AGING AND DISABILITY SERVICES ADMINISTRATION
Boarding Home Administrator Online Training Practice Exercise
The following exercise provides you with an opportunity to practice applying the information contained in this course. In responding to each of the following questions, you are encouraged to use the internet links that have been provided to look up the correct answers.
Section 1: Multiple Choice
Multiple Choice Instructions: Select only one answer for each question.
1. What is the difference between a statute and an administrative rule?
| A. Although both have legal force, the authority for writing rules comes from statutes. | ||
| B. A statute is enacted by the legislature and an administrative rule is written by the courts | ||
| C. An administrative rule is adopted by a state agency under the authority granted by the legislature | ||
| D. A statute is adopted by the legislature and an administrative rule is adopted by a state agency | ||
| E. All of the above | ||
| F. A, B, and D | ||
| G. A, C, and D |
2. Who is responsible for enacting statutes?
| A. The Legislature | ||
| B. The Department of Social and Health Services | ||
| C. Any state agency authorized by the Legislature | ||
| D. The Public Disclosure Commission | ||
| E. All of the above | ||
| F. None of the above |
3. Who is responsible for adopting administrative rules?
| A. The Legislature | ||
| B. The Department of Social and Health Services | ||
| C. Any state agency authorized by the Legislature | ||
| D. The Public Disclosure Commission | ||
| E. All of the above | ||
| F. None of the above |
4. Which of the following Internet addresses will take you to the Office of the Code Reviser?
| A. http://slc.leg.wa.gov/SLByLegCycle.htm | ||
| B. http://www.leg.wa.gov/rcw/index.cfm | ||
| C. http://slc.leg.wa.gov/wsr/register.htm | ||
| D. http://slc.leg.wa.gov/default.htm | ||
| E. http://www.leg.wa.gov/wac/ |
5. Which of the following is the language from RCW 18.20.125(3)?
| A. “In consultation with law enforcement personnel, the secretary of social and health services and the secretary of health shall investigate, or cause to be investigated, the conviction record and the protection proceeding record information under this chapter of the staff of each agency or facility under their respective jurisdictions seeking licensure or relicensure. An individual responding to a criminal background inquiry request from his or her employer or potential employer shall disclose the information about his or her criminal history under penalty of perjury. The secretaries shall use the information solely for the purpose of determining eligibility for licensure or relicensure. Criminal justice agencies shall provide the secretaries such information as they may have and that the secretaries may require for such purpose.” | ||
| B. “To the extent funding is available, the licensee, administrator, and their staff should be screened through background checks in a uniform and timely manner to ensure that they do not have a criminal history that would disqualify them from working with vulnerable adults. Employees may be provisionally hired pending the results of the background check if they have been given three positive references.” | ||
| C. “Where appropriate, an investigation by the department may include a private interview with the vulnerable adult regarding the alleged abandonment, abuse, financial exploitation, neglect, or self-neglect.” | ||
| D. “For rules implementing statutes enacted after July 23, 1995, an agency may not rely solely on the section of law stating a statute's intent or purpose, or on the enabling provisions of the statute establishing the agency, or on any combination of such provisions, for its statutory authority to adopt the rule. An agency may use the statement of intent or purpose or the agency enabling provisions to interpret ambiguities in a statute's other provisions.” | ||
| E. “Civil monetary penalties shall become due twenty eight days after the contractor is served with a notice of the penalty unless the contractor requests a hearing in compliance with chapter 34.05 RCW and RCW 43.20A.215. If a hearing is requested, the penalty becomes due ten days after a final decision in the department's favor is issued. Interest shall accrue beginning thirty days after the department serves the contractor with notice of the penalty at a rate of one percent per month in accordance with RCW 43.20B.695.” |
