RCFE Initial Certification Test 2023 with complete solutions

Residents with a dementia diagnosis who are unable or unlikely to respond, either physically or mentally, to oral instructions relating to exiting during an emergency are considered: - Answer- Non-ambulatory Casts and braces are not good examples of postural supports and they do not require a doctor's order - Answer- False The designated substitute must be at least 18 years of age - Answer- True A staff member who provides direct care to residents must be a first aid and CPR card holder - Answer- False All employees are subject to criminal clearance within seven days after employment. - Answer- False There shall be one locked storage area for guns, ammunition, and poisons. - Answer- False A waiver is a variance to a regulation for a circumstance at the property. - Answer- True At least ____ toilet and wash basin for each ____ persons, which includes residents, family and personnel, is required. - Answer- 1/6 All persons who supervise employees must be 21 years old. - Answer- False You must notify the fire department when oxygen is to be used in the facility within 24 hours of having the provided service in the building. - Answer- False If a licensee hires a new administrator, the department must be notified within: - Answer- 30 Days Non-serious physical injury must be reported to the department within - Answer- 48 hours Planned activities must be posted in a common area in facilities for how many residents? - Answer- Seven or more residents A change in mailing address of a licensee shall be filed in writing to the department within ____ calendar days - Answer- 7 Administrators must complete ____ hours of continuing education every year. - Answer- 20 A telecommunication Device Notification form must be completed for all residents upon admission. - Answer- False Care and supervision includes which of the following? - Answer- Assistance with ADLs A colostomy is considered a _____ health condition - Answer- Allowable/Restricted What are the maximum number of days for an EAO? - Answer- 60 A physician or a pharmacist may alter the label on a resident's medication. - Answer- False Bed rails that extend the entire length of the bed are prohibited, unless a resident is receiving hospice care and has a care plan that has identified a need for this device. - Answer- True The maximum number of doses for a PRN medication allowed in a 24-hour period must be indicated on the label - Answer- True Under Title 22 definitions, "mild cognitive impairment" is not considered dementia. - Answer- True Any duly authorized officer of the department may enter and inspect the entire premises, with or without advance notice. - Answer- True Admission agreements must disclose basic services as well as optional services. - Answer- True Home-canned tomatoes and powdered milk may be used at a facility in the emergency supplies kit. - Answer- False The death of a resident requires a written report to the licensing agency and the responsible party within ___ days of the death, and evidence of the death must be provided within ___ days. - Answer- 7/20 An administrator with one year of experience as an administrator in the past eight years may conduct initial training for staff. - Answer- False In facilities caring for residents with dementia, emergency drills must be conducted: - Answer- Every other month on all three shifts Facility staff, except those authorized as an ASP, shall not administer injections. - Answer- True Facilities shall be cooled to which of the following temperature ranges? - Answer- 78 F to 85 F, or 30 F less than the outside temperature in areas of extreme heat Which stages of dermal ulcer are considered an allowable restricted condition? - Answer- Stages two and four A ____ - day supply of perishable food and a ____ - day supply of nonperishable food must be maintained at the facility. - Answer- 2/7 In facilities licensed for ___ or more residents, menus shall be written at least one week in advance. - Answer- 16 At least ___ bathtub(s) or shower(s) is required for each ____ persons living at the facility. - Answer- 1/10 In facilities licensed for ___ residents, one full-time staff member shall have the primary responsibility for planned activities. - Answer- 50 or more The physician has prescribed a modified diet for a resident. The facility must provide this modified diet to the resident as part of the basic rate. - Answer- True All direct-care staff shall complete at least ____ hours of initial training before working alone with residents. - Answer- 20 All direct-care staff shall complete at least ___ hours of dementia training within the first four weeks of their employment and ____ hours of dementia training annually. - Answer- 12/8 In facilities licensed for 16 to 100 residents, at least ___ employee(s) shall be on duty, on the premises, and wake, and one employee on call and capable of responding within ___ minutes. - Answer- 1/10 The facility shall heat rooms that residents occupy to a minimum of ___ F - Answer- 68 Prior to a resident moving into an assisted living facility, the licensee shall obtain documentation of a medical assessment within the last: - Answer- 12 months A planned on-the-job training program is required in facilities licensed for: - Answer- 