California Arf Administrator Exam / Actual
Exam 2026/2027 Adult Fully Covered Brand
New Graded A+
1. A resident in your ARF begins showing signs of insulin-dependent diabetes. The
family requests staff to administer insulin injections since they cannot afford home
health services. What should you do as the administrator?
A. Train a staff member to administer insulin under physician instruction
B. Decline the request because insulin administration is a restricted health care service
outside ARF scope
C. Accept the request only if the family provides written consent
D. Call the physician to confirm and proceed once they approve
Rationale: Under Title 22 §85064, ARFs may not provide services requiring skilled medical
judgment, including insulin injections. Even with family consent or physician approval,
performing medical tasks exceeds the ARF’s non-medical license and could result in
revocation or citation.
2. During an annual inspection, a Licensing Program Analyst finds that two staff
members’ CPR/First Aid certifications expired last month. What is the MOST
appropriate immediate action for the administrator?
A. Schedule new staff for training within 30 days
B. Remove uncertified staff from direct care duties until recertified
C. Submit a written plan of correction within 10 days
D. Provide an in-service training on emergency procedures
Rationale: Staff without valid CPR/First Aid certification cannot perform direct care duties
(§85065). Administrators must immediately remove them from resident care until training is
current; otherwise, the facility risks a Type A citation for resident safety violations.
3. A resident with a developmental disability exhibits aggressive behavior resulting in
minor injuries to others. The behavior plan was last reviewed six months ago. What
should the administrator do FIRST?
A. Convene an interdisciplinary meeting to reassess the behavior plan and implement
new interventions
B. Notify CCL and discharge the resident immediately
C. Assign one-on-one staff supervision temporarily
D. Contact the resident’s family for approval of new strategies
Rationale: Regulation §85068.3 requires that behavioral intervention plans be reviewed
,whenever a resident’s needs change. An updated plan with input from the interdisciplinary
team ensures safety and compliance while avoiding unnecessary evictions.
4. A resident’s physician orders a special diet due to hypertension. How must the
facility handle this dietary requirement?
A. Offer low-salt meals occasionally
B. Ensure menus are modified to meet the physician’s order and document compliance in
the resident’s record
C. Ask the family to bring special meals
D. Allow the resident to choose meals regardless of the restriction
Rationale: Per §85076, facilities must follow physician-ordered diets and document
compliance. Failure to accommodate medical dietary needs constitutes neglect and
noncompliance with resident care requirements.
5. The administrator learns that a resident’s responsible person has not visited or paid
for care in over 60 days. The resident’s SSI continues to be received by the facility.
What is the administrator’s legal obligation?
A. Notify Community Care Licensing and continue to safeguard the resident’s SSI funds
properly
B. Evict the resident for non-payment
C. Transfer the funds to the facility’s general operating account
D. Contact law enforcement immediately
Rationale: Administrators are fiduciaries for resident funds (§85007). If responsible persons
fail to act, the facility must continue safeguarding SSI payments and inform CCL of the
situation; funds must never be commingled or misused.
6. A staff member reports that a resident frequently refuses to bathe and has developed
strong body odor. What is the administrator’s BEST initial action?
A. Enforce daily showers through a written policy
B. Assign another staff member to monitor hygiene more closely
C. Assess for underlying causes such as depression, cognitive decline, or trauma and
document the intervention
D. Notify the resident’s family to persuade compliance
Rationale: Under §85078, care must respect personal rights and dignity. Refusal of hygiene
often signals deeper physical or emotional needs. Assessment and individualized care
planning are required before imposing compliance strategies.
7. You receive a complaint that a staff member is verbally abusive toward residents.
What must you do FIRST as the administrator?
, A. Immediately suspend the staff member from resident contact pending investigation
B. Schedule a staff meeting to discuss professional conduct
C. Contact the staff member privately and issue a warning
D. Wait for written confirmation from the complainant
Rationale: Allegations of abuse require immediate protective action (§85072). Residents
must be safeguarded while the administrator conducts and documents an internal
investigation. Delay constitutes neglect.
8. A resident’s physician orders oxygen therapy. The family asks the facility to store
and manage the oxygen tanks. What must the administrator verify before accepting
this order?
A. That the tanks are labeled with the resident’s name
B. That Community Care Licensing has approved a waiver and staff have been trained in
safe oxygen handling
C. That oxygen is stored away from the kitchen
D. That staff document oxygen use in the daily log
Rationale: Oxygen therapy is a restricted health service. The facility must hold an approved
waiver and staff must complete training in storage, fire safety, and administration (§85077).
9. Which statement about staff training is TRUE for ARFs?
A. Only new staff require orientation training
B. Annual training applies only to full-time employees
C. All direct care staff must complete at least 20 hours of annual continuing education
relevant to resident care
D. CPR training counts toward all annual hours
Rationale: Per §85064.2, 20 hours of annual continuing education ensures ongoing
competency in resident care, abuse prevention, and emergency procedures.
10. When must an administrator report an unusual incident, such as a resident
elopement, to Community Care Licensing?
A. Within 24 hours by phone or fax, followed by a written report within 7 days
B. Only if the resident is injured
C. Within 72 hours in writing
D. After the family has been notified
Rationale: §80061 mandates prompt reporting to CCL within 24 hours of serious incidents
to protect resident welfare and maintain transparency.
11. What is the MAXIMUM number of residents allowed in a facility bedroom without
an approved exception?
