1
ARF (General Licensing Requirements)
A civil penalty shall be imposed if a facility is? (2) - ANS Unlicensed and operator
refuses to seek licensure or application is denied and continues to operate unlicensed
R
facility.
E
A criminal record clearance shall be applicable to all of the following people? (5) -
ANS 1.The applicant
2. Administrator of facility
H
3. Any person other than client, residing in facility. 4. Any staff person, volunteer or
employee in contact with clients.
G
5. If applicant is firm, the CEO and like persons.
I
A Disaster and Mass Casualty Plan shall include? - ANS 1. Designation of admin
authority and staff assignments.
H
2. Means of exiting
3. Transportation arrangements
G
4. Relocation sites and contacting local agencies.
A fee that represents 50% of the established fee will be charged for the following? -
N
ANS When exiting licensee moves facility to a new physical address.
I
A licensee shall submit fingerprints prior to the individuals what in facility? - ANS
Employment, Volunteering, Residence or Initial presence at a care facility
LY
A need and services plan is to be updated how often? - ANS As often as
necessary to assure accuracy, but at least annually.
F
Administrator shall have what qualifications? - ANS 1. Be at least 18 years of age
2. Knowledge of requirements for providing care for clients
3. Ability to comply with laws and regulations
4. Ability to establish facility policy, program and budget
5. Recruit, employ, train and evaluate staff
Admission agreements must specify what in them? (5) - ANS 1.Basic services
and optional services
2. Payment provisions, incl. basic rate, payor and due date.
3. modification conditions, icl. 30 day notice to client of basic rate change.
, 2
4. Refund conditions
5. Conditions under which agreement may be terminated.
After issuance of a license or special permit, department shall conduct an inspection of
facility within how many days? - ANS 90 days
After written application, licensing agency shall have authority to issue single license for
R
separate buildings provided the following requirements are met? (3) - ANS 1.
E
Separate buildings or portions of facility are integral components of single program.
2. All components of program are managed by same licensee.
3. All components of program are conducted at a single site with a common address.
H
All facilities shall have what service on premises? - ANS Telephone
G
All foods or beverages shall be stored at temperature to prevent growth of
I
microorganisms? - ANS 45 degrees F or less
H
All individuals subject to a criminal record review shall be? - ANS Fingerprinted
and sign a Criminal record statement.
G
All penalties shall be due and payable upon receipt of the Notice for Payment in what
form? - ANS Paid by check or money order
IN
All personnel shall be given on the job training or have related experience in what
areas? - ANS 1. Principles of nutrition, food preparation and storage and menu
planning.
Y
2. Housekeeping and sanitation principles
L
3. Provision of client care and supervision
4. Assistance with prescribed medications that are self administered.
F
5. Recognition of early signs of illness and need for professional assistance.
All personnel, including the licensee, administrator and volunteers shall have a health
screening and TB test within what time frame. - ANS Not more than 1 year to OR
7 day after employment.
Ammunition shall be what from firearms? - ANS Locked separately
An admission agreement shall be automatically terminated in which situation? - ANS
Death of the client
, 3
An AED shall be permitted in care facility, if all the following requirements are met? -
ANS 1.Licensee notifies licensing agency in writing that AED will be used in facility in
accordance with laws
2. Copy of physicians prescription for the AED
3. Training manual or AED training class
4. Log of checks of operation of AED
5. Copy of AED operators certificate for employees authorized to use AED
ER
An unlicensed facility operator or representative shall have the right to appeal the
penalty assessment within how many days? - ANS 10 working days
H
Any changes in the organization, or change in licensees or applicants mailing address
or change in CEO shall be reported to licensing within how many days? - ANS 10
G
working days
I
Applicant shall notify licensing agency and have approved fire clearance prior to
acception which clients? - ANS Persons 65 of age and over
H
Persons who are non ambulatory
G
Assistance with self administration does not include what to client? - ANS Forcing
to take meds, hiding or camouflaging meds in other substances without knowledge of
client
IN
At a minimum, a follow up visit shall be conducted with how many working days
following dates of corrections in the notice? - ANS 10 working days
Y
Cash resources entrusted to licensee and kept on facility premises shall be be kept in
L
a? - ANS Locked and secure location
F
Child abuse can be punishable by imprisonment in county jail for how long? - ANS
No exceeding 1 year
Client Records must contain what information? - ANS 1. Name, DOB, sex,
admission date
2. Info of authorized representative
3. Copy of admission agreement
4. Info of all related health providers
5. Medical Assessment
6. Record of any injury, illness being treated
7. All medication being given and instructions
ARF (General Licensing Requirements)
A civil penalty shall be imposed if a facility is? (2) - ANS Unlicensed and operator
refuses to seek licensure or application is denied and continues to operate unlicensed
R
facility.
