Florida ALF Core Training Exam 2026: Complete Test
Bank – 400 Practice Questions with Verified Answers &
Rationales (Brand New for 2026)
Domain 1: Laws, Rules, and Regulations (Questions 1–50)
1. The Florida Legislature found that strong regulatory oversight of ALFs is
necessary because residents:
A) Are completely independent and need no supervision.
B) May be dependent on the facility for their well-being.
C) Are only there for short-term rehabilitation stays.
D) Do not require any medical or social services.
✅ Correct Answer: B – Residents often have some physical or mental limitations
and rely on the facility to meet their daily needs and ensure their safety.
2. The Agency for Health Care Administration (AHCA) has the authority to deny,
revoke, or suspend an ALF's license for all of the following reasons EXCEPT:
A) A violation of any provision of Chapter 429, Florida Statutes.
B) A violation of any applicable rule of the Agency.
C) The facility's occupancy rate falls below 50% for two consecutive quarters.
D) The applicant has been convicted of a crime that directly relates to the
operation of an ALF.
✅ Correct Answer: C – AHCA does not regulate based on business occupancy
rates; its authority is tied to health, safety, and compliance with statutes.
3. ALF staff members are considered to have met the "good moral character"
requirement if they:
A) Have no prior employment history.
B) Have not been convicted of certain disqualifying criminal offenses.
1|Page
,C) Are related to the facility's owner.
D) Have lived in Florida for at least five years.
✅ Correct Answer: B – Florida law prohibits individuals with specific criminal
backgrounds (e.g., certain felonies, abuse, neglect) from being employed in or
owning an ALF.
4. Under the Florida Administrative Code (F.A.C.), what is the maximum number
of residents an ALF can serve without a license?
A) 0
B) 3
C) 5
D) 10
✅ Correct Answer: A – Any facility providing shelter, meals, and one or more
personal services must obtain a license.
5. Which of the following is a mandatory posting requirement in an ALF?
A) Staff members' personal phone numbers.
B) A copy of the facility's most recent life safety inspection report.
C) A list of the owner's personal assets.
D) The facility's weekly menu.
✅ Correct Answer: B – The ALF must prominently display its license and recent
inspection results.
6. An administrator who has been terminated from a facility for financial fraud
must have the termination reported to AHCA within what time frame?
A) 5 days
B) 15 days
C) 30 days
D) 60 days
✅ Correct Answer: B – Facilities must report termination of an administrator for
cause to AHCA within 15 days.
2|Page
,7. Which entity is responsible for investigating complaints of resident abuse,
neglect, or exploitation in a Florida ALF?
A) The local police department only.
B) The Florida Department of Elder Affairs.
C) The Department of Children and Families (DCF) Adult Protective Services.
D) The U.S. Department of Health and Human Services.
✅ Correct Answer: C – DCF's Adult Protective Services investigates allegations of
abuse, neglect, or exploitation of vulnerable adults.
8. The 100-question official ALF Core Competency Exam requires a minimum
passing score of:
A) 70%
B) 75%
C) 80%
D) 85%
✅ Correct Answer: A – A passing score of 70% or higher is required.
9. An applicant for an ALF license must submit a Level 2 background screening.
This screening includes:
A) A credit check.
B) A state and national criminal history records check through FDLE and FBI.
C) A drug test.
D) A psychological evaluation.
✅ Correct Answer: B – Level 2 screening is a fingerprint-based state and national
criminal history check.
10. Which Florida statute is the primary law that governs the operation of assisted
living facilities?
A) Chapter 400
B) Chapter 408
C) Chapter 429
D) Chapter 465
3|Page
, ✅ Correct Answer: C – Chapter 429, Florida Statutes, is the "Florida Assisted
Living Facilities Act."
11. An ALF that wishes to provide limited nursing services must obtain what type
of license?
A) Standard ALF license
B) Limited nursing services license
C) Skilled nursing facility license
D) Hospice license
✅ Correct Answer: B – A limited nursing services license allows an ALF to
provide certain nursing services beyond basic assistance.
12. According to Florida law, an ALF must have a written policy regarding:
A) Employee vacation schedules.
B) The use of physical or chemical restraints.
C) The administrator's salary.
D) The color of resident room curtains.
✅ Correct Answer: B – Restraint use must be strictly controlled by written policy
and physician order.
13. Which agency is responsible for surveying and inspecting ALFs for compliance
with health and safety standards?
A) Department of Elder Affairs
B) Agency for Health Care Administration (AHCA)
C) Department of Financial Services
D) Local fire department only
✅ Correct Answer: B – AHCA conducts licensing and compliance surveys.
