1
CALIFORNIA RCFE PRACTICE TEST
2025 – 185 VERIFIED QUESTIONS AND
CORRECT ANSWERS | UPDATED
ONLINE EDITION
1. According to Title 22, what is the minimum age requirement for residents in a
Residential Care Facility for the Elderly (RCFE)?
A. 55
B. 60
C. 65
D. 70
Correct Answer: B
Rationale: Title 22, Division 6, Chapter 8 specifies that RCFEs serve persons aged 60
and older, as they are designed to provide non-medical care for elderly individuals who
do not require 24-hour nursing care.
2. What is the minimum number of hours required for the RCFE Administrator
Initial Certification Training Program?
A. 40 hours
B. 60 hours
C. 80 hours
D. 100 hours
Correct Answer: C
Rationale: The California Department of Social Services (CDSS) mandates an 80-hour
Initial Certification Training Program for RCFE administrators, consisting of 60 hours of
live training and 20 hours online.
3. Which of the following is a prohibited health condition for RCFE residents under
Title 22?
A. Oxygen use
B. Tube feeding
C. Mild dementia
D. Hospice care
Correct Answer: B
Rationale: Title 22 (CCR 87615) prohibits residents requiring tube feeding in RCFEs, as
these facilities are non-medical and cannot provide such care. Oxygen use and hospice
care are permitted under specific conditions, and mild dementia is allowed.
4. How often must RCFE administrators complete continuing education units (CEUs)?
A. Annually
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: B
, 2
Rationale: Administrators must complete 40 hours of CEUs every two years to renew
their certification, ensuring they stay updated on regulations and best practices.
5. What is the minimum age requirement for an RCFE administrator for a facility
with 15 or fewer beds?
A. 18
B. 21
C. 25
D. 30
Correct Answer: B
Rationale: Title 22 (HSC 1569.613) requires administrators to be at least 21 years old for
facilities with 15 or fewer beds, ensuring maturity for oversight responsibilities.
6. Which document must be submitted to the Community Care Licensing Division
(CCLD) to apply for an RCFE license?
A. LIC 100
B. LIC 200
C. LIC 300
D. LIC 400
Correct Answer: B
Rationale: The LIC 200 (Application for a Community Care Facility) is required for
RCFE licensure, detailing operational plans and compliance with regulations.
7. What is the minimum training requirement for RCFE staff before working
independently with residents?
A. 10 hours
B. 20 hours
C. 30 hours
D. 40 hours
Correct Answer: B
Rationale: Title 22 (CCR 87411) mandates that staff complete 20 hours of training
before working independently, with an additional 20 hours within the first four weeks.
8. Which of the following is a resident right under Title 22?
A. To be restrained for safety
B. To receive mail unopened
C. To share a room with staff
D. To be denied visitors
Correct Answer: B
Rationale: Title 22 ensures residents’ rights, including receiving mail unopened, to
protect their privacy and autonomy. Restraints, shared rooms with staff, or denied visitors
violate these rights.
9. Who is authorized to assist residents with medication self-administration in an
RCFE?
A. Untrained staff
B. Trained staff
C. Family members only
D. Licensed medical professionals only
Correct Answer: B
Rationale: RCFE staff trained in medication management can assist with self-
, 3
administration, including reminders and documentation, but actual administration
requires licensed professionals.
10. What is the maximum time an RCFE has to report a resident’s death to the CCLD?
A. 24 hours
B. 48 hours
C. 72 hours
D. 7 days
Correct Answer: A
Rationale: Title 22 requires RCFEs to report a resident’s death to the CCLD within 24
hours to ensure timely oversight and investigation if needed.
11. What is the minimum staff-to-resident ratio required during waking hours in an
RCFE?
A. 1:6
B. 1:10
C. 1:15
D. No specific ratio
Correct Answer: D
Rationale: Title 22 does not mandate a specific staff-to-resident ratio but requires
sufficient staff to meet residents’ needs, ensuring flexibility based on care levels.
12. Which of the following is a requirement for RCFE bedrooms under Title 22?
A. Shared by up to four residents
B. Minimum 100 square feet per resident
C. Must have a private bathroom
D. No windows required
Correct Answer: A
Rationale: Title 22 allows bedrooms to be shared by up to four residents, with no
specific square footage or private bathroom requirement, but windows are needed for
ventilation.
