1
Kansas Adult Care Home Operator (ACHO)
Exam: 100 Practice Questions, Correct
Answers and Rationales
Questions 1–15: Licensing, registration and management
1. What is the primary responsibility of an adult care home operator?
A. Provide all medical treatment personally B. Oversee facility operations and ensure
applicable requirements are followed C. Replace every licensed healthcare professional D.
Make all residents' personal decisions
CorreCt answer: B.
Rationale: The operator oversees the facility within the authority assigned by the licensee
and applicable Kansas requirements.
2. Which Kansas agency is responsible for licensing adult care homes?
A. Kansas Department of Transportation B. Kansas Department for Aging and Disability
Services (KDADS) C. Kansas Department of Revenue D. Kansas Secretary of Agriculture
CorreCt answer: B.
Rationale: KDADS is the state agency responsible for adult care home licensing and related
oversight.
Department for Aging and Disability Services
+1
3. What is the main purpose of adult care home licensing?
A. To guarantee facility profits B. To establish and enforce requirements intended to protect
residents and ensure appropriate care C. To eliminate inspections D. To allow facilities to
operate without oversight
CorreCt answer: B.
Rationale: Licensing establishes minimum legal requirements for safe operations and
resident care.
4. Which facility is included in Kansas's statutory definition of an adult care home?
, 2
A. An ordinary retail store B. A licensed assisted living facility C. A private office with no care
services D. A public library
CorreCt answer: B.
Rationale: Assisted living facilities are expressly included in the statutory definition.
kslegislature.gov
+1
5. Which type of facility may fall under Kansas's operator-registration pathway?
A. Every large hospital B. A home plus facility C. Every private residence regardless of use D.
Every retail pharmacy
CorreCt answer: B.
Rationale: Home plus facilities are among the facility types covered by the operator-
registration framework.
kslegislature.gov
6. What is the difference between an operator and a licensee?
A. They are always the same legal role B. The licensee holds the facility license; an operator
may be appointed to oversee specified operations C. An operator is always a resident D. A
licensee is always a physician
CorreCt answer: B.
Rationale: Kansas law distinguishes the licensee from an operator registered under the
operator-registration framework.
kslegislature.gov
+1
7. What should an operator do when a regulation changes?
A. Continue using outdated procedures indefinitely B. Review the change and update facility
policies and practices as necessary C. Ignore the change until a complaint occurs D. Ask
residents to decide whether the law applies
CorreCt answer: B.
, 3
Rationale: Operators should maintain current policies and ensure that operations comply
with applicable requirements.
8. What is the purpose of maintaining facility policies and procedures?
A. To replace state law B. To guide consistent, safe and compliant operations C. To prevent
residents from asking questions D. To eliminate employee training
CorreCt answer: B.
Rationale: Written policies help staff understand responsibilities and follow consistent
procedures.
9. What should an operator do when a licensing survey identifies deficiencies?
A. Destroy the survey report B. Review the findings, implement appropriate corrective
actions and meet applicable response requirements C. Retaliate against the surveyor D.
Continue the deficient practice without review
CorreCt answer: B.
Rationale: Deficiencies should be addressed through appropriate corrective action and
follow-up.
10. Why is accurate documentation important in an adult care home?
A. It guarantees that no incident will occur B. It supports continuity of care, accountability
and regulatory compliance C. It replaces direct resident care D. It makes verbal
communication unnecessary
CorreCt answer: B.
Rationale: Accurate records help staff communicate, monitor changes and demonstrate that
required procedures were followed.
11. What should an operator do if a facility cannot safely meet a prospective resident's care
needs?
A. Admit the person regardless of the risk B. Assess the person's needs and determine an
appropriate, lawful placement C. Ignore the assessment D. Promise services that the facility
cannot provide
CorreCt answer: B.
Rationale: Admission decisions should reflect the facility's authorized services, staffing and
ability to meet the individual's needs safely.
