ARFc / Administratorc / Examc / Question
s
1. Howc / manyc / daysc / doc / youc / havec / toc / communicatec / toc / CCLc / aboutc / administr
atorc/information?:c/10c/days
2. Howc/muchc/daysc/doc/youc/havec/toc/communicatec/toc/CCLc/aboutc/ac/licensee,c/CEO,
c / orc/planc/ofc/operations?:c/10c/days
3. Waterc/heaterc/temperaturec/isc/setc/between?:c/105-120c/degreesc/F
4. Whatc/isc/thec/maxc/refrigeratorc/temperature?:c/45c/degreesc/F
5. Howc/manyc/degreesc/Fc/shouldc/thec/freezerc/be?:c/0c/degreesc/F
6. Whatc/isc/thec/maxc/tempc/thec/thermostatc/shouldc/bec/setc/inc/ac/room?:c/85c/Degreesc/F
7. Whatc/isc/thec/minimumc/tempc/thec/thermostatc/shouldc/bec/setc/inc/ac/room?:c/68c/degree
sc/F
8. Whatc/shouldc/thec/thermostatc/bec/atc/inc/extremec/heat?:c/30c/degreesc/Fc/belowc/outsidec/temp
9. Howc / manyc / daysc / perishablesc / shouldc / bec / inc / homec / atc / allc / times?:c / 2c/days
10. Howc / manyc / daysc / nonperishablesc / shouldc / bec / inc / homec / atc / allc / times?:c / 7c/days
11. Howc/manyc/daysc/toc/filec/anc/appeal/reviewc/ofc/deficiency?:c/15c/day
sc/(*Remember:c/appealc/andc/reviewc/ofc/deficiencyc/arec/thec/same)
12. Howc / manyc / daysc / isc / anc / Emergencyc / Approvalc / toc / Operatec / (EAO)c / issued/g
oodc/for?:c/60c/days
13. Whatc / isc / thec / maxc / timec / ac / provisionalc / licensec / willc / bec / issued?:c / 12c/months
14. Wec/carec/forc/peoplec/whoc/are...:c/Chronicc/andc/stable
15. Canc/wec/havec/restrictedc/healthc/conditions?:c/Yesc/(restrictionsc/aroundc/healthc/conditions)Oxyge
nc/administration
Catheterc/carec/Colosto
myc/orc/ileostomyc/Contra
ctures
Diabetes
Enemas,c/suppositories,c/orc/fecalc/impactionc/removalc
/Incontinence
Injections
Intermittentc/positivec/pressurec/breathingc/machinec/
Stagec/1c/andc/2c/pressurec/injuries
Woundc/car
, ARFc / Administratorc / Examc / Question
s
16. canc/wec/havec/prohibitedc/(forbidden)c/healthc/conditions?:c/No,c/healthc/conditionsc/arec/no
tc/forbiddenc/Activec/communicablec/tuberculosis
Stagec/3c/orc/4c/pressurec/injuries
Naso-gastricc/orc/naso-
duodenalc/tubesc/Gastrostomyc/tubes
Tracheostomies
Staphylococcusc/aureusc/("staph")c/infectionc/orc/otherc/seriousc/infectionc/Depen
dingc/onc/othersc/toc/performc/allc/activitiesc/ofc/dailyc/living
17. Whatc/twoc/needsc/shouldc/youc/meet?:c/dentalc/andc/medical
18. Whatc / cannotc / youc / notc / tie,c / deprive,c / limit,c / orc / restrict?:c / handsc/orc/feet
19. Whatc / educationalc / and/orc / experiencec / doesc / anc / administratorc / needc / toc / havec
