrator/operator. A licensed
nurse must assess any resident whose FCS indicates the need for
health care services .
9. A competent resident refuses assistance with bathing. What should
staff do first?
A) Force the resident to comply for hygiene reasons
B) Document the refusal and attempt to understand the reason
