Page 1 of 38
RCFE ADMISSION AND RETENTION REQUIREMENTS
EXAM PRACTICE 2026 COMPLETE (105) CURRENT
TESTING QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES.
ADMISSION
Prepare for the RCFE Admission and Retention Requirements Exam with this
comprehensive practice resource designed to reinforce essential admission
procedures, resident eligibility requirements, retention standards, care assessments,
documentation practices, regulatory compliance, and Residential Care Facility for the
Elderly guidelines. This document helps you review key topics, assess your
understanding, and identify areas that may require additional study before the
certification exam. Use it to strengthen your knowledge and build confidence through
focused, organized preparation. An excellent companion for successful RCFE
Admission and Retention Requirements exam preparation.
MULTIPLE CHOICE.
Pre-Admission Appraisal & Medical Assessment (Questions 1-25)
Question 1: According to Title 22, Section 87457, a pre-admission appraisal
must be completed prior to a person's acceptance as a resident. This
appraisal is designed to evaluate:
A. The resident's financial status and ability to pay
B. The resident's functional capabilities, mental condition, and social factors
C. The resident's family history and support network
D. The resident's prior living arrangements
Correct answer: B. The resident's functional capabilities, mental
condition, and social factors
Rationale: The pre-admission appraisal evaluates a prospective resident's
functional capabilities, mental condition, and such social factors as likes,
dislikes, and interests . The appraisal must be completed prior to
acceptance.
, Page 2 of 38
Question 2: Prior to a person's acceptance as a resident, the licensee shall
obtain documentation of a medical assessment signed by a physician made
within the last:
A. 6 months
B. 7 days
C. 12 months
D. 24 months
Correct answer: C. 12 months
Rationale: Title 22, Section 87458 requires a medical assessment signed
by a physician made within the last 12 months prior to admission. This
assessment includes a diagnosis, examination for TB and other
contagious diseases, medical history, record of medications, and
identification of physical and mental limitations.
Question 3: A medical assessment signed by a physician must be obtained
prior to admission. The assessment must include all of the following EXCEPT:
A. Diagnosis
B. Examination for TB and other contagious diseases
C. Medical history and record of medications
D. A financial assessment
Correct answer: D. A financial assessment
Rationale: The medical assessment required under CCR 87458 includes a
diagnosis, examination for TB and other contagious diseases, medical
history, record of medications, and identification of physical and mental
limitations. A financial assessment is not part of the medical assessment.
Question 4: The medical assessment for admission is important because it:
A. Determines the resident's monthly fee
B. Identifies physical and mental limitations that might prevent a person from
receiving adequate care at the RCFE level
C. Determines the resident's eligibility for Medi-Cal
D. Assigns a room to the resident
Correct answer: B. Identifies physical and mental limitations that might
, Page 3 of 38
prevent a person from receiving adequate care at the RCFE level
Rationale: The medical assessment includes identification of physical
and mental limitations that might prevent a person from receiving
adequate care at the RCFE level .
Question 5: A pre-admission appraisal under Section 87457 evaluates a
prospective resident's:
A. Only physical health
B. Functional capabilities, mental condition, and social factors
C. Only financial resources
D. Only family support
Correct answer: B. Functional capabilities, mental condition, and social
factors
Rationale: The pre-admission appraisal evaluates a prospective resident's
functional capabilities, mental condition, and social factors such as likes,
dislikes, and interests .
Question 6: Which of the following statements is TRUE regarding the pre-
admission appraisal?
A. It must be completed after admission
B. It must be completed prior to admission
C. It is optional for facilities with fewer than 16 residents
D. It can be completed by the resident's family
Correct answer: B. It must be completed prior to admission
Rationale: The Residential Care Facility (RCFE) is required to complete a
pre-admission appraisal that evaluates a prospective resident before
admitting them .
Question 7: The pre-admission appraisal is required under which California
Code of Regulations sections?
A. CCR 87456, 87457
B. CCR 87458, 87459
, Page 4 of 38
C. CCR 87460, 87461
D. CCR 87462, 87463
Correct answer: A. CCR 87456, 87457
Rationale: The RCFE is required to complete a pre-admission appraisal
under CCR 87456 and 87457 .
Question 8: For a prospective resident with dementia, what additional
requirement applies?
A. A separate financial assessment
B. A written plan of care by the resident's doctor to minimize the use of
psychoactive medications
C. A family member must be present at all times
D. A special waiver from the Department
Correct answer: B. A written plan of care by the resident's doctor to
minimize the use of psychoactive medications
Rationale: For residents with dementia, there must also be a written plan
of care by the resident's doctor to minimize the use of psychoactive
medications .
Question 9: The pre-admission appraisal must evaluate which of the
following social factors?
A. Likes, dislikes, and interests
B. Financial status only
C. Family medical history only
D. Previous employment only
Correct answer: A. Likes, dislikes, and interests
Rationale: The pre-admission appraisal evaluates social factors such as
likes, dislikes, and interests in addition to functional capabilities and
mental condition .
