FLORIDA A SSIST E D LIV ING
FA C ILIT Y
C o r e Tr a i n i n g E x a m i n a t i o n
Florida ALF Core Training Test
2026/2027 Latest Test Bank 1 With Real
Exam Questions And Correct Verified
Answers
Total Questions: 150
Sections: 11
Regulatory Basis: Chapter 429 F.S. / 59A-36
F.A.C.
Agency: AHCA
2 02 6/2 02 7 Ed it ion
,Florida ALF Core Training Test 2026/2027 | Chapter 429 F.S. / 59A-36 F.A.C. AHCA Approved
Section 1: State Law and Rules Relating to ALFs (Chapter 429, F.S. and 59A-36, F.A.C.)
Q1: Which Florida statute serves as the primary statutory authority governing assisted living facilities?
A. A. Chapter 393, Florida Statutes
B. B. Chapter 400, Florida Statutes
C. C. Chapter 429, Florida Statutes **[CORRECT]**
D. D. Chapter 408, Florida Statutes
Correct Answer: C
Rationale: Chapter 429, Florida Statutes, is the primary statutory authority governing assisted living facilities in Florida. Chapter 393
addresses developmental disabilities, Chapter 400 governs nursing homes, and Chapter 408 relates to health care regulation generally.
Per Chapter 429, F.S., AHCA has regulatory oversight of all ALFs in the state.
Q2: The Agency for Health Care Administration (AHCA) is responsible for which of the following regarding ALFs?
A. A. Issuing marriage licenses for residents
B. B. Regulatory inspections and enforcement of ALF licensure **[CORRECT]**
C. C. Providing direct medical care to residents
D. D. Managing facility financial accounts
Correct Answer: B
Rationale: AHCA is the state agency responsible for licensing, regulating, and inspecting assisted living facilities under Chapter 429, F.S.
and 59A-36, F.A.C. AHCA conducts annual surveys, investigates complaints, and enforces compliance with state regulations. It does not
provide direct medical care or manage facility finances.
Q3: Within how many days of employment must an ALF administrator complete core training and pass the
competency test?
A. A. 30 days
B. B. 60 days
C. C. 90 days **[CORRECT]**
D. D. 120 days
Correct Answer: C
Rationale: Per Section 429.52, F.S., an ALF administrator must complete the required core training and pass the competency test within 90
days of employment. This is a commonly confused timeline; 30 days applies to preservice orientation, not full core training completion.
Failure to meet the 90-day deadline may result in regulatory action against the facility.
Q4: What minimum passing score is required on the ALF core training competency test?
A. A. 65%
B. B. 70%
C. C. 75% **[CORRECT]**
D. D. 80%
Correct Answer: C
Rationale: A minimum score of 75% is required to pass the ALF core training competency test under AHCA requirements. This standard
applies to both initial certification and any subsequent competency testing. Candidates who score below 75% must retake the examination
after additional study.
Q5: A Class 3 violation in an ALF is best described as which of the following?
A. A. A violation that always results in immediate license revocation
B. B. A violation that may not result in a financial penalty if corrected during the survey **[CORRECT]**
C. C. A violation requiring criminal prosecution
D. D. A minor administrative paperwork error with no consequences
Correct Answer: B
Rationale: Under Florida ALF regulatory framework, a Class 3 violation may not result in a financial penalty if it is corrected during the
survey visit. This distinguishes it from Class 1 and Class 2 violations, which carry more severe penalties including fines. Class 4 violations
are the most serious and may result in license action. Understanding the classification system is essential for administrators managing
survey outcomes.
Page 1
,Florida ALF Core Training Test 2026/2027 | Chapter 429 F.S. / 59A-36 F.A.C. AHCA Approved
Q6: What is a Change of Ownership (CHOW) in the context of an ALF?
A. A. When a resident transfers to a different facility
B. B. When the facility changes its menu or food service provider
C. C. When there is a transfer of 50% or more of the ownership interest in the facility **[CORRECT]**
D. D. When the administrator is replaced
Correct Answer: C
Rationale: A Change of Ownership (CHOW) occurs when there is a transfer of 50% or more of the ownership interest in the facility,
requiring notification to AHCA and compliance with regulatory requirements under 59A-36, F.A.C. The new owner must apply for
licensure and demonstrate ability to operate in compliance. Staff changes and menu changes do not constitute a CHOW.
