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RCFE Administrator Exam – California Residential Care Facility Administrator Actual Questions and Answers

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This document contains practice questions and review material designed to help candidates prepare for the Residential Care Facility for the Elderly (RCFE) Administrator Certification Exam in California. It covers regulatory requirements, resident care standards, medication management, safety protocols, and administrative responsibilities required for RCFE facilities. The material is structured in a question-and-answer format to support exam preparation and reinforce knowledge of licensing rules and elder care management. It is useful for individuals studying to become certified RCFE administrators or reviewing key regulatory concepts.

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RCFE Administrator Exam – California
Residential Care Facility Administrator Actual
Questions and Answers



Every residential care facility for the elderly shall the provisions of the lesbian, gay, bisexual, and
transgender long-term care facility residents' bill of rights. - ANSWER - Abide by




When observed changes in a resident's behavior result in a diagnosis of dementia, a licensee, wanting to
retain the resident, shall ensure that all of the following are complete EXCEPT: - ANSWER - Submit a

restricted health care waiver to the department on behalf of the resident



Outdoor facility space used for resident recreation and leisure shall be completely enclose to protect the
safety of residents by all of the following methods EXCEPT: - ANSWER - Fence with self-closing gate



What must the licensee do 30 days prior to discontinuing advertising or promoting dementia special
care, programming, or environments? - ANSWER - Submit a request to the licensing agency for a change
to the type to license on file



What term is given to the loss of intellectual and cognitive functions, sufficient to interfere with an
individual's ability to perform activities of daily living or carry out social or occupation activities? -
ANSWER - Bedridden



To protect the safety of residents with dementia, outdoor facilities space used for resident recreation
and leisure shall be completely secured by a: - ANSWER - Door that sounds an alarm when opened



Which of the following is an example of something dangerous to residents diagnosed with dementia,
and therefore shall be stored inaccessible to those residents? - ANSWER - Weed killer




pg. 1

,Which of the following training topic MUST. Be included in training for staff who provide direct care to
residents with dementia? - ANSWER - Recognizing the effects of medications commonly used to treat the
symptoms of dementia



In addition to on-the-job training requirements, staff who provide direct care to residents with dementia
shall receive all of the following training on dementia care EXCEPT: - ANSWER - Behavioral challenges



The activity program shall address the needs and limitations of residents and include large motor
activities along with perceptual and sensory stimulation for residents with what type of illness? -
ANSWER - Dementia



Activity programs for residents with dementia should include all of the following EXCEPT activities that: -
ANSWER - Improve skills with sharp objects



Under which of the follow conditions MAY RCFE staff designated by the licensee assist residents with
self-administered medications? - ANSWER - Assistance required because of tremors, failing eyesight and
similar conditions



A resident's medication shall NOT be: - ANSWER - Transferred between containers



In facilities licensed to provide care for 15 or fewer persons, how many hours of hands-on shadowing
training shall direct care staff employees complete prior to assisting with self-administrations of
medications for residents? - ANSWER - Three (3)



Which of the following is NOT one of the licensee's responsibilities regarding residents with diabetes? -
ANSWER - Ensure sufficient amounts of medicines, testing equipment, syringes, and supplies are
maintained and stored in the facility



RCFEs licensed to provide care for 16 or more persons shall maintain documentation that demonstrates
that consultant pharmacist or nurse has reviewed the facility's medication management program and
procedures at least how often? - ANSWER - Once a year



If a resident is unable to determine his/her own needs, the facility may assist with the self-administration
of medications per the direction of: - ANSWER - The resident's physician



pg. 2

,As of January 2016, in RCFEs licensed to provide care for 16 or more person, how many hours of hands-
on shadowing training shall direct care staff employees complete prior to assisting with self-
administration of medications for residents? - ANSWER - 12 hours



Per definition, "PRN Medication" (pro re nata) means: - ANSWER - Any nonprescription medication which
is to be taken as needed



When a licensee assists the resident with medication self-administration, a physician's order and PRN
medication label shall contain all the following information EXCEPT the: - ANSWER - Name of the
licensee approved to assist with self-administration



As of January 1, 2016, in RCFEs licensed to provide care for 16 or more persons, how many hours of
initial training shall direct care staff employees complete if they assist residents with self-administration
of medications? - ANSWER - 24 hours



Within how many days of hiring a new administrator must the licensee notify the department in writing?
- ANSWER - 30 days



Written notification to the department within 30 days of hiring a new certified administrator shall
include all of the following EXCEPT: - ANSWER - A resignation letter from his/ her previous administrator



A licensee is required to have a surely bond if the licensee is entrusted to safeguard any residents: -
ANSWER - Cash resources



If an RCFE is operating without a licensing agency may take all of the following actions EXCEPT: - ANSWER
- Arrest the licensee



A new applicant for RCFE licensure shall have start-up funds sufficient to meet a minimum of: - ANSWER
- Three months operating costs



Per definition, the term "shall" is most synonymous with what term? - ANSWER - May




pg. 3

, Who shall provide coverage in an RCFE when the administrator is NOT present in the facility? - ANSWER -
A department designated employee who is qualified, is at least 18 years of age, and has a high school
diploma or equivalent



What type of clearance must an applicant or licensee of a facility obtain to accept or retain non
ambulatory persons or bedridden persons? - ANSWER - Fire safety



If a licensee safeguards a resident's cash in an amount ranging from $1 to $750, the licensee shall have a
copy of a valid surety bond on file for the amount of: - ANSWER - $1,000



If a poisoning occurs that threatens the welfare, safety, or health of residents, personnel or visitors, the
licensee shall notify the licensing agency within: - ANSWER - 24 hours



The fair labor standards act sets a minimum age of years old for non-agricultural employment. -
ANSWER - Sixteen



In which of the following locations must planned activity schedules be posted? - ANSWER - A dental
location that is accessible to residents, relatives, and representatives or placement and referral agencies



The fair labor standards act states that employers are required to keep payroll records for how many
years? - ANSWER - 3



Emergency exiting plans and telephone numbers shall be: - ANSWER - Posted



Following termination of service to the resident, original records or reproductions shall be retained for a
minimum of: - ANSWER - 3 years



Without a formal release of information, the licensee shall ensure that separate, complete and current
record is maintained for each resident in the facility that is available to whom? - ANSWER - Facility staff
and licensing agency staff




pg. 4

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