RCFE TITLE 22 EXAM (2025/2026)
Actual Exam with Complete Questions and Answers | Residential Care Facilities for the
Elderly | California Licensing
Overview
This 2025/2026 validated resource contains the complete RCFE Title 22 Exam with actual
questions and verified answers, directly aligned with current California Department of Social
Services licensing requirements. Essential for administrators and staff preparing for
Residential Care Facilities for the Elderly certification and demonstrating comprehensive
knowledge of California licensing regulations and elder care standards.
Key Features
✓ 100-Question Comprehensive Exam matching CDSS testing format
✓ California Title 22 Regulations with practical applications
✓ Resident Care & Rights with protection protocols
✓ Updated 2025/2026 CDSS licensing requirements
✓ Administrative Procedures with compliance documentation
Content Domains
• Resident Rights & Advocacy (22 Questions)
• Administration & Facility Management (20 Questions)
• Resident Care & Services (18 Questions)
• Personnel Requirements & Training (16 Questions)
• Physical Environment & Safety (14 Questions)
• Documentation & Reporting (10 Questions)
Answer Format
Verified correct answers in bold green with:
• Regulatory citation applications
• Resident care protocol justifications
• Safety requirement rationales
• Documentation standard evaluations
Critical Updates 2025/2026
NEW - Enhanced dementia care requirements
UPDATED - Emergency preparedness protocols
REVISED - Medication management standards
MODIFIED - Staff training and competency verification
RESIDENT RIGHTS & ADVOCACY (Questions 1–22)
1. Which document enumerates specific resident rights in an RCFE?
a) Patient Bill of Rights
b) Title 22 §87411
c) Health and Safety Code §1790
, d) Civil Code §51
Rationale: Title 22 §87411 lists 30+ rights unique to RCFE residents.
2. Residents have the right to keep?
a) Only $10
b) Reasonable personal possessions including cash
c) Nothing valuable
d) Only with family consent
Rationale: §87411(c)(6) protects personal property and financial autonomy.
3. Right to privacy includes?
a) Only in bedroom
b) Mail, phone calls, visits, and personal care
c) No visitors after 8 PM
d) Facility monitoring of calls
Rationale: §87411(c)(3) guarantees privacy in multiple domains.
4. Residents may share a room only if?
a) Facility needs revenue
b) Both consent in writing
c) They are married
d) Under 65 years old
Rationale: Written mutual consent is mandatory under §87411(c)(2).
5. A resident has the right to?
a) Be physically restrained for staff convenience
b) Refuse medication and treatment
c) Unlimited alcohol
d) Smoke in bed
Rationale: §87411(c)(9) affirms right to refuse care; restraints only for medical
safety with order.
6. Advance directives must be?
a) Ignored
b) Honored and documented in care plan
c) Only for hospice
d) Signed by facility
Rationale: Federal and state law requires honoring resident wishes.
7. If a resident wants to leave facility?
a) Lock doors
b) Allowed unless conserved or court-ordered; assess capacity and safety
c) Always call police
d) Restrain immediately
Rationale: Residents are free adults unless legally restricted; capacity assessment
guides intervention.
8. Resident council meetings must be held?
a) Never
b) Quarterly with staff facilitator and documented minutes
c) Only with family
d) Annually
Rationale: §87411(e) mandates quarterly councils to voice concerns.
Actual Exam with Complete Questions and Answers | Residential Care Facilities for the
Elderly | California Licensing
Overview
This 2025/2026 validated resource contains the complete RCFE Title 22 Exam with actual
questions and verified answers, directly aligned with current California Department of Social
Services licensing requirements. Essential for administrators and staff preparing for
Residential Care Facilities for the Elderly certification and demonstrating comprehensive
knowledge of California licensing regulations and elder care standards.
Key Features
✓ 100-Question Comprehensive Exam matching CDSS testing format
✓ California Title 22 Regulations with practical applications
✓ Resident Care & Rights with protection protocols
✓ Updated 2025/2026 CDSS licensing requirements
✓ Administrative Procedures with compliance documentation
Content Domains
• Resident Rights & Advocacy (22 Questions)
• Administration & Facility Management (20 Questions)
• Resident Care & Services (18 Questions)
• Personnel Requirements & Training (16 Questions)
• Physical Environment & Safety (14 Questions)
• Documentation & Reporting (10 Questions)
Answer Format
Verified correct answers in bold green with:
• Regulatory citation applications
• Resident care protocol justifications
• Safety requirement rationales
• Documentation standard evaluations
Critical Updates 2025/2026
NEW - Enhanced dementia care requirements
UPDATED - Emergency preparedness protocols
REVISED - Medication management standards
MODIFIED - Staff training and competency verification
RESIDENT RIGHTS & ADVOCACY (Questions 1–22)
1. Which document enumerates specific resident rights in an RCFE?
a) Patient Bill of Rights
b) Title 22 §87411
c) Health and Safety Code §1790
, d) Civil Code §51
Rationale: Title 22 §87411 lists 30+ rights unique to RCFE residents.
2. Residents have the right to keep?
a) Only $10
b) Reasonable personal possessions including cash
c) Nothing valuable
d) Only with family consent
Rationale: §87411(c)(6) protects personal property and financial autonomy.
3. Right to privacy includes?
a) Only in bedroom
b) Mail, phone calls, visits, and personal care
c) No visitors after 8 PM
d) Facility monitoring of calls
Rationale: §87411(c)(3) guarantees privacy in multiple domains.
4. Residents may share a room only if?
a) Facility needs revenue
b) Both consent in writing
c) They are married
d) Under 65 years old
Rationale: Written mutual consent is mandatory under §87411(c)(2).
5. A resident has the right to?
a) Be physically restrained for staff convenience
b) Refuse medication and treatment
c) Unlimited alcohol
d) Smoke in bed
Rationale: §87411(c)(9) affirms right to refuse care; restraints only for medical
safety with order.
6. Advance directives must be?
a) Ignored
b) Honored and documented in care plan
c) Only for hospice
d) Signed by facility
Rationale: Federal and state law requires honoring resident wishes.
7. If a resident wants to leave facility?
a) Lock doors
b) Allowed unless conserved or court-ordered; assess capacity and safety
c) Always call police
d) Restrain immediately
Rationale: Residents are free adults unless legally restricted; capacity assessment
guides intervention.
8. Resident council meetings must be held?
a) Never
b) Quarterly with staff facilitator and documented minutes
c) Only with family
d) Annually
Rationale: §87411(e) mandates quarterly councils to voice concerns.