Q7: A conditional license may be issued to an ALF under which circumstance?
A. A. When the facility is brand new with no prior history
B. B. When the facility has an outstanding resident satisfaction score
C. C. When the facility does not fully meet all licensure requirements but can operate safely during a correction
period **[CORRECT]**
D. D. When the facility requests to reduce its licensed capacity
Correct Answer: C
Rationale: A conditional license is issued when an ALF does not fully meet all licensure requirements but AHCA determines the facility can
operate safely while correcting deficiencies within a specified timeframe. This is governed by Chapter 429, F.S. Conditional licenses have a
defined correction period, and failure to correct deficiencies may result in denial of full licensure or other enforcement action.
Q8: Which Florida Administrative Code chapter provides the regulatory framework for assisted living facilities?
A. A. 59A-4
B. B. 59A-36 **[CORRECT]**
C. C. 59A-3
D. D. 59A-12
Correct Answer: B
Rationale: Chapter 59A-36, Florida Administrative Code, provides the detailed regulatory framework for assisted living facilities,
implementing the statutory authority of Chapter 429, F.S. This chapter covers licensing requirements, operational standards, resident
rights, staffing, and all other regulatory aspects of ALF operation in Florida.
Q9: What is a licensure moratorium as it relates to ALFs in Florida?
A. A. A temporary suspension of all ALF operations statewide
B. B. Restrictions on new ALF licensure in certain geographic areas **[CORRECT]**
C. C. A mandatory closure period for all facilities annually
D. D. A freeze on hiring new staff across all ALFs
Correct Answer: B
Rationale: A licensure moratorium refers to restrictions placed on new ALF licensure in certain geographic areas, typically imposed when
the area has been determined to have an oversupply of assisted living beds. This is a market-based regulatory tool to prevent
over-saturation. It does not affect existing licensed facilities or their operations.
Q10: An ALF administrator fails to complete core training within the required timeframe. What is the most likely
regulatory consequence?
A. A. No consequence; training is optional
B. B. A Class 1 citation may be issued and the administrator may be removed **[CORRECT]**
C. C. The facility automatically loses its license
D. D. AHCA will provide an extension automatically
Correct Answer: B
Rationale: Failure to complete core training within 90 days of employment is a serious regulatory deficiency that may result in a Class 1
citation. AHCA may require removal of the administrator until the training requirement is met. Extensions are not automatic and must be
requested with documented justification. Training is mandatory, not optional, per Section 429.52, F.S.
Q11: Which of the following best describes the relationship between Chapter 429, F.S. and Chapter 59A-36, F.A.C.?
A. A. They are unrelated and apply to different industries
Page 2
, Florida ALF Core Training Test 2026/2027 | Chapter 429 F.S. / 59A-36 F.A.C. AHCA Approved
B. B. Chapter 429 establishes statutory authority; Chapter 59A-36 provides detailed implementing regulations
**[CORRECT]**
C. C. Chapter 59A-36 overrides Chapter 429 in all cases
D. D. Chapter 429 only applies to nursing homes, not ALFs
Correct Answer: B
Rationale: Chapter 429, F.S. establishes the statutory authority and broad framework for ALF regulation by the Florida Legislature.
Chapter 59A-36, F.A.C. provides the detailed administrative rules and implementing regulations that AHCA enforces. The F.A.C.
provisions must be consistent with the enabling statute. Together, they form the complete regulatory framework governing ALFs in Florida.
Q12: Under Florida law, how often must an ALF license be renewed?
A. A. Annually **[CORRECT]**
B. B. Every 2 years
C. C. Every 3 years
D. D. The license does not need renewal
Correct Answer: A
Rationale: ALF licenses in Florida must be renewed annually, as required by Chapter 429, F.S. The renewal process involves submitting an
application, paying the required fee, and demonstrating ongoing compliance with all regulatory requirements. Failure to renew on time
may result in the facility operating without a valid license, which is a violation subject to enforcement action.
Q13: A new ALF is being constructed. Which agency must approve the building plans before construction begins?
