ALF Core Training Florida Exam
(2025/2026) – Expected Questions and
Verified Answers (2024/2025 Update)
Instructions: This exam contains 50 multiple-choice questions, reflecting the standard format
for the Florida ALF Core Competency Test (administered by The MacDonald Research
Institute/TMRI). Questions are based on the 2025/2026 curriculum, covering ALF regulations
(Florida Statutes Chapter 429 and Rule 58A-5, F.A.C.), resident rights, staffing, medication
management, emergencies, and core competencies. Each question has four options (A–D), the
correct answer marked, and a short rationale. Each question is worth 2 points (total 100 points).
Verified for accuracy. Use for study and review. Good luck!
Question 1
True or False: An ALF can be only one building?
A. True
B. False
C. Depends on license type
D. Only for standard licenses
Correct Answer: B
Rationale: An ALF can consist of multiple buildings on contiguous property under one license,
as long as they are not separated by more than a two-lane street. Why correct: Allows for
multi-building facilities. Why others are incorrect: True (A) is restrictive; depends (C) and
standard (D) are not accurate.
Question 2
A resident can be bedridden in an ALF with a standard license for no more than how many days?
A. 7 days
B. 14 days
C. 30 days
D. 60 days
Correct Answer: A
, Rationale: Bedridden residents are allowed up to 7 days in a standard ALF before transfer to
skilled nursing. Why correct: Prevents long-term care needs. Why others are incorrect: 14
(B), 30 (C), and 60 (D) exceed limits.
Question 3
Which agency is responsible for regulatory inspections of ALFs?
A. Agency for Health Care Administration (AHCA)
B. Department of Elder Affairs
C. Department of Health
D. Local fire marshal
Correct Answer: A
Rationale: AHCA licenses and inspects ALFs under Florida Statute Chapter 429. Why correct:
State oversight agency. Why others are incorrect: Elder Affairs (B) is advocacy; Health (C) is
general; fire marshal (D) is specific.
Question 4
Capacity in an ALF is defined as the _____ of residents it is licensed to care for.
A. Maximum number
B. Average number
C. Minimum number
D. Projected number
Correct Answer: A
Rationale: Capacity is the maximum licensed residents, per Rule 58A-5.013. Why correct:
Licensing limit. Why others are incorrect: Average (B), minimum (C), and projected (D) are not
definitions.
Question 5
A limited mental health resident must receive OSS?
A. True
B. False
C. Only if requested
D. For 30 days only
Correct Answer: A
Rationale: Limited Mental Health (LMH) residents require Observed Site Services (OSS) for
monitoring. Why correct: Regulatory requirement. Why others are incorrect: False (B),
requested (C), and 30 days (D) are incorrect.
Question 6
True or False: Facilities licensed for 16 residents must have an awake staff person at night.
A. True
B. False
C. Only for LMH licenses
(2025/2026) – Expected Questions and
Verified Answers (2024/2025 Update)
Instructions: This exam contains 50 multiple-choice questions, reflecting the standard format
for the Florida ALF Core Competency Test (administered by The MacDonald Research
Institute/TMRI). Questions are based on the 2025/2026 curriculum, covering ALF regulations
(Florida Statutes Chapter 429 and Rule 58A-5, F.A.C.), resident rights, staffing, medication
management, emergencies, and core competencies. Each question has four options (A–D), the
correct answer marked, and a short rationale. Each question is worth 2 points (total 100 points).
Verified for accuracy. Use for study and review. Good luck!
Question 1
True or False: An ALF can be only one building?
A. True
B. False
C. Depends on license type
D. Only for standard licenses
Correct Answer: B
Rationale: An ALF can consist of multiple buildings on contiguous property under one license,
as long as they are not separated by more than a two-lane street. Why correct: Allows for
multi-building facilities. Why others are incorrect: True (A) is restrictive; depends (C) and
standard (D) are not accurate.
Question 2
A resident can be bedridden in an ALF with a standard license for no more than how many days?
A. 7 days
B. 14 days
C. 30 days
D. 60 days
Correct Answer: A
, Rationale: Bedridden residents are allowed up to 7 days in a standard ALF before transfer to
skilled nursing. Why correct: Prevents long-term care needs. Why others are incorrect: 14
(B), 30 (C), and 60 (D) exceed limits.
Question 3
Which agency is responsible for regulatory inspections of ALFs?
A. Agency for Health Care Administration (AHCA)
B. Department of Elder Affairs
C. Department of Health
D. Local fire marshal
Correct Answer: A
Rationale: AHCA licenses and inspects ALFs under Florida Statute Chapter 429. Why correct:
State oversight agency. Why others are incorrect: Elder Affairs (B) is advocacy; Health (C) is
general; fire marshal (D) is specific.
Question 4
Capacity in an ALF is defined as the _____ of residents it is licensed to care for.
A. Maximum number
B. Average number
C. Minimum number
D. Projected number
Correct Answer: A
Rationale: Capacity is the maximum licensed residents, per Rule 58A-5.013. Why correct:
Licensing limit. Why others are incorrect: Average (B), minimum (C), and projected (D) are not
definitions.
Question 5
A limited mental health resident must receive OSS?
A. True
B. False
C. Only if requested
D. For 30 days only
Correct Answer: A
Rationale: Limited Mental Health (LMH) residents require Observed Site Services (OSS) for
monitoring. Why correct: Regulatory requirement. Why others are incorrect: False (B),
requested (C), and 30 days (D) are incorrect.
Question 6
True or False: Facilities licensed for 16 residents must have an awake staff person at night.
A. True
B. False
C. Only for LMH licenses
