NJ CALA FINAL EXAMS ACTUAL QUESTIONS AND
ANSWERS SURE A+
✔✔Specialized Long-Term Care - ✔✔Residents who shall not remain in the assisted
living residence or comprehensive personal care home and shall be transferred to a
long-term care facility.
✔✔Medicaid-Eligible Person - ✔✔An individual who has been determined as satisfying
the financial eligibility criteria for medical assistance under the Medicaid program, and
has been assessed as being in need of nursing home-level care, and has been
approved by the Department for participation in a Federally approved waiver program
for assisted living services.
✔✔April 15th - ✔✔The facility shall report the number of resident days per calendar
year to the Department's Long-Tern Care Licensing Program by _______________ of
each year, for the prior calendar year.
✔✔Inservices - ✔✔1.) Concepts of Assisted Living; 2.) Emergency plans and
procedures; 3.) Infection Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse
& Neglect; 6.) Pain Management; 7.) Alzheimer's and related Dementia conditions.
✔✔Acuity - ✔✔Staffing is based upon the an assessment of the ___________ of
residents' needs.
,✔✔60 - ✔✔Policies and procedures for reporting all alleged and/or suspected cases of
resident abuse or exploitation to the Complaints Program of the Division of Long-Term
Care Systems. If the resident is ___________ years of age or older, the State of New
Jersey Office of the Ombudsman for the Institutionalized Elderly shall be notified.
✔✔Resident Transportation - ✔✔The facility shall be capable of providing this, either
directly or by arrangement, to and from health care services provided outside the
facility, and shall promote reasonable plans for security and accountability for the
resident and his or her personal possessions, as well as transfer of resident information
to and form the provider of the service, as required by individual residents and specified
in resident service plans.
✔✔Written Agreements - ✔✔The facility or program shall have a written agreement or
its equivalent, or a linkage for services not provided directly by the facility or program.
✔✔Psychiartric Disorders - ✔✔If the facility or program provides care to residents with
_________________________, the facility or program shall also have a written
agreement with one or more community mental health centers specifying which services
will be provided by the mental health center.
✔✔72 Hours - ✔✔The facility shall notify the Department immediately by telephone,
followed by ________ by written confirmation for a reportable event.
✔✔3 or more hours - ✔✔Interruption for ____________________ of basic physical
plant services, such as heat, light, power, water, food, or staff is a reportable event.
✔✔Reportable Events - ✔✔Any major occurrence or incident of an unusual nature,
including, but not limited to, all fires, disasters, elopements, and all deaths resulting from
accidents or incidents in the facility or related to facility services. Incidents shall also
contain information about injuries to residents and/or personnel disruption of services,
and extent of damages; All suspected cases of resident abuse, neglect, or
misappropriation of resident property, including incidents reported to the Ombudsman;
All alleged or suspected crimes which are serious crimes commitment by or against
residents, reported at the time of occurrence to the local police department; Occurrence
of epidemic disease in the facility; Termination of employment of the administrator, and
the name and qualifications of his or her replacement.
✔✔Notices for Residents & the Public - ✔✔1.) All waivers granted by the Department
2.) A copy of the last annual licensure inspection survey report and the list of
deficiencies from any valid complaint investigation during the past 12 months.
3.) Policies and procedures regarding resident rights.
4.) Business hours of the facility.
5.) Policies and procedures for maintaining security of the assisted living residence and
comprehensive personal care homes.
,6.) The toll-free hot line number of the Department; telephone numbers of county
agencies and the of the State of New Jersey Office of the Ombudsman.
7.) The names of, and a means to formally contact, the owner and/or members of the
governing agency.
✔✔Register - ✔✔The facility shall maintain an annual chronological listings of residents
admitted and discharged, including the destination of residents who are discharged. It
contains a current census of all residents, along with other pertinent information, shall
be maintained by each assisted living residence, comprehensive personal care home,
or assisted living program. The following standards for maintenance shall apply:
1.) The adminstrator or the administrator's desginee shall make all the entries and shall
be responsible for its maintenance and safe-keeping.