A. A. The local zoning board only
B. B. The fire marshal only
C. C. AHCA must review and approve plans for compliance with ALF licensing requirements **[CORRECT]**
D. D. No agency approval is needed for new construction
Correct Answer: C
Rationale: Before construction of a new ALF begins, building plans must be submitted to and approved by AHCA to ensure compliance
with ALF licensing requirements under 59A-36, F.A.C. While local zoning and fire marshal approval are also required, AHCA approval is
specific to the facility type and its regulatory standards for assisted living.
Q14: Which of the following is true regarding ALF admission agreements under Florida law?
A. A. Admission agreements are optional and not required by AHCA
B. B. The admission agreement must disclose all services, fees, and resident rights **[CORRECT]**
C. C. Admission agreements may waive the resident right to file complaints
D. D. The facility may change fees without written notice to the resident
Correct Answer: B
Rationale: Under Chapter 429, F.S. and 59A-36, F.A.C., the admission agreement must fully disclose all services provided, fee schedules,
and resident rights. Admission agreements are mandatory. Waiving complaint rights is prohibited, and fee changes require advance written
notice to residents. The agreement serves as the legal contract between the facility and the resident.
Q15: When AHCA conducts a survey of an ALF, which of the following is the primary purpose?
A. A. To generate revenue for the state through fines
B. B. To determine compliance with state licensing requirements and standards of care **[CORRECT]**
C. C. To rate the facility for marketing purposes
D. D. To interview residents about personal preferences
Correct Answer: B
Rationale: The primary purpose of an AHCA survey is to determine the ALF compliance with all applicable state licensing requirements
and standards of care under Chapter 429, F.S. and 59A-36, F.A.C. Surveys are conducted to protect resident health, safety, and welfare.
While deficiencies may result in fines, revenue generation is not the purpose of surveys.
Q16: An ALF receives a Class 2 violation during a survey. Which statement is most accurate?
A. A. A Class 2 violation carries no financial penalty
B. B. A Class 2 violation is more severe than a Class 3 violation and may carry a financial penalty
**[CORRECT]**
C. C. A Class 2 violation only requires verbal correction
Page 3
FA C ILIT Y
C o r e Tr a i n i n g E x a m i n a t i o n
Florida ALF Core Training Test
2026/2027 Latest Test Bank 1 With Real
Exam Questions And Correct Verified
Answers
Total Questions: 150
Sections: 11
Regulatory Basis: Chapter 429 F.S. / 59A-36
F.A.C.
Agency: AHCA
2 02 6/2 02 7 Ed it ion
,Florida ALF Core Training Test 2026/2027 | Chapter 429 F.S. / 59A-36 F.A.C. AHCA Approved
Section 1: State Law and Rules Relating to ALFs (Chapter 429, F.S. and 59A-36, F.A.C.)
Q1: Which Florida statute serves as the primary statutory authority governing assisted living facilities?
A. A. Chapter 393, Florida Statutes
B. B. Chapter 400, Florida Statutes
C. C. Chapter 429, Florida Statutes **[CORRECT]**
D. D. Chapter 408, Florida Statutes
Correct Answer: C
Rationale: Chapter 429, Florida Statutes, is the primary statutory authority governing assisted living facilities in Florida. Chapter 393
addresses developmental disabilities, Chapter 400 governs nursing homes, and Chapter 408 relates to health care regulation generally.
Per Chapter 429, F.S., AHCA has regulatory oversight of all ALFs in the state.
Q2: The Agency for Health Care Administration (AHCA) is responsible for which of the following regarding ALFs?
A. A. Issuing marriage licenses for residents
B. B. Regulatory inspections and enforcement of ALF licensure **[CORRECT]**
C. C. Providing direct medical care to residents
D. D. Managing facility financial accounts
Correct Answer: B
Rationale: AHCA is the state agency responsible for licensing, regulating, and inspecting assisted living facilities under Chapter 429, F.S.
and 59A-36, F.A.C. AHCA conducts annual surveys, investigates complaints, and enforces compliance with state regulations. It does not
provide direct medical care or manage facility finances.
Q3: Within how many days of employment must an ALF administrator complete core training and pass the
competency test?
