California ARF Administrator Exam / Actual Exam 2026/2027
Adult FULLY Covered TESTED and 100% Verified BRAND NEW
GRADED A+
1. An Adult Residential Facility administrator is considering admitting a prospective
resident who requires daily blood glucose monitoring and insulin injections. Which
regulatory factor must be the PRIMARY determinant of whether this admission is
appropriate?
A. The resident’s willingness to accept care
B. Whether the required services fall within the facility’s licensed non-medical
scope
C. The availability of staff with prior healthcare experience
D. The resident’s family agreement
Rationale: ARFs are restricted to non-medical care. Blood glucose monitoring and insulin
injections constitute medical services requiring skilled judgment. Admission decisions must
be based on licensed scope, not staff experience or resident consent. Accepting residents
whose needs exceed the license is a serious violation regardless of intent.
2. During an unannounced licensing visit, the analyst requests proof that residents were
informed of their rights upon admission. Which documentation BEST demonstrates
compliance?
A. Verbal confirmation from staff
B. Signed acknowledgment forms in resident files
C. Administrator policy statements
D. Licensing inspection reports
Rationale: Resident rights must be communicated and documented. Signed
acknowledgments provide objective evidence that residents were informed, protecting both
residents and the facility during regulatory review.
3. A resident begins isolating, refusing meals, and neglecting personal hygiene. Staff
document behavior but take no further action. What regulatory obligation is being
, unmet?
A. Discharge planning
B. Ongoing assessment and service plan revision
C. Eviction procedures
D. Staffing ratios
Rationale: Significant changes in behavior or functioning trigger reassessment requirements.
Documentation alone is insufficient; the facility must evaluate causes, update the service
plan, and implement appropriate interventions to prevent neglect.
4. An administrator instructs staff to delay reporting minor injuries to avoid “too many
incident reports.” Why is this directive problematic?
A. It increases staff workload
B. It undermines regulatory transparency and resident protection
C. It violates union rules
D. It affects licensing fees
Rationale: Incident reporting exists to identify patterns and prevent harm. Suppressing
reports interferes with regulatory oversight and may conceal unsafe conditions, exposing
residents to ongoing risk.
5. A resident’s authorized representative insists the facility restrain the resident to
prevent falls. How should the administrator respond under Title 22?
A. Follow the representative’s request
B. Refuse, explain restraint prohibitions, and offer lawful alternatives
C. Request a physician order
D. Implement temporary restraints
Rationale: Physical restraints are prohibited in ARFs regardless of family or representative
requests. The administrator must educate stakeholders and implement non-restrictive safety
measures consistent with resident rights.
6. Staff are observed discussing a resident’s medical history loudly in a common area.
Which regulation is MOST directly violated?
A. Medication administration
B. Confidentiality of resident information
C. Staff supervision
D. Admission procedures
Rationale: Resident information must be protected from unauthorized disclosure. Public
discussions violate privacy, dignity, and confidentiality requirements even if no malicious
intent exists.
Adult FULLY Covered TESTED and 100% Verified BRAND NEW
GRADED A+
1. An Adult Residential Facility administrator is considering admitting a prospective
resident who requires daily blood glucose monitoring and insulin injections. Which
regulatory factor must be the PRIMARY determinant of whether this admission is
appropriate?
A. The resident’s willingness to accept care
B. Whether the required services fall within the facility’s licensed non-medical
scope
C. The availability of staff with prior healthcare experience
D. The resident’s family agreement
Rationale: ARFs are restricted to non-medical care. Blood glucose monitoring and insulin
injections constitute medical services requiring skilled judgment. Admission decisions must
be based on licensed scope, not staff experience or resident consent. Accepting residents
whose needs exceed the license is a serious violation regardless of intent.
2. During an unannounced licensing visit, the analyst requests proof that residents were
informed of their rights upon admission. Which documentation BEST demonstrates
compliance?
A. Verbal confirmation from staff
B. Signed acknowledgment forms in resident files
C. Administrator policy statements
D. Licensing inspection reports
Rationale: Resident rights must be communicated and documented. Signed
acknowledgments provide objective evidence that residents were informed, protecting both
residents and the facility during regulatory review.
3. A resident begins isolating, refusing meals, and neglecting personal hygiene. Staff
document behavior but take no further action. What regulatory obligation is being
, unmet?
A. Discharge planning
B. Ongoing assessment and service plan revision
C. Eviction procedures
D. Staffing ratios
Rationale: Significant changes in behavior or functioning trigger reassessment requirements.
Documentation alone is insufficient; the facility must evaluate causes, update the service
plan, and implement appropriate interventions to prevent neglect.
4. An administrator instructs staff to delay reporting minor injuries to avoid “too many
incident reports.” Why is this directive problematic?
A. It increases staff workload
B. It undermines regulatory transparency and resident protection
C. It violates union rules
D. It affects licensing fees
Rationale: Incident reporting exists to identify patterns and prevent harm. Suppressing
reports interferes with regulatory oversight and may conceal unsafe conditions, exposing
residents to ongoing risk.
5. A resident’s authorized representative insists the facility restrain the resident to
prevent falls. How should the administrator respond under Title 22?
A. Follow the representative’s request
B. Refuse, explain restraint prohibitions, and offer lawful alternatives
C. Request a physician order
D. Implement temporary restraints
Rationale: Physical restraints are prohibited in ARFs regardless of family or representative
requests. The administrator must educate stakeholders and implement non-restrictive safety
measures consistent with resident rights.
6. Staff are observed discussing a resident’s medical history loudly in a common area.
Which regulation is MOST directly violated?
A. Medication administration
B. Confidentiality of resident information
C. Staff supervision
D. Admission procedures
Rationale: Resident information must be protected from unauthorized disclosure. Public
discussions violate privacy, dignity, and confidentiality requirements even if no malicious
intent exists.