2.) It shall be kept up-to-date at all times. Admissions, discharges and discharge
destinations, and other changes shall be recorded within in 48 hours.
3.) It is a permanent record and shall be kept in a safe place.
4.) All entries into it shall be clear, legible, and written in ink or typed.
✔✔Maintenance of Records - ✔✔A register of residents are to be maintained, along
with statistical data; such as resident census and facility characteristics shall be
forwarded to the Department on request, in a format provided by the Department.
✔✔Resident Interview - ✔✔This shall include at least orientation to the facility's or
program's policies, business hours, fee schedule, services provided, residents rights,
and criteria for admission and discharge. Documentation of this shall be included in the
resident record.
✔✔15 Days - ✔✔If an applicant, after applying in writing, is denied admission to the
assisted living residence, comprehensive personal care home, or assisted living
program, the applicant and/or his or her family, guardian, or responsible person shall,
upon written request, be given the reason for such denial in writing, signed by the
administrator, within ____________ of the receipt of the written request.
✔✔30 Days - ✔✔Written notification of by the administrator shall be provided to a
resident and/or his or family, guardian, or designated responsible person, of a decision
to involuntarily discharge the resident from the facility or program. Such involuntary
discharge shall only be upon grounds contained in the facility's or program's policies
and procedures and shall only occur only if the resident has been notified and informed
of such policies in advance. The notice of discharge shall be given at least __________
in advance and shall include the reason for discharge and the resident's right to appeal.
This _________ advance notice shall not apply if the discharge is for reasons in
accordance with the criteria specified at N.J.A.C. 8:36-5.1(d) (such as an emergency
situation). A copy of the notice shall be entered into the resident's record.
✔✔Notification Requirements - ✔✔1.) The resident acquires an acute illness requiring
medical care.
, 2.) Any serious accident, criminal act or incident occurs which involves the resident and
results in serious harm or injury or results in the resident's arrest or detention.
3.) The resident is transferred from the facility.
4.) The resident expires.
✔✔Interpretation Services - ✔✔The facility or program shall demonstrate the ability to
provide a means to communicate with any resident admitted who is non-English-
speaking and/or has a communication disability, using available community or on-site
resources.
✔✔Referral & Transfer Agreements - ✔✔Each licensed assisted living residence and
comprehensive personal care home shall maintain written referral and/or transfer
agreements with at least one licensed acute care hospital in New Jersey, at least one
licensed State, county, or private psychiatric hospital in New Jersey, and with at least
one licensed New Jersey long-term care facility. A written agreement with an acute care
hospital with licensed adult psychiatric beds in New Jersey shall enable compliance with
psychiatric hospital component of the requirement.
✔✔Financial Arrangements - ✔✔Upon admission and at the time of any changes in
charges, inform the residents in writing, of any and all all fees for services provided and
charges for supplies routinely provided by the facility. The facility shall also inform the
resident of the costs of supplies which are specially ordered. At the resident's request,
this information may be provided instead to the resident's family, guardian, or
responsible person.
✔✔Personal Needs Allowance - ✔✔The administrator or his or her representative shall
develop a policy and procedure for handling the monthly _______________________
for each resident who receives SSI or other forms of public assistance. Every
administrator to whom resident's personal funds are entrusted shall maintain written
records, such as a ledger, including the date each payment was received, the amount of
payment, the date of each disbursement, the amount of each disbursement, the reason
for each disbursement and to whom each disbursement was made. It shall not be
commingled with any other facility operating account and shall be deposited into an
interest bearing account.
✔✔72 hours - ✔✔Each resident shall receive his or her personal needs allowance
within ____________ of the receipt of the check by the administrator.
✔✔Financial Power of Attorney - ✔✔The resident or, if the resident is not competent,
the resident's representative with ________________________, shall sign to
acknowledge receipt of funds, goods or services purchased with such funds at the time
of disbursement.