Question 10: The pre-admission appraisal is sometimes referred to as:
A. An assessment
RCFE ADMISSION AND RETENTION REQUIREMENTS
EXAM PRACTICE 2026 COMPLETE (105) CURRENT
TESTING QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES.
ADMISSION
Prepare for the RCFE Admission and Retention Requirements Exam with this
comprehensive practice resource designed to reinforce essential admission
procedures, resident eligibility requirements, retention standards, care assessments,
documentation practices, regulatory compliance, and Residential Care Facility for the
Elderly guidelines. This document helps you review key topics, assess your
understanding, and identify areas that may require additional study before the
certification exam. Use it to strengthen your knowledge and build confidence through
focused, organized preparation. An excellent companion for successful RCFE
Admission and Retention Requirements exam preparation.
MULTIPLE CHOICE.
Pre-Admission Appraisal & Medical Assessment (Questions 1-25)
Question 1: According to Title 22, Section 87457, a pre-admission appraisal
must be completed prior to a person's acceptance as a resident. This
appraisal is designed to evaluate:
A. The resident's financial status and ability to pay
B. The resident's functional capabilities, mental condition, and social factors
C. The resident's family history and support network
D. The resident's prior living arrangements
Correct answer: B. The resident's functional capabilities, mental
condition, and social factors
Rationale: The pre-admission appraisal evaluates a prospective resident's
functional capabilities, mental condition, and such social factors as likes,
dislikes, and interests . The appraisal must be completed prior to
acceptance.
, Page 2 of 38
Question 2: Prior to a person's acceptance as a resident, the licensee shall
obtain documentation of a medical assessment signed by a physician made
within the last:
A. 6 months
B. 7 days
C. 12 months
D. 24 months
Correct answer: C. 12 months
Rationale: Title 22, Section 87458 requires a medical assessment signed
by a physician made within the last 12 months prior to admission. This
assessment includes a diagnosis, examination for TB and other
contagious diseases, medical history, record of medications, and
identification of physical and mental limitations.
Question 3: A medical assessment signed by a physician must be obtained
prior to admission. The assessment must include all of the following EXCEPT:
A. Diagnosis
B. Examination for TB and other contagious diseases
C. Medical history and record of medications
D. A financial assessment
Correct answer: D. A financial assessment
Rationale: The medical assessment required under CCR 87458 includes a
diagnosis, examination for TB and other contagious diseases, medical
history, record of medications, and identification of physical and mental
limitations. A financial assessment is not part of the medical assessment.
Question 4: The medical assessment for admission is important because it:
A. Determines the resident's monthly fee
B. Identifies physical and mental limitations that might prevent a person from
receiving adequate care at the RCFE level
C. Determines the resident's eligibility for Medi-Cal
D. Assigns a room to the resident
Correct answer: B. Identifies physical and mental limitations that might
, Page 3 of 38
prevent a person from receiving adequate care at the RCFE level
Rationale: The medical assessment includes identification of physical
and mental limitations that might prevent a person from receiving
adequate care at the RCFE level .
Question 5: A pre-admission appraisal under Section 87457 evaluates a
prospective resident's:
A. Only physical health
B. Functional capabilities, mental condition, and social factors
C. Only financial resources
D. Only family support
Correct answer: B. Functional capabilities, mental condition, and social
factors
Rationale: The pre-admission appraisal evaluates a prospective resident's
functional capabilities, mental condition, and social factors such as likes,
dislikes, and interests .
Question 6: Which of the following statements is TRUE regarding the pre-
admission appraisal?
A. It must be completed after admission
B. It must be completed prior to admission
C. It is optional for facilities with fewer than 16 residents
D. It can be completed by the resident's family
Correct answer: B. It must be completed prior to admission
Rationale: The Residential Care Facility (RCFE) is required to complete a
pre-admission appraisal that evaluates a prospective resident before
admitting them .
Question 7: The pre-admission appraisal is required under which California
Code of Regulations sections?
A. CCR 87456, 87457
B. CCR 87458, 87459
, Page 4 of 38
C. CCR 87460, 87461
D. CCR 87462, 87463
Correct answer: A. CCR 87456, 87457
Rationale: The RCFE is required to complete a pre-admission appraisal
under CCR 87456 and 87457 .
Question 8: For a prospective resident with dementia, what additional
requirement applies?
A. A separate financial assessment
B. A written plan of care by the resident's doctor to minimize the use of
psychoactive medications
C. A family member must be present at all times
D. A special waiver from the Department
Correct answer: B. A written plan of care by the resident's doctor to
minimize the use of psychoactive medications
Rationale: For residents with dementia, there must also be a written plan
of care by the resident's doctor to minimize the use of psychoactive
medications .
Question 9: The pre-admission appraisal must evaluate which of the
following social factors?
A. Likes, dislikes, and interests
B. Financial status only
C. Family medical history only
D. Previous employment only
Correct answer: A. Likes, dislikes, and interests
Rationale: The pre-admission appraisal evaluates social factors such as
likes, dislikes, and interests in addition to functional capabilities and
mental condition .
Question 10: The pre-admission appraisal is sometimes referred to as:
A. An assessment
