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Maryland Assisted Living Manager Final Exam — 100 Practice Questions with Answers &
Rationales
Domain 1: Licensing, Regulatory Framework & Manager Qualifications (Questions 1–20)
Question 1: Which Maryland statute establishes the legal framework for assisted living
manager training requirements, including the 80-hour course mandate?
A) Health Occupations Article §9-305
B) Health-General Article §19-1807
C) COMAR 10.07.05
D) COMAR 10.39.04
Correct Answer: B
Rationale: Health-General Article §19-1807 establishes the statutory basis for assisted living
manager training, including the 80-hour requirement, continuing education obligations, and
exemption criteria .
Question 2: Which regulatory code governs assisted living facilities in Maryland?
A) COMAR 10.01.01
B) COMAR 10.07.14
C) COMAR 10.07.20
D) COMAR 10.09.01
Correct Answer: B
Rationale: COMAR 10.07.14 is the Maryland regulation that specifically governs assisted
living programs, establishing standards for staffing, resident care, physical plant, and
operational requirements .
Question 3: What is the minimum age requirement to be a Maryland Assisted Living
Manager?
A) 18 years old
B) 21 years old
C) 25 years old
D) 30 years old
Correct Answer: B
Rationale: Maryland regulations require assisted living managers to be at least 21 years old
to ensure maturity and decision-making capability .
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Question 4: How many total hours of initial training are required for a new Assisted Living
Manager in Maryland?
A) 40 hours
B) 60 hours
C) 80 hours
D) 100 hours
Correct Answer: C
Rationale: The Maryland Office of Health Care Quality (OHCQ) mandates 80 hours of
manager training before assuming full responsibilities .
Question 5: How many hours of Department-approved continuing education are required
for Maryland assisted living managers every two years?
A) 10 hours
B) 15 hours
C) 20 hours
D) 30 hours
Correct Answer: C
Rationale: Both Health-General Article §19-1807(b) and COMAR 10.07.14.16(C) require 20
hours of Department-approved continuing education every two years .
Question 6: What is the maximum percentage of the 80-hour manager training that can be
completed through internet or correspondence courses?
A) 10 hours (12.5%)
B) 20 hours (25%)
C) 25 hours (31.25%)
D) 30 hours (37.5%)
Correct Answer: C
Rationale: COMAR 10.07.14.16(B)(3) specifies that no more than 25 hours of the 80-hour
manager training may be completed through methods that do not require direct interaction
.
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Question 7: According to COMAR 10.07.14.17, which course in the manager training
curriculum requires the most hours?
A) Dementia, mental health, and behavior management (12 hours)
B) Aging process and its impact (4 hours)
C) Clinical management (20 hours)
D) Nutrition and food safety (8 hours)
Correct Answer: C
Rationale: COMAR 10.07.14.17 specifies that Clinical Management requires 20 hours,
making it the largest component of the 80-hour curriculum. This includes medication
management, infection control, staffing patterns, and coordination of care .
Question 8: What is the maximum number of residents allowed in a Level 1 assisted living
program in Maryland?
A) 4 residents
B) 8 residents
C) 16 residents
D) 25 residents
Correct Answer: A
Rationale: COMAR 10.07.14 defines Level 1 programs as serving a maximum of 4 residents
who are largely independent and require minimal assistance .
Question 9: What is the maximum number of residents allowed in a Level 2 assisted living
program in Maryland?
A) 4 residents
B) 16 residents
C) 25 residents
D) 50 residents
Correct Answer: B
Rationale: Level 2 programs in Maryland serve 5–16 residents. Over 16 residents transitions
a program into Level 3, which has additional regulatory requirements and staffing standards .
Question 10: What is the maximum civil money penalty for a program that fails to employ a
qualified assisted living manager?
Maryland Assisted Living Manager Final Exam — 100 Practice Questions with Answers &
Rationales
Domain 1: Licensing, Regulatory Framework & Manager Qualifications (Questions 1–20)
Question 1: Which Maryland statute establishes the legal framework for assisted living
manager training requirements, including the 80-hour course mandate?
A) Health Occupations Article §9-305
B) Health-General Article §19-1807
C) COMAR 10.07.05
D) COMAR 10.39.04
Correct Answer: B
Rationale: Health-General Article §19-1807 establishes the statutory basis for assisted living
manager training, including the 80-hour requirement, continuing education obligations, and
exemption criteria .
Question 2: Which regulatory code governs assisted living facilities in Maryland?
A) COMAR 10.01.01
B) COMAR 10.07.14
C) COMAR 10.07.20
D) COMAR 10.09.01
Correct Answer: B
Rationale: COMAR 10.07.14 is the Maryland regulation that specifically governs assisted
living programs, establishing standards for staffing, resident care, physical plant, and
operational requirements .
Question 3: What is the minimum age requirement to be a Maryland Assisted Living
Manager?
A) 18 years old
B) 21 years old
C) 25 years old
D) 30 years old
Correct Answer: B
Rationale: Maryland regulations require assisted living managers to be at least 21 years old
to ensure maturity and decision-making capability .
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Question 4: How many total hours of initial training are required for a new Assisted Living
Manager in Maryland?
A) 40 hours
B) 60 hours
C) 80 hours
D) 100 hours
Correct Answer: C
Rationale: The Maryland Office of Health Care Quality (OHCQ) mandates 80 hours of
manager training before assuming full responsibilities .
Question 5: How many hours of Department-approved continuing education are required
for Maryland assisted living managers every two years?
A) 10 hours
B) 15 hours
C) 20 hours
D) 30 hours
Correct Answer: C
Rationale: Both Health-General Article §19-1807(b) and COMAR 10.07.14.16(C) require 20
hours of Department-approved continuing education every two years .
Question 6: What is the maximum percentage of the 80-hour manager training that can be
completed through internet or correspondence courses?
A) 10 hours (12.5%)
B) 20 hours (25%)
C) 25 hours (31.25%)
D) 30 hours (37.5%)
Correct Answer: C
Rationale: COMAR 10.07.14.16(B)(3) specifies that no more than 25 hours of the 80-hour
manager training may be completed through methods that do not require direct interaction
.
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Question 7: According to COMAR 10.07.14.17, which course in the manager training
curriculum requires the most hours?
A) Dementia, mental health, and behavior management (12 hours)
B) Aging process and its impact (4 hours)
C) Clinical management (20 hours)
D) Nutrition and food safety (8 hours)
Correct Answer: C
Rationale: COMAR 10.07.14.17 specifies that Clinical Management requires 20 hours,
making it the largest component of the 80-hour curriculum. This includes medication
management, infection control, staffing patterns, and coordination of care .
Question 8: What is the maximum number of residents allowed in a Level 1 assisted living
program in Maryland?
A) 4 residents
B) 8 residents
C) 16 residents
D) 25 residents
Correct Answer: A
Rationale: COMAR 10.07.14 defines Level 1 programs as serving a maximum of 4 residents
who are largely independent and require minimal assistance .
Question 9: What is the maximum number of residents allowed in a Level 2 assisted living
program in Maryland?
A) 4 residents
B) 16 residents
C) 25 residents
D) 50 residents
Correct Answer: B
Rationale: Level 2 programs in Maryland serve 5–16 residents. Over 16 residents transitions
a program into Level 3, which has additional regulatory requirements and staffing standards .
Question 10: What is the maximum civil money penalty for a program that fails to employ a
qualified assisted living manager?
