RCFE Facility Management Test

Question 1

What is the primary regulatory agency responsible for licensing and overseeing RCFEs in California?

Accepted Answer

California Department of Social Services (CDSS) Community Care Licensing Division

Answer

California Department of Public Health (CDPH)

Answer

California Department of Health Care Services (DHCS)

Answer

California Medical Board

Question 2

What does the RCFE admission agreement legally require regarding the fee schedule?

Accepted Answer

The admission agreement must clearly state all fees charged, including the base rate, optional service fees, and conditions for rate increases

Answer

Fee schedules are optional and left to the facility's discretion

Answer

Only the monthly base rate needs to be disclosed; additional charges can be added later

Answer

Fee schedules only apply to Medi-Cal residents

Question 3

Under Title 22, what is an RCFE required to provide to a resident prior to discharge?

Accepted Answer

Written notice of at least 30 days, except in cases of an immediate safety threat

Answer

No notice is required for involuntary discharges

Answer

Written notice of 7 days for all discharges

Answer

Only a verbal notice from the administrator is required

Question 4

What is required of an RCFE when a staff member is terminated for reasons related to resident abuse?

Accepted Answer

The facility must report the termination to CDSS and potentially to the State Personnel Registry

Answer

No reporting obligation exists beyond internal documentation

Answer

Only the local police department needs to be notified

Answer

The matter is confidential and cannot be disclosed to any external agency

Question 5

How must an RCFE administrator respond when CDSS conducts an unannounced inspection visit?

Accepted Answer

Provide immediate access to the facility, records, staff, and residents as required by law

Answer

Require CDSS to schedule the visit 24 hours in advance before granting access

Answer

Allow access only after consulting with the facility's legal counsel

Answer

Limit the inspector's access to the administrative office and common areas only

Question 6

What is required when an RCFE plans to accept a resident with a physician-diagnosed mental health condition?

Accepted Answer

The facility must assess whether it can meet the resident's mental health-related needs and ensure appropriate services are in place

Answer

Mental health conditions automatically disqualify a resident from RCFE admission

Answer

Only residents with physical care needs are eligible for RCFE admission

Answer

Mental health services are always provided externally; no facility assessment is needed