A. A. 30 days
B. B. 60 days
C. C. 90 days **[CORRECT]**
D. D. 120 days
Correct Answer: C
Rationale: Per Section 429.52, F.S., an ALF administrator must complete the required core training and pass the competency test within 90
days of employment. This is a commonly confused timeline; 30 days applies to preservice orientation, not full core training completion.
Failure to meet the 90-day deadline may result in regulatory action against the facility.
Q4: What minimum passing score is required on the ALF core training competency test?
A. A. 65%
B. B. 70%
C. C. 75% **[CORRECT]**
D. D. 80%
Correct Answer: C
Rationale: A minimum score of 75% is required to pass the ALF core training competency test under AHCA requirements. This standard
applies to both initial certification and any subsequent competency testing. Candidates who score below 75% must retake the examination
after additional study.
Q5: A Class 3 violation in an ALF is best described as which of the following?
A. A. A violation that always results in immediate license revocation
B. B. A violation that may not result in a financial penalty if corrected during the survey **[CORRECT]**
C. C. A violation requiring criminal prosecution
D. D. A minor administrative paperwork error with no consequences
Correct Answer: B
Rationale: Under Florida ALF regulatory framework, a Class 3 violation may not result in a financial penalty if it is corrected during the
survey visit. This distinguishes it from Class 1 and Class 2 violations, which carry more severe penalties including fines. Class 4 violations
are the most serious and may result in license action. Understanding the classification system is essential for administrators managing
survey outcomes.
Page 1
,Florida ALF Core Training Test 2026/2027 | Chapter 429 F.S. / 59A-36 F.A.C. AHCA Approved
Q6: What is a Change of Ownership (CHOW) in the context of an ALF?
A. A. When a resident transfers to a different facility
B. B. When the facility changes its menu or food service provider
C. C. When there is a transfer of 50% or more of the ownership interest in the facility **[CORRECT]**
D. D. When the administrator is replaced
Correct Answer: C
Rationale: A Change of Ownership (CHOW) occurs when there is a transfer of 50% or more of the ownership interest in the facility,
requiring notification to AHCA and compliance with regulatory requirements under 59A-36, F.A.C. The new owner must apply for
licensure and demonstrate ability to operate in compliance. Staff changes and menu changes do not constitute a CHOW.
Q7: A conditional license may be issued to an ALF under which circumstance?
A. A. When the facility is brand new with no prior history
B. B. When the facility has an outstanding resident satisfaction score
C. C. When the facility does not fully meet all licensure requirements but can operate safely during a correction
period **[CORRECT]**
D. D. When the facility requests to reduce its licensed capacity
Correct Answer: C
Rationale: A conditional license is issued when an ALF does not fully meet all licensure requirements but AHCA determines the facility can
operate safely while correcting deficiencies within a specified timeframe. This is governed by Chapter 429, F.S. Conditional licenses have a
defined correction period, and failure to correct deficiencies may result in denial of full licensure or other enforcement action.
Q8: Which Florida Administrative Code chapter provides the regulatory framework for assisted living facilities?
A. A. 59A-4
B. B. 59A-36 **[CORRECT]**
C. C. 59A-3
D. D. 59A-12
Correct Answer: B
Rationale: Chapter 59A-36, Florida Administrative Code, provides the detailed regulatory framework for assisted living facilities,
implementing the statutory authority of Chapter 429, F.S. This chapter covers licensing requirements, operational standards, resident
rights, staffing, and all other regulatory aspects of ALF operation in Florida.
Q9: What is a licensure moratorium as it relates to ALFs in Florida?
A. A. A temporary suspension of all ALF operations statewide
B. B. Restrictions on new ALF licensure in certain geographic areas **[CORRECT]**
C. C. A mandatory closure period for all facilities annually
D. D. A freeze on hiring new staff across all ALFs
Correct Answer: B
Rationale: A licensure moratorium refers to restrictions placed on new ALF licensure in certain geographic areas, typically imposed when
the area has been determined to have an oversupply of assisted living beds. This is a market-based regulatory tool to prevent
over-saturation. It does not affect existing licensed facilities or their operations.
Q10: An ALF administrator fails to complete core training within the required timeframe. What is the most likely
regulatory consequence?
