NJ CALA UPDATED EVALUATION EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔Sounding Devices - ✔✔If self-locking doors are used at the main entrance and other
entrances which open onto a roof or balconies, they shall be equipped with a sounding
device, such as a bell, buzzer, or chime, which is in operating condition. The sounding
device shall be affixed to the outside of the door or to the adjacent exterior wall for use
in the event that a person is unable to enter the building, and shall ring an area staffed
24 hours a day.
✔✔3 degrees Fahrenheit - ✔✔For central kitchens, thermometers which are accurate to
within _______________ shall be kept in a visible location within refrigerators, freezers,
and storerooms used for perishable and other items subject to deterioration.
✔✔Household and Cleaning Products - ✔✔All household and cleaning product used by
facility staff shall be identified, labeled, and secured. All poisonous and toxic materials
shall be identified, labeled, and stored in a locked cabinet or room. The telephone
number of the poison control center shall be conspicuously posted in the facility.
✔✔72 degrees Fahrenheit - ✔✔During the heating season, the temperature in the
facility shall be kept at minimum of ____________ during the day (between sunrise and
sunset).
,✔✔68 degrees Fahrenheit - ✔✔During the heating season, the temperature in the
facility shall be kept at minimum of ____________ during the night.
✔✔82 degrees Fahrenheit - ✔✔During warm weather conditions, the temperature within
the facility shall not exceed _____________.
✔✔95 to 120 degrees Fahrenheit - ✔✔According to current regulations, the temperature
of the hot water used for bathing and handwashing shall be at least
_________________.
✔✔Soiled Laundry - ✔✔This shall be stored in a ventilated, vermin proof-area, separate
from other supplies, and shall be stored, sorted, rinsed, and laundered only in areas
specifically designed for those purposes. It shall be stores, transported, collected, and
delivered in a covered laundry bag or cart. Laundry carts shall be in good repair, kept
clean, and identified for use when either clean or soiled laundry.
✔✔Annually - ✔✔The facility shall develop, implement, and review at least
_______________, written policies and procedures regarding infection prevention and
control. Written policies and procedures shall be consistent withe the Centers for
Disease Control publications and OSHA standards.
✔✔Annual - ✔✔The facility shall document evidence of ___________ vaccination
against influenza for each residents, in accordance with the General Recommendations
on Immunization of the Advisory Committee on Immunization Practice of the CDC.
Influenza vaccines for all residents accepting the vaccine shall be completed by
November 30th of each year. Residents admitted after this date, during the flu season
and up to February 1, shall as medically appropriate, receive influenza vaccination prior
to or on admission unless refused by the resident.
✔✔Pneumococcal Disease - ✔✔The facility shall document evidence of vaccination
against pneumococcal disease for all residents who are 65 years of age or older. The
facility shall provide or arrange for pneumococcal vaccination of residents who have not
received this immunization, prior to or on admission unless the resident refuses offer of
the vaccine.
✔✔Services for Residents with Alzheimer's/dementia - ✔✔Provided the following
information:
1.) The number of licensed and unlicensed staff providing direct care to residents
diagnosed with Alzheimer's and related disorders.
2.) The activities that specifically directed towards residents disagnosed with
Alzheimer's and related disorders, including but not limited to, those designed to
maintain the resident's dignity and personal identity, enhance socialization and success,
and accomodate the cognitive and functional ability of the resident.
3.) The frequency of the activities.
, 4.) The safety policies and procedures and any security monitoring system that is
specific to residents diagnosed with Alzheimer's and related disorders.
✔✔Respite - ✔✔Assisted living facilities are permitted to accept short-term residents
who regular caregivers are participating in a respite care program.
✔✔Caregiver - ✔✔Defined as any individual, paid or unpaid, who provides regular in-
home care for an elderly, disabled, or cognitively impaired person.
✔✔Quality Improvement Program - ✔✔The facility shall establish a written plan for a
quality improvement program for resident care. The plan shall specify a timetable and
the person(s) responsible for the quality improvement program and shall provide the
ongoing monitoring of staff and resident care services. Polices and produces should be
reviewed annually. The administrator shall implement measures to ensure that
corrections or improvements area made.
✔✔Use of Restraints - ✔✔1.) The facility shall develop policies and procedures that
support a restraint-free environment for all residents.
2.) The use of any restraining devices shall be based on an assessment and shall
require a physician, advanced practice nurse, or physician assistant order.
3.) The least restrictive device shall be used, in compliance with the prescriber's order.
4.) A specific plan of care shall be developed for the use of any restraining device.
✔✔N.J.A.C. 8:36 - ✔✔Regulations: Standards for Licensure of Assisted Living
Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.
✔✔N.J.A.C. 8:43E - ✔✔General Licensure Procedures and Enforcement of Licensure
Regulations
✔✔Commissioner - ✔✔Refers to the Commissioner of the New Jersey Department of
Health and Senior Services.
✔✔Curtailment - ✔✔An order by the Department which requires a licensed health care
facility to cease and desist all admissions and readmissions of patients or residents to
the facility or affected service.
✔✔Deficiency - ✔✔A determination by the Department of one or more instances in
which a State licensing regulation or Federal certification regulation has been violated.
✔✔Department - ✔✔Refers to the New Jersey Department of Health and Senior
Services.
✔✔Division - ✔✔Refers to the Division of Health Care Systems Analysis, New Jersey
Department of Health and Senior Services.
