2026/2027
California RCFE Title 22
Certification Exam 2026/2027
Complete Practice Test Bank, Study
Manual, and Licensing Preparation
Guide
Question 1:
An Adult Residential Facility (ARF) room approved for non-ambulatory residents
may legally be used to accommodate which group of residents according to Title 22
regulations?
A. Only bedridden residents
B. Only ambulatory residents
C. Both non-ambulatory and ambulatory residents
D. Only residents receiving hospice care
Correct Answer: C. Both non-ambulatory and ambulatory residents
Rationale: Rooms approved for non-ambulatory residents already meet the stricter
safety and accessibility requirements required for residents who may need evacuation
assistance. Because these standards exceed those required for ambulatory residents,
the room may also be used for ambulatory individuals. Bedridden residents require
additional licensing considerations, and hospice status alone does not determine room
eligibility.
Question 2:
A licensee operating an Adult Residential Facility publishes an advertisement in a
local newspaper seeking new residents. Which information must legally appear in the
advertisement?
A. The administrator’s certification number
B. The facility’s emergency disaster plan
C. The facility’s license number
D. The resident capacity only
Correct Answer: C. The facility’s license number
Rationale: Title 22 regulations require ARFs to disclose the facility license number in
advertisements, announcements, and publications intended to attract residents. This
promotes transparency and allows consumers to verify the facility’s legal operating
,2026/2027
status through Community Care Licensing. Administrator certification numbers and
facility capacity may be helpful but are not legally required in advertisements.
Question 3:
How often must disaster drills be conducted in an Adult Residential Facility according
to Title 22 regulations?
A. Monthly
B. Every 3 months
C. Every 6 months
D. Once yearly
Correct Answer: C. Every 6 months
Rationale: ARFs are required to conduct disaster drills at least once every six months
to ensure that staff and residents remain familiar with evacuation procedures and
emergency responses. Regular drills help evaluate preparedness for fires, earthquakes,
power failures, or other emergencies. Conducting drills less frequently would place
residents at greater risk during emergencies.
Question 4:
A licensee plans to increase the licensed capacity of an Adult Residential Facility.
What action must be taken before implementing this change?
A. Notify residents verbally
B. Submit an incident report
C. File a new licensing application
D. Obtain approval from the residents’ families only
Correct Answer: C. File a new licensing application
Rationale: Any significant change involving facility conditions or limitations, such as
capacity, location, or program modifications, requires the licensee to file a new
licensing application with Community Care Licensing. This ensures the facility
continues to meet all health, safety, staffing, and environmental requirements before
changes are implemented.
Question 5:
A follow-up visit to determine compliance with a plan of correction following a
notice of deficiency must generally occur within what timeframe?
A. 24 hours
B. 5 working days
,2026/2027
C. 10 working days
D. 30 calendar days
Correct Answer: C. 10 working days
Rationale: Title 22 requires Community Care Licensing to conduct a follow-up
inspection within 10 working days of the plan of correction due date unless the
deficiency has already been verified through other acceptable means. The purpose is
to ensure deficiencies have been corrected promptly to maintain resident safety and
regulatory compliance.
Question 6:
An ARF experiences a special incident involving a resident injury. By when must the
facility report the incident to Community Care Licensing by telephone or fax?
A. Immediately within 1 hour
B. Within 24 hours
C. By the next working day during normal business hours
D. Within 7 calendar days
Correct Answer: C. By the next working day during normal business hours
Rationale: Special incidents must be promptly communicated to Community Care
Licensing no later than the next working day during normal business hours. Timely
reporting allows regulators to assess risks, investigate serious situations, and ensure
resident protections are maintained. Delayed reporting may result in citations or
penalties.
Question 7:
After notifying Community Care Licensing of a special incident by phone or fax,
within how many days must the written Special Incident Report be mailed?
A. 3 days
B. 5 days
C. 7 days
D. 10 days
Correct Answer: C. 7 days
Rationale: Following initial notification, ARFs are required to submit the formal
written Special Incident Report within seven days. This written documentation
provides a detailed account of the incident, corrective actions taken, and follow-up
measures to protect residents and maintain compliance.
Question 8:
, 2026/2027
A licensee changes the facility mailing address. Within what timeframe must
Community Care Licensing be notified?
A. 24 hours
B. 5 working days
C. 10 working days
D. 30 calendar days
Correct Answer: C. 10 working days
Rationale: Changes involving the licensee’s mailing address or chief executive officer
must be reported to Community Care Licensing within 10 working days. Accurate
contact information is essential for official communication, inspections, and
emergency notifications.
Question 9:
Who is legally permitted to alter the label on a prescribed medication in an Adult
Residential Facility?
A. The facility administrator
B. A certified caregiver
C. The resident’s physician
D. The dispensing pharmacist only
Correct Answer: D. The dispensing pharmacist only
Rationale: Medication labels may only be changed by the dispensing pharmacist.
Facility staff, administrators, and even physicians may not alter pharmacy labels
because doing so could create medication errors, legal liability, or unsafe
administration practices. Medication administration must always follow the original
pharmacy instructions unless a new prescription is issued.
Question 10:
Centrally stored medication records in an Adult Residential Facility must be
maintained for a minimum of how long?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Correct Answer: B. 1 year
Rationale: ARFs must retain centrally stored medication records for at least one year
to ensure accountability, medication tracking, and regulatory review if concerns arise.
