F L O R I D A A S S I S T E D L I V I N G FAC I L I T Y
ALF Core Training Test
Comprehensive Test Bank 1 with Real Exam Questions
and Correct Verified Answers Aligned with Florida
Statutes Chapter 429
and Florida Administrative Code Rule 58A-5
TOTA L QU ES TI ONS S EC TI ONS
150 11
FORM AT ED I TI ON
MCQ 2026/27
BRAND NEW | 10 0 % CORRECT VERIFIED ANSWERS
,Florida ALF Core Training Test 2026/2027 150 Questions | Test Bank 1
Section 1: Licensing and Regulatory Framework
Q1: Which agency is responsible for licensing and regulating assisted living facilities in Florida?
A. Department of Elder Affairs (DOEA)
B. Agency for Health Care Administration (AHCA) [CORRECT]
C. Department of Health (DOH)
D. Agency for Persons with Disabilities (APD)
Correct Answer: B
Rationale: Under Florida Statute 429.02, AHCA has the authority and responsibility for licensing and regulating ALFs. DOEA
contracts with AHCA for some services but does not license ALFs. This distinction is a common exam pitfall.
Q2: Sunrise Villa provides housing, meals, and assistance with bathing and medication management for 15 residents.
It does not provide 24-hour nursing care. Under Florida law, what type of facility is this?
A. A nursing home
B. An adult family care home
C. An assisted living facility [CORRECT]
D. A boarding home
Correct Answer: C
Rationale: Under Florida Statute 429.02, an ALF is defined as a residential facility that provides housing, meals, and one or more
personal services for a fee to residents who are not relatives of the operator. Sunrise Villa meets this definition.
Q3: An ALF wants to care for residents requiring extensive supportive care, including total help with bathing,
dressing, and eating. Which specialty license must it obtain under F.S. 429.02 and Rule 58A-5.0181?
A. Limited Nursing Services (LNS)
B. Extended Congregate Care (ECC) [CORRECT]
C. Limited Mental Health (LMH)
D. Hospice Specialty License
Correct Answer: B
Rationale: ECC authorizes an ALF to provide extensive personal care and supportive services beyond basic ALF services,
including total ADL assistance. Per F.S. 429.02 and Rule 58A-5.0181, ECC is for residents needing higher care without skilled
nursing.
Q4: Magnolia Gardens ALF has a resident who developed a Stage II pressure sore. The physician orders daily
wound care by a licensed nurse. The ALF holds only a standard license. What must the facility do?
A. Transfer the resident to a skilled nursing facility immediately
B. Obtain a Limited Nursing Services (LNS) specialty license [CORRECT]
C. Request an emergency waiver from DOEA
D. Hire a home health agency to provide all nursing care on-site
Correct Answer: B
Rationale: Under F.S. 429.02 and Rule 58A-5.0191, an ALF must hold an LNS specialty license to provide nursing services
beyond those permitted under a standard or ECC license.
Florida ALF Core Competency Examination Preparation Page 1
,Florida ALF Core Training Test 2026/2027 150 Questions | Test Bank 1
Q5: A facility administrator notices that three of 20 residents have been diagnosed with serious mental illnesses. The
administrator wants to market the facility as specializing in mental health care. What is the most appropriate
regulatory action?
A. No additional license is needed since services are provided by outside agencies
B. Apply for a Limited Mental Health (LMH) specialty license [CORRECT]
C. Request a waiver from AHCA to admit additional mental health residents
D. Transfer the residents to a licensed mental health treatment facility
Correct Answer: B
Rationale: Under F.S. 429.02 and Rule 58A-5.0195, an ALF that wishes to provide specialized mental health services must
obtain an LMH specialty license.
Q6: According to F.A.C. Rule 58A-5.013, what must a prospective ALF operator submit to AHCA for an initial
license?
A. A letter of intent and a business plan only
B. A completed application, appropriate fee, floor plan, and proof of meeting building code
requirements [CORRECT]
C. An application and fee only; other documents submitted after approval
D. A certificate of need (CON) and a completed application form
Correct Answer: B
Rationale: Per Rule 58A-5.013, an initial application requires a completed form, fee, floor plan, and building code compliance
documentation. Florida does not require a CON for ALFs, a common exam distractor.
