1
Florida ALF Core Training Test 2 – Practice Exam
2026/2027 Newest Edition
Section 1: Laws, Rules & Licensing (Questions 1–25)
1. Which state agency is responsible for licensing and regulating Assisted Living Facilities in
Florida?
A. Department of Elder Affairs (DOEA)
B. Agency for Health Care Administration (AHCA)
C. Department of Children and Families (DCF)
D. Local county health department
Answer: B
Rationale: AHCA is the primary licensing and regulatory agency for ALFs under Chapter 429,
Florida Statutes, and Chapter 59A-36, F.A.C. .
2. Under Florida law, an Assisted Living Facility is defined as a building that provides
housing, meals, and one or more personal services exceeding 24 hours to how many
adults who are not relatives?
A. One or more adults
B. Two or more adults
C. Three or more adults
D. Five or more adults
Answer: A
Rationale: Florida law defines an ALF as providing housing, meals, and personal services to
one or more adults who are not relatives of the owner .
3. Which of the following is NOT a specialty license type for an ALF in Florida?
A. LMH (Limited Mental Health)
B. LNS (Limited Nursing Services)
C. ECC (Extended Congregate Care)
D. AFCH (Adult Family Care Home)
Answer: D
Rationale: The specialty licenses for an ALF are LMH, LNS, and ECC. AFCH is a separate
facility type, not an ALF specialty license .
4. What does LNS stand for?
A. Limited Nursing Services
B. Licensed Nursing Services
C. Long-term Nursing Services
D. Low Nursing Services
, 2
Answer: A
Rationale: LNS stands for Limited Nursing Services, which allows for limited nursing services
beyond the standard ALF level of care .
5. What does ECC stand for?
A. Extended Congregate Care
B. Elderly Congregate Care
C. Extended Community Care
D. Enhanced Clinical Care
Answer: A
Rationale: ECC stands for Extended Congregate Care, the most comprehensive ALF specialty
license .
6. How often must an ALF license be renewed in Florida?
A. Annually
B. Every 18 months
C. Every 2 years
D. Every 3 years
Answer: C
Rationale: An ALF license must be renewed every 2 years. This biennial renewal ensures
ongoing compliance .
7. A new owner wants to continue operating an ALF under the same license number. What
action is required?
A. No action needed if the physical plant is unchanged
B. The license automatically transfers after 30 days
C. Only a local business tax receipt needs updating
D. The new owner must apply for a change of ownership and obtain AHCA approval
Answer: D
Rationale: Florida law requires a change-of-ownership application and AHCA approval
before a new owner may operate under an ALF license. Licenses do not automatically
transfer .
8. An ALF wants to admit a resident requiring intermittent nursing services beyond the
standard license. What must the administrator determine?
A. A skilled nursing facility license is required
B. Whether the facility holds LNS or ECC authorization
C. Only a home health agency license is needed
D. No special authorization is ever required
, 3
Answer: B
Rationale: Florida ALFs may provide limited nursing services or extended congregate care
only when specifically licensed or authorized for those levels .
9. How long must an ALF retain fire safety inspection reports under Florida record-keeping
expectations?
A. 30 days after the survey is closed
B. At least the period required by rule (commonly 2-5 years)
C. Only until the next license renewal
D. Documents may be discarded immediately after the surveyor leaves
Answer: B
Rationale: Florida ALF rules require retention of inspection reports and other regulatory
documents for prescribed periods, commonly 2-5 years depending on document type .
10. A facility administrator receives a notice of intent to impose an administrative fine for
a Class II deficiency. What is the first procedural step?
A. Ignore the notice because Class II deficiencies never carry fines
B. Immediately close the facility
C. Review the notice, gather documentation, and exercise the right to an informal
conference or formal hearing
D. Pay the fine without reviewing it
Answer: C
Rationale: The administrator should review the notice, gather documentation, and exercise
the right to an informal conference or formal hearing as provided by law .
11. Which Florida Administrative Code chapter contains the specific licensing and
operational standards for ALFs?
A. 59A-4
B. 58A-5
C. 59A-35
D. 64B-8
Answer: B
Rationale: Rule 58A-5, F.A.C., contains the ALF-specific licensing and operational standards.
Chapter 59A-4 applies to nursing homes .