Exam 2026/2027 Adult Fully Covered Brand
New Graded A+
1. A resident in your ARF begins showing signs of insulin-dependent diabetes. The
family requests staff to administer insulin injections since they cannot afford home
health services. What should you do as the administrator?
A. Train a staff member to administer insulin under physician instruction
B. Decline the request because insulin administration is a restricted health care service
outside ARF scope
C. Accept the request only if the family provides written consent
D. Call the physician to confirm and proceed once they approve
Rationale: Under Title 22 §85064, ARFs may not provide services requiring skilled medical
judgment, including insulin injections. Even with family consent or physician approval,
performing medical tasks exceeds the ARF’s non-medical license and could result in
revocation or citation.
2. During an annual inspection, a Licensing Program Analyst finds that two staff
members’ CPR/First Aid certifications expired last month. What is the MOST
appropriate immediate action for the administrator?
A. Schedule new staff for training within 30 days
B. Remove uncertified staff from direct care duties until recertified
C. Submit a written plan of correction within 10 days
D. Provide an in-service training on emergency procedures
Rationale: Staff without valid CPR/First Aid certification cannot perform direct care duties
(§85065). Administrators must immediately remove them from resident care until training is
current; otherwise, the facility risks a Type A citation for resident safety violations.
3. A resident with a developmental disability exhibits aggressive behavior resulting in
minor injuries to others. The behavior plan was last reviewed six months ago. What
should the administrator do FIRST?
A. Convene an interdisciplinary meeting to reassess the behavior plan and implement
new interventions
B. Notify CCL and discharge the resident immediately
C. Assign one-on-one staff supervision temporarily
D. Contact the resident’s family for approval of new strategies
Rationale: Regulation §85068.3 requires that behavioral intervention plans be reviewed
,whenever a resident’s needs change. An updated plan with input from the interdisciplinary
team ensures safety and compliance while avoiding unnecessary evictions.
4. A resident’s physician orders a special diet due to hypertension. How must the
facility handle this dietary requirement?
A. Offer low-salt meals occasionally
B. Ensure menus are modified to meet the physician’s order and document compliance in
the resident’s record
C. Ask the family to bring special meals
D. Allow the resident to choose meals regardless of the restriction
Rationale: Per §85076, facilities must follow physician-ordered diets and document
compliance. Failure to accommodate medical dietary needs constitutes neglect and
noncompliance with resident care requirements.
5. The administrator learns that a resident’s responsible person has not visited or paid
for care in over 60 days. The resident’s SSI continues to be received by the facility.
What is the administrator’s legal obligation?
A. Notify Community Care Licensing and continue to safeguard the resident’s SSI funds
properly
B. Evict the resident for non-payment
C. Transfer the funds to the facility’s general operating account
D. Contact law enforcement immediately
Rationale: Administrators are fiduciaries for resident funds (§85007). If responsible persons
fail to act, the facility must continue safeguarding SSI payments and inform CCL of the
situation; funds must never be commingled or misused.
6. A staff member reports that a resident frequently refuses to bathe and has developed
strong body odor. What is the administrator’s BEST initial action?
A. Enforce daily showers through a written policy
B. Assign another staff member to monitor hygiene more closely
C. Assess for underlying causes such as depression, cognitive decline, or trauma and
document the intervention
D. Notify the resident’s family to persuade compliance
Rationale: Under §85078, care must respect personal rights and dignity. Refusal of hygiene
often signals deeper physical or emotional needs. Assessment and individualized care
planning are required before imposing compliance strategies.
7. You receive a complaint that a staff member is verbally abusive toward residents.
What must you do FIRST as the administrator?
, A. Immediately suspend the staff member from resident contact pending investigation
B. Schedule a staff meeting to discuss professional conduct
C. Contact the staff member privately and issue a warning
D. Wait for written confirmation from the complainant
Rationale: Allegations of abuse require immediate protective action (§85072). Residents
must be safeguarded while the administrator conducts and documents an internal
investigation. Delay constitutes neglect.
8. A resident’s physician orders oxygen therapy. The family asks the facility to store
and manage the oxygen tanks. What must the administrator verify before accepting
this order?
A. That the tanks are labeled with the resident’s name
B. That Community Care Licensing has approved a waiver and staff have been trained in
safe oxygen handling
C. That oxygen is stored away from the kitchen
D. That staff document oxygen use in the daily log
Rationale: Oxygen therapy is a restricted health service. The facility must hold an approved
waiver and staff must complete training in storage, fire safety, and administration (§85077).
9. Which statement about staff training is TRUE for ARFs?
A. Only new staff require orientation training
B. Annual training applies only to full-time employees
C. All direct care staff must complete at least 20 hours of annual continuing education
relevant to resident care
D. CPR training counts toward all annual hours
Rationale: Per §85064.2, 20 hours of annual continuing education ensures ongoing
competency in resident care, abuse prevention, and emergency procedures.
10. When must an administrator report an unusual incident, such as a resident
elopement, to Community Care Licensing?
A. Within 24 hours by phone or fax, followed by a written report within 7 days
B. Only if the resident is injured
C. Within 72 hours in writing
D. After the family has been notified
Rationale: §80061 mandates prompt reporting to CCL within 24 hours of serious incidents
to protect resident welfare and maintain transparency.
11. What is the MAXIMUM number of residents allowed in a facility bedroom without
an approved exception?