14. An ALF administrator's certificate is valid for:
A) 1 year
B) 2 years
4|Page
Bank – 400 Practice Questions with Verified Answers &
Rationales (Brand New for 2026)
Domain 1: Laws, Rules, and Regulations (Questions 1–50)
1. The Florida Legislature found that strong regulatory oversight of ALFs is
necessary because residents:
A) Are completely independent and need no supervision.
B) May be dependent on the facility for their well-being.
C) Are only there for short-term rehabilitation stays.
D) Do not require any medical or social services.
✅ Correct Answer: B – Residents often have some physical or mental limitations
and rely on the facility to meet their daily needs and ensure their safety.
2. The Agency for Health Care Administration (AHCA) has the authority to deny,
revoke, or suspend an ALF's license for all of the following reasons EXCEPT:
A) A violation of any provision of Chapter 429, Florida Statutes.
B) A violation of any applicable rule of the Agency.
C) The facility's occupancy rate falls below 50% for two consecutive quarters.
D) The applicant has been convicted of a crime that directly relates to the
operation of an ALF.
✅ Correct Answer: C – AHCA does not regulate based on business occupancy
rates; its authority is tied to health, safety, and compliance with statutes.
3. ALF staff members are considered to have met the "good moral character"
requirement if they:
A) Have no prior employment history.
B) Have not been convicted of certain disqualifying criminal offenses.
1|Page
,C) Are related to the facility's owner.
D) Have lived in Florida for at least five years.
✅ Correct Answer: B – Florida law prohibits individuals with specific criminal
backgrounds (e.g., certain felonies, abuse, neglect) from being employed in or
owning an ALF.
4. Under the Florida Administrative Code (F.A.C.), what is the maximum number
of residents an ALF can serve without a license?
A) 0
B) 3
C) 5
D) 10
✅ Correct Answer: A – Any facility providing shelter, meals, and one or more
personal services must obtain a license.
5. Which of the following is a mandatory posting requirement in an ALF?
A) Staff members' personal phone numbers.
B) A copy of the facility's most recent life safety inspection report.
C) A list of the owner's personal assets.
D) The facility's weekly menu.
✅ Correct Answer: B – The ALF must prominently display its license and recent
inspection results.
6. An administrator who has been terminated from a facility for financial fraud
must have the termination reported to AHCA within what time frame?
A) 5 days
B) 15 days
C) 30 days
D) 60 days
✅ Correct Answer: B – Facilities must report termination of an administrator for
cause to AHCA within 15 days.
2|Page
,7. Which entity is responsible for investigating complaints of resident abuse,
neglect, or exploitation in a Florida ALF?
A) The local police department only.
B) The Florida Department of Elder Affairs.
C) The Department of Children and Families (DCF) Adult Protective Services.
D) The U.S. Department of Health and Human Services.
✅ Correct Answer: C – DCF's Adult Protective Services investigates allegations of
abuse, neglect, or exploitation of vulnerable adults.
8. The 100-question official ALF Core Competency Exam requires a minimum
passing score of:
A) 70%
B) 75%
C) 80%
D) 85%
✅ Correct Answer: A – A passing score of 70% or higher is required.
9. An applicant for an ALF license must submit a Level 2 background screening.
This screening includes:
A) A credit check.
B) A state and national criminal history records check through FDLE and FBI.
C) A drug test.
D) A psychological evaluation.
✅ Correct Answer: B – Level 2 screening is a fingerprint-based state and national
criminal history check.
10. Which Florida statute is the primary law that governs the operation of assisted
living facilities?
A) Chapter 400
B) Chapter 408
C) Chapter 429
D) Chapter 465
3|Page
, ✅ Correct Answer: C – Chapter 429, Florida Statutes, is the "Florida Assisted
Living Facilities Act."
11. An ALF that wishes to provide limited nursing services must obtain what type
of license?
A) Standard ALF license
B) Limited nursing services license
C) Skilled nursing facility license
D) Hospice license
✅ Correct Answer: B – A limited nursing services license allows an ALF to
provide certain nursing services beyond basic assistance.
12. According to Florida law, an ALF must have a written policy regarding:
A) Employee vacation schedules.
B) The use of physical or chemical restraints.
C) The administrator's salary.
D) The color of resident room curtains.
✅ Correct Answer: B – Restraint use must be strictly controlled by written policy
and physician order.
13. Which agency is responsible for surveying and inspecting ALFs for compliance
with health and safety standards?
A) Department of Elder Affairs
B) Agency for Health Care Administration (AHCA)
C) Department of Financial Services
D) Local fire department only
✅ Correct Answer: B – AHCA conducts licensing and compliance surveys.
14. An ALF administrator's certificate is valid for:
A) 1 year
B) 2 years
4|Page
