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Free Administrator Certification Exam Practice Questions

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Sample Practice Questions

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  1. 1When must a person hold a current RCFE administrator certificate?

    1. A. Within 30 days after employment
    2. B. Before being employed as an administrator
    3. C. At the first annual inspection
    4. D. Before the first certificate renewal

    Answer: B

    Explanation: Section 87406(a) says all individuals shall be RCFE certificate holders "prior to being employed as an administrator."

    Reference: Rcfeman 3 (2025) — 22 CCR § 7

  2. 2What identifying information must appear in an RCFE's public Internet advertisement?

    1. A. The administrator's certificate number
    2. B. The facility's current license number
    3. C. The owner's tax number
    4. D. The ombudsman's case number

    Answer: B

    Explanation: Section 87206(a) requires licensees to reveal "each facility license number in all public advertisements, including Internet."

    Reference: Rcfeman 2 (2026) — 22 CCR § 87206(a)

  3. 3During mental-status assessment, which behavior must be considered when determining needed supervision?

    1. A. Whether the person tends to wander
    2. B. Whether the person owns a vehicle
    3. C. Whether the person prefers private pay
    4. D. Whether the person has a college degree

    Answer: A

    Explanation: Section 87461(a)(1) requires assessment of whether the prospective resident "tends to wander."

    Reference: Rcfeman 3 (2025) — 22 CCR § 87461(a)(1)

  4. 4Which service is part of an RCFE's required personal care?

    1. A. Assistance with activities of daily living identified in the appraisal
    2. B. Inpatient surgical care
    3. C. Continuous skilled nursing for every resident
    4. D. Hospital laboratory operation

    Answer: A

    Explanation: Section 87464(a)(4) includes "Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living." The RCFE therefore provides assessed ADL assistance, not hospital services.

    Reference: Rcfeman 3 (2025) — 22 CCR § 87464(a)(4)

  5. 5A resident has an unmet need that a community program can address. What must the administrator do?

    1. A. Make provision for attendance, including transportation when needed
    2. B. Require the resident to move
    3. C. Wait until annual renewal
    4. D. Refer the matter only to the insurer

    Answer: A

    Explanation: Section 87405(h)(7) requires provision for residents with unmet needs to attend available community programs, "including but not limited to, arranging for transportation."

    Reference: Rcfeman 3 (2025) — 22 CCR § 7

  6. 6Why must an RCFE gather information about a prospective resident's likes, dislikes, interests, and activities?

    1. A. To set the application fee
    2. B. To evaluate living arrangements and suggest suitable activities
    3. C. To determine fire-clearance capacity
    4. D. To select the facility insurer

    Answer: B

    Explanation: Section 87462 provides that the information is gathered "to determine if the living arrangements in the facility will be satisfactory, and to suggest the program of activities in which the individual may wish to participate." It supports both placement and activity planning.

    Reference: Rcfeman 3 (2025) — 22 CCR § 8

  7. 7For applying the RCFE dementia-care section, which statement about mild cognitive impairment is correct?

    1. A. It is not considered dementia
    2. B. Diagnosed dementia is governed by the dementia-care section
    3. C. Terminal illness may be addressed through a hospice waiver
    4. D. Stage 3 and 4 pressure injuries are prohibited conditions

    Answer: A

    Explanation: Section 87705(a) states: "Mild cognitive impairment ... is not considered to be dementia."

    Reference: Rcfeman 4 (2026) — 22 CCR § 12

  8. 8How much initial Core of Knowledge instruction is allocated to cultural competency and sensitivity regarding the underserved aging LGBT community?

    1. A. Four hours
    2. B. Three hours
    3. C. Two hours
    4. D. One hour

    Answer: D

    Explanation: Section 87785(h)(1)(J) specifies "One (1) hour of instruction" in this subject.

    Reference: Rcfeman 4 (2026) — 22 CCR § 87785(h)(1)(J)

  9. 9Residents want to form a resident council. What must the facility do?

    1. A. Require administrator membership
    2. B. Permit the council's formation
    3. C. Require licensing-agency sponsorship
    4. D. Limit membership to one resident per room

    Answer: B

    Explanation: Section 87221 provides that the facility "shall permit the formation of a resident council by interested residents."

    Reference: Rcfeman 2 (2026) — 22 CCR § 87221

  10. 10For what purpose may an RCFE use a postural support?

    1. A. To punish noncompliance
    2. B. To replace staff supervision
    3. C. To prevent all voluntary movement
    4. D. To improve mobility, prevent a fall, or aid positioning

    Answer: D

    Explanation: Section 87608(a)(1) limits supports to devices used "to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement."

    Reference: Rcfeman 4 (2026) — 22 CCR § 87608(a)(1)

Topics in this practice bank

These topics describe the available practice for Administrator Certification Exam. Review the examination outline and its sources for scope and allocation details.

