Podcast
Questions and Answers
An ALF can be only one building?
An ALF can be only one building?
False
A resident can be bedridden in an ALF with a standard licence for no more than __ days?
A resident can be bedridden in an ALF with a standard licence for no more than __ days?
7
Which agency is responsible for regulatory inspections of ALFs?
Which agency is responsible for regulatory inspections of ALFs?
AHCA
Capacity in an ALF is the ____ of residents it is licensed to care for.
Capacity in an ALF is the ____ of residents it is licensed to care for.
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Which of the following is not considered an ADL?
Which of the following is not considered an ADL?
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Limited nursing services can only be provided by?
Limited nursing services can only be provided by?
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1/2 bed rails are considered a ________ and are allowed in an ALF only if?
1/2 bed rails are considered a ________ and are allowed in an ALF only if?
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An event over which facility personnel could exercise control rather than as a result of the resident's condition and results in?
An event over which facility personnel could exercise control rather than as a result of the resident's condition and results in?
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Adverse incidents are submitted on day __ and day __ to ACHA.
Adverse incidents are submitted on day __ and day __ to ACHA.
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A fully sprinkled ALF must conduct how many fire drills annually?
A fully sprinkled ALF must conduct how many fire drills annually?
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A limited mental health resident must receive OSS?
A limited mental health resident must receive OSS?
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Facilities licensed for 16 residents must have an awake staff person at night.
Facilities licensed for 16 residents must have an awake staff person at night.
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The specialty licences for an ALF are?
The specialty licences for an ALF are?
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The facility must have a surety bond if it has power of attorney or is a?
The facility must have a surety bond if it has power of attorney or is a?
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If a facility decides to hold monies or property for a resident for safekeeping, a statement must be provided to the resident and/or legal representative how often?
If a facility decides to hold monies or property for a resident for safekeeping, a statement must be provided to the resident and/or legal representative how often?
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A facility must conduct how many elopement drills annually?
A facility must conduct how many elopement drills annually?
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A minimum weekly staffing hours for an ALF with four residents is?
A minimum weekly staffing hours for an ALF with four residents is?
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An ALF with ___ or more residents that receive OSS must have which type of licence?
An ALF with ___ or more residents that receive OSS must have which type of licence?
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What is not a commonly used medication to treat symptoms of mental health disorders?
What is not a commonly used medication to treat symptoms of mental health disorders?
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Hospice services are allowed in an ALF and must be coordinated through the development of a what?
Hospice services are allowed in an ALF and must be coordinated through the development of a what?
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What is not a potentially hazardous food?
What is not a potentially hazardous food?
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There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what?
There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what?
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Alzheimer disease is curable by stimulating the brain?
Alzheimer disease is curable by stimulating the brain?
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Any items a facility uses to advertise must contain what two things?
Any items a facility uses to advertise must contain what two things?
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At least one staff member who is trained in ____ & ____ must be in the facility at all times.
At least one staff member who is trained in ____ & ____ must be in the facility at all times.
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ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules?
ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules?
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Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction.
Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction.
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Deficiencies cited by ACHA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given.
Deficiencies cited by ACHA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given.
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An individual with stage 2 pressure sore can be admitted to an ALF with a standard licence.
An individual with stage 2 pressure sore can be admitted to an ALF with a standard licence.
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How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice?
How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice?
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What does ADL stand for?
What does ADL stand for?
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What does ACHA stand for?
What does ACHA stand for?
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What does DOEA stand for?
What does DOEA stand for?
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What does RN stand for?
What does RN stand for?
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What does LPN stand for?
What does LPN stand for?
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What does ARNP stand for?
What does ARNP stand for?
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What does RD stand for?
What does RD stand for?
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What does LD stand for?
What does LD stand for?
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What does CLSP stand for?
What does CLSP stand for?
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What does CA stand for?
What does CA stand for?
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What does ACS stand for?
What does ACS stand for?
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What does LNS stand for?
What does LNS stand for?
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What does ECC stand for?
What does ECC stand for?
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What does LMH stand for?
What does LMH stand for?
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What does AFCH stand for?
What does AFCH stand for?
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What does MOR stand for?
