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RCFE Title 22 Exam 2025/2026 | Actual Exam with
Complete Questions and Answers
SECTION 1: LICENSING, DEFINITIONS & ADMINISTRATION (Q1–20)
1. According to Title 22, an RCFE license is valid for a period of:
A) One year
B) Two years
C) Three years
D) Five years
: Correct Answer : B
Full Rotation & Rationale:
• A (One year): Some licenses are annual, but the RCFE license is issued for
two years.
• B (Two years): Correct. Per Title 22, Division 6, Chapter 8, an RCFE license is
valid for two years from the date of issuance unless revoked or suspended.
• C (Three years): Not correct for RCFE; applies to some other facility types.
• D (Five years): No California community care license is valid for this long.
2. “Capacity” as defined in Title 22 for an RCFE means:
A) The number of staff employed by the facility
B) The maximum number of residents authorized to be in the facility at any one
time
C) The square footage of the facility
D) The number of beds the facility owns
: Correct Answer : B
Full Rotation & Rationale:
• A (Staff): Not capacity.
pg. 1
,2
• B (Maximum residents at one time): Correct. Capacity is the maximum
number of residents that the facility is licensed to care for at any given
time.
• C (Square footage): Not capacity.
• D (Beds owned): The facility may have more beds, but capacity is the
licensed maximum.
3. A “basic service” that must be provided by all RCFEs includes:
A) Skilled nursing care
B) Assistance with self-administration of medications
C) Physical therapy
D) Wound care
: Correct Answer : B
Full Rotation & Rationale:
• A (Skilled nursing): RCFEs do not provide skilled nursing; that is for SNFs.
• B (Medication assistance): Correct. Basic services include safe and healthful
living, personal assistance and care, observation for physical and mental
changes, and assistance with self-administration of medications.
• C (Physical therapy): Not a basic service; may be arranged from outside.
• D (Wound care): Generally not a basic service; residents with wounds may
need home health or higher level of care.
4. An RCFE with a capacity of 16 residents must have an administrator who is:
A) On-site 24 hours a day
B) On-site during regular business hours
C) On-site at least 20 hours per week
D) Available by phone only
: Correct Answer : C
Full Rotation & Rationale:
pg. 2
,3
• A (24 hours): Only required for facilities with 50 or more beds? Actually, for
16–49 beds, administrator must be on-site at least 20 hours per week. For
50+, full-time.
• B (Business hours): Not specific.
• C (20 hours per week): Correct. For 16-bed facilities, the administrator
must be on-site at least 20 hours per week.
• D (Phone only): Insufficient.
5. An applicant for an RCFE license must be fingerprinted and cleared through
which agency?
A) Local police department
B) California Department of Social Services (CDSS)
C) Department of Justice (DOJ)
D) Both CDSS and DOJ
: Correct Answer : D
Full Rotation & Rationale:
• A (Local police): Not the primary clearance.
• B (CDSS): Yes, but also DOJ.
• C (DOJ): Yes, but also CDSS.
• D (Both): Correct. Per Title 22, applicants must be fingerprinted and cleared
through both CDSS and DOJ.
6. The licensing agency for RCFEs in California is:
A) Department of Public Health
B) Department of Social Services, Community Care Licensing Division
C) Department of Aging
D) Department of Health Care Services
pg. 3
, 4
: Correct Answer : B
Full Rotation & Rationale:
• A (Public Health): For hospitals and some other facilities.
• B (CDSS, CCLD): Correct. The Community Care Licensing Division under
CDSS licenses RCFEs.
• C (Aging): Not licensing.
• D (DHCS): For Medi-Cal, not licensing.
7. A change in the administrator of an RCFE must be reported to CCLD within:
A) 24 hours
B) 5 working days
C) 10 working days
D) 30 calendar days
: Correct Answer : D
Full Rotation & Rationale:
• A (24 hours): Too short.
• B (5 days): Not correct.
• C (10 days): Not correct.
• D (30 calendar days): Correct. Per Title 22, a change of administrator must
be reported to CCLD within 30 calendar days.