13. What must an RCFE do if a resident develops a prohibited health condition?
A. Retain the resident with a waiver
B. Discharge the resident
C. Hire a nurse to provide care
D. Ignore the condition
Correct Answer: B
Rationale: Title 22 (CCR 87615) requires discharge of residents with prohibited
conditions (e.g., tube feeding) as RCFEs are non-medical facilities.
14. How many hours of dementia care training are required for RCFE staff?
A. 4 hours
B. 6 hours
C. 8 hours
D. 12 hours
Correct Answer: C
Rationale: Title 22 mandates 8 hours of initial dementia care training for all RCFE staff,
regardless of whether the facility advertises dementia care, to ensure competency.
15. What is the purpose of the LIC 500 form in an RCFE?
A. Resident assessment
, 4
B. Personnel report
C. Facility inspection
D. Financial plan
Correct Answer: B
Rationale: The LIC 500 (Personnel Report) is used to document staff qualifications and
background checks, ensuring compliance with Title 22.
16. Which of the following is NOT a restricted health condition in an RCFE?
A. Stage 1 pressure ulcers
B. Catheter care
C. Oxygen administration
D. Injections
Correct Answer: A
Rationale: Stage 1 pressure ulcers are permitted in RCFEs, while catheter care, oxygen,
and injections are restricted, requiring specific conditions or licensed professionals.
17. What is the minimum frequency for updating a resident’s individualized care plan?
A. Monthly
B. Quarterly
C. Annually
D. Biannually
Correct Answer: C
Rationale: Title 22 requires care plans to be updated at least annually or when a
resident’s needs change significantly, ensuring personalized care.
18. Which of the following must be included in an RCFE’s emergency preparedness
plan?
A. Annual staff bonuses
B. Evacuation procedures
C. Marketing strategies
D. Resident entertainment
Correct Answer: B
Rationale: Title 22 mandates an emergency preparedness plan with evacuation
procedures to ensure resident safety during disasters.
19. What is the penalty for operating an RCFE without a license?
A. Warning letter
B. Fine up to $200 per day
C. Immediate closure
D. No penalty
Correct Answer: B
Rationale: Title 22 imposes fines up to $200 per day for unlicensed operation, with
potential for further penalties or closure if non-compliance persists.
20. Who conducts inspections of RCFEs in California?
A. Department of Public Health
B. Community Care Licensing Division (CCLD)
C. Department of Aging
D. Local fire department
Correct Answer: B
CALIFORNIA RCFE PRACTICE TEST
2025 – 185 VERIFIED QUESTIONS AND
CORRECT ANSWERS | UPDATED
ONLINE EDITION
1. According to Title 22, what is the minimum age requirement for residents in a
Residential Care Facility for the Elderly (RCFE)?
A. 55
B. 60
C. 65
D. 70
Correct Answer: B
Rationale: Title 22, Division 6, Chapter 8 specifies that RCFEs serve persons aged 60
and older, as they are designed to provide non-medical care for elderly individuals who
do not require 24-hour nursing care.
2. What is the minimum number of hours required for the RCFE Administrator
Initial Certification Training Program?
A. 40 hours
B. 60 hours
C. 80 hours
D. 100 hours
Correct Answer: C
Rationale: The California Department of Social Services (CDSS) mandates an 80-hour
Initial Certification Training Program for RCFE administrators, consisting of 60 hours of
live training and 20 hours online.
3. Which of the following is a prohibited health condition for RCFE residents under
Title 22?
A. Oxygen use
B. Tube feeding
C. Mild dementia
D. Hospice care
Correct Answer: B
Rationale: Title 22 (CCR 87615) prohibits residents requiring tube feeding in RCFEs, as
these facilities are non-medical and cannot provide such care. Oxygen use and hospice
care are permitted under specific conditions, and mild dementia is allowed.
4. How often must RCFE administrators complete continuing education units (CEUs)?
A. Annually
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: B
, 2
Rationale: Administrators must complete 40 hours of CEUs every two years to renew
their certification, ensuring they stay updated on regulations and best practices.
5. What is the minimum age requirement for an RCFE administrator for a facility
with 15 or fewer beds?
A. 18
B. 21
C. 25
D. 30
Correct Answer: B
Rationale: Title 22 (HSC 1569.613) requires administrators to be at least 21 years old for
facilities with 15 or fewer beds, ensuring maturity for oversight responsibilities.
6. Which document must be submitted to the Community Care Licensing Division
(CCLD) to apply for an RCFE license?
A. LIC 100
B. LIC 200
C. LIC 300
D. LIC 400
Correct Answer: B
Rationale: The LIC 200 (Application for a Community Care Facility) is required for
RCFE licensure, detailing operational plans and compliance with regulations.
