KANSAS ADULT CARE HOME OPERATOR (ACHO) EXAM – REAL QUESTIONS & VERIFIED ANSWERS 2026/2027 | INSTANT PDF DOWNLOAD

KANSAS ADULT CARE HOME OPERATOR (ACHO) EXAM –
REAL QUESTIONS & VERIFIED ANSWERS 2026/2027 |
INSTANT PDF DOWNLOAD

About this resource:
This document contains verified questions and answers for the Kansas Adult Care
Home Operator (ACHO) Exam based on 2026/2027 KDADS regulations and statutes. All
answers are in bold italic with italic rationales. Topics include operator responsibilities
(K.S.A. 39-973 through 39-980), resident rights, care planning, Functional Capacity Screen
requirements, Negotiated Service Agreements, infection control, medication management,
mandatory abuse reporting, fire safety, emergency preparedness, and staff management




SECTION 1: OPERATOR RESPONSIBILITIES & REGULATIONS (Questions 1-15)
Q1. What is the primary responsibility of an adult care home operator?
 A. Preparing meals for residents
 B. Ensuring compliance with state regulations and the health, safety, and
welfare of residents
 C. Providing direct medical care
 D. Performing housekeeping tasks

Rationale: The operator's main role is to manage the facility, ensure it meets all state
licensing and regulatory requirements, and prioritize resident safety and well-being above all
else. Direct care is provided by trained staff .
Q2. What is the minimum age requirement to become an adult care home operator in
Kansas?
 A. 18 years old
 B. 21 years old

,  C. 25 years old
 D. 30 years old

*Rationale: Kansas law requires operators to be at least 21 years of age. This is a
statutory requirement under K.S.A. 39-975 and is enforced by KDADS Health Occupations
Credentialing .*
Q3. In Kansas, which agency is responsible for licensing Adult Care Homes?
 A. OSHA
 B. Kansas Department of Health and Environment (KDHE)
 C. Kansas Department for Aging and Disability Services (KDADS)
 D. Kansas State Fire Marshal

Rationale: KDADS is the primary licensing and regulatory agency for adult care homes
in Kansas. They conduct inspections, investigate complaints, and ensure compliance with
state and federal regulations .
Q4. How often must an adult care home be inspected by the state?
 A. Monthly
 B. Annually
 C. Every five years
 D. Only upon complaint

Rationale: Adult care homes in Kansas are inspected at least once per year to ensure
compliance with health and safety standards. The Kansas State Fire Marshal also conducts
annual inspections for fire safety compliance .
Q5. Who is responsible for ensuring the adult care home's compliance with state and
federal regulations?
 A. The nursing staff only
 B. The corporate office only
 C. The operator
 D. The residents' families

,Rationale: The operator bears ultimate responsibility for the adult care home's
compliance with all applicable state and federal regulations. This includes oversight of
policies, staff training, resident care, and facility operations .
Q6. What are the three dimensions managers must deal with at the same time?
 A. Budget, staffing, and supplies
 B. Task accomplishment, goal attainment, and personal relationships
 C. Admissions, discharges, and transfers
 D. Regulations, inspections, and fines

Rationale: Effective management requires balancing three simultaneous dimensions:
task accomplishment (getting work done), goal attainment (meeting organizational
objectives), and personal relationships (maintaining positive staff interactions) .
Q7. Which of the following statements about the operator's authority is true?
 A. The operator is solely responsible for developing all operational policies
 B. The operator has authority and responsibility to oversee the adult care
home
 C. The operator cannot delegate any responsibilities
 D. The operator is not required to have any training

*Rationale: The operator is an individual registered by KDADS who has the authority
and responsibility to oversee an adult care home. This is defined in K.S.A. 39-974 of the
Operator Registration Act .*
Q8. Which of the following is required for staff training in an adult care home?
 A. Only on-the-job experience
 B. Orientation upon hire and ongoing continuing education
 C. No formal training required
 D. Training once every five years

, Rationale: Kansas regulations require staff to complete orientation upon hire and
ongoing in-service training to maintain skills and knowledge. This includes training on abuse
prevention, infection control, and resident rights .
Q9. How should you address a resident during an admission interview?
 A. By their first name only
 B. By title (Mr./Mrs./Ms.) unless the resident requests otherwise
 C. Using a nickname of your choice
 D. By their room number

Rationale: Residents should be addressed with respect using appropriate titles unless
they specifically request otherwise. This demonstrates dignity and respect for the resident .
Q10. Overruling an employee's decision can result in:
 A. Increased productivity
 B. Disengagement and turnover of good employees
 C. Better resident outcomes
 D. Improved staff morale

Rationale: Consistently overruling employee decisions undermines their confidence and
authority, leading to disengagement and potentially causing good employees to leave the
facility .
Q11. What is the definition of an adult care home under Kansas law?
 A. Only skilled nursing facilities
 B. Any assisted living facility, residential health care facility licensed for less
than 61 residents, home plus, or adult day care
 C. Only memory care units
 D. Only facilities with 100+ beds

*Rationale: Under K.S.A. 39-974, adult care home includes assisted living facilities,
residential health care facilities (less than 61 residents), home plus, and adult day care as
defined by statute .*