What does MOR stand for?
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What does DCF stand for?
What does DCF stand for?
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What does CNA stand for?
What does CNA stand for?
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What does HHA stand for?
What does HHA stand for?
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What does OSS stand for?
What does OSS stand for?
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What does LTCOC stand for?
What does LTCOC stand for?
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What does FPSS stand for?
What does FPSS stand for?
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What does POA stand for?
What does POA stand for?
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What does SSI stand for?
What does SSI stand for?
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What does CHOW stand for?
What does CHOW stand for?
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What does CARES stand for?
What does CARES stand for?
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What does CPR stand for?
What does CPR stand for?
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What does RDA stand for?
What does RDA stand for?
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What does DOH stand for?
What does DOH stand for?
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What does CCRC stand for?
What does CCRC stand for?
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What does FDLE stand for?
What does FDLE stand for?
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What licence would be required if you are using a COMMUNITY SUPPORT PLAN?
What licence would be required if you are using a COMMUNITY SUPPORT PLAN?
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What written statement is required for LMH residents that provides specific directions for emergencies and after hours care?
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care?
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What is ACS?
What is ACS?
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Which licence allows a nurse to perform any service within the scope of their licence?
Which licence allows a nurse to perform any service within the scope of their licence?
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What licence is required if you have 3 or more residents on OSS?
What licence is required if you have 3 or more residents on OSS?
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With a LMH licence, how many days do you have to make a Community Living Support Plan?
With a LMH licence, how many days do you have to make a Community Living Support Plan?
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Can a cooperative agreement be included in a Community Living Support Plan?
Can a cooperative agreement be included in a Community Living Support Plan?
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Which licence allows full help with ADLs?
Which licence allows full help with ADLs?
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Can you care for a stage 3 pressure sore with a LNS licence?
Can you care for a stage 3 pressure sore with a LNS licence?
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How many residents on OSS are required for an ADULT FAMILY CARE HOME licence?
How many residents on OSS are required for an ADULT FAMILY CARE HOME licence?
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In adult family care homes, care must be provided in the person providing care's own home.
In adult family care homes, care must be provided in the person providing care's own home.
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What does the Long Term Care Ombudsman Council do?
What does the Long Term Care Ombudsman Council do?
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How many days can a resident be bedridden in a standard licence ALF?
How many days can a resident be bedridden in a standard licence ALF?
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An ALF owner must be how old?
An ALF owner must be how old?
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An ALF administrator must be how old?
An ALF administrator must be how old?
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How many days must be given to a resident for notice of discharge?
How many days must be given to a resident for notice of discharge?
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How many days does a resident need to provide for notice of termination?
How many days does a resident need to provide for notice of termination?
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How many months does an administrator have to complete all CORE training requirements?
How many months does an administrator have to complete all CORE training requirements?
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What is the minimum square feet needed per resident in an ALF for common living areas?
What is the minimum square feet needed per resident in an ALF for common living areas?
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What is the minimum square footage for a private room in an ALF?
What is the minimum square footage for a private room in an ALF?
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Is an ALF required to carry liability insurance at all times?
Is an ALF required to carry liability insurance at all times?
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What is the maximum number of residents per bedroom?
What is the maximum number of residents per bedroom?
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What is the toilet to sink ratio in an ALF?
What is the toilet to sink ratio in an ALF?
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In how many days must the 'Health Assessment (1823)' prior to the move-in be completed?
In how many days must the 'Health Assessment (1823)' prior to the move-in be completed?
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How many days after admission must a 'health assessment (1823)' be completed for a resident?
How many days after admission must a 'health assessment (1823)' be completed for a resident?
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Residents that store medication may do so in their rooms if the medications are kept locked.
Residents that store medication may do so in their rooms if the medications are kept locked.
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What is a moratorium?
What is a moratorium?
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What is the minimum time frame allotted to inform ACHA of a CHOW?
What is the minimum time frame allotted to inform ACHA of a CHOW?
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Every ___ years of employment a new background screening must be done.
Every ___ years of employment a new background screening must be done.
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How many days prior must an ALF inform ACHA the discontinuance of operation?