12. What is the purpose of an organizational chart?
Kansas Adult Care Home Operator (ACHO)
Exam: 100 Practice Questions, Correct
Answers and Rationales
Questions 1–15: Licensing, registration and management
1. What is the primary responsibility of an adult care home operator?
A. Provide all medical treatment personally B. Oversee facility operations and ensure
applicable requirements are followed C. Replace every licensed healthcare professional D.
Make all residents' personal decisions
CorreCt answer: B.
Rationale: The operator oversees the facility within the authority assigned by the licensee
and applicable Kansas requirements.
2. Which Kansas agency is responsible for licensing adult care homes?
A. Kansas Department of Transportation B. Kansas Department for Aging and Disability
Services (KDADS) C. Kansas Department of Revenue D. Kansas Secretary of Agriculture
CorreCt answer: B.
Rationale: KDADS is the state agency responsible for adult care home licensing and related
oversight.
Department for Aging and Disability Services
+1
3. What is the main purpose of adult care home licensing?
A. To guarantee facility profits B. To establish and enforce requirements intended to protect
residents and ensure appropriate care C. To eliminate inspections D. To allow facilities to
operate without oversight
CorreCt answer: B.
Rationale: Licensing establishes minimum legal requirements for safe operations and
resident care.
4. Which facility is included in Kansas's statutory definition of an adult care home?
, 2
A. An ordinary retail store B. A licensed assisted living facility C. A private office with no care
services D. A public library
CorreCt answer: B.
Rationale: Assisted living facilities are expressly included in the statutory definition.
kslegislature.gov
+1
5. Which type of facility may fall under Kansas's operator-registration pathway?
A. Every large hospital B. A home plus facility C. Every private residence regardless of use D.
Every retail pharmacy
CorreCt answer: B.
Rationale: Home plus facilities are among the facility types covered by the operator-
registration framework.
kslegislature.gov
6. What is the difference between an operator and a licensee?
A. They are always the same legal role B. The licensee holds the facility license; an operator
may be appointed to oversee specified operations C. An operator is always a resident D. A
licensee is always a physician
CorreCt answer: B.
Rationale: Kansas law distinguishes the licensee from an operator registered under the
operator-registration framework.
kslegislature.gov
+1
7. What should an operator do when a regulation changes?
A. Continue using outdated procedures indefinitely B. Review the change and update facility
policies and practices as necessary C. Ignore the change until a complaint occurs D. Ask
residents to decide whether the law applies
CorreCt answer: B.
, 3
Rationale: Operators should maintain current policies and ensure that operations comply
with applicable requirements.
8. What is the purpose of maintaining facility policies and procedures?
A. To replace state law B. To guide consistent, safe and compliant operations C. To prevent
residents from asking questions D. To eliminate employee training
CorreCt answer: B.
Rationale: Written policies help staff understand responsibilities and follow consistent
procedures.
9. What should an operator do when a licensing survey identifies deficiencies?
A. Destroy the survey report B. Review the findings, implement appropriate corrective
actions and meet applicable response requirements C. Retaliate against the surveyor D.
Continue the deficient practice without review
CorreCt answer: B.
Rationale: Deficiencies should be addressed through appropriate corrective action and
follow-up.
10. Why is accurate documentation important in an adult care home?
A. It guarantees that no incident will occur B. It supports continuity of care, accountability
and regulatory compliance C. It replaces direct resident care D. It makes verbal
communication unnecessary
CorreCt answer: B.
Rationale: Accurate records help staff communicate, monitor changes and demonstrate that
required procedures were followed.
11. What should an operator do if a facility cannot safely meet a prospective resident's care
needs?
A. Admit the person regardless of the risk B. Assess the person's needs and determine an
appropriate, lawful placement C. Ignore the assessment D. Promise services that the facility
cannot provide
CorreCt answer: B.
Rationale: Admission decisions should reflect the facility's authorized services, staffing and
ability to meet the individual's needs safely.
12. What is the purpose of an organizational chart?