Q7: Ocean Breeze ALF was cited for multiple fire safety deficiencies. AHCA determined the facility can continue
operating while corrections are made. What type of license has AHCA most likely issued?
A. A provisional license
B. A conditional license [CORRECT]
C. An emergency license
D. A temporary waiver
Correct Answer: B
Rationale: Under F.S. 429.07 and Rule 58A-5.015, AHCA may issue a conditional license to a facility making good faith
correction efforts. It is valid for a limited period, typically six months.
Q8: Palm Harbor ALF has operated under a conditional license for five months. Most deficiencies are corrected but a
staffing ratio violation persists. AHCA finds the violation on follow-up. What is the most likely outcome?
A. AHCA will grant an automatic six-month extension
B. AHCA may deny renewal and initiate revocation proceedings [CORRECT]
C. AHCA will refer the matter to DOEA for a fine
D. AHCA will convert it to a standard license with a warning
Correct Answer: B
Rationale: Under F.S. 429.07 and Rule 58A-5.015, failure to correct all deficiencies within the conditional license period may
result in denial of renewal and disciplinary proceedings.
Q9: Sunshine County has an oversupply of ALF beds. AHCA decides not to issue new standard ALF licenses in that
county for one year. What is this action called?
Florida ALF Core Competency Examination Preparation Page 2
, Florida ALF Core Training Test 2026/2027 150 Questions | Test Bank 1
A. A license freeze
B. A moratorium on licensure [CORRECT]
C. A certificate of need restriction
D. A conditional approval hold
Correct Answer: B
Rationale: Under F.S. 429.06, AHCA may impose a moratorium on new ALF licenses in a geographic area with bed oversupply.
This is distinct from a CON process.
Q10: During a countywide ALF moratorium, a family wishes to convert their existing adult family care home into a
licensed ALF with 12 beds. Will the moratorium prevent them from obtaining a license?
A. Yes, no new licenses of any kind can be issued during a moratorium
B. No, conversion of an existing licensed facility is exempt from the moratorium [CORRECT]
C. Yes, unless they obtain a waiver from the Governor
D. No, but they must wait until the moratorium expires
Correct Answer: B
Rationale: Under F.S. 429.06, a moratorium applies to new facility applications but generally does not prevent conversion of an
existing licensed facility. Assuming moratoriums are absolute is a common pitfall.
Q11: Oak Tree ALF is being sold to a new owner who plans to change the name and renovate. What must happen
with the facility's license?
A. The license automatically transfers to the new owner upon sale
B. The new owner must submit a new license application; the license is not transferable
[CORRECT]
C. AHCA can issue a 90-day temporary license without a new application
D. The current owner must surrender the license and the new owner operates unlicensed for 30 days
Correct Answer: B
Rationale: Under F.S. 429.12, an ALF license is not transferable. A change of ownership (CHOW) requires the new owner to
submit a complete license application to AHCA.
Q12: An administrator learns ALF ownership will change hands in 60 days. What is the most important first
regulatory step?
A. Notify residents orally at the next community meeting
B. Submit a change of ownership application to AHCA as soon as practicable [CORRECT]
C. Wait until the sale is finalized before notifying any agency
D. Notify DOEA first and wait for their guidance before contacting AHCA
Correct Answer: B
Rationale: Under F.S. 429.12 and Rule 58A-5.014, the prospective new owner must submit a license application to AHCA as
soon as practicable before the change occurs.
Q13: Coral Ridge ALF's license expires June 30. The administrator submitted a renewal on May 15, but AHCA has
not processed it by July 1. Can the facility continue operating?