E
A criminal record clearance shall be applicable to all of the following people? (5) -
ANS 1.The applicant
2. Administrator of facility
H
3. Any person other than client, residing in facility. 4. Any staff person, volunteer or
employee in contact with clients.
G
5. If applicant is firm, the CEO and like persons.
I
A Disaster and Mass Casualty Plan shall include? - ANS 1. Designation of admin
authority and staff assignments.
H
2. Means of exiting
3. Transportation arrangements
G
4. Relocation sites and contacting local agencies.
A fee that represents 50% of the established fee will be charged for the following? -
N
ANS When exiting licensee moves facility to a new physical address.
I
A licensee shall submit fingerprints prior to the individuals what in facility? - ANS
Employment, Volunteering, Residence or Initial presence at a care facility
LY
A need and services plan is to be updated how often? - ANS As often as
necessary to assure accuracy, but at least annually.
F
Administrator shall have what qualifications? - ANS 1. Be at least 18 years of age
2. Knowledge of requirements for providing care for clients
3. Ability to comply with laws and regulations
4. Ability to establish facility policy, program and budget
5. Recruit, employ, train and evaluate staff
Admission agreements must specify what in them? (5) - ANS 1.Basic services
and optional services
2. Payment provisions, incl. basic rate, payor and due date.
3. modification conditions, icl. 30 day notice to client of basic rate change.
, 2
4. Refund conditions
5. Conditions under which agreement may be terminated.
After issuance of a license or special permit, department shall conduct an inspection of
facility within how many days? - ANS 90 days
After written application, licensing agency shall have authority to issue single license for
R
separate buildings provided the following requirements are met? (3) - ANS 1.
E
Separate buildings or portions of facility are integral components of single program.
2. All components of program are managed by same licensee.
3. All components of program are conducted at a single site with a common address.
H
All facilities shall have what service on premises? - ANS Telephone
G
All foods or beverages shall be stored at temperature to prevent growth of
I
microorganisms? - ANS 45 degrees F or less
H
All individuals subject to a criminal record review shall be? - ANS Fingerprinted
and sign a Criminal record statement.
G
All penalties shall be due and payable upon receipt of the Notice for Payment in what
form? - ANS Paid by check or money order
IN
All personnel shall be given on the job training or have related experience in what
areas? - ANS 1. Principles of nutrition, food preparation and storage and menu
planning.
Y
2. Housekeeping and sanitation principles
L
3. Provision of client care and supervision
4. Assistance with prescribed medications that are self administered.
F
5. Recognition of early signs of illness and need for professional assistance.
All personnel, including the licensee, administrator and volunteers shall have a health
screening and TB test within what time frame. - ANS Not more than 1 year to OR
7 day after employment.
Ammunition shall be what from firearms? - ANS Locked separately
An admission agreement shall be automatically terminated in which situation? - ANS
Death of the client
, 3
An AED shall be permitted in care facility, if all the following requirements are met? -
ANS 1.Licensee notifies licensing agency in writing that AED will be used in facility in
accordance with laws
2. Copy of physicians prescription for the AED
3. Training manual or AED training class
4. Log of checks of operation of AED
5. Copy of AED operators certificate for employees authorized to use AED
ER
An unlicensed facility operator or representative shall have the right to appeal the
penalty assessment within how many days? - ANS 10 working days
H
Any changes in the organization, or change in licensees or applicants mailing address
or change in CEO shall be reported to licensing within how many days? - ANS 10
G
working days
I
Applicant shall notify licensing agency and have approved fire clearance prior to
acception which clients? - ANS Persons 65 of age and over
H
Persons who are non ambulatory
G
Assistance with self administration does not include what to client? - ANS Forcing
to take meds, hiding or camouflaging meds in other substances without knowledge of
client
IN
At a minimum, a follow up visit shall be conducted with how many working days
following dates of corrections in the notice? - ANS 10 working days
Y
Cash resources entrusted to licensee and kept on facility premises shall be be kept in
L
a? - ANS Locked and secure location
F
Child abuse can be punishable by imprisonment in county jail for how long? - ANS
No exceeding 1 year
Client Records must contain what information? - ANS 1. Name, DOB, sex,
admission date
2. Info of authorized representative
3. Copy of admission agreement
4. Info of all related health providers
5. Medical Assessment
6. Record of any injury, illness being treated
7. All medication being given and instructions