16 or more residents A written incident report must be submitted to the department within ____ days of the event. Unless it is a serious physical injury, in which case the written report shall be submitted within ___ hours - Answer- 7/2 You must verify the health status of a staff member within: - Answer- Three days after hire Written verification of a caregiver's age is a required component of an employee's personnel record. - Answer- True Half bed rails are allowed for mobility purposes only. - Answer- True It is OK to have taps that deliver water at 125 F or above as long as there is a sign posted. - Answer- True Each resident with the symptom "dementia" listed as a diagnosis shall have his or her medical assessment updated for significant change of condition and/or annually. - Answer- True In facilities licensed for 7 or more residents, notices of planned activities shall be retained for at least: - Answer- 6 months Facilities licensed for ___ or more residents require a full-time person responsible for the operation of food services - Answer- 50 An exception and a waiver are both a variance - Answer- True When re-certifying every two years, administrator certificate holders must pay a $___ processing fee within ____ days of the expiration date. - Answer- 100/90 Personnel physician reports are valid for six months - Answer- True A resident who is unable to leave the building due to cognitive impairment is considered non-ambulatory. - Answer- True A third-party repair person who is hired for a time-limited job and is not left alone with residents does not have to be criminally cleared. - Answer- True Being unable to reposition independently in a bed define a person as bedridden. - Answer- True Hand rails and non-skid mats or strips are optional in bathtub and toilet areas. - Answer- False When licensing an RCFE, startup funds shall be sufficient to meet a minimum of ____ months operating costs. - Answer- 3 Facilities licensed for less than ____ than residents shall maintain a sample menu on file. - Answer- 16 A resident who depends on others to perform all activities of daily living would not be acceptable for admission or retention in an RCFE - Answer- True The licensee shall not accept or retain residents determined by a physician to have a secondary diagnosis of a mental disorder unrelated to dementia - Answer- False The state agency that regulates RCFE facilities is known as the: - Answer- Department of Social Services When is the licensee required to be bonded? - Answer- All RCFEs must carry a bond at all times Staff who assist residents with self-administration of medication must complete ____ hours of ongoing training on medications during each succeeding 12-month period - Answer- 8 A skin tear is not a healing wound - Answer- True If a resident receiving hospice care who has completed advanced directives is experiencing a physical health-related emergency unrelated to the hospice plan of care and treatment, you must immediately notify: - Answer- 911 Refrigerators shall maintain a maximum temperature of ___ F, the freezer a maximum of ___ F, and the dishwasher a minimum temperature of ____ F - Answer- 40/0/170 Pesticides and cleaning products may be stored in the kitchen area, as long as they are not stored in the same cabinet or areas as food supplies. - Answer- False The licensee must notify CCL within ___ days of a change of chief executive officer. - Answer- 15 The minimum number of hours between the third and the first meal of the next day must not exceed 12 hours - Answer- False Emergency disaster readiness includes food and water to enable residents to be self-reliant for ___ days - Answer- Three days The admission agreement must contain information on visiting hours. - Answer- True Each RCFE is required to provide a list of residents and their room numbers to the ombudsman. - Answer- True The licensee must notify CCL of a change of ownership within ___ days - Answer- 90 The licensee must give a resident ___ days' notice to increase the fee for service and ___ days' written notice to change rates. - Answer- 5/90 More than one resident may sleep in a bedroom together, with each resident in his or her own bed, as long as the residents are in a non-ambulatory room. - Answer- False A dining room can also be used as an activity room when residents are not eating. - Answer- True In facilities licensed for 15 residents or less, awake night staff is always required. - Answer- False Staffing must be required 24 hours a day for all RCFE facilities. If only one person is on duty, that person must be 18 years old. - Answer- False The egress control device must be deactivated whenever a manual force of not more than ____ pounds is applied for two seconds, but not more than ____ seconds to the panic bar or other door-latching hardware. - Answer- 15/15 It is permitted to accept a resident on hospice as long as you apply the waiver within five days. - Answer- False The licensee of a RCFE must publish a document annually that discloses the average monthly rate increases for the previous ____ year(s) - Answer- 3 The department may order suspension of new admissions. - Answer- True Every resident's written record shall address a missing resident absentee notification plan in the record of care. - Answer- True