WASHINGTON ASSISTED LIVING ADMINISTRATOR EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
&italic;¢er;Core Domains
Resident Care Management and Clinical Services
Human Resources Management and Staff Development
Business and Financial Management
Environmental Management and Safety Compliance
Regulatory and Legal Compliance (WAC 388-78A, RCW 18.20)
Ethics and Professional Standards
Emergency Preparedness and Disaster Planning
Marketing and Census Building
Introduction
This examination assesses competency for assisted living facility administrators in Washington State. The exam
evaluates knowledge essential for overseeing facility operations, ensuring regulatory compliance, and delivering
quality resident care. Questions are multiple-choice and scenario-based, testing both foundational theory and
applied professional judgment. Emphasis is placed on real-world decision-making situations administrators
encounter daily, including resident rights protection, staff management, budget oversight, medication safety,
abuse reporting, and emergency response. Successful candidates demonstrate readiness to lead facilities in
accordance with Washington state statutes and administrative rules.&slash;¢er;&italic;
,SECTION ONE: QUESTIONS 1–100
What is the primary Washington State law that governs assisted living facilities?
A. RCW 70
B. RCW 18.20
C. WAC 388-78A
D. RCW 74
🟢 B. RCW 18.20
🔴 RATIONALE: RCW 18.20 is the primary estatutory authority governing assisted living facilities in
Washington State, establishing licensing requirements and operational standards.
Which WAC chapter contains the administrative rules for assisted living facility operations?
A. WAC 246-980
B. WAC 388-78A
C. WAC 110-300
D. WAC 182-500
🟢 B. WAC 388-78A
,🔴 RATIONALE: WAC 388-78A contains the specific administrative rules detailing assisted living facility
licensing, operations, and standards in Washington State.
How often should medications be reviewed in an assisted living facility?
A. Weekly
B. Monthly
C. At least quarterly
D. Only upon admission
🟢 C. At least quarterly
🔴 RATIONALE: Regular medication reviews ensure residents' prescriptions remain appropriate, safe, and
effective; Washington regulations require at least quarterly reviews.
Which document defines a resident's rights in Washington assisted living facilities?
A. Facility policy manual
B. Resident bill of rights
C. Care plan
D. Employee handbook
, 🟢 B. Resident bill of rights
🔴 RATIONALE: The resident bill of rights outlines protections for residents including privacy, autonomy, and
the right to participate in care decisions.
A staff member suspects resident abuse. What is the FIRST action the administrator must ensure?
A. Conduct an internal investigation
B. Notify the family immediately
C. Report to DSHS Aging and Disability Services hotline
D. Document the incident in the resident's file
🟢 C. Report to DSHS Aging and Disability Services hotline
🔴 RATIONALE: Washington law (WAC 388-78A-2630) requires immediate reporting of suspected abuse to
the department's hotline and law enforcement; internal investigation cannot delay reporting.
What is the administrator's primary role in an assisted living facility?
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
&italic;¢er;Core Domains
Resident Care Management and Clinical Services
Human Resources Management and Staff Development
Business and Financial Management
Environmental Management and Safety Compliance
Regulatory and Legal Compliance (WAC 388-78A, RCW 18.20)
Ethics and Professional Standards
Emergency Preparedness and Disaster Planning
Marketing and Census Building
Introduction
This examination assesses competency for assisted living facility administrators in Washington State. The exam
evaluates knowledge essential for overseeing facility operations, ensuring regulatory compliance, and delivering
quality resident care. Questions are multiple-choice and scenario-based, testing both foundational theory and
applied professional judgment. Emphasis is placed on real-world decision-making situations administrators
encounter daily, including resident rights protection, staff management, budget oversight, medication safety,
abuse reporting, and emergency response. Successful candidates demonstrate readiness to lead facilities in
accordance with Washington state statutes and administrative rules.&slash;¢er;&italic;
,SECTION ONE: QUESTIONS 1–100
What is the primary Washington State law that governs assisted living facilities?
A. RCW 70
B. RCW 18.20
C. WAC 388-78A
D. RCW 74
🟢 B. RCW 18.20
🔴 RATIONALE: RCW 18.20 is the primary estatutory authority governing assisted living facilities in
Washington State, establishing licensing requirements and operational standards.
Which WAC chapter contains the administrative rules for assisted living facility operations?
A. WAC 246-980
B. WAC 388-78A
C. WAC 110-300
D. WAC 182-500
🟢 B. WAC 388-78A
,🔴 RATIONALE: WAC 388-78A contains the specific administrative rules detailing assisted living facility
licensing, operations, and standards in Washington State.
How often should medications be reviewed in an assisted living facility?
A. Weekly
B. Monthly
C. At least quarterly
D. Only upon admission
🟢 C. At least quarterly
🔴 RATIONALE: Regular medication reviews ensure residents' prescriptions remain appropriate, safe, and
effective; Washington regulations require at least quarterly reviews.
Which document defines a resident's rights in Washington assisted living facilities?
A. Facility policy manual
B. Resident bill of rights
C. Care plan
D. Employee handbook
, 🟢 B. Resident bill of rights
🔴 RATIONALE: The resident bill of rights outlines protections for residents including privacy, autonomy, and
the right to participate in care decisions.
A staff member suspects resident abuse. What is the FIRST action the administrator must ensure?
A. Conduct an internal investigation
B. Notify the family immediately
C. Report to DSHS Aging and Disability Services hotline
D. Document the incident in the resident's file
🟢 C. Report to DSHS Aging and Disability Services hotline
🔴 RATIONALE: Washington law (WAC 388-78A-2630) requires immediate reporting of suspected abuse to
the department's hotline and law enforcement; internal investigation cannot delay reporting.
What is the administrator's primary role in an assisted living facility?