A. A. No consequence; training is optional
B. B. A Class 1 citation may be issued and the administrator may be removed **[CORRECT]**
C. C. The facility automatically loses its license
D. D. AHCA will provide an extension automatically
Correct Answer: B
Rationale: Failure to complete core training within 90 days of employment is a serious regulatory deficiency that may result in a Class 1
citation. AHCA may require removal of the administrator until the training requirement is met. Extensions are not automatic and must be
requested with documented justification. Training is mandatory, not optional, per Section 429.52, F.S.
Q11: Which of the following best describes the relationship between Chapter 429, F.S. and Chapter 59A-36, F.A.C.?
A. A. They are unrelated and apply to different industries
Page 2
, Florida ALF Core Training Test 2026/2027 | Chapter 429 F.S. / 59A-36 F.A.C. AHCA Approved
B. B. Chapter 429 establishes statutory authority; Chapter 59A-36 provides detailed implementing regulations
**[CORRECT]**
C. C. Chapter 59A-36 overrides Chapter 429 in all cases
D. D. Chapter 429 only applies to nursing homes, not ALFs
Correct Answer: B
Rationale: Chapter 429, F.S. establishes the statutory authority and broad framework for ALF regulation by the Florida Legislature.
Chapter 59A-36, F.A.C. provides the detailed administrative rules and implementing regulations that AHCA enforces. The F.A.C.
provisions must be consistent with the enabling statute. Together, they form the complete regulatory framework governing ALFs in Florida.
Q12: Under Florida law, how often must an ALF license be renewed?
A. A. Annually **[CORRECT]**
B. B. Every 2 years
C. C. Every 3 years
D. D. The license does not need renewal
Correct Answer: A
Rationale: ALF licenses in Florida must be renewed annually, as required by Chapter 429, F.S. The renewal process involves submitting an
application, paying the required fee, and demonstrating ongoing compliance with all regulatory requirements. Failure to renew on time
may result in the facility operating without a valid license, which is a violation subject to enforcement action.
Q13: A new ALF is being constructed. Which agency must approve the building plans before construction begins?
A. A. The local zoning board only
B. B. The fire marshal only
C. C. AHCA must review and approve plans for compliance with ALF licensing requirements **[CORRECT]**
D. D. No agency approval is needed for new construction
Correct Answer: C
Rationale: Before construction of a new ALF begins, building plans must be submitted to and approved by AHCA to ensure compliance
with ALF licensing requirements under 59A-36, F.A.C. While local zoning and fire marshal approval are also required, AHCA approval is
specific to the facility type and its regulatory standards for assisted living.
Q14: Which of the following is true regarding ALF admission agreements under Florida law?
A. A. Admission agreements are optional and not required by AHCA
B. B. The admission agreement must disclose all services, fees, and resident rights **[CORRECT]**
C. C. Admission agreements may waive the resident right to file complaints
D. D. The facility may change fees without written notice to the resident
Correct Answer: B
Rationale: Under Chapter 429, F.S. and 59A-36, F.A.C., the admission agreement must fully disclose all services provided, fee schedules,
and resident rights. Admission agreements are mandatory. Waiving complaint rights is prohibited, and fee changes require advance written
notice to residents. The agreement serves as the legal contract between the facility and the resident.
Q15: When AHCA conducts a survey of an ALF, which of the following is the primary purpose?
A. A. To generate revenue for the state through fines
B. B. To determine compliance with state licensing requirements and standards of care **[CORRECT]**
C. C. To rate the facility for marketing purposes
D. D. To interview residents about personal preferences
Correct Answer: B
Rationale: The primary purpose of an AHCA survey is to determine the ALF compliance with all applicable state licensing requirements
and standards of care under Chapter 429, F.S. and 59A-36, F.A.C. Surveys are conducted to protect resident health, safety, and welfare.
While deficiencies may result in fines, revenue generation is not the purpose of surveys.
Q16: An ALF receives a Class 2 violation during a survey. Which statement is most accurate?
A. A. A Class 2 violation carries no financial penalty
B. B. A Class 2 violation is more severe than a Class 3 violation and may carry a financial penalty
**[CORRECT]**
C. C. A Class 2 violation only requires verbal correction
Page 3