7. What is the minimum training requirement for RCFE staff before working
independently with residents?
A. 10 hours
B. 20 hours
C. 30 hours
D. 40 hours
Correct Answer: B
Rationale: Title 22 (CCR 87411) mandates that staff complete 20 hours of training
before working independently, with an additional 20 hours within the first four weeks.
8. Which of the following is a resident right under Title 22?
A. To be restrained for safety
B. To receive mail unopened
C. To share a room with staff
D. To be denied visitors
Correct Answer: B
Rationale: Title 22 ensures residents’ rights, including receiving mail unopened, to
protect their privacy and autonomy. Restraints, shared rooms with staff, or denied visitors
violate these rights.
9. Who is authorized to assist residents with medication self-administration in an
RCFE?
A. Untrained staff
B. Trained staff
C. Family members only
D. Licensed medical professionals only
Correct Answer: B
Rationale: RCFE staff trained in medication management can assist with self-
, 3
administration, including reminders and documentation, but actual administration
requires licensed professionals.
10. What is the maximum time an RCFE has to report a resident’s death to the CCLD?
A. 24 hours
B. 48 hours
C. 72 hours
D. 7 days
Correct Answer: A
Rationale: Title 22 requires RCFEs to report a resident’s death to the CCLD within 24
hours to ensure timely oversight and investigation if needed.
11. What is the minimum staff-to-resident ratio required during waking hours in an
RCFE?
A. 1:6
B. 1:10
C. 1:15
D. No specific ratio
Correct Answer: D
Rationale: Title 22 does not mandate a specific staff-to-resident ratio but requires
sufficient staff to meet residents’ needs, ensuring flexibility based on care levels.
12. Which of the following is a requirement for RCFE bedrooms under Title 22?
A. Shared by up to four residents
B. Minimum 100 square feet per resident
C. Must have a private bathroom
D. No windows required
Correct Answer: A
Rationale: Title 22 allows bedrooms to be shared by up to four residents, with no
specific square footage or private bathroom requirement, but windows are needed for
ventilation.
13. What must an RCFE do if a resident develops a prohibited health condition?
A. Retain the resident with a waiver
B. Discharge the resident
C. Hire a nurse to provide care
D. Ignore the condition
Correct Answer: B
Rationale: Title 22 (CCR 87615) requires discharge of residents with prohibited
conditions (e.g., tube feeding) as RCFEs are non-medical facilities.
14. How many hours of dementia care training are required for RCFE staff?
A. 4 hours
B. 6 hours
C. 8 hours
D. 12 hours
Correct Answer: C
Rationale: Title 22 mandates 8 hours of initial dementia care training for all RCFE staff,
regardless of whether the facility advertises dementia care, to ensure competency.
15. What is the purpose of the LIC 500 form in an RCFE?
A. Resident assessment
, 4
B. Personnel report
C. Facility inspection
D. Financial plan
Correct Answer: B
Rationale: The LIC 500 (Personnel Report) is used to document staff qualifications and
background checks, ensuring compliance with Title 22.
16. Which of the following is NOT a restricted health condition in an RCFE?
A. Stage 1 pressure ulcers
B. Catheter care
C. Oxygen administration
D. Injections
Correct Answer: A
Rationale: Stage 1 pressure ulcers are permitted in RCFEs, while catheter care, oxygen,
and injections are restricted, requiring specific conditions or licensed professionals.
17. What is the minimum frequency for updating a resident’s individualized care plan?
A. Monthly
B. Quarterly
C. Annually
D. Biannually
Correct Answer: C
Rationale: Title 22 requires care plans to be updated at least annually or when a
resident’s needs change significantly, ensuring personalized care.
18. Which of the following must be included in an RCFE’s emergency preparedness
plan?
A. Annual staff bonuses
B. Evacuation procedures
C. Marketing strategies
D. Resident entertainment
Correct Answer: B
Rationale: Title 22 mandates an emergency preparedness plan with evacuation
procedures to ensure resident safety during disasters.
19. What is the penalty for operating an RCFE without a license?
A. Warning letter
B. Fine up to $200 per day
C. Immediate closure
D. No penalty
Correct Answer: B
Rationale: Title 22 imposes fines up to $200 per day for unlicensed operation, with
potential for further penalties or closure if non-compliance persists.
20. Who conducts inspections of RCFEs in California?
A. Department of Public Health
B. Community Care Licensing Division (CCLD)
C. Department of Aging
D. Local fire department
Correct Answer: B