/ toc / operatec/ac/7-15c/bedc/community?:c/1.)c/HSc/Diplomac/ORc/GED
AND,
2.)c/1c/yearc/experiencec/inc/residentialc/care
20. Howc/longc/doesc/regulationc/sayc/toc/keepc/personnelc/recordsc/afterc/theyc/noc/longe
rc/livec/inc/thec/home?:c/3c/years
21. Howc / longc / doesc / regulationc / req.c / toc / keepc / centrallyc / storedc / medicationc / record
s?-
:c/1c/year
22. Howc/longc/inc/advancec/doc/youc/needc/toc/developc/menus?:c/1c/week/7c/days
23. Howc/longc/doc/youc/needc/toc/keepc/menusc/onc/file?:c/30c/days/c/1c/month
24. Howc / longc / doc / youc / keepc / plannedc / activitiesc / onc / file?:c / 6c/months
25. Howc/oftenc/arec/disasterc/doc/disasterc/drillsc/needc/toc/bec/done?:c/everyc/3c/months,c/ever
yc/quarterc/onc/eachc/shift
26. Howc / longc / doc / youc / keepc / disasterc / drillsc / onc / file?:c / 1c/year
27. Ac/datec/employeec/timec/schedulec/shallc/bec/postedc/forc/whatc/timec/frame?:c/30c/days/
1c/month
28. Differencec/betweenc/exceptionc/andc/waiver?:c/Exception:c/Individua
lc/Waiver:c/facilityc/wide
Studyc/Tips*:c/Therec/arec/Wsc/inc/(W)aiverc/andc/facilityc/(W)ide
29. Whatc/mustc/thec/nextc/admissionc/agreementc/bec/signed?:c/withinc/7c/days
, ARFc / Administratorc / Examc / Question
s
30. Whatc / isc / thec / timeframec / forc / submittingc / fingerprintsc / forc / employment,c / resi
-
c/dence,c / orc / initialc / presencec / inc / thec / home?:c / PRIORc/TOc/employment,c/resident,c/orc/initialc/presencec/
inc/thec/home
31. Whatc/isc/thec/timeframec/toc/havec/physician'sc/reportc/andc/TBc/donec/forc/clients?:c/-
cannotc/bec/olderc/thanc/ac/year
32. Whatc / isc / thec / timeframec / toc / havec / thec / healthc / screeningc / andc / TBc / donec / forc / em
ploy-c/ment?:c/Withinc/7c/DAYSc/ORc/ifc/receivedc/itc/already,c/CANNOTc/BEc/OLDERc/THANc/Ac/YEAR
33. Canc/ac/licenseec/havec/housec/rules?:c/Yes
34. Willc / thec / licenseec / bec / prohibitedc / (forbidden)c / fromc / lockingc / exteriorc / doorsc / a
ndc / windowsc/forc/protectionc/ofc/thec/clients?:c/No,c/butc/thec/residentc/mustc/bec/ablec/toc/exit
35. Doesc/CCLc/requirec/firstc/aid?:c/Yes
36. Doesc/CCLc/requirec/CPR?:c/Noc/unless,c/CCHc/(Crisisc/Home)c/orc/EBHSc/(Behavioralc/Home)
37. Whatc/isc/ambulatory?:c/-
Walkingc/andc/Cognitivelyc/understandc/toc/getc/outc/inc/anc/emergencyc/situationc/w/oc/usingc/mechanicalc/aids
-Canc/goc/intoc/non-ambulatoryc/spaces
38. Whatc/isc/nonambulatory?:c / Usingc/mechanicalc/aids,c/walkers,c/wheelchairsc/orc/crutches,c/orc/walkingc/butc/d
oesc/notc/understandc/toc/getc/outc/inc/anc/emergencyc/situation.
Cannotc/goc/intoc/ambulatoryc/spaces.
