RCFE Facility Operations and Management 2

Question 1

What is the required minimum administrator-to-resident supervision ratio for a large RCFE (100+ residents) in California?

Accepted Answer

The administrator must designate a qualified substitute when absent

Answer

One administrator with no assistants required

Answer

One licensed administrator for every 50 residents

Answer

A full-time administrator plus two licensed assistants

Question 2

Under Title 22, what must an RCFE maintain in each resident's permanent file?

Accepted Answer

Admission agreement, appraisal, ISP, health records, emergency contact information, and documentation of any incidents or changes in condition

Answer

Only the admission agreement and financial records

Answer

Only physician orders and medication records

Answer

Only the ISP and daily activity logs

Question 3

What action must an RCFE take when it receives a licensing inspection report from CDSS that cites deficiencies?

Accepted Answer

Submit a written plan of correction addressing each cited deficiency within the specified timeframe

Answer

File the report without taking any further action unless CDSS follows up

Answer

Verbally acknowledge the deficiencies to the inspector

Answer

Dispute all findings before making any corrections

Question 4

An RCFE administrator is planning to make a major structural renovation to the facility. What must they do before starting construction?

Accepted Answer

Obtain approval from CDSS and any required local building permits before starting

Answer

Begin construction and notify CDSS after completion

Answer

Only notify residents of the upcoming noise and disruption

Answer

Submit renovation plans to the state fire marshal only

Question 5

How must an RCFE handle the personal funds of residents who request the facility manage their money?

Accepted Answer

Maintain each resident's personal funds in a separate, designated account with a detailed accounting record

Answer

Deposit all resident funds into the facility's general operating account

Answer

Collect and hold resident funds in the administrator's personal bank account for safekeeping

Answer

Decline to manage resident funds under any circumstances

Question 6

What is required of an RCFE when a licensed administrator leaves the position?

Accepted Answer

CDSS must be notified within 10 days and a qualified replacement must be designated

Answer

The facility may operate without a licensed administrator for up to one year

Answer

The assistant administrator automatically assumes all responsibilities without notifying CDSS

Answer

The facility must temporarily close until a new administrator is licensed