RCFE ADMINISTRATOR TEST (CALIFORNIA RCFE
ADMINSTRATOR TEST) ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
Question 1
According to Title 22 regulations, which of the following is the maximum
capacity for a Residential Care Facility for the Elderly (RCFE) to be considered
a "small facility" and operate with less stringent staffing requirements?
A) 6 residents
B) 10 residents
C) 15 residents
D) 25 residents
E) 49 residents
Correct Answer: C) 15 residents
Rationale: Per Title 22, an RCFE with 15 or fewer residents is
generally considered a small facility, which may have different
staffing and other regulatory requirements compared to larger
facilities. Facilities with 16-49 residents are considered large, and
50+ are extra large.
Question 2
An RCFE Administrator discovers that a resident's personal funds, which are
being held in trust by the facility, have been commingled with the facility's
operating funds. What is the immediate regulatory implication of this action?
A) It is acceptable practice if the funds are clearly tracked.
B) This is a minor infraction, requiring only verbal counseling.
C) This is a serious violation of Title 22 regulations regarding resident trust
funds.
D) It is only a violation if the funds are misused.
E) The Administrator may continue as long as the resident's funds are
eventually returned.
Correct Answer: C) This is a serious violation of Title 22 regulations
regarding resident trust funds.
Rationale: Title 22 explicitly prohibits the commingling of resident's
trust funds with facility operating funds. Resident trust funds must
be kept in a separate, identifiable account for the sole benefit of the
resident. Commingling is a significant violation that can lead to
severe penalties.
Question 3
Before admitting a new resident to an RCFE, the Administrator must ensure
that the resident has a physician's report completed within what timeframe
prior to admission?
,A) 90 days
B) 60 days
C) 30 days
D) 15 days
E) 7 days
Correct Answer: C) 30 days
Rationale: Title 22 requires a complete medical assessment, often
called a physician's report, within 30 days prior to admission or
within 7 days following admission. This ensures the facility has
current health information to develop a proper care plan.
Question 4
Which of the following is a prohibited health condition that generally
prevents admission or requires transfer from an RCFE, unless an exception is
granted?
A) Early-stage dementia.
B) The need for assistance with activities of daily living (ADLs).
C) Stage III or IV pressure ulcers.
D) The need for oxygen therapy.
E) Requires medication assistance.
Correct Answer: C) Stage III or IV pressure ulcers.
Rationale: Per Title 22, a Stage III or IV pressure ulcer is generally a
prohibited health condition because it requires skilled nursing care
beyond what an RCFE is licensed to provide, unless the facility
obtains a specific hospice waiver or other exception. Early-stage
dementia, ADL assistance, oxygen, and medication assistance are
typically within an RCFE's scope.
Question 5
An RCFE Administrator discovers that an employee has a prior conviction for
elder abuse that was not disclosed during the background check. What is the
Administrator's immediate responsibility?
A) To warn the employee and monitor their behavior.
B) To retrain the employee on abuse prevention.
C) To immediately remove the employee from direct contact with residents
and report to CCL and law enforcement.
D) To ask the employee to resign quietly.
E) To conduct an internal investigation over several weeks.
Correct Answer: C) To immediately remove the employee from direct
contact with residents and report to CCL and law enforcement.
Rationale: Discovery of a prior conviction for elder abuse is a serious
,matter. The Administrator has a legal and ethical obligation to
protect residents, which involves immediate removal from resident
contact and mandatory reporting to Community Care Licensing
(CCL) and, if a crime, to law enforcement. Failure to do so can result
in immediate license revocation and criminal charges.
Question 6
According to Title 22, how often must a resident's Individualized Service Plan
(ISP) be reviewed and updated by the RCFE?
A) Annually or whenever there is a significant change in the resident's
condition.
B) Every 6 months, regardless of condition change.
C) Monthly.
D) Only upon admission.
E) Only if the resident requests it.
Correct Answer: A) Annually or whenever there is a significant change
in the resident's condition.
Rationale: Title 22 requires the ISP to be updated at least annually or
more frequently if there is any significant change in the resident's
physical, mental, or functional condition, to ensure the plan
accurately reflects their current needs.
Question 7
Which of the following is a mandatory reporting requirement for an RCFE
Administrator regarding a suspected incident of elder abuse?
A) Report only if physical injuries are observed.
