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Washington Assisted Living Administrator Exam Actual
Test Questions and Correct Answers With Rationales
LATEST THIS YEAR
Washington Assisted Living Administrator Exam
SUMMARIZED EXAM COVERAGE
The Washington Assisted Living Administrator exam tests knowledge of state laws and administrative
rules governing assisted living facilities. Key areas include: RCW 18.20 (Assisted Living Facility Licensing),
RCW 70.129 (Long-Term Care Resident Rights), RCW 74.34 (Abuse of Vulnerable Adults), WAC 388-78A
(Licensing Rules), WAC 388-112A (Residential Long-Term Care Training), WAC 246-888 (Medication
Assistance), and WAC 246-840 (Nurse Delegation). Candidates must understand administrator
qualifications, service agreements, resident rights, mandatory reporting, medication management, and
facility operations.
1. A newly hired assisted living administrator in Washington must complete a recognized training course
within how many months of beginning duties if they hold an associate degree but lack experience?
A) 3 months
B) 6 months
C) 9 months
D) 12 months
Answer: B
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Rationale: WAC 388-78A-2525 requires individuals with an associate degree to obtain certification of
completing a recognized administrator training course within six months of beginning duties as the
administrator.
2. What is the minimum age requirement to serve as an assisted living facility administrator in
Washington?
A) 18 years
B) 21 years
C) 25 years
D) 30 years
Answer: B
Rationale: Per RCW 18.20 and WAC 388-78A, administrators must be at least 21 years of age and meet
specific training and experience qualifications.
3. Which Washington statute is the primary law governing assisted living facility licensing?
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A) RCW 70.129
B) RCW 18.20
C) RCW 74.34
D) RCW 43.43
Answer: B
Rationale: RCW 18.20 is the Revised Code of Washington that specifically establishes licensing
requirements for assisted living facilities.
4. A facility must develop a Negotiated Service Agreement (NSA) within how many days after completing
the resident's assessment?
A) 7 days
B) 14 days
C) 30 days
D) 60 days
Answer: B
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Rationale: WAC 388-78A-2100 requires the Negotiated Service Agreement to be developed within 14
days after the initial assessment.
5. Which agency is responsible for licensing assisted living facilities in Washington State?
A) Department of Health (DOH)
B) Department of Social and Health Services (DSHS)
C) Centers for Medicare & Medicaid Services (CMS)
D) Department of Labor and Industries (L&I)
Answer: B
Rationale: DSHS oversees licensing, compliance, and inspections for assisted living facilities in
Washington.
6. A staff member suspects a resident is being abused. Under RCW 74.34, within how many hours must
they report this suspicion?
A) 12 hours
B) 24 hours
Washington Assisted Living Administrator Exam Actual
Test Questions and Correct Answers With Rationales
LATEST THIS YEAR
Washington Assisted Living Administrator Exam
SUMMARIZED EXAM COVERAGE
The Washington Assisted Living Administrator exam tests knowledge of state laws and administrative
rules governing assisted living facilities. Key areas include: RCW 18.20 (Assisted Living Facility Licensing),
RCW 70.129 (Long-Term Care Resident Rights), RCW 74.34 (Abuse of Vulnerable Adults), WAC 388-78A
(Licensing Rules), WAC 388-112A (Residential Long-Term Care Training), WAC 246-888 (Medication
Assistance), and WAC 246-840 (Nurse Delegation). Candidates must understand administrator
qualifications, service agreements, resident rights, mandatory reporting, medication management, and
facility operations.
1. A newly hired assisted living administrator in Washington must complete a recognized training course
within how many months of beginning duties if they hold an associate degree but lack experience?
A) 3 months
B) 6 months
C) 9 months
D) 12 months
Answer: B
, Page 2 of 119
Rationale: WAC 388-78A-2525 requires individuals with an associate degree to obtain certification of
completing a recognized administrator training course within six months of beginning duties as the
administrator.
2. What is the minimum age requirement to serve as an assisted living facility administrator in
Washington?
A) 18 years
B) 21 years
C) 25 years
D) 30 years
Answer: B
Rationale: Per RCW 18.20 and WAC 388-78A, administrators must be at least 21 years of age and meet
specific training and experience qualifications.
3. Which Washington statute is the primary law governing assisted living facility licensing?
, Page 3 of 119
A) RCW 70.129
B) RCW 18.20
C) RCW 74.34
D) RCW 43.43
Answer: B
Rationale: RCW 18.20 is the Revised Code of Washington that specifically establishes licensing
requirements for assisted living facilities.
4. A facility must develop a Negotiated Service Agreement (NSA) within how many days after completing
the resident's assessment?
A) 7 days
B) 14 days
C) 30 days
D) 60 days
Answer: B
, Page 4 of 119
Rationale: WAC 388-78A-2100 requires the Negotiated Service Agreement to be developed within 14
days after the initial assessment.
5. Which agency is responsible for licensing assisted living facilities in Washington State?
A) Department of Health (DOH)
B) Department of Social and Health Services (DSHS)
C) Centers for Medicare & Medicaid Services (CMS)
D) Department of Labor and Industries (L&I)
Answer: B
Rationale: DSHS oversees licensing, compliance, and inspections for assisted living facilities in
Washington.
6. A staff member suspects a resident is being abused. Under RCW 74.34, within how many hours must
they report this suspicion?
A) 12 hours
B) 24 hours
