RCFE ADMINISTRATOR Actual Exam 2026/2027:
California Residential Care Facility for the Elderly
Administrator Test Questions and Correct Answers |
Graded A+ | Newest Update | Guaranteed Pass – Pass
Guaranteed - A+ Graded
Section 1: Title 22 Regulations & Licensing Requirements (15
Questions)
Q1: An RCFE with 8 residents is preparing for its annual licensing inspection. The facility
recently installed a new security system and added two new staff members. What must the
administrator do regarding licensing compliance?
A. Submit a change of capacity application immediately
B. File a notice of significant change with Community Care Licensing within specified
timeframes
C. Wait for the inspector to discover changes during the annual visit
D. Only report changes if they affect resident care services
Correct Answer: B
Rationale: Title 22, Section 87164 requires administrators to report significant changes (physical
plant modifications, staffing changes affecting compliance) to Community Care Licensing.
Option A is incorrect because capacity changes require specific approval, not just application.
Option C violates the proactive reporting requirement. Option D is incorrect because all
significant changes must be reported regardless of direct care impact.
Q2: A facility receives a Type AA citation for a medication error that resulted in hospitalization.
What is the required timeline for submitting a Plan of Correction?
A. Within 5 working days of citation issuance
B. Within 10 calendar days of citation issuance
C. Within 30 days of citation issuance
D. Within 60 days or before the next inspection, whichever comes first
Correct Answer: B
Rationale: Per CDSS RCFE Manual and Title 22 requirements, Type AA (immediate jeopardy)
and Type A citations require a Plan of Correction within 10 calendar days. Type B citations allow
,2
30 days. The administrator must submit specific corrective actions with implementation
timelines to prevent recurrence.
Q3: Under Title 22, what is the minimum square footage requirement for a single-occupancy
bedroom in an RCFE?
A. 60 square feet
B. 80 square feet
C. 100 square feet
D. 120 square feet
Correct Answer: B
Rationale: Title 22, Section 87364 specifies minimum 80 square feet for single-occupancy
bedrooms and 120 square feet for double-occupancy. These standards ensure adequate space for
resident safety, mobility, and dignity. Options A and C are non-compliant measurements, while D
applies to double rooms.
Q4: An administrator candidate has a bachelor's degree in sociology but no healthcare
experience. What additional requirement must they meet to qualify for RCFE administrator
certification?
A. Complete 2,000 hours of direct care experience within 5 years
B. Complete 480 hours of field experience under a certified administrator plus pass the exam
C. Obtain an RN license first
D. Complete a 40-hour initial training course only
Correct Answer: B
Rationale: CDSS Administrator Certification requirements specify that candidates without
qualifying degrees (healthcare, gerontology, business) must complete 480 hours of field
experience under a certified administrator within one year, plus pass the certification exam. The
40-hour training (D) is for continuing education, not initial qualification.
Q5: During a complaint investigation, a Licensing Program Analyst finds that a facility failed to
conduct quarterly fire drills for two consecutive quarters. What category of citation will likely be
issued?
A. Type AA - Immediate Jeopardy
B. Type A - Substandard Care
C. Type B - General Deficiency
D. No citation if no fire occurred
Correct Answer: B
, 3
Rationale: Missing required fire drills (Title 22, Section 87355) constitutes Type A (substandard
care) because it creates potential for serious harm without immediate jeopardy. Type AA requires
actual immediate danger. Type B applies to minor administrative issues. Option D is incorrect
because compliance is mandatory regardless of incidents.
Q6: A small RCFE (6 beds) wants to expand to 12 beds. What licensing action is required?
A. File a notice of capacity change only
B. Apply for a new license as the facility classification changes from small to large
C. No action needed if current license allows up to 15 beds
D. Request a waiver from square footage requirements
Correct Answer: B
Rationale: Title 22 distinguishes small facilities (4-6 beds) from large facilities (7+ beds).
Exceeding 6 beds changes the facility classification, requiring a new license application with full
compliance review for large facility standards, including staffing ratios and physical plant
requirements.
Q7: What is the required frequency for administrator continuing education to maintain RCFE
certification in California?
A. 20 hours annually
B. 40 hours every two years
C. 60 hours every three years
D. 12 hours annually
Correct Answer: B
Rationale: CDSS requires 40 hours of continuing education every two years (biennial) for
RCFE administrators, covering topics like regulations, resident care, and management. Direct
care staff require 12 hours annually (D), but administrators have distinct requirements.
Q8: A facility discovers that a staff member has an active arrest warrant for a non-violent
offense. What action is required under Title 22 background check requirements?
A. Immediate termination and reporting to Licensing within 24 hours
B. Wait for conviction before taking action
C. Transfer the employee to non-resident contact duties
D. Conduct an internal investigation only
Correct Answer: A
Rationale: Title 22, Section 87465 requires immediate removal from resident contact and
reporting to Community Care Licensing within 24 hours when criminal charges or warrants are