  • Laws, Regulations, Policies, and Procedural Standards Impacting RCFE
    • Health and Safety Code 1569
    • Overview of Title 22, CCR, Div 6, Chapter 8, RCFE, Articles 1-15
    • Overview of Title 22: Licensing process
    • Overview of Title 22: Non-transferability of license
    • Overview of Title 22: Certification process
    • Overview of Title 22: New Laws and Regulations
    • Overview of Title 22: Administrative responsibility/accountability
    • Overview of Title 22: Mandated reporting
    • Overview of Title 22: Confidentiality
    • Overview of Title 22: Personal rights
    • Overview of Title 22: Complaint procedures
    • Overview of Title 22: Forms
    • Overview of Title 22: Navigation of CCLD website
    • Overview of Title 22: Agencies
    • State Fire Code Regulations
    • State Fire Code Regulations: R2 Occupancies
    • State Fire Code Regulations: R3.1 Occupancies
    • State/Federal Laws
    • Program flexibility, Exceptions, Waivers
    • Accounting & tax filing requirements
    • Accounting & tax filing requirements: Bonding
    • Accounting & tax filing requirements: IRS
    • Accounting & tax filing requirements: Comingling, Theft/loss
    • Plan of Operation
  • Business Operations
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 4 - Operating Requirements
    • Wage Order 5, Liability issues
    • Insurance types
    • Budgeting and fiscal documentation
    • Monitoring of ongoing operations
    • Overview of labor laws/Federal requirements
    • Personnel/wages
    • Classification of employees
    • Classification of employees: Employments status
    • Classification of employees: Live-in
    • Classification of employees: Salary vs hourly
    • Classification of employees: Contract vs employee
    • Classification of employees: FMLA
    • Marketing a facility
    • Marketing a facility: General requirements
    • Marketing a facility: Type of facility
    • Rate setting/record keeping
    • Other agencies
    • Other agencies: IRS
    • Other agencies: EDD
    • Other agencies: INS
    • Contract compliance, Audits
    • Contract compliance, Audits: Program
    • Contract compliance, Audits: Financial
    • Legal fund raising
    • Legal fund raising: Audits
    • Legal fund raising: Co-mingling of funds
    • Phones/vehicles
  • Management/Supervision of Staff
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 6 - Background Check & Article 7 - Personnel
    • Staffing requirement/day/night supervision
    • Hiring practices
    • Hiring practices: Criminal background requirements
    • Hiring practices: Use of volunteers and interns
    • Hiring practices: EEO requirements
    • Hiring practices: Job descriptions
    • Hiring practices: Federal/State requirements
    • Hiring practices: Wages
    • Hiring practices: Interviewing
    • Hiring practices: Termination
    • Hiring practices: Fact sheet 33, Performance evaluations, Personnel policy manual
    • Personnel records requirements
    • Admin/staff training requirements
    • Admin/staff training requirements: First Aid/CPR
    • Admin/staff training requirements: Immunizations and health
    • Admin/staff training requirements: Water safety
    • Admin/staff training requirements: Cal-OSHA
    • Admin/staff training requirements: Illness/injury prevention plan
    • Admin/staff training requirements: Staff duties and responsibilities
    • Admin/staff training requirements: Employer responsibilities
    • Admin/staff training requirements: Staffing patterns
    • General personnel requirements, Training
    • General personnel requirements, Training: Types & frequency
  • Psychosocial Needs of the Elderly
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 8 - Resident Assessments, Fundamental Services, and Rights
    • Identifying characteristics and special needs of client population
    • Evaluation and observation
    • Evaluation and observation: Initial
    • Evaluation and observation: ongoing
    • Mental health issues
    • Family involvement/participation and dynamics
    • Bereavement/stress issues
    • Activities
    • Activities: Interests
    • Activities: Resident councils
    • Basic services
    • Training
    • Training: Types
    • Training: Frequency
    • Advanced Health Care Directives
    • DNR Orders
    • End of life planning
  • Physical Needs for Elderly Persons
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 8 & Article 11 - Health Background Check & Article 7
    • Personnel Hydration
    • Understanding the client needs
    • Understanding the client needs: Nutrition
    • Understanding the client needs: Assisting with ADLs
    • Understanding the client needs: Health conditions
    • Understanding the client needs: Aging process
    • Individual health care needs
    • Individual health care needs: Dental
    • Individual health care needs: Vision
    • Individual health care needs: Podiatry
    • Individual health care needs: Hearing
    • Individual health care needs: Physical limitations
    • Sexuality in the aging adult
    • Nutritional support/food service
    • Nutritional support/food service: Quality
    • Nutritional support/food service: Quantity
    • Nutritional support/food service: Storage
    • Basic services
    • Annual Physical 602
    • Ongoing assessment & observation
    • Areas of neglect in direct client care
    • Areas of neglect in direct client care: Dehydration
    • Areas of neglect in direct client care: Skin Breakdown
    • Areas of neglect in direct client care: Malnutrition
  • Community & Support Services
    • Responsibility & expectations of referral agencies
    • Mental health resources
    • Ombudsman
    • Adult Protective Services
    • Resident and support services
    • Suicide prevention
    • Funding sources
