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KANSAS ADULT CARE HOME OPERATOR (ACHO)
EXAM QUESTIONS AND DETAILED SOLUTIONS
Kansas Department for Aging and Disability Services (KDADS) resources and Kansas statutes
Exam Coverage & Content Areas
The ACHO exam assesses your competency across a wide range of knowledge and skills necessary to
operate an adult care home in Kansas.
• Legal & Regulatory Framework (Kansas Laws & Regulations): The exam covers the definitions
and facility classifications found in K.S.A. 39-923. You'll need to know the role of the licensing
agency, KDADS, the annual survey process, and the operator's responsibility for ensuring the
facility remains compliant with all state and federal regulations. This section also includes the
disciplinary actions the Board of Adult Care Home Administrators (BACHA) can take against a
license.
• Resident Rights, Admission, Transfer & Discharge: Understanding resident rights is
foundational. You'll need to know the rights outlined in K.A.R. 26-39-102 and 26-39-103, such as
the right to participate in care planning, manage personal finances, and refuse services. You'll
also be tested on proper procedures for admission, transfer, and discharge, including the use of
advance directives and negotiated service agreements.
• Facility Management & Operations: A significant portion of the exam focuses on administrative
duties. This includes mastering infection control protocols, managing staff (hiring, training,
licensing, TB testing), ensuring fire safety and conducting quarterly drills, and maintaining
comprehensive resident and personnel records for the required period.
• Resident Care & Services: You must be able to identify common chronic diseases and normal
changes associated with aging. The exam covers creating and implementing negotiated service
agreements for Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs),
as well as understanding basic nutritional needs and safe food service management.
• Ethics, Abuse, Neglect & Reporting: The exam tests your knowledge of your legal and ethical
duty to protect residents from abuse, neglect, and exploitation. You'll need to know the
reporting requirements, including the appropriate agencies to contact when an incident is
suspected or identified. This also includes an understanding of HIPAA’s privacy protections for
resident health information.
• Emergency Preparedness & Safety: This domain covers your responsibilities in developing and
implementing emergency plans. This includes conducting and documenting fire drills, staff
training on emergency procedures, having a written disaster plan, and being able to respond
appropriately to medical emergencies like falls or sudden changes in a resident's condition.
1. A surveyor from KDADS arrives for an annual inspection. Under Kansas law, what is the minimum
frequency for unannounced inspections of adult care homes?
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A) Every 6 months
B) At least once a year
C) Every 2 years
D) Only in response to a complaint
Correct Answer: B
Rationale: The Survey, Certification, and Credentialing Commission is responsible for the inspection and
licensing of adult care homes. These inspections occur at least once per year to ensure compliance with
health and safety standards.
2. A family member asks you what the primary role of an adult care home operator is. What is the most
accurate description?
A) To perform all medical procedures for residents
B) To manage the facility and ensure it complies with all state regulations
C) To cook all the meals for the residents
D) To provide 24/7 bedside care to each resident
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Correct Answer: B
Rationale: The operator’s main role is to manage the facility and ensure it meets all state licensing and
regulatory requirements. Direct, hands-on care is typically provided by trained nursing and support staff.
3. You are interviewing a candidate for a direct care staff position. What is required of new hires in a
Kansas adult care home?
A) Only on-the-job training is needed
B) Completion of orientation upon hire and ongoing in-service education
C) A bachelor's degree in healthcare
D) A training session that occurs once every five years
Correct Answer: B
Rationale: Kansas regulations require that all staff complete an orientation program at the time of their
hire, as well as participate in ongoing in-service training to maintain their skills and knowledge.
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4. You are reviewing a resident's rights with them upon admission. Which right must be clearly
communicated and always protected?
A) The right to unlimited phone calls at the facility's expense
B) The right to manage the facility's finances
C) The right to participate in planning their own care
D) The right to choose which staff members are hired
Correct Answer: C
Rationale: Federal and state regulations mandate that residents have the right to be actively involved in
their care planning process. This right must be clearly communicated, posted, and protected at all times.
5. Your facility is a "Home Plus" in Kansas. What is the maximum number of residents you are permitted
to serve, according to the most recent legislation?