QUESTIONS AND ANSWERS SURE A+
✔✔Sounding Devices - ✔✔If self-locking doors are used at the main entrance and other
entrances which open onto a roof or balconies, they shall be equipped with a sounding
device, such as a bell, buzzer, or chime, which is in operating condition. The sounding
device shall be affixed to the outside of the door or to the adjacent exterior wall for use
in the event that a person is unable to enter the building, and shall ring an area staffed
24 hours a day.
✔✔3 degrees Fahrenheit - ✔✔For central kitchens, thermometers which are accurate to
within _______________ shall be kept in a visible location within refrigerators, freezers,
and storerooms used for perishable and other items subject to deterioration.
✔✔Household and Cleaning Products - ✔✔All household and cleaning product used by
facility staff shall be identified, labeled, and secured. All poisonous and toxic materials
shall be identified, labeled, and stored in a locked cabinet or room. The telephone
number of the poison control center shall be conspicuously posted in the facility.
✔✔72 degrees Fahrenheit - ✔✔During the heating season, the temperature in the
facility shall be kept at minimum of ____________ during the day (between sunrise and
sunset).
,✔✔68 degrees Fahrenheit - ✔✔During the heating season, the temperature in the
facility shall be kept at minimum of ____________ during the night.
✔✔82 degrees Fahrenheit - ✔✔During warm weather conditions, the temperature within
the facility shall not exceed _____________.
✔✔95 to 120 degrees Fahrenheit - ✔✔According to current regulations, the temperature
of the hot water used for bathing and handwashing shall be at least
_________________.
✔✔Soiled Laundry - ✔✔This shall be stored in a ventilated, vermin proof-area, separate
from other supplies, and shall be stored, sorted, rinsed, and laundered only in areas
specifically designed for those purposes. It shall be stores, transported, collected, and
delivered in a covered laundry bag or cart. Laundry carts shall be in good repair, kept
clean, and identified for use when either clean or soiled laundry.
✔✔Annually - ✔✔The facility shall develop, implement, and review at least
_______________, written policies and procedures regarding infection prevention and
control. Written policies and procedures shall be consistent withe the Centers for
Disease Control publications and OSHA standards.
✔✔Annual - ✔✔The facility shall document evidence of ___________ vaccination
against influenza for each residents, in accordance with the General Recommendations
on Immunization of the Advisory Committee on Immunization Practice of the CDC.
Influenza vaccines for all residents accepting the vaccine shall be completed by
November 30th of each year. Residents admitted after this date, during the flu season
and up to February 1, shall as medically appropriate, receive influenza vaccination prior
to or on admission unless refused by the resident.
✔✔Pneumococcal Disease - ✔✔The facility shall document evidence of vaccination
against pneumococcal disease for all residents who are 65 years of age or older. The
facility shall provide or arrange for pneumococcal vaccination of residents who have not
received this immunization, prior to or on admission unless the resident refuses offer of
the vaccine.
✔✔Services for Residents with Alzheimer's/dementia - ✔✔Provided the following
information:
1.) The number of licensed and unlicensed staff providing direct care to residents
diagnosed with Alzheimer's and related disorders.
2.) The activities that specifically directed towards residents disagnosed with
Alzheimer's and related disorders, including but not limited to, those designed to
maintain the resident's dignity and personal identity, enhance socialization and success,
and accomodate the cognitive and functional ability of the resident.
3.) The frequency of the activities.
, 4.) The safety policies and procedures and any security monitoring system that is
specific to residents diagnosed with Alzheimer's and related disorders.
✔✔Respite - ✔✔Assisted living facilities are permitted to accept short-term residents
who regular caregivers are participating in a respite care program.
✔✔Caregiver - ✔✔Defined as any individual, paid or unpaid, who provides regular in-
home care for an elderly, disabled, or cognitively impaired person.
✔✔Quality Improvement Program - ✔✔The facility shall establish a written plan for a
quality improvement program for resident care. The plan shall specify a timetable and
the person(s) responsible for the quality improvement program and shall provide the
ongoing monitoring of staff and resident care services. Polices and produces should be
reviewed annually. The administrator shall implement measures to ensure that
corrections or improvements area made.
✔✔Use of Restraints - ✔✔1.) The facility shall develop policies and procedures that
support a restraint-free environment for all residents.
2.) The use of any restraining devices shall be based on an assessment and shall
require a physician, advanced practice nurse, or physician assistant order.
3.) The least restrictive device shall be used, in compliance with the prescriber's order.
4.) A specific plan of care shall be developed for the use of any restraining device.
✔✔N.J.A.C. 8:36 - ✔✔Regulations: Standards for Licensure of Assisted Living
Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.
✔✔N.J.A.C. 8:43E - ✔✔General Licensure Procedures and Enforcement of Licensure
Regulations
✔✔Commissioner - ✔✔Refers to the Commissioner of the New Jersey Department of
Health and Senior Services.
✔✔Curtailment - ✔✔An order by the Department which requires a licensed health care
facility to cease and desist all admissions and readmissions of patients or residents to
the facility or affected service.
✔✔Deficiency - ✔✔A determination by the Department of one or more instances in
which a State licensing regulation or Federal certification regulation has been violated.
✔✔Department - ✔✔Refers to the New Jersey Department of Health and Senior
Services.
✔✔Division - ✔✔Refers to the Division of Health Care Systems Analysis, New Jersey
Department of Health and Senior Services.