B) Report only if the resident explicitly asks to report.
C) Report immediately to Community Care Licensing (CCL) and law
enforcement (if applicable).
D) Report only after an internal investigation confirms abuse.
E) Report only if the abuse is committed by a staff member.
Correct Answer: C) Report immediately to Community Care Licensing
(CCL) and law enforcement (if applicable).
Rationale: RCFE Administrators are mandated reporters. Any
suspected incident of elder abuse (physical, financial, emotional,
neglect, abandonment, etc.) must be reported immediately to CCL
and, if it meets criminal criteria, to law enforcement (e.g., APS,
police/sheriff).
Question 8
What is the minimum number of hours of initial certification training required
, for an RCFE Administrator in California?
A) 20 hours
B) 40 hours
C) 80 hours
D) 100 hours
E) 120 hours
Correct Answer: C) 80 hours
Rationale: As of the current regulations, an RCFE Administrator must
complete 80 hours of initial certification training. This covers
various aspects of RCFE operations and resident care.
Question 9
When developing an emergency preparedness plan, an RCFE Administrator
must ensure the plan includes procedures for:
A) Only fire drills.
B) Only natural disasters like earthquakes.
C) Evacuation, relocation, and communication for various types of
emergencies.
D) Only staff training.
E) Only food and water supply.
Correct Answer: C) Evacuation, relocation, and communication for
various types of emergencies.
Rationale: A comprehensive emergency plan for an RCFE must
address various types of disasters (natural, technological, human-
caused) and include detailed procedures for resident evacuation,
temporary relocation, continuity of care, and internal/external
communication, as required by Title 22.
Question 10
A resident in an RCFE is refusing to take their prescribed medication. What is
the Administrator's primary responsibility in this situation?
A) To force the resident to take the medication for their health.
B) To document the refusal and notify the resident's physician and
responsible party.
C) To secretly mix the medication into the resident's food.
D) To tell the resident they will be discharged if they don't comply.
E) To ask another staff member to convince the resident.
Correct Answer: B) To document the refusal and notify the resident's
physician and responsible party.
Rationale: Residents have the right to refuse medication. The
Administrator must ensure the refusal is documented, the resident's
ADMINSTRATOR TEST) ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
Question 1
According to Title 22 regulations, which of the following is the maximum
capacity for a Residential Care Facility for the Elderly (RCFE) to be considered
a "small facility" and operate with less stringent staffing requirements?
A) 6 residents
B) 10 residents
C) 15 residents
D) 25 residents
E) 49 residents
Correct Answer: C) 15 residents
Rationale: Per Title 22, an RCFE with 15 or fewer residents is
generally considered a small facility, which may have different
staffing and other regulatory requirements compared to larger
facilities. Facilities with 16-49 residents are considered large, and
50+ are extra large.
Question 2
An RCFE Administrator discovers that a resident's personal funds, which are
being held in trust by the facility, have been commingled with the facility's
operating funds. What is the immediate regulatory implication of this action?
A) It is acceptable practice if the funds are clearly tracked.
B) This is a minor infraction, requiring only verbal counseling.
C) This is a serious violation of Title 22 regulations regarding resident trust
funds.
D) It is only a violation if the funds are misused.
E) The Administrator may continue as long as the resident's funds are
eventually returned.
Correct Answer: C) This is a serious violation of Title 22 regulations
regarding resident trust funds.
Rationale: Title 22 explicitly prohibits the commingling of resident's
trust funds with facility operating funds. Resident trust funds must
be kept in a separate, identifiable account for the sole benefit of the
resident. Commingling is a significant violation that can lead to
severe penalties.
Question 3
Before admitting a new resident to an RCFE, the Administrator must ensure
that the resident has a physician's report completed within what timeframe
prior to admission?
,A) 90 days
B) 60 days
C) 30 days
D) 15 days
E) 7 days
Correct Answer: C) 30 days
Rationale: Title 22 requires a complete medical assessment, often
called a physician's report, within 30 days prior to admission or
within 7 days following admission. This ensures the facility has
current health information to develop a proper care plan.
Question 4
Which of the following is a prohibited health condition that generally
prevents admission or requires transfer from an RCFE, unless an exception is
granted?
A) Early-stage dementia.
B) The need for assistance with activities of daily living (ADLs).