A) 8
B) 10
KANSAS ADULT CARE HOME OPERATOR (ACHO)
EXAM QUESTIONS AND DETAILED SOLUTIONS
Kansas Department for Aging and Disability Services (KDADS) resources and Kansas statutes
Exam Coverage & Content Areas
The ACHO exam assesses your competency across a wide range of knowledge and skills necessary to
operate an adult care home in Kansas.
• Legal & Regulatory Framework (Kansas Laws & Regulations): The exam covers the definitions
and facility classifications found in K.S.A. 39-923. You'll need to know the role of the licensing
agency, KDADS, the annual survey process, and the operator's responsibility for ensuring the
facility remains compliant with all state and federal regulations. This section also includes the
disciplinary actions the Board of Adult Care Home Administrators (BACHA) can take against a
license.
• Resident Rights, Admission, Transfer & Discharge: Understanding resident rights is
foundational. You'll need to know the rights outlined in K.A.R. 26-39-102 and 26-39-103, such as
the right to participate in care planning, manage personal finances, and refuse services. You'll
also be tested on proper procedures for admission, transfer, and discharge, including the use of
advance directives and negotiated service agreements.
• Facility Management & Operations: A significant portion of the exam focuses on administrative
duties. This includes mastering infection control protocols, managing staff (hiring, training,
licensing, TB testing), ensuring fire safety and conducting quarterly drills, and maintaining
comprehensive resident and personnel records for the required period.
• Resident Care & Services: You must be able to identify common chronic diseases and normal
changes associated with aging. The exam covers creating and implementing negotiated service
agreements for Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs),
as well as understanding basic nutritional needs and safe food service management.
• Ethics, Abuse, Neglect & Reporting: The exam tests your knowledge of your legal and ethical
duty to protect residents from abuse, neglect, and exploitation. You'll need to know the
reporting requirements, including the appropriate agencies to contact when an incident is
suspected or identified. This also includes an understanding of HIPAA’s privacy protections for
resident health information.
• Emergency Preparedness & Safety: This domain covers your responsibilities in developing and
implementing emergency plans. This includes conducting and documenting fire drills, staff
training on emergency procedures, having a written disaster plan, and being able to respond
appropriately to medical emergencies like falls or sudden changes in a resident's condition.
1. A surveyor from KDADS arrives for an annual inspection. Under Kansas law, what is the minimum
frequency for unannounced inspections of adult care homes?
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A) Every 6 months
B) At least once a year
C) Every 2 years
D) Only in response to a complaint
Correct Answer: B
Rationale: The Survey, Certification, and Credentialing Commission is responsible for the inspection and
licensing of adult care homes. These inspections occur at least once per year to ensure compliance with
health and safety standards.
2. A family member asks you what the primary role of an adult care home operator is. What is the most
accurate description?
A) To perform all medical procedures for residents
B) To manage the facility and ensure it complies with all state regulations
C) To cook all the meals for the residents
D) To provide 24/7 bedside care to each resident
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Correct Answer: B
Rationale: The operator’s main role is to manage the facility and ensure it meets all state licensing and
regulatory requirements. Direct, hands-on care is typically provided by trained nursing and support staff.
3. You are interviewing a candidate for a direct care staff position. What is required of new hires in a
Kansas adult care home?
A) Only on-the-job training is needed
B) Completion of orientation upon hire and ongoing in-service education
C) A bachelor's degree in healthcare
D) A training session that occurs once every five years
Correct Answer: B
Rationale: Kansas regulations require that all staff complete an orientation program at the time of their
hire, as well as participate in ongoing in-service training to maintain their skills and knowledge.
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4. You are reviewing a resident's rights with them upon admission. Which right must be clearly
communicated and always protected?
A) The right to unlimited phone calls at the facility's expense
B) The right to manage the facility's finances
C) The right to participate in planning their own care
D) The right to choose which staff members are hired
Correct Answer: C
Rationale: Federal and state regulations mandate that residents have the right to be actively involved in
their care planning process. This right must be clearly communicated, posted, and protected at all times.
5. Your facility is a "Home Plus" in Kansas. What is the maximum number of residents you are permitted
to serve, according to the most recent legislation?
A) 8
B) 10
