ALF ADMINISTRATORS CORE EXAM 230 QUESTIONS
& CORRECT ANSWERS LATEST 2025
What level of background screening must be conducted? When? - ANSWER-Level
II; upon hire, every 5 years, and upon rehire if employee has a break in service of
more than 90 days
What paperwork should be in employee files regarding background screenings? -
ANSWER-eligibility statement, affidavit of compliance, privacy notice
Class I Violation - ANSWER-Conditions or occurrences related to the operation
and maintenance of a provider or to the care of clients that present an *imminent
danger* to the clients or a substantial probability that death or serious physical or
emotional harm would result. *A fine will be imposed regardless of correction.*
When must a Class I violation be resolved? - ANSWER-Within 24 hrs unless a fixed
period is required
Class II Violation - ANSWER-Conditions or occurrences that *directly threaten* the
physical or emotional health, safety, or security of clients, other than class I
violations. *A fine shall be imposed regardless of correction.*
Class III Violation - ANSWER-Conditions or occurrences that *potentially threaten*
the physical or emotional health, safety, or security of clients. A fine *may* not be
imposed if violation is corrected within time specified on the citation.
,Class IV Violation - ANSWER-Conditions or occurrences or required reports, forms,
or documents that *do not have the potential of negatively affecting clients; do
not threaten the health, safety, or security of clients.* A fine *may* not be
imposed if violation is corrected within time specified on the citation.
Unclassified violations - ANSWER-A violation that is not a class I, II, III, or IV
violation that holds an administrative fine of up to $500. Examples: exceeding
licensed capacity, providing services beyond scope of license, violating
moratorium
Moratorium - ANSWER-Emergency suspension, facility may not admit any new
residents
When are moratoriums imposed? - ANSWER-When AHCA determines any
condition that presents a threat to the health, safety, or welfare of client.
When a moratorium is imposed, the provider of licensee must do what? -
ANSWER-Post a visible notice of the moratorium until the action is lifted
Why may a license be denied or revoked? - ANSWER-False information in
application, negligent act affecting health and safety of client, violation of statues
or rules, pattern of deficient performance, or if applicant, licensee, or controlling
interest has been excluded, suspended, or terminated from participating in
Medicaid and/or Medicare programs
Activities of Daily Living - ANSWER-Functions and tasks for self-care, including
ambulation, bathing, dressing, eating, grooming, and toileting
An administrator must be how old? - ANSWER-21 years
,Can an ALF be more than one building? - ANSWER-Yes
Service plan - ANSWER-Written plan, developed and agreed upon by resident,
that addresses the needs and preferences of a resident receiving extended
congregate care services. Includes what services shall be provided, who shall
provide them, when they will be rendered, and the purpose of the service.
An ALF with one or more mental health resident must obtain what license? -
ANSWER-Limited Mental Health
A mental health resident receives what? - ANSWER-OSS
What physical restraint can be used at a standard licensed ALF if attained all
necessary documents? - ANSWER-Half bed rails
What must you have for a resident to use a physical restraint? - ANSWER-
Physician's order, resident's consent, order renewed annually
What can CNA's do beyond unlicensed caretakers under a standard license? -
ANSWER-Take vital signs under the direction of a nurse
Under what licenses can a CNA do everything they are certified for? - ANSWER-
ECC & LNS
Liability Report - ANSWER-ALFs must report any new lawsuits filed against them
monthly to AHCA
, What four documents should you always have on file with ACHA? - ANSWER-
Surety bonds, liability insurance, health inspections (within 30 days of inspection),
fire inspection (within 30 days of inspection)
Under a standard or LMH license, what services can a resident be assisted with by
a nurse? - ANSWER-Oxygen, TED hose, and colonoscopy bag
When should a Health Assessment be completed? - ANSWER-1) Within 60 days
before admission or 30 days after and 2) every 3 years after (annually for
residents attaining assistive care services) or whenever the resident experiences a
significant change in condition
True or false, ALFs must always have liability insurance. - ANSWER-True
What forms should a resident have in an ALF with LMH? - ANSWER-Community
Living Support Plan & cooperative agreement
Adverse incident - ANSWER-An event over which a facility could exercise control
over rather than as a result of the resident's condition
What are examples of adverse incidents? - ANSWER-Death, brain or spinal
damage, permanent disfigurement, fracture or dislocation of bones, medical
condition that resident has not given their consent for, any condition that
requires resident be transferred to unit that provide more acute care, or resident
elopement.