    • Other resources
    • Other resources: Local area agencies on aging
    • Other resources: Assisted living waiver program
    • Other resources: DDS Regional centers
    • Other resources: Free legal
    • Other resources: Eye care
    • Other resources: Dental
    • Other resources: Transportation
    • Other resources: PACE
    • Other resources: Medicare
    • Other resources: Medi-Cal
    • Other resources: 211
    • Other resources: VA
    • Other resources: Adult day care center
    • Other resources: SSI
  • Medication Management
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 8 - Resident Assessments, Fundamental Services, and Rights
    • Health & Safety Code
    • AB 1570
    • Administration of medication
    • Administration of medication: Technical aspects
    • Regulatory requirements
    • Regulatory requirements: Storage
    • Regulatory requirements: Documentation
    • Regulatory requirements: Disposal
    • Role of medications in treatment plan, including typical interactions & staff’s role
    • Misuse and adverse effects of medication
    • Communication with pharmacists & MDs
    • Communication with pharmacists & MDs: Written instructions
    • Drug interaction/pharmaco-dynamics
    • Common medications
    • Common medications: Infection control
    • Common medications: Seizure disorder
    • Common medications: Psychotropic
    • Client advocacy related to medication use
    • Medi-Cal
    • Medical/dental funding
    • Required Training
    • Common medication errors
    • Address toxic medication precautions
    • Hospice
  • Resident Admission, Retention & Assessment Procedures
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 12 - Dementia
    • Program Statement
    • Allowable vs. Prohibited conditions/IMS
    • Appraisals
    • Appraisals: Pre-admission
    • Appraisals: Physician’s report
    • Appraisals: Functional
    • Appraisals: Social
    • Appraisals: Ongoing
    • Needs and services plan
    • Needs and services plan: Development
    • Needs and services plan: Review
    • Charting and documentation
    • Admission agreements
    • Adult Protective Services/emergency placement
    • Incidental medical services
    • Incidental medical services: Allowable
    • Incidental medical services: Restricted
    • Incidental medical services: Prohibited
    • Client satisfaction
    • Contract compliance
    • Age exceptions
    • Relocation/eviction
    • Evaluation and observation
    • Evaluation and observation: Initial
    • Evaluation and observation: ongoing
    • Assessment tools
    • Home health and other allied professional relationships
  • Managing Alzheimer’s Disease and Related Dementias
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 8 - Resident Assessments, Fundamental Services, and Rights
    • Non-pharmacologic person-centered approaches to dementia care
    • Overview of Alzheimer’s Disease and dementia
    • Understanding dementia-related behaviors
    • How the patient communicates
    • Personal care
    • Medications
    • Environment & physical plant
    • Environment & physical plant: Egress
    • Storage of dangerous items
    • Individualized Service Plan (ISP)
    • Marketing and advertising
    • Dementia care
    • Dementia Plan of Operation
  • Cultural Competency and Sensitivity to Aging LGBT Community
    • AB 663
    • Issues related to the underserved aging lesbian, gay, bisexual, and transgender community
    • LGBTQ
    • LGBTQ: Ethics & values
    • LGBTQ: Self-awareness
    • LGBTQ: Education/skills/resources/advocacy
    • LGBTQ: Staff
    • LGBTQ: training requirements
    • Care - equality
  • Managing the Physical Environment
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 5 - Physical Environment and Accommodations
    • Maintenance requirements
    • Housekeeping requirements
    • Health and safety considerations
    • Health and safety considerations: Air/water temperature
    • Health and safety considerations: Lighting
    • Health and safety considerations: Grab bars
    • Health and safety considerations: Non-skid strips
    • Health and safety considerations: Signal
    • System disaster plan
    • Capacity
    • Use of space and storage
    • Use of space and storage: Poisons and pesticides
    • Use of space and storage: Firearms
    • Use of space and storage: Clear passageways
    • Physical plant
    • Changes to plan of operation
    • Building and Safety Code
    • State Fire Code Regulations
    • R2 Occupancies, R3.1 Occupancies
  • Residents’ Rights
    • Title 22, CCR, Div 6, Chapter 8, RCFE, Article 8 - Resident Assessments, Fundamental Services, and Rights
    • Statutory Personal Rights Afforded by AB 2171
    • Initial and ongoing staff training to ensure residents’ rights are fully respected and implemented
    • Resident and Family Councils
    • Basic services
    • Basic services: Transportation
    • Basic services: Handling of money
    • Basic services: Protection from other residents
    • Safeguard resident’s cash, etc.
    • Safeguard resident’s cash, etc.: Accommodations
    • Safeguard resident’s cash, etc.: Observations
    • Safeguard resident’s cash, etc.: Advance Health Care Directives
    • Safeguard resident’s cash, etc.: DNR
    • Safeguard resident’s cash, etc.: Dignity
    • Conservator-ship
    • Conservator-ship: Full
    • Conservator-ship: Limited
    • Abuse prevention
    • Polst
  • Postural Supports, Restricted Health Conditions & Hospice Care
    • Postural Supports
    • Restricted Health Conditions or Health Services
    • Hospice care
    • Hospice care: Waiver
    • Bedridden resident
    • Exception requests and conditions for them
    • Home health and other allied professional relationships

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