How many days prior must an ALF inform ACHA the discontinuance of operation?
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A deficiency must be corrected within 10 days after the provider is notified of inspection results.
A deficiency must be corrected within 10 days after the provider is notified of inspection results.
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How many years must copies of ACHA inspections be kept on file?
How many years must copies of ACHA inspections be kept on file?
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ACHA shall require a licensor to submit a plan of correction for deficiencies.
ACHA shall require a licensor to submit a plan of correction for deficiencies.
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If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted?
If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted?
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A deficiency affecting one, or a very limited number of clients or staff would be considered a what?
A deficiency affecting one, or a very limited number of clients or staff would be considered a what?
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A deficiency in which more than a limited number of clients or staff would be considered a what?
A deficiency in which more than a limited number of clients or staff would be considered a what?
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A deficiency in which a problem is pervasive in the provider or represents a systemic failure that affects a large portion of clients is considered a what?
A deficiency in which a problem is pervasive in the provider or represents a systemic failure that affects a large portion of clients is considered a what?
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How soon must a Class 'I' violation be corrected?
How soon must a Class 'I' violation be corrected?
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A violation that presents an imminent danger to clients would be considered a what class?
A violation that presents an imminent danger to clients would be considered a what class?
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Study Notes
ALF Core Training Overview
- An Assisted Living Facility (ALF) can consist of multiple buildings.
- Residents in an ALF can be bedridden for a maximum of 7 days under a standard license.
- The Agency for Health Care Administration (AHCA) conducts regulatory inspections of ALFs.
- Capacity refers to the number of residents an ALF is licensed to care for.
Activities of Daily Living (ADL)
- Activities of Daily Living include eating, dressing, ambulation, and toileting.
- Transferring is not considered an ADL.
Nursing Services
- Limited nursing services in an ALF can only be provided by licensed professionals: LPN, RN, or ARNP.
- One-half bed rails are classified as physical restraints and require a physician's order to be used.
Incident Reporting
- An adverse incident is defined as an event under the facility's control that affects residents.
- Reports of adverse incidents must be submitted to AHCA on the 1st and 15th of each month.
Fire and Safety Procedures
- Fully sprinkled ALFs are required to conduct fire drills at least 5 times annually.
- Facilities must conduct a minimum of 2 elopement drills each year.
Mental Health and Care Licenses
- Limited mental health residents in an ALF must receive Optional State Supplementation (OSS).
- Specialty licenses for ALFs include Limited Mental Health (LMH), Limited Nursing Services (LNS), and Extended Congregate Care (ECC).
Administrative Requirements
- ALFs must maintain a surety bond if they hold power of attorney or act as a representative payee.
- Residents must receive financial statements quarterly if the facility holds their money or property.
- Facilities must have staff trained in CPR and First Aid present at all times.
Compliance and Correction
- Biennial surveys by AHCA ensure ALFs comply with regulations.
- Deficiencies identified by AHCA must be corrected within 30 days unless specified otherwise.
Resident Care and Management
- Residents with a stage 2 pressure sore can be admitted to an ALF with a standard license but must show improvement within 30 days or face discharge.
- Minimum requirements include a health assessment prior to move-in and within 30 days after admission.
Space and Facility Regulations
- Minimum living area requirements are 35 square feet per resident for common areas and 80 square feet for private rooms.
- Each ALF bedroom can accommodate no more than 2 residents, and the toilet-to-sink ratio must be 1:6.
Licensing and Training
- ALF owners must be at least 18 years old; administrators must be at least 21.
- Administrators have 3 months to complete CORE training.
- A minimum of 60 days' notice is required for transaction changes (CHOW) to AHCA.
Violations and Background Checks
- Class "I" violations must be corrected within 24 hours; deficiencies affecting a limited number are classified as isolated, while systemic issues are termed widespread deficiencies.
- New background screenings are required every 5 years for employees.
Miscellaneous Definitions
- MOR: Medication Observation Record
- DOEA: Department of Elderly Affairs
- SSI: Supplemental Security Income
- CCRC: Continuing Care Retirement Community
These notes encapsulate essential information regarding regulations, care standards, and operational requirements for ALFs.
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