PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALF CORE EXAM
FLORIDA 2026 (BRAND NEW)
Question 1
A fully sprinkled Assisted Living Facility (ALF) is required to conduct how many fire drills
annually?
A) 2
B) 6
C) 12
D) 5
E) 8
Correct Answer: D) 5
Rationale: Florida regulations distinguish between sprinkled and non-sprinkled facilities. A
fully sprinkled facility must conduct at least 5 fire drills per year, whereas non-sprinkled
facilities are typically required to conduct one per month.
Question 2
Which specialty license is required if a facility has three or more residents who receive Optional
State Supplementation (OSS) and have a mental health diagnosis?
A) ECC (Extended Congregate Care)
B) LNS (Limited Nursing Services)
C) LMH (Limited Mental Health)
D) Hospice Specialty
E) Adult Family Care Home
Correct Answer: C) Limited mental health licence
Rationale: The Limited Mental Health (LMH) license is mandatory for any facility that
serves three or more residents receiving OSS who have a mental health disability as defined
by the state.
Question 3
What is the minimum number of elopement drills a facility must conduct annually?
A) 1
B) 2
C) 4
D) 6
E) 12
Correct Answer: B) 2
Rationale: Facilities must conduct a minimum of two elopement drills per year to ensure
staff are prepared to respond if a resident with cognitive impairment wanders away from
the premises.
Question 4
If an ALF decides to hold monies or property for a resident for safekeeping, how often must a
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statement be provided to the resident or their legal representative?
A) Monthly
B) Bi-annually
C) Quarterly
D) Annually
E) Only upon request
Correct Answer: C) quarterly
Rationale: To ensure financial transparency and protection of resident assets, facilities
managing resident funds must provide a detailed accounting statement at least once every
three months (quarterly).
Question 5
A facility must have a surety bond if it serves as a representative payee for a resident or if it
holds:
A) Liability insurance
B) A standard license
C) Power of attorney
D) More than 10 residents
E) An ECC license
Correct Answer: C) power of attorney
Rationale: A surety bond acts as a safeguard against financial mismanagement. It is
required if the facility or owner has Power of Attorney or serves as a Representative Payee
for a resident’s funds.
Question 6
What is the minimum weekly staffing hours required for an ALF with a census of four residents?
A) 40 hours
B) 80 hours
C) 120 hours
D) 168 hours
E) 24 hours
Correct Answer: D) 168 hours
Rationale: Regardless of the number of residents, an ALF must be staffed 24 hours a day.
For a 7-day week, 24 hours x 7 days = 168 hours.
Question 7
According to Florida ALF rules, which of the following is NOT considered a potentially
hazardous food?
A) Raw poultry
B) Shell eggs
C) Fresh fruit
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D) Pasteurized milk
E) Cooked rice
Correct Answer: C) Fruit
Rationale: Potentially hazardous foods are those that require time and temperature control
to prevent bacterial growth (e.g., meat, dairy, eggs). Most whole, fresh fruits are not
considered hazardous in their raw state.
Question 8
How many days notice must a facility provide to a resident prior to a notice of discharge?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
E) 10 days
Correct Answer: C) 45
Rationale: Florida law protects residents from sudden displacement. Unless there is an
emergency medical reason or a threat to safety, the facility must provide at least 45 days'
written notice before discharging a resident.
Question 9
An ALF Administrator must be at least how many years of age?
A) 18
B) 21
C) 25
D) 30
E) 65
Correct Answer: B) 21
Rationale: While a facility owner can be 18, the individual responsible for the daily
operations (the Administrator) must be at least 21 years old.
Question 10
A Change of Ownership (CHOW) application must be submitted to AHCA at least how many
days prior to the transaction?
A) 30
B) 45
C) 60
D) 90
E) 15
Correct Answer: C) 60
Rationale: AHCA requires significant lead time to vet a new owner's credentials and
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background. A CHOW application must be filed at least 60 days before the anticipated
transfer of ownership.
Question 11
How often does the Agency for Health Care Administration (AHCA) conduct surveys to ensure
facility compliance?
A) Annually
B) Biennially
C) Every 3 years
D) Every 5 years
E) Quarterly
Correct Answer: B) Biennial
Rationale: Standard license surveys are conducted biennially (every two years) to ensure the
facility meets health, safety, and administrative regulations.
Question 12
At least one staff member with which two certifications must be in the facility at all times?
A) CNA and HHA
B) RN and LPN
C) CPR and First Aid
D) RD and LD
E) ECC and LNS
Correct Answer: C) CPR & First Aid
Rationale: Safety regulations mandate that there is always at least one person on duty who
is trained to provide emergency life-saving measures and basic first aid.
Question 13
What is the minimum square footage required for a private (single-occupancy) bedroom in an
ALF?
A) 35 sq ft
B) 60 sq ft
C) 80 sq ft
D) 100 sq ft
E) 120 sq ft
Correct Answer: C) 80
Rationale: For the comfort and mobility of the resident, a private room must have at least
80 square feet of usable floor space.
Question 14
In an ALF, what is the required ratio of toilets and sinks to residents?
A) 1 for every 4 residents