✔✔14 days - ✔✔Upon admission, each resident shall receive an initial assessment by a
RN to determine the resident's needs. If this initial assessment indicates the resident
ANSWERS SURE A+
✔✔Specialized Long-Term Care - ✔✔Residents who shall not remain in the assisted
living residence or comprehensive personal care home and shall be transferred to a
long-term care facility.
✔✔Medicaid-Eligible Person - ✔✔An individual who has been determined as satisfying
the financial eligibility criteria for medical assistance under the Medicaid program, and
has been assessed as being in need of nursing home-level care, and has been
approved by the Department for participation in a Federally approved waiver program
for assisted living services.
✔✔April 15th - ✔✔The facility shall report the number of resident days per calendar
year to the Department's Long-Tern Care Licensing Program by _______________ of
each year, for the prior calendar year.
✔✔Inservices - ✔✔1.) Concepts of Assisted Living; 2.) Emergency plans and
procedures; 3.) Infection Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse
& Neglect; 6.) Pain Management; 7.) Alzheimer's and related Dementia conditions.
✔✔Acuity - ✔✔Staffing is based upon the an assessment of the ___________ of
residents' needs.
,✔✔60 - ✔✔Policies and procedures for reporting all alleged and/or suspected cases of
resident abuse or exploitation to the Complaints Program of the Division of Long-Term
Care Systems. If the resident is ___________ years of age or older, the State of New
Jersey Office of the Ombudsman for the Institutionalized Elderly shall be notified.
✔✔Resident Transportation - ✔✔The facility shall be capable of providing this, either
directly or by arrangement, to and from health care services provided outside the
facility, and shall promote reasonable plans for security and accountability for the
resident and his or her personal possessions, as well as transfer of resident information
to and form the provider of the service, as required by individual residents and specified
in resident service plans.
✔✔Written Agreements - ✔✔The facility or program shall have a written agreement or
its equivalent, or a linkage for services not provided directly by the facility or program.
✔✔Psychiartric Disorders - ✔✔If the facility or program provides care to residents with
_________________________, the facility or program shall also have a written
agreement with one or more community mental health centers specifying which services
will be provided by the mental health center.
✔✔72 Hours - ✔✔The facility shall notify the Department immediately by telephone,
followed by ________ by written confirmation for a reportable event.
✔✔3 or more hours - ✔✔Interruption for ____________________ of basic physical
plant services, such as heat, light, power, water, food, or staff is a reportable event.
✔✔Reportable Events - ✔✔Any major occurrence or incident of an unusual nature,
including, but not limited to, all fires, disasters, elopements, and all deaths resulting from
accidents or incidents in the facility or related to facility services. Incidents shall also
contain information about injuries to residents and/or personnel disruption of services,
and extent of damages; All suspected cases of resident abuse, neglect, or
misappropriation of resident property, including incidents reported to the Ombudsman;
All alleged or suspected crimes which are serious crimes commitment by or against
residents, reported at the time of occurrence to the local police department; Occurrence
of epidemic disease in the facility; Termination of employment of the administrator, and
the name and qualifications of his or her replacement.
✔✔Notices for Residents & the Public - ✔✔1.) All waivers granted by the Department
2.) A copy of the last annual licensure inspection survey report and the list of
deficiencies from any valid complaint investigation during the past 12 months.
3.) Policies and procedures regarding resident rights.
4.) Business hours of the facility.
5.) Policies and procedures for maintaining security of the assisted living residence and
comprehensive personal care homes.
,6.) The toll-free hot line number of the Department; telephone numbers of county
agencies and the of the State of New Jersey Office of the Ombudsman.
7.) The names of, and a means to formally contact, the owner and/or members of the
governing agency.
✔✔Register - ✔✔The facility shall maintain an annual chronological listings of residents
admitted and discharged, including the destination of residents who are discharged. It
contains a current census of all residents, along with other pertinent information, shall
be maintained by each assisted living residence, comprehensive personal care home,
or assisted living program. The following standards for maintenance shall apply:
1.) The adminstrator or the administrator's desginee shall make all the entries and shall
be responsible for its maintenance and safe-keeping.