12. The primary statutory purpose of Florida's Assisted Living Facilities Act is to:
A. Require all residents to receive skilled nursing services
B. Establish nursing-home-level care in every ALF
C. Promote appropriate services in the least restrictive and most homelike environment
Florida ALF Core Training Test 2 – Practice Exam
2026/2027 Newest Edition
Section 1: Laws, Rules & Licensing (Questions 1–25)
1. Which state agency is responsible for licensing and regulating Assisted Living Facilities in
Florida?
A. Department of Elder Affairs (DOEA)
B. Agency for Health Care Administration (AHCA)
C. Department of Children and Families (DCF)
D. Local county health department
Answer: B
Rationale: AHCA is the primary licensing and regulatory agency for ALFs under Chapter 429,
Florida Statutes, and Chapter 59A-36, F.A.C. .
2. Under Florida law, an Assisted Living Facility is defined as a building that provides
housing, meals, and one or more personal services exceeding 24 hours to how many
adults who are not relatives?
A. One or more adults
B. Two or more adults
C. Three or more adults
D. Five or more adults
Answer: A
Rationale: Florida law defines an ALF as providing housing, meals, and personal services to
one or more adults who are not relatives of the owner .
3. Which of the following is NOT a specialty license type for an ALF in Florida?
A. LMH (Limited Mental Health)
B. LNS (Limited Nursing Services)
C. ECC (Extended Congregate Care)
D. AFCH (Adult Family Care Home)
Answer: D
Rationale: The specialty licenses for an ALF are LMH, LNS, and ECC. AFCH is a separate
facility type, not an ALF specialty license .
4. What does LNS stand for?
A. Limited Nursing Services
B. Licensed Nursing Services
C. Long-term Nursing Services
D. Low Nursing Services
, 2
Answer: A
Rationale: LNS stands for Limited Nursing Services, which allows for limited nursing services
beyond the standard ALF level of care .
5. What does ECC stand for?
A. Extended Congregate Care
B. Elderly Congregate Care
C. Extended Community Care
D. Enhanced Clinical Care
Answer: A
Rationale: ECC stands for Extended Congregate Care, the most comprehensive ALF specialty
license .
6. How often must an ALF license be renewed in Florida?
A. Annually
B. Every 18 months
C. Every 2 years
D. Every 3 years
Answer: C
Rationale: An ALF license must be renewed every 2 years. This biennial renewal ensures
ongoing compliance .
7. A new owner wants to continue operating an ALF under the same license number. What
action is required?
A. No action needed if the physical plant is unchanged
B. The license automatically transfers after 30 days
C. Only a local business tax receipt needs updating
D. The new owner must apply for a change of ownership and obtain AHCA approval
Answer: D
Rationale: Florida law requires a change-of-ownership application and AHCA approval
before a new owner may operate under an ALF license. Licenses do not automatically
transfer .
8. An ALF wants to admit a resident requiring intermittent nursing services beyond the
standard license. What must the administrator determine?
A. A skilled nursing facility license is required
B. Whether the facility holds LNS or ECC authorization
C. Only a home health agency license is needed
D. No special authorization is ever required
, 3
Answer: B
Rationale: Florida ALFs may provide limited nursing services or extended congregate care
only when specifically licensed or authorized for those levels .
9. How long must an ALF retain fire safety inspection reports under Florida record-keeping
expectations?
A. 30 days after the survey is closed
B. At least the period required by rule (commonly 2-5 years)
C. Only until the next license renewal
D. Documents may be discarded immediately after the surveyor leaves
Answer: B
Rationale: Florida ALF rules require retention of inspection reports and other regulatory
documents for prescribed periods, commonly 2-5 years depending on document type .
10. A facility administrator receives a notice of intent to impose an administrative fine for
a Class II deficiency. What is the first procedural step?
A. Ignore the notice because Class II deficiencies never carry fines
B. Immediately close the facility
C. Review the notice, gather documentation, and exercise the right to an informal
conference or formal hearing
D. Pay the fine without reviewing it
Answer: C
Rationale: The administrator should review the notice, gather documentation, and exercise
the right to an informal conference or formal hearing as provided by law .
11. Which Florida Administrative Code chapter contains the specific licensing and
operational standards for ALFs?
A. 59A-4
B. 58A-5
C. 59A-35
D. 64B-8
Answer: B
Rationale: Rule 58A-5, F.A.C., contains the ALF-specific licensing and operational standards.
Chapter 59A-4 applies to nursing homes .
12. The primary statutory purpose of Florida's Assisted Living Facilities Act is to:
A. Require all residents to receive skilled nursing services
B. Establish nursing-home-level care in every ALF
C. Promote appropriate services in the least restrictive and most homelike environment
