1|Page
Florida ALF Core Exam | Assisted Living
Facility Core Exam | 200+ Questions &
Answers | Florida Administrative Code,
AHCA Regulations | Multiple Choice &
Open-Ended Q&A | Verified Answers
Exam Structure:
Subject: Florida Assisted Living Facility (ALF) Core Exam
Source: Florida ALF Core Exam – Expected 200+ Questions and Answers (Verified
Answers)
Format: Multiple Choice & Open-Ended Q&A
1. What are the recommended daily allowances for various food
groups?
Correct Answer: Protein: 6 ounces or 2 or more servings; Vegetables: 3-5
servings; Fruits: 2-4 servings; Bread/Starches: 6-11 or more servings; Milk
or equivalent: 2 servings; Fats, oils, sweets: use sparingly; Water.
Rationale:
1. These are general dietary guidelines, not strict requirements for ALFs.
2. ALFs must provide well-balanced, nutritious meals.
3. Individual therapeutic diets may modify these recommendations.
4. Menus should be planned at least one week in advance.
2. How far in advance must menus be planned?
Correct Answer: At least one week in advance.
Rationale:
1. Advance planning ensures adequate food inventory.
, 2|Page
2. Allows for review by a dietitian or nutrition consultant.
3. Facilitates preparation of modified or therapeutic diets.
4. Menus must be dated and kept on file.
3. How long must regular or therapeutic menus (with substitutions)
be kept on file?
Correct Answer: 6 months.
Rationale:
1. Retention allows for inspection and review by AHCA.
2. Demonstrates compliance with nutritional requirements.
3. Substitutions must be documented when made.
4. Menus should be reviewed annually by a dietitian.
4. What should you do if a resident refuses to comply with a
therapeutic diet?
Correct Answer: Document and notify the health care provider.
Rationale:
1. Refusal must be documented in the resident’s record.
2. The ordering provider must be informed to adjust the plan.
3. Attempts to educate the resident should be noted.
4. Continuing refusal may require discharge if safety is at risk.
5. What must documentation for training include?
Correct Answer: Title of training program; subject matter; training
agenda; number of hours of program; trainee’s name, dates of participation,
and location; providers’ names, credentials, and license number.
Rationale:
1. Complete training records are required for AHCA inspection.
2. Demonstrates compliance with staff training requirements.
3. Records must be kept in each employee’s personnel file.
4. Missing documentation can result in deficiencies.
6. How many days’ supply of non-perishable food must an ALF keep on
hand?
Correct Answer: 3 days.
Rationale:
1. Emergency preparedness requires a 3-day supply.
, 3|Page
2. Non-perishable items include canned goods, dry goods, and bottled
water.
3. Supply must be sufficient for the facility’s licensed capacity.
4. Rotate stock to maintain freshness.
7. How much resident funds and property must an ALF provide
safekeeping for?
Correct Answer: $200 in personal funds; $500 in personal property.
Rationale:
1. ALFs must safeguard resident valuables.
2. Receipts must be provided for property held.
3. Records of safekeeping must be maintained.
4. Larger amounts should be kept in a resident’s personal bank account.
8. True or False: A facility whose owner, administrator, or staff serves
as representative payee or attorney-in-fact for residents must
maintain a surety bond.
Correct Answer: True.
Rationale:
1. Surety bond protects resident funds from misappropriation.
2. Bond amount must be at least twice the average monthly income of
personal funds due to residents.
3. Bond must be maintained at all times while serving as representative
payee.
4. Failure to maintain bond is a violation.
9. If serving as a representative payee, the minimum surety bond must
equal what?
Correct Answer: 2 times the average monthly aggregate income of
personal funds due to a resident.
Rationale:
1. Calculation based on total personal funds managed.
2. Bond ensures reimbursement if funds are misused.
3. Bond must be renewed periodically.
4. Copy of bond must be kept in facility records.
, 4|Page
10. True or False: A facility must maintain liability insurance.
Correct Answer: True (no amount required).
Rationale:
1. Liability insurance protects facility from claims of negligence.
2. No minimum amount is specified by Florida law.
3. Proof of insurance must be kept on file.
4. Insurance renewal must be reported within 21 days.
11. How long must an up-to-date record of major incidents be kept on
file?
Correct Answer: 2 years.
Rationale:
1. Major incident records document serious events affecting residents.
2. Retention allows for trend analysis and AHCA review.
3. Includes falls, injuries, elopements, and medication errors.
4. Separate from adverse incident reports.
12. How long must the facility maintain written work schedules and
staff time sheets?
Correct Answer: 6 months.
Rationale:
1. Work schedules demonstrate staffing compliance.
2. Time sheets verify hours worked for payroll and staffing standards.
3. Retention period aligns with record-keeping requirements.
4. Must be available for AHCA inspection.
13. Within how many days must a preliminary adverse incident report
be submitted?
Correct Answer: 1 business day.
Rationale:
1. Adverse incidents include death, brain damage, fractures, or events
requiring medical attention.