39. Whenc/doc/youc/doc/ac/needsc/andc/servicesc/plan?:c/priorc/toc/admission
40. Inc/allc/cases,c/personnelc/recordsc/shallc/show/documentc/what?:c/hoursc/actuallyc/worked
41. Nightc/timec/staffc/needc/toc/knowc/what?:c/ARF:c/*Plannedc/emergencyc/proceduresc/andc/1stc/ai
dc/EBHSc/orc/CCH:c/CPR
42. 1.)c / Howc / oftenc / doesc / ac / certifiedc / administratorc / rectify?c / andc / 2.)c / Howc / manyc / C
EUsc/doc/theyc/needc/toc/recertify?:c/1.)everyc/twoc/years
2.)c/40c/CEUs
43. Whatc/isc/thec/feec/forc/beingc/latec/toc/recertify,c/evenc/onec/dayc/late?:c/-
$300c/delinquencyc/feec/AND
- $100c/renewalc/fe
ec/TOTAL:c/$400
s
1. Howc / manyc / daysc / doc / youc / havec / toc / communicatec / toc / CCLc / aboutc / administr
atorc/information?:c/10c/days
2. Howc/muchc/daysc/doc/youc/havec/toc/communicatec/toc/CCLc/aboutc/ac/licensee,c/CEO,
c / orc/planc/ofc/operations?:c/10c/days
3. Waterc/heaterc/temperaturec/isc/setc/between?:c/105-120c/degreesc/F
4. Whatc/isc/thec/maxc/refrigeratorc/temperature?:c/45c/degreesc/F
5. Howc/manyc/degreesc/Fc/shouldc/thec/freezerc/be?:c/0c/degreesc/F
6. Whatc/isc/thec/maxc/tempc/thec/thermostatc/shouldc/bec/setc/inc/ac/room?:c/85c/Degreesc/F
7. Whatc/isc/thec/minimumc/tempc/thec/thermostatc/shouldc/bec/setc/inc/ac/room?:c/68c/degree
sc/F
8. Whatc/shouldc/thec/thermostatc/bec/atc/inc/extremec/heat?:c/30c/degreesc/Fc/belowc/outsidec/temp
9. Howc / manyc / daysc / perishablesc / shouldc / bec / inc / homec / atc / allc / times?:c / 2c/days
10. Howc / manyc / daysc / nonperishablesc / shouldc / bec / inc / homec / atc / allc / times?:c / 7c/days
11. Howc/manyc/daysc/toc/filec/anc/appeal/reviewc/ofc/deficiency?:c/15c/day
sc/(*Remember:c/appealc/andc/reviewc/ofc/deficiencyc/arec/thec/same)
12. Howc / manyc / daysc / isc / anc / Emergencyc / Approvalc / toc / Operatec / (EAO)c / issued/g
oodc/for?:c/60c/days
13. Whatc / isc / thec / maxc / timec / ac / provisionalc / licensec / willc / bec / issued?:c / 12c/months
14. Wec/carec/forc/peoplec/whoc/are...:c/Chronicc/andc/stable
15. Canc/wec/havec/restrictedc/healthc/conditions?:c/Yesc/(restrictionsc/aroundc/healthc/conditions)Oxyge
nc/administration
Catheterc/carec/Colosto
myc/orc/ileostomyc/Contra
ctures
Diabetes
Enemas,c/suppositories,c/orc/fecalc/impactionc/removalc
/Incontinence
Injections
Intermittentc/positivec/pressurec/breathingc/machinec/
Stagec/1c/andc/2c/pressurec/injuries
Woundc/car
, ARFc / Administratorc / Examc / Question
s
16. canc/wec/havec/prohibitedc/(forbidden)c/healthc/conditions?:c/No,c/healthc/conditionsc/arec/no
tc/forbiddenc/Activec/communicablec/tuberculosis
Stagec/3c/orc/4c/pressurec/injuries
Naso-gastricc/orc/naso-
duodenalc/tubesc/Gastrostomyc/tubes
Tracheostomies
Staphylococcusc/aureusc/("staph")c/infectionc/orc/otherc/seriousc/infectionc/Depen
dingc/onc/othersc/toc/performc/allc/activitiesc/ofc/dailyc/living
17. Whatc/twoc/needsc/shouldc/youc/meet?:c/dentalc/andc/medical
18. Whatc / cannotc / youc / notc / tie,c / deprive,c / limit,c / orc / restrict?:c / handsc/orc/feet
19. Whatc / educationalc / and/orc / experiencec / doesc / anc / administratorc / needc / toc / havec
/ toc / operatec/ac/7-15c/bedc/community?:c/1.)c/HSc/Diplomac/ORc/GED
