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Florida Assisted Living Facility (ALF) Core Competency
Exam ACTUAL Exam ALL 200 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
Florida ALF Core Competency Exam: Overview
The Florida Assisted Living Facility (ALF) Core Competency Exam is the mandatory certification
for administrators and managers. Regulated by the Agency for Health Care Administration
(AHCA) under Florida Statutes Chapter 429 and Florida Administrative Code 59A-36, the exam
tests your knowledge in:
• Resident Care & Services: Activities of Daily Living (ADLs), resident rights, and
medication management.
• Safety & Maintenance: Fire safety, Elopement drills, and sanitation.
• Legal & Administrative: Documentation, background screening, and Florida’s "Bill of
Rights."
• Specialty Licenses: Extended Congregate Care (ECC), Limited Nursing Services (LNS), and
Limited Mental Health (LMH).
• Staffing: Level II screening, training hours, and staffing ratios.
Batch 1: Practice Questions (1–100)
1. What is the minimum age requirement to be admitted to a Florida Assisted Living Facility?
A. 16
B. 18
C. 21
D. 25
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Rationale: Per Florida Statute 429.02(5), an "Assisted Living Facility" provides housing and care
specifically for adults, defined as individuals at least 21 years of age.
2. How often must a resident's health assessment (Form 1823) be updated?
A. Every 6 months
B. Every 3 years (unless there is a significant change)
C. Every 5 years
D. Only upon admission
Rationale: AHCA requires an updated 1823 health assessment every 3 years, or immediately if
the resident experiences a "significant change" in physical or mental status.
3. A facility must provide a "Notice of Discharge" at least how many days in advance?
A. 15 days
B. 45 days
C. 30 days
D. 60 days
Rationale: Florida law requires a 45-day written notice for discharge to ensure the resident has
ample time to find alternative placement, unless the resident is a danger to themselves or
others.
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4. What is the minimum number of staff hours required per week for a facility with 1-5
residents?
A. 84 hours
B. 168 hours
C. 40 hours
D. 72 hours
Rationale: For facilities with 1-5 residents, there must be at least 168 staff hours per week
(equivalent to 24-hour coverage by at least one person).
5. Which specialty license allows an ALF to provide "total help" with ADLs?
A. Limited Nursing Services (LNS)
B. Limited Mental Health (LMH)
C. Extended Congregate Care (ECC)
D. Standard License
Rationale: A standard license only allows for "assistance" with ADLs. An ECC license allows the
facility to provide "total help" with certain ADLs to allow residents to "age in place."
6. How many hours of "Core Training" are required for a new ALF Administrator?
A. 12 hours
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B. 24 hours
C. 26 hours
D. 40 hours
Rationale: New administrators must complete a minimum of 26 hours of core training and pass
the state competency exam.
7. In an ALF, who is responsible for the "initial" completion of the 1823 Health Assessment?
A. A licensed physician, PA, or ARNP.
B. The ALF Administrator.
C. The Resident's family.
D. A Registered Nurse.
Rationale: The form must be completed by a medical professional (Physician, Physician
Assistant, or Advanced Registered Nurse Practitioner) within 60 days before or 30 days after
admission.
8. "Assistance with ADLs" includes all of the following EXCEPT:
A. Bathing
B. Dressing
C. Wound debridement
4
Florida Assisted Living Facility (ALF) Core Competency
Exam ACTUAL Exam ALL 200 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
Florida ALF Core Competency Exam: Overview
The Florida Assisted Living Facility (ALF) Core Competency Exam is the mandatory certification
for administrators and managers. Regulated by the Agency for Health Care Administration
(AHCA) under Florida Statutes Chapter 429 and Florida Administrative Code 59A-36, the exam
tests your knowledge in:
• Resident Care & Services: Activities of Daily Living (ADLs), resident rights, and
medication management.
• Safety & Maintenance: Fire safety, Elopement drills, and sanitation.
• Legal & Administrative: Documentation, background screening, and Florida’s "Bill of
Rights."
• Specialty Licenses: Extended Congregate Care (ECC), Limited Nursing Services (LNS), and
Limited Mental Health (LMH).
• Staffing: Level II screening, training hours, and staffing ratios.
Batch 1: Practice Questions (1–100)
1. What is the minimum age requirement to be admitted to a Florida Assisted Living Facility?
A. 16
B. 18
C. 21
D. 25
1
, Page 2 of 105
Rationale: Per Florida Statute 429.02(5), an "Assisted Living Facility" provides housing and care
specifically for adults, defined as individuals at least 21 years of age.
2. How often must a resident's health assessment (Form 1823) be updated?
A. Every 6 months
B. Every 3 years (unless there is a significant change)
C. Every 5 years
D. Only upon admission
Rationale: AHCA requires an updated 1823 health assessment every 3 years, or immediately if
the resident experiences a "significant change" in physical or mental status.
3. A facility must provide a "Notice of Discharge" at least how many days in advance?
A. 15 days
B. 45 days
C. 30 days
D. 60 days
Rationale: Florida law requires a 45-day written notice for discharge to ensure the resident has
ample time to find alternative placement, unless the resident is a danger to themselves or
others.
2
, Page 3 of 105
4. What is the minimum number of staff hours required per week for a facility with 1-5
residents?
A. 84 hours
B. 168 hours
C. 40 hours
D. 72 hours
Rationale: For facilities with 1-5 residents, there must be at least 168 staff hours per week
(equivalent to 24-hour coverage by at least one person).
5. Which specialty license allows an ALF to provide "total help" with ADLs?
A. Limited Nursing Services (LNS)
B. Limited Mental Health (LMH)
C. Extended Congregate Care (ECC)
D. Standard License
Rationale: A standard license only allows for "assistance" with ADLs. An ECC license allows the
facility to provide "total help" with certain ADLs to allow residents to "age in place."
6. How many hours of "Core Training" are required for a new ALF Administrator?
A. 12 hours
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B. 24 hours
C. 26 hours
D. 40 hours
Rationale: New administrators must complete a minimum of 26 hours of core training and pass
the state competency exam.
7. In an ALF, who is responsible for the "initial" completion of the 1823 Health Assessment?
A. A licensed physician, PA, or ARNP.
B. The ALF Administrator.
C. The Resident's family.
D. A Registered Nurse.
Rationale: The form must be completed by a medical professional (Physician, Physician
Assistant, or Advanced Registered Nurse Practitioner) within 60 days before or 30 days after
admission.
8. "Assistance with ADLs" includes all of the following EXCEPT:
A. Bathing
B. Dressing
C. Wound debridement
4