California RCFE Title 22
Certification Exam 2026/2027
Complete Practice Test Bank, Study
Manual, and Licensing Preparation
Guide
Question 1:
An Adult Residential Facility (ARF) room approved for non-ambulatory residents
may legally be used to accommodate which group of residents according to Title 22
regulations?
A. Only bedridden residents
B. Only ambulatory residents
C. Both non-ambulatory and ambulatory residents
D. Only residents receiving hospice care
Correct Answer: C. Both non-ambulatory and ambulatory residents
Rationale: Rooms approved for non-ambulatory residents already meet the stricter
safety and accessibility requirements required for residents who may need evacuation
assistance. Because these standards exceed those required for ambulatory residents,
the room may also be used for ambulatory individuals. Bedridden residents require
additional licensing considerations, and hospice status alone does not determine room
eligibility.
Question 2:
A licensee operating an Adult Residential Facility publishes an advertisement in a
local newspaper seeking new residents. Which information must legally appear in the
advertisement?
A. The administrator’s certification number
B. The facility’s emergency disaster plan
C. The facility’s license number
D. The resident capacity only
Correct Answer: C. The facility’s license number
Rationale: Title 22 regulations require ARFs to disclose the facility license number in
advertisements, announcements, and publications intended to attract residents. This
promotes transparency and allows consumers to verify the facility’s legal operating
,2026/2027
status through Community Care Licensing. Administrator certification numbers and
facility capacity may be helpful but are not legally required in advertisements.
Question 3:
How often must disaster drills be conducted in an Adult Residential Facility according
to Title 22 regulations?
A. Monthly
B. Every 3 months
C. Every 6 months
D. Once yearly
Correct Answer: C. Every 6 months
Rationale: ARFs are required to conduct disaster drills at least once every six months
to ensure that staff and residents remain familiar with evacuation procedures and
emergency responses. Regular drills help evaluate preparedness for fires, earthquakes,
power failures, or other emergencies. Conducting drills less frequently would place
residents at greater risk during emergencies.
Question 4:
A licensee plans to increase the licensed capacity of an Adult Residential Facility.
What action must be taken before implementing this change?
A. Notify residents verbally
B. Submit an incident report
C. File a new licensing application
D. Obtain approval from the residents’ families only
Correct Answer: C. File a new licensing application
Rationale: Any significant change involving facility conditions or limitations, such as
capacity, location, or program modifications, requires the licensee to file a new
licensing application with Community Care Licensing. This ensures the facility
continues to meet all health, safety, staffing, and environmental requirements before
changes are implemented.
Question 5:
A follow-up visit to determine compliance with a plan of correction following a
notice of deficiency must generally occur within what timeframe?
A. 24 hours
B. 5 working days
,2026/2027
C. 10 working days
D. 30 calendar days
Correct Answer: C. 10 working days
Rationale: Title 22 requires Community Care Licensing to conduct a follow-up
inspection within 10 working days of the plan of correction due date unless the
deficiency has already been verified through other acceptable means. The purpose is
to ensure deficiencies have been corrected promptly to maintain resident safety and
regulatory compliance.
Question 6:
An ARF experiences a special incident involving a resident injury. By when must the
facility report the incident to Community Care Licensing by telephone or fax?
A. Immediately within 1 hour
B. Within 24 hours
C. By the next working day during normal business hours
D. Within 7 calendar days
Correct Answer: C. By the next working day during normal business hours
Rationale: Special incidents must be promptly communicated to Community Care
Licensing no later than the next working day during normal business hours. Timely
reporting allows regulators to assess risks, investigate serious situations, and ensure
resident protections are maintained. Delayed reporting may result in citations or
penalties.
Question 7:
After notifying Community Care Licensing of a special incident by phone or fax,
within how many days must the written Special Incident Report be mailed?
A. 3 days
B. 5 days
C. 7 days
D. 10 days
Correct Answer: C. 7 days
Rationale: Following initial notification, ARFs are required to submit the formal
written Special Incident Report within seven days. This written documentation
provides a detailed account of the incident, corrective actions taken, and follow-up
measures to protect residents and maintain compliance.
Question 8:
, 2026/2027
A licensee changes the facility mailing address. Within what timeframe must
Community Care Licensing be notified?
A. 24 hours
B. 5 working days
C. 10 working days
D. 30 calendar days
Correct Answer: C. 10 working days
Rationale: Changes involving the licensee’s mailing address or chief executive officer
must be reported to Community Care Licensing within 10 working days. Accurate
contact information is essential for official communication, inspections, and
emergency notifications.
Question 9:
Who is legally permitted to alter the label on a prescribed medication in an Adult
Residential Facility?
A. The facility administrator
B. A certified caregiver
C. The resident’s physician
D. The dispensing pharmacist only
Correct Answer: D. The dispensing pharmacist only
Rationale: Medication labels may only be changed by the dispensing pharmacist.
Facility staff, administrators, and even physicians may not alter pharmacy labels
because doing so could create medication errors, legal liability, or unsafe
administration practices. Medication administration must always follow the original
pharmacy instructions unless a new prescription is issued.
Question 10:
Centrally stored medication records in an Adult Residential Facility must be
maintained for a minimum of how long?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Correct Answer: B. 1 year
Rationale: ARFs must retain centrally stored medication records for at least one year
to ensure accountability, medication tracking, and regulatory review if concerns arise.