AND,
2.)c/1c/yearc/experiencec/inc/residentialc/care
20. Howc/longc/doesc/regulationc/sayc/toc/keepc/personnelc/recordsc/afterc/theyc/noc/longe
rc/livec/inc/thec/home?:c/3c/years
21. Howc / longc / doesc / regulationc / req.c / toc / keepc / centrallyc / storedc / medicationc / record
s?-
:c/1c/year
22. Howc/longc/inc/advancec/doc/youc/needc/toc/developc/menus?:c/1c/week/7c/days
23. Howc/longc/doc/youc/needc/toc/keepc/menusc/onc/file?:c/30c/days/c/1c/month
24. Howc / longc / doc / youc / keepc / plannedc / activitiesc / onc / file?:c / 6c/months
25. Howc/oftenc/arec/disasterc/doc/disasterc/drillsc/needc/toc/bec/done?:c/everyc/3c/months,c/ever
yc/quarterc/onc/eachc/shift
26. Howc / longc / doc / youc / keepc / disasterc / drillsc / onc / file?:c / 1c/year
27. Ac/datec/employeec/timec/schedulec/shallc/bec/postedc/forc/whatc/timec/frame?:c/30c/days/
1c/month
28. Differencec/betweenc/exceptionc/andc/waiver?:c/Exception:c/Individua
lc/Waiver:c/facilityc/wide
Studyc/Tips*:c/Therec/arec/Wsc/inc/(W)aiverc/andc/facilityc/(W)ide
29. Whatc/mustc/thec/nextc/admissionc/agreementc/bec/signed?:c/withinc/7c/days
, ARFc / Administratorc / Examc / Question
s
30. Whatc / isc / thec / timeframec / forc / submittingc / fingerprintsc / forc / employment,c / resi
-
c/dence,c / orc / initialc / presencec / inc / thec / home?:c / PRIORc/TOc/employment,c/resident,c/orc/initialc/presencec/
inc/thec/home
31. Whatc/isc/thec/timeframec/toc/havec/physician'sc/reportc/andc/TBc/donec/forc/clients?:c/-
cannotc/bec/olderc/thanc/ac/year
32. Whatc / isc / thec / timeframec / toc / havec / thec / healthc / screeningc / andc / TBc / donec / forc / em
ploy-c/ment?:c/Withinc/7c/DAYSc/ORc/ifc/receivedc/itc/already,c/CANNOTc/BEc/OLDERc/THANc/Ac/YEAR
33. Canc/ac/licenseec/havec/housec/rules?:c/Yes
34. Willc / thec / licenseec / bec / prohibitedc / (forbidden)c / fromc / lockingc / exteriorc / doorsc / a
ndc / windowsc/forc/protectionc/ofc/thec/clients?:c/No,c/butc/thec/residentc/mustc/bec/ablec/toc/exit
35. Doesc/CCLc/requirec/firstc/aid?:c/Yes
36. Doesc/CCLc/requirec/CPR?:c/Noc/unless,c/CCHc/(Crisisc/Home)c/orc/EBHSc/(Behavioralc/Home)
37. Whatc/isc/ambulatory?:c/-
Walkingc/andc/Cognitivelyc/understandc/toc/getc/outc/inc/anc/emergencyc/situationc/w/oc/usingc/mechanicalc/aids
-Canc/goc/intoc/non-ambulatoryc/spaces
38. Whatc/isc/nonambulatory?:c / Usingc/mechanicalc/aids,c/walkers,c/wheelchairsc/orc/crutches,c/orc/walkingc/butc/d
oesc/notc/understandc/toc/getc/outc/inc/anc/emergencyc/situation.
Cannotc/goc/intoc/ambulatoryc/spaces.
39. Whenc/doc/youc/doc/ac/needsc/andc/servicesc/plan?:c/priorc/toc/admission
40. Inc/allc/cases,c/personnelc/recordsc/shallc/show/documentc/what?:c/hoursc/actuallyc/worked
41. Nightc/timec/staffc/needc/toc/knowc/what?:c/ARF:c/*Plannedc/emergencyc/proceduresc/andc/1stc/ai
dc/EBHSc/orc/CCH:c/CPR
42. 1.)c / Howc / oftenc / doesc / ac / certifiedc / administratorc / rectify?c / andc / 2.)c / Howc / manyc / C
EUsc/doc/theyc/needc/toc/recertify?:c/1.)everyc/twoc/years
2.)c/40c/CEUs
43. Whatc/isc/thec/feec/forc/beingc/latec/toc/recertify,c/evenc/onec/dayc/late?:c/-
$300c/delinquencyc/feec/AND
- $100c/renewalc/fe
ec/TOTAL:c/$400