2.) It shall be kept up-to-date at all times. Admissions, discharges and discharge
destinations, and other changes shall be recorded within in 48 hours.
3.) It is a permanent record and shall be kept in a safe place.
4.) All entries into it shall be clear, legible, and written in ink or typed.
✔✔Maintenance of Records - ✔✔A register of residents are to be maintained, along
with statistical data; such as resident census and facility characteristics shall be
forwarded to the Department on request, in a format provided by the Department.
✔✔Resident Interview - ✔✔This shall include at least orientation to the facility's or
program's policies, business hours, fee schedule, services provided, residents rights,
and criteria for admission and discharge. Documentation of this shall be included in the
resident record.
✔✔15 Days - ✔✔If an applicant, after applying in writing, is denied admission to the
assisted living residence, comprehensive personal care home, or assisted living
program, the applicant and/or his or her family, guardian, or responsible person shall,
upon written request, be given the reason for such denial in writing, signed by the
administrator, within ____________ of the receipt of the written request.
✔✔30 Days - ✔✔Written notification of by the administrator shall be provided to a
resident and/or his or family, guardian, or designated responsible person, of a decision
to involuntarily discharge the resident from the facility or program. Such involuntary
discharge shall only be upon grounds contained in the facility's or program's policies
and procedures and shall only occur only if the resident has been notified and informed
of such policies in advance. The notice of discharge shall be given at least __________
in advance and shall include the reason for discharge and the resident's right to appeal.
This _________ advance notice shall not apply if the discharge is for reasons in
accordance with the criteria specified at N.J.A.C. 8:36-5.1(d) (such as an emergency
situation). A copy of the notice shall be entered into the resident's record.
✔✔Notification Requirements - ✔✔1.) The resident acquires an acute illness requiring
medical care.
, 2.) Any serious accident, criminal act or incident occurs which involves the resident and
results in serious harm or injury or results in the resident's arrest or detention.
3.) The resident is transferred from the facility.
4.) The resident expires.
✔✔Interpretation Services - ✔✔The facility or program shall demonstrate the ability to
provide a means to communicate with any resident admitted who is non-English-
speaking and/or has a communication disability, using available community or on-site
resources.
✔✔Referral & Transfer Agreements - ✔✔Each licensed assisted living residence and
comprehensive personal care home shall maintain written referral and/or transfer
agreements with at least one licensed acute care hospital in New Jersey, at least one
licensed State, county, or private psychiatric hospital in New Jersey, and with at least
one licensed New Jersey long-term care facility. A written agreement with an acute care
hospital with licensed adult psychiatric beds in New Jersey shall enable compliance with
psychiatric hospital component of the requirement.
✔✔Financial Arrangements - ✔✔Upon admission and at the time of any changes in
charges, inform the residents in writing, of any and all all fees for services provided and
charges for supplies routinely provided by the facility. The facility shall also inform the
resident of the costs of supplies which are specially ordered. At the resident's request,
this information may be provided instead to the resident's family, guardian, or
responsible person.
✔✔Personal Needs Allowance - ✔✔The administrator or his or her representative shall
develop a policy and procedure for handling the monthly _______________________
for each resident who receives SSI or other forms of public assistance. Every
administrator to whom resident's personal funds are entrusted shall maintain written
records, such as a ledger, including the date each payment was received, the amount of
payment, the date of each disbursement, the amount of each disbursement, the reason
for each disbursement and to whom each disbursement was made. It shall not be
commingled with any other facility operating account and shall be deposited into an
interest bearing account.
✔✔72 hours - ✔✔Each resident shall receive his or her personal needs allowance
within ____________ of the receipt of the check by the administrator.
✔✔Financial Power of Attorney - ✔✔The resident or, if the resident is not competent,
the resident's representative with ________________________, shall sign to
acknowledge receipt of funds, goods or services purchased with such funds at the time
of disbursement.
✔✔14 days - ✔✔Upon admission, each resident shall receive an initial assessment by a
RN to determine the resident's needs. If this initial assessment indicates the resident
