RCFE - Residential Care Facility for the Elderly Facility Operations and Management Questions and Answers 1 — Questions and Answers
Question 1: An RCFE with a licensed capacity of 25 residents plans its weekly menu. According to Title 22, which of the following is a requirement for the facility's menu planning and food service?
- Menus must be written two weeks in advance and kept on file for 60 days.
- A staff dietician must approve all weekly menus before they are posted.
- Menus must be written at least one week in advance and copies of menus as served must be kept on file for at least 30 days. (Correct answer)
- The facility is only required to maintain a sample menu, not a weekly one.
Correct answer: Menus must be written at least one week in advance and copies of menus as served must be kept on file for at least 30 days.
California Code of Regulations, Title 22, Section 87555(b)(6) states that RCFEs with a capacity of 16 or more persons must write menus at least one week in advance. It also requires that copies of the menus as they were actually served be dated and kept on file for a minimum of 30 days.
Question 2: A resident's family has expressed concerns about their mother's privacy. Which of the following actions by the facility would constitute a violation of the resident's personal rights under Title 22?
- Establishing a house rule that facility doors are locked at 10:00 PM for security.
- Opening and inspecting a package delivered to the resident to check for prohibited items. (Correct answer)
- Conducting routine wellness checks by knocking and announcing staff presence before entering the resident's room.
- Assisting the resident with a confidential phone call in the administrator's office for privacy.
Correct answer: Opening and inspecting a package delivered to the resident to check for prohibited items.
According to the Personal Rights for residents in an RCFE (LIC 613A), residents have the right to send and receive mail uncensored and unopened. Opening a resident's package without their consent is a direct violation of their right to privacy.
Question 3: A 40-bed RCFE is hiring a new administrator. According to Title 22 personnel requirements, what is the minimum qualification for this position regarding education and experience?
- A high school diploma and any 5 years of work experience.
- At least 15 college units and a minimum of 1 year of experience working in an RCFE. (Correct answer)
- An Associate's degree and 6 months of supervisory experience.
- A Bachelor's degree in any field with no prior RCFE experience required.
Correct answer: At least 15 college units and a minimum of 1 year of experience working in an RCFE.
For an RCFE with a capacity of 16-49 beds, Title 22 requires that the administrator has completed at least 15 college or continuing education units and has at least one year of experience working in a Residential Care Facility for the Elderly or a similar setting.
Question 4: During an evening shift at a 60-bed RCFE, a fire alarm is activated. The facility has several residents identified as non-ambulatory. What is the minimum number of awake night staff required to be on duty to meet Title 22 regulations?
- One staff member on duty, and one on call.
- Two staff members on duty, both must be awake.
- One awake staff member for every 30 residents.
- One awake staff member, and another on call who can respond within 10 minutes. (Correct answer)
Correct answer: One awake staff member, and another on call who can respond within 10 minutes.
Title 22 staffing requirements specify that for facilities with 16-100 residents, there must be at least one employee on duty, awake, and on the premises, and another employee on call and capable of responding within 10 minutes.
Question 5: A licensee is planning to make a significant structural alteration to the dining room of their licensed 30-bed RCFE. According to Title 22, what is the first required step in this process?
- Submit architectural plans to the State Fire Marshal for approval.
- Obtain written consent from a majority of the current residents.
- Notify the Community Care Licensing Division of the proposed change. (Correct answer)
- Complete the alteration and then schedule a health and safety inspection.
Correct answer: Notify the Community Care Licensing Division of the proposed change.
Title 22, Section 87686, mandates that prior to construction or alterations, the licensee must notify the Department of Social Services, Community Care Licensing Division (CCL) of the proposed change. CCL may then require a building inspection if they suspect a potential hazard.
Question 6: Which of the following must be maintained in a resident's record according to Title 22 regulations?
- A log of all personal phone calls made by the resident.
- A complete record of the resident's financial assets and liabilities.
- The name and contact information for the resident's physician and a responsible person. (Correct answer)
- A weekly journal of the resident's social activities and interactions.
Correct answer: The name and contact information for the resident's physician and a responsible person.
Title 22, Section 87506 specifies the required contents of a resident's record. This includes essential contact information such as the name, address, and telephone number of the resident's physician and their responsible person or designated representative.
RCFE - Residential Care Facility for the Elderly Facility Operations and Management Questions and Answers 1
An RCFE with a licensed capacity of 25 residents plans its weekly menu.
According to Title 22, which of the following is a requirement for the facility's menu planning and food service?