8. A facility’s license must be posted in:
A) The administrator’s office
B) A conspicuous place accessible to residents and visitors
C) The kitchen
D) The staff break room
: Correct Answer : B
Full Rotation & Rationale:
pg. 4
RCFE Title 22 Exam 2025/2026 | Actual Exam with
Complete Questions and Answers
SECTION 1: LICENSING, DEFINITIONS & ADMINISTRATION (Q1–20)
1. According to Title 22, an RCFE license is valid for a period of:
A) One year
B) Two years
C) Three years
D) Five years
: Correct Answer : B
Full Rotation & Rationale:
• A (One year): Some licenses are annual, but the RCFE license is issued for
two years.
• B (Two years): Correct. Per Title 22, Division 6, Chapter 8, an RCFE license is
valid for two years from the date of issuance unless revoked or suspended.
• C (Three years): Not correct for RCFE; applies to some other facility types.
• D (Five years): No California community care license is valid for this long.
2. “Capacity” as defined in Title 22 for an RCFE means:
A) The number of staff employed by the facility
B) The maximum number of residents authorized to be in the facility at any one
time
C) The square footage of the facility
D) The number of beds the facility owns
: Correct Answer : B
Full Rotation & Rationale:
• A (Staff): Not capacity.
pg. 1
,2
• B (Maximum residents at one time): Correct. Capacity is the maximum
number of residents that the facility is licensed to care for at any given
time.
• C (Square footage): Not capacity.
• D (Beds owned): The facility may have more beds, but capacity is the
licensed maximum.
3. A “basic service” that must be provided by all RCFEs includes:
A) Skilled nursing care
B) Assistance with self-administration of medications
C) Physical therapy
D) Wound care
: Correct Answer : B
Full Rotation & Rationale:
• A (Skilled nursing): RCFEs do not provide skilled nursing; that is for SNFs.
• B (Medication assistance): Correct. Basic services include safe and healthful
living, personal assistance and care, observation for physical and mental
changes, and assistance with self-administration of medications.
• C (Physical therapy): Not a basic service; may be arranged from outside.
• D (Wound care): Generally not a basic service; residents with wounds may
need home health or higher level of care.
4. An RCFE with a capacity of 16 residents must have an administrator who is:
A) On-site 24 hours a day
B) On-site during regular business hours
C) On-site at least 20 hours per week
D) Available by phone only
: Correct Answer : C
Full Rotation & Rationale:
pg. 2
,3
• A (24 hours): Only required for facilities with 50 or more beds? Actually, for
16–49 beds, administrator must be on-site at least 20 hours per week. For
50+, full-time.
• B (Business hours): Not specific.
• C (20 hours per week): Correct. For 16-bed facilities, the administrator
must be on-site at least 20 hours per week.
• D (Phone only): Insufficient.
5. An applicant for an RCFE license must be fingerprinted and cleared through
which agency?
A) Local police department
B) California Department of Social Services (CDSS)
C) Department of Justice (DOJ)
D) Both CDSS and DOJ
: Correct Answer : D
Full Rotation & Rationale:
• A (Local police): Not the primary clearance.
• B (CDSS): Yes, but also DOJ.
• C (DOJ): Yes, but also CDSS.
• D (Both): Correct. Per Title 22, applicants must be fingerprinted and cleared
through both CDSS and DOJ.
6. The licensing agency for RCFEs in California is:
A) Department of Public Health
B) Department of Social Services, Community Care Licensing Division
C) Department of Aging
D) Department of Health Care Services
pg. 3
, 4
: Correct Answer : B
Full Rotation & Rationale:
• A (Public Health): For hospitals and some other facilities.
• B (CDSS, CCLD): Correct. The Community Care Licensing Division under
CDSS licenses RCFEs.
• C (Aging): Not licensing.
• D (DHCS): For Medi-Cal, not licensing.
7. A change in the administrator of an RCFE must be reported to CCLD within:
A) 24 hours
B) 5 working days
C) 10 working days
D) 30 calendar days
: Correct Answer : D
Full Rotation & Rationale:
• A (24 hours): Too short.
• B (5 days): Not correct.
• C (10 days): Not correct.
• D (30 calendar days): Correct. Per Title 22, a change of administrator must
be reported to CCLD within 30 calendar days.
8. A facility’s license must be posted in:
A) The administrator’s office
B) A conspicuous place accessible to residents and visitors
C) The kitchen
D) The staff break room
: Correct Answer : B
Full Rotation & Rationale:
pg. 4