& CORRECT ANSWERS LATEST 2025
What level of background screening must be conducted? When? - ANSWER-Level
II; upon hire, every 5 years, and upon rehire if employee has a break in service of
more than 90 days
What paperwork should be in employee files regarding background screenings? -
ANSWER-eligibility statement, affidavit of compliance, privacy notice
Class I Violation - ANSWER-Conditions or occurrences related to the operation
and maintenance of a provider or to the care of clients that present an *imminent
danger* to the clients or a substantial probability that death or serious physical or
emotional harm would result. *A fine will be imposed regardless of correction.*
When must a Class I violation be resolved? - ANSWER-Within 24 hrs unless a fixed
period is required
Class II Violation - ANSWER-Conditions or occurrences that *directly threaten* the
physical or emotional health, safety, or security of clients, other than class I
violations. *A fine shall be imposed regardless of correction.*
Class III Violation - ANSWER-Conditions or occurrences that *potentially threaten*
the physical or emotional health, safety, or security of clients. A fine *may* not be
imposed if violation is corrected within time specified on the citation.
,Class IV Violation - ANSWER-Conditions or occurrences or required reports, forms,
or documents that *do not have the potential of negatively affecting clients; do
not threaten the health, safety, or security of clients.* A fine *may* not be
imposed if violation is corrected within time specified on the citation.
Unclassified violations - ANSWER-A violation that is not a class I, II, III, or IV
violation that holds an administrative fine of up to $500. Examples: exceeding
licensed capacity, providing services beyond scope of license, violating
moratorium
Moratorium - ANSWER-Emergency suspension, facility may not admit any new
residents
When are moratoriums imposed? - ANSWER-When AHCA determines any
condition that presents a threat to the health, safety, or welfare of client.
When a moratorium is imposed, the provider of licensee must do what? -
ANSWER-Post a visible notice of the moratorium until the action is lifted
Why may a license be denied or revoked? - ANSWER-False information in
application, negligent act affecting health and safety of client, violation of statues
or rules, pattern of deficient performance, or if applicant, licensee, or controlling
interest has been excluded, suspended, or terminated from participating in
Medicaid and/or Medicare programs
Activities of Daily Living - ANSWER-Functions and tasks for self-care, including
ambulation, bathing, dressing, eating, grooming, and toileting
An administrator must be how old? - ANSWER-21 years
,Can an ALF be more than one building? - ANSWER-Yes
Service plan - ANSWER-Written plan, developed and agreed upon by resident,
that addresses the needs and preferences of a resident receiving extended
congregate care services. Includes what services shall be provided, who shall
provide them, when they will be rendered, and the purpose of the service.
An ALF with one or more mental health resident must obtain what license? -
ANSWER-Limited Mental Health
A mental health resident receives what? - ANSWER-OSS
What physical restraint can be used at a standard licensed ALF if attained all
necessary documents? - ANSWER-Half bed rails
What must you have for a resident to use a physical restraint? - ANSWER-
Physician's order, resident's consent, order renewed annually
What can CNA's do beyond unlicensed caretakers under a standard license? -
ANSWER-Take vital signs under the direction of a nurse
Under what licenses can a CNA do everything they are certified for? - ANSWER-
ECC & LNS
Liability Report - ANSWER-ALFs must report any new lawsuits filed against them
monthly to AHCA
, What four documents should you always have on file with ACHA? - ANSWER-
Surety bonds, liability insurance, health inspections (within 30 days of inspection),
fire inspection (within 30 days of inspection)
Under a standard or LMH license, what services can a resident be assisted with by
a nurse? - ANSWER-Oxygen, TED hose, and colonoscopy bag
When should a Health Assessment be completed? - ANSWER-1) Within 60 days
before admission or 30 days after and 2) every 3 years after (annually for
residents attaining assistive care services) or whenever the resident experiences a
significant change in condition
True or false, ALFs must always have liability insurance. - ANSWER-True
What forms should a resident have in an ALF with LMH? - ANSWER-Community
Living Support Plan & cooperative agreement
Adverse incident - ANSWER-An event over which a facility could exercise control
over rather than as a result of the resident's condition
What are examples of adverse incidents? - ANSWER-Death, brain or spinal
damage, permanent disfigurement, fracture or dislocation of bones, medical
condition that resident has not given their consent for, any condition that
requires resident be transferred to unit that provide more acute care, or resident
elopement.