A. No, the facility must close until the renewal is approved
B. Yes, the facility may continue operating if the renewal application was timely filed [CORRECT]
C. Yes, but only for 15 days beyond the expiration date
D. No, the administrator must request an emergency extension from a circuit court
Florida ALF Core Competency Examination Preparation Page 3
ALF Core Training Test
Comprehensive Test Bank 1 with Real Exam Questions
and Correct Verified Answers Aligned with Florida
Statutes Chapter 429
and Florida Administrative Code Rule 58A-5
TOTA L QU ES TI ONS S EC TI ONS
150 11
FORM AT ED I TI ON
MCQ 2026/27
BRAND NEW | 10 0 % CORRECT VERIFIED ANSWERS
,Florida ALF Core Training Test 2026/2027 150 Questions | Test Bank 1
Section 1: Licensing and Regulatory Framework
Q1: Which agency is responsible for licensing and regulating assisted living facilities in Florida?
A. Department of Elder Affairs (DOEA)
B. Agency for Health Care Administration (AHCA) [CORRECT]
C. Department of Health (DOH)
D. Agency for Persons with Disabilities (APD)
Correct Answer: B
Rationale: Under Florida Statute 429.02, AHCA has the authority and responsibility for licensing and regulating ALFs. DOEA
contracts with AHCA for some services but does not license ALFs. This distinction is a common exam pitfall.
Q2: Sunrise Villa provides housing, meals, and assistance with bathing and medication management for 15 residents.
It does not provide 24-hour nursing care. Under Florida law, what type of facility is this?
A. A nursing home
B. An adult family care home
C. An assisted living facility [CORRECT]
D. A boarding home
Correct Answer: C
Rationale: Under Florida Statute 429.02, an ALF is defined as a residential facility that provides housing, meals, and one or more
personal services for a fee to residents who are not relatives of the operator. Sunrise Villa meets this definition.
Q3: An ALF wants to care for residents requiring extensive supportive care, including total help with bathing,
dressing, and eating. Which specialty license must it obtain under F.S. 429.02 and Rule 58A-5.0181?
A. Limited Nursing Services (LNS)
B. Extended Congregate Care (ECC) [CORRECT]
C. Limited Mental Health (LMH)
D. Hospice Specialty License
Correct Answer: B
Rationale: ECC authorizes an ALF to provide extensive personal care and supportive services beyond basic ALF services,
including total ADL assistance. Per F.S. 429.02 and Rule 58A-5.0181, ECC is for residents needing higher care without skilled
nursing.
Q4: Magnolia Gardens ALF has a resident who developed a Stage II pressure sore. The physician orders daily
wound care by a licensed nurse. The ALF holds only a standard license. What must the facility do?
A. Transfer the resident to a skilled nursing facility immediately
B. Obtain a Limited Nursing Services (LNS) specialty license [CORRECT]
C. Request an emergency waiver from DOEA
D. Hire a home health agency to provide all nursing care on-site
Correct Answer: B
Rationale: Under F.S. 429.02 and Rule 58A-5.0191, an ALF must hold an LNS specialty license to provide nursing services
beyond those permitted under a standard or ECC license.
Florida ALF Core Competency Examination Preparation Page 1
,Florida ALF Core Training Test 2026/2027 150 Questions | Test Bank 1
Q5: A facility administrator notices that three of 20 residents have been diagnosed with serious mental illnesses. The
administrator wants to market the facility as specializing in mental health care. What is the most appropriate
regulatory action?
A. No additional license is needed since services are provided by outside agencies
B. Apply for a Limited Mental Health (LMH) specialty license [CORRECT]
C. Request a waiver from AHCA to admit additional mental health residents
D. Transfer the residents to a licensed mental health treatment facility
Correct Answer: B
Rationale: Under F.S. 429.02 and Rule 58A-5.0195, an ALF that wishes to provide specialized mental health services must
obtain an LMH specialty license.
Q6: According to F.A.C. Rule 58A-5.013, what must a prospective ALF operator submit to AHCA for an initial
license?
A. A letter of intent and a business plan only
B. A completed application, appropriate fee, floor plan, and proof of meeting building code
requirements [CORRECT]
C. An application and fee only; other documents submitted after approval
D. A certificate of need (CON) and a completed application form
Correct Answer: B
Rationale: Per Rule 58A-5.013, an initial application requires a completed form, fee, floor plan, and building code compliance
documentation. Florida does not require a CON for ALFs, a common exam distractor.