C) Stage III or IV pressure ulcers.
D) The need for oxygen therapy.
E) Requires medication assistance.
Correct Answer: C) Stage III or IV pressure ulcers.
Rationale: Per Title 22, a Stage III or IV pressure ulcer is generally a
prohibited health condition because it requires skilled nursing care
beyond what an RCFE is licensed to provide, unless the facility
obtains a specific hospice waiver or other exception. Early-stage
dementia, ADL assistance, oxygen, and medication assistance are
typically within an RCFE's scope.
Question 5
An RCFE Administrator discovers that an employee has a prior conviction for
elder abuse that was not disclosed during the background check. What is the
Administrator's immediate responsibility?
A) To warn the employee and monitor their behavior.
B) To retrain the employee on abuse prevention.
C) To immediately remove the employee from direct contact with residents
and report to CCL and law enforcement.
D) To ask the employee to resign quietly.
E) To conduct an internal investigation over several weeks.
Correct Answer: C) To immediately remove the employee from direct
contact with residents and report to CCL and law enforcement.
Rationale: Discovery of a prior conviction for elder abuse is a serious
,matter. The Administrator has a legal and ethical obligation to
protect residents, which involves immediate removal from resident
contact and mandatory reporting to Community Care Licensing
(CCL) and, if a crime, to law enforcement. Failure to do so can result
in immediate license revocation and criminal charges.
Question 6
According to Title 22, how often must a resident's Individualized Service Plan
(ISP) be reviewed and updated by the RCFE?
A) Annually or whenever there is a significant change in the resident's
condition.
B) Every 6 months, regardless of condition change.
C) Monthly.
D) Only upon admission.
E) Only if the resident requests it.
Correct Answer: A) Annually or whenever there is a significant change
in the resident's condition.
Rationale: Title 22 requires the ISP to be updated at least annually or
more frequently if there is any significant change in the resident's
physical, mental, or functional condition, to ensure the plan
accurately reflects their current needs.
Question 7
Which of the following is a mandatory reporting requirement for an RCFE
Administrator regarding a suspected incident of elder abuse?
A) Report only if physical injuries are observed.
B) Report only if the resident explicitly asks to report.
C) Report immediately to Community Care Licensing (CCL) and law
enforcement (if applicable).
D) Report only after an internal investigation confirms abuse.
E) Report only if the abuse is committed by a staff member.
Correct Answer: C) Report immediately to Community Care Licensing
(CCL) and law enforcement (if applicable).
Rationale: RCFE Administrators are mandated reporters. Any
suspected incident of elder abuse (physical, financial, emotional,
neglect, abandonment, etc.) must be reported immediately to CCL
and, if it meets criminal criteria, to law enforcement (e.g., APS,
police/sheriff).
Question 8
What is the minimum number of hours of initial certification training required
, for an RCFE Administrator in California?
A) 20 hours
B) 40 hours
C) 80 hours
D) 100 hours
E) 120 hours
Correct Answer: C) 80 hours
Rationale: As of the current regulations, an RCFE Administrator must
complete 80 hours of initial certification training. This covers
various aspects of RCFE operations and resident care.
Question 9
When developing an emergency preparedness plan, an RCFE Administrator
must ensure the plan includes procedures for:
A) Only fire drills.
B) Only natural disasters like earthquakes.
C) Evacuation, relocation, and communication for various types of
emergencies.
D) Only staff training.
E) Only food and water supply.
Correct Answer: C) Evacuation, relocation, and communication for
various types of emergencies.
Rationale: A comprehensive emergency plan for an RCFE must
address various types of disasters (natural, technological, human-
caused) and include detailed procedures for resident evacuation,
temporary relocation, continuity of care, and internal/external
communication, as required by Title 22.
Question 10
A resident in an RCFE is refusing to take their prescribed medication. What is
the Administrator's primary responsibility in this situation?
A) To force the resident to take the medication for their health.
B) To document the refusal and notify the resident's physician and
responsible party.
C) To secretly mix the medication into the resident's food.
D) To tell the resident they will be discharged if they don't comply.
E) To ask another staff member to convince the resident.
Correct Answer: B) To document the refusal and notify the resident's
physician and responsible party.
Rationale: Residents have the right to refuse medication. The
Administrator must ensure the refusal is documented, the resident's