2. Preliminary report provides immediate notification to AHCA.
3. Report must be submitted by phone or electronically.
4. Documentation must be maintained in facility records.
Florida ALF Core Exam | Assisted Living
Facility Core Exam | 200+ Questions &
Answers | Florida Administrative Code,
AHCA Regulations | Multiple Choice &
Open-Ended Q&A | Verified Answers
Exam Structure:
Subject: Florida Assisted Living Facility (ALF) Core Exam
Source: Florida ALF Core Exam – Expected 200+ Questions and Answers (Verified
Answers)
Format: Multiple Choice & Open-Ended Q&A
1. What are the recommended daily allowances for various food
groups?
Correct Answer: Protein: 6 ounces or 2 or more servings; Vegetables: 3-5
servings; Fruits: 2-4 servings; Bread/Starches: 6-11 or more servings; Milk
or equivalent: 2 servings; Fats, oils, sweets: use sparingly; Water.
Rationale:
1. These are general dietary guidelines, not strict requirements for ALFs.
2. ALFs must provide well-balanced, nutritious meals.
3. Individual therapeutic diets may modify these recommendations.
4. Menus should be planned at least one week in advance.
2. How far in advance must menus be planned?
Correct Answer: At least one week in advance.
Rationale:
1. Advance planning ensures adequate food inventory.
, 2|Page
2. Allows for review by a dietitian or nutrition consultant.
3. Facilitates preparation of modified or therapeutic diets.
4. Menus must be dated and kept on file.
3. How long must regular or therapeutic menus (with substitutions)
be kept on file?
Correct Answer: 6 months.
Rationale:
1. Retention allows for inspection and review by AHCA.
2. Demonstrates compliance with nutritional requirements.
3. Substitutions must be documented when made.
4. Menus should be reviewed annually by a dietitian.
4. What should you do if a resident refuses to comply with a
therapeutic diet?
Correct Answer: Document and notify the health care provider.
Rationale:
1. Refusal must be documented in the resident’s record.
2. The ordering provider must be informed to adjust the plan.
3. Attempts to educate the resident should be noted.
4. Continuing refusal may require discharge if safety is at risk.
5. What must documentation for training include?
Correct Answer: Title of training program; subject matter; training
agenda; number of hours of program; trainee’s name, dates of participation,
and location; providers’ names, credentials, and license number.
Rationale:
1. Complete training records are required for AHCA inspection.
2. Demonstrates compliance with staff training requirements.
3. Records must be kept in each employee’s personnel file.
4. Missing documentation can result in deficiencies.
6. How many days’ supply of non-perishable food must an ALF keep on
hand?
Correct Answer: 3 days.
Rationale:
1. Emergency preparedness requires a 3-day supply.
, 3|Page
2. Non-perishable items include canned goods, dry goods, and bottled
water.
3. Supply must be sufficient for the facility’s licensed capacity.
4. Rotate stock to maintain freshness.
7. How much resident funds and property must an ALF provide
safekeeping for?
Correct Answer: $200 in personal funds; $500 in personal property.
Rationale:
1. ALFs must safeguard resident valuables.
2. Receipts must be provided for property held.
3. Records of safekeeping must be maintained.
4. Larger amounts should be kept in a resident’s personal bank account.
8. True or False: A facility whose owner, administrator, or staff serves
as representative payee or attorney-in-fact for residents must
maintain a surety bond.
Correct Answer: True.
Rationale:
1. Surety bond protects resident funds from misappropriation.
2. Bond amount must be at least twice the average monthly income of
personal funds due to residents.
3. Bond must be maintained at all times while serving as representative
payee.
4. Failure to maintain bond is a violation.
9. If serving as a representative payee, the minimum surety bond must
equal what?
Correct Answer: 2 times the average monthly aggregate income of
personal funds due to a resident.
Rationale:
1. Calculation based on total personal funds managed.
2. Bond ensures reimbursement if funds are misused.
3. Bond must be renewed periodically.
4. Copy of bond must be kept in facility records.
, 4|Page
10. True or False: A facility must maintain liability insurance.
Correct Answer: True (no amount required).
Rationale:
1. Liability insurance protects facility from claims of negligence.
2. No minimum amount is specified by Florida law.
3. Proof of insurance must be kept on file.
4. Insurance renewal must be reported within 21 days.
11. How long must an up-to-date record of major incidents be kept on
file?
Correct Answer: 2 years.
Rationale:
1. Major incident records document serious events affecting residents.
2. Retention allows for trend analysis and AHCA review.
3. Includes falls, injuries, elopements, and medication errors.
4. Separate from adverse incident reports.
12. How long must the facility maintain written work schedules and
staff time sheets?
Correct Answer: 6 months.
Rationale:
1. Work schedules demonstrate staffing compliance.
2. Time sheets verify hours worked for payroll and staffing standards.
3. Retention period aligns with record-keeping requirements.
4. Must be available for AHCA inspection.
13. Within how many days must a preliminary adverse incident report
be submitted?
Correct Answer: 1 business day.
Rationale:
1. Adverse incidents include death, brain damage, fractures, or events
requiring medical attention.
2. Preliminary report provides immediate notification to AHCA.
3. Report must be submitted by phone or electronically.
4. Documentation must be maintained in facility records.