Q7: Ocean Breeze ALF was cited for multiple fire safety deficiencies. AHCA determined the facility can continue
operating while corrections are made. What type of license has AHCA most likely issued?
A. A provisional license
B. A conditional license [CORRECT]
C. An emergency license
D. A temporary waiver
Correct Answer: B
Rationale: Under F.S. 429.07 and Rule 58A-5.015, AHCA may issue a conditional license to a facility making good faith
correction efforts. It is valid for a limited period, typically six months.
Q8: Palm Harbor ALF has operated under a conditional license for five months. Most deficiencies are corrected but a
staffing ratio violation persists. AHCA finds the violation on follow-up. What is the most likely outcome?
A. AHCA will grant an automatic six-month extension
B. AHCA may deny renewal and initiate revocation proceedings [CORRECT]
C. AHCA will refer the matter to DOEA for a fine
D. AHCA will convert it to a standard license with a warning
Correct Answer: B
Rationale: Under F.S. 429.07 and Rule 58A-5.015, failure to correct all deficiencies within the conditional license period may
result in denial of renewal and disciplinary proceedings.
Q9: Sunshine County has an oversupply of ALF beds. AHCA decides not to issue new standard ALF licenses in that
county for one year. What is this action called?
Florida ALF Core Competency Examination Preparation Page 2
, Florida ALF Core Training Test 2026/2027 150 Questions | Test Bank 1
A. A license freeze
B. A moratorium on licensure [CORRECT]
C. A certificate of need restriction
D. A conditional approval hold
Correct Answer: B
Rationale: Under F.S. 429.06, AHCA may impose a moratorium on new ALF licenses in a geographic area with bed oversupply.
This is distinct from a CON process.
Q10: During a countywide ALF moratorium, a family wishes to convert their existing adult family care home into a
licensed ALF with 12 beds. Will the moratorium prevent them from obtaining a license?
A. Yes, no new licenses of any kind can be issued during a moratorium
B. No, conversion of an existing licensed facility is exempt from the moratorium [CORRECT]
C. Yes, unless they obtain a waiver from the Governor
D. No, but they must wait until the moratorium expires
Correct Answer: B
Rationale: Under F.S. 429.06, a moratorium applies to new facility applications but generally does not prevent conversion of an
existing licensed facility. Assuming moratoriums are absolute is a common pitfall.
Q11: Oak Tree ALF is being sold to a new owner who plans to change the name and renovate. What must happen
with the facility's license?
A. The license automatically transfers to the new owner upon sale
B. The new owner must submit a new license application; the license is not transferable
[CORRECT]
C. AHCA can issue a 90-day temporary license without a new application
D. The current owner must surrender the license and the new owner operates unlicensed for 30 days
Correct Answer: B
Rationale: Under F.S. 429.12, an ALF license is not transferable. A change of ownership (CHOW) requires the new owner to
submit a complete license application to AHCA.
Q12: An administrator learns ALF ownership will change hands in 60 days. What is the most important first
regulatory step?
A. Notify residents orally at the next community meeting
B. Submit a change of ownership application to AHCA as soon as practicable [CORRECT]
C. Wait until the sale is finalized before notifying any agency
D. Notify DOEA first and wait for their guidance before contacting AHCA
Correct Answer: B
Rationale: Under F.S. 429.12 and Rule 58A-5.014, the prospective new owner must submit a license application to AHCA as
soon as practicable before the change occurs.
Q13: Coral Ridge ALF's license expires June 30. The administrator submitted a renewal on May 15, but AHCA has
not processed it by July 1. Can the facility continue operating?
A. No, the facility must close until the renewal is approved
B. Yes, the facility may continue operating if the renewal application was timely filed [CORRECT]
C. Yes, but only for 15 days beyond the expiration date
D. No, the administrator must request an emergency extension from a circuit court
Florida ALF Core Competency Examination Preparation Page 3