6. Which of the following is the language from WAC 388-112-0260(4)?
| A. “Refresher courses taken outside of the state of Washington shall be reviewed individually for approval by the commission prior to starting the course.” | ||
| B. “The instructor must be experienced in caregiving practices and capable of demonstrating competency with respect to the course content or units being taught;” | ||
| C. “Any administrator hired after the effective date of this chapter shall have completed forty hours of training regarding assisted living services, resident rights, and the social model of services within the first six months of employment. All administrators shall have ten hours of continuing education credits per calendar year.” | ||
| D. “Boarding home administrators who provide direct care, and caregivers must possess a valid CPR and first aid card or certificate within thirty days of employment, and must maintain valid cards or certificates. Boarding home licensed nurses must possess a valid CPR card or certificate within thirty days of employment, and must maintain a valid card or certificate.” | ||
| E. “The rights set forth in this chapter are the minimal rights guaranteed to all residents of long-term care facilities, and are not intended to diminish rights set forth in other state or federal laws that may contain additional rights.” |
Section 2: Column Matching
Select the letter of the rule in Column “B” that corresponds with the topic in Column “A”
| Column A | Column B | ||
|---|---|---|---|
| 1. | Residential Long Term Care Services | A. RCW 18.20 (Training) |
|
| 2. | Long Term Care Residents Rights | B. WAC 388-112 | |
| 3. | Boarding Home Licensing Rules | C. WAC 246-215 | |
| 4. | Criminal History Background Checks | D. RCW 74.34 | |
| 5. | Nurse Delegation | E. WAC 246-888 | |
| 6. | Food Services | F. WAC 388-110 | |
| 7. | Medication Assistance | G. RCW 70.129 | |
| 8. | Abuse of Vulnerable Adults | H. RCW 43.43 (Reporting Requirements) |
|
| 9. | Boarding Homes (Licensing) | I. WAC 246-840 | |
| 10. | Contracted Residential Care | J. WAC 388-78A |
Section 3:
For the following ten questions:
- Look up the correct answer in the appropriate statute or rule for the following questions,
- Select only one answer, and
- Select the one statute or rule that most specifically supports your answer.
1a. How often is the department required to conduct an inspection in each boarding home?
| A. At least twice per calendar year | ||
| B. At least once every 18 months with an annual | ||
| C. Average of 15 months | ||
| D. At least yearly | ||
| E. At least twice every 18 months |
1b. Supporting Reference
| I. RCW 70.129.070 | ||
| II. WAC 388-78A-2750 | ||
| III. RCW 74.34.063 | ||
| IV. RCW 18.20.110 |
2a. If an individual associated with a boarding home will have unsupervised access with a vulnerable adult, that individual must disclose which of the following crimes that he or she has committed, if any?
| A. All crimes against children or other persons | ||
| B. All crimes relating to financial exploitation | ||
| C. All crimes relating to drugs | ||
| D. All of the above | ||
| E. A and B only |
2b. Supporting Reference
| I. WAC 246-215-080 | ||
| II. WAC 388-78A-2470 | ||
| III. RCW 43.43.842 | ||
| IV. WAC 388-112-0020 |
3a. Potentially hazardous foods including poultry and stuffed meats must be cooked to an internal temperature of:
| A. 145 degrees Fahrenheit for one minute | ||
| B. 150 degrees Fahrenheit for 15 seconds | ||
| C. 155 degrees Fahrenheit for 15 seconds | ||
| D. 160 degrees Fahrenheit for 15 seconds | ||
| E. 165 degrees Fahrenheit for 15 seconds |
3b. Supporting Reference
| I. WAC 388-78A-2300 | ||
| II. WAC 246-840-930 | ||
| III. WAC 246-888-100 | ||
| IV. WAC 246-215-070 |
4a. Before a registered nurse may delegate a nursing task to another individual in a boarding home, the registered nurse must verify:
| A. The person to whom the task is being delegated is a certified or registered nursing assistant in Washington state | ||
| B. The person to whom the task is being delegated holds an associates degree in nursing | ||
| C. The person to whom the task is being delegated has completed the basic caregiver training and core delegation training | ||
| D. The person to whom the task is being delegated has a certificate of completion issued by DSHS indicating completion of nurse delegation for nursing assistants | ||
| E. A, C, and D | ||
| F. B and C |
4b. Supporting Reference
| I. WAC 388-78A-2310 | ||
| II. RCW 74.34.050 | ||
| III. RCW 18.20.160 | ||
| IV. WAC 246-840-930 |
5a. How many square feet of space must be in an apartment approved for use under the DSHS Assisted Living Contract in a new boarding home, excluding the bathroom?
| A. 70 square feet per occupant | ||
| B. 150 square feet | ||
| C. 180 square feet | ||
| D. 220 square feet | ||
| E. 350 square feet, double occupancy |
5b. Supporting Reference
| I. WAC 388-78A-3010 | ||
| II. WAC 388-110-140 | ||
| III. RCW 74.129.100 | ||
| IV. WAC 388-78A-1030 |
6a. Which of the follow is not a “mandated reporter” of adult abuse and neglect?
| A. DSHS employees | ||
| B. Professional school personnel | ||
| C. Social workers | ||
| D. Boarding home administrators | ||
| E. Boarding homes receptionists | ||
| F. Municipal bus drivers |
6b. Supporting Reference
| I. RCW 74.34.020 | ||
| II. RCW 18.20.185 | ||
| III. RCW 43.43.842 | ||
| IV. WAC 388-78A-2630 |
7a. When must caregivers complete the basic training for caregivers and demonstrate competency?
| A. Before providing any care to residents | ||
| B. Within 30 days of hiring | ||
| C. Within 30 days of when they begin providing hands-on personal care | ||
| D. Within 90 days of when they begin providing hands-on personal care | ||
| E. Within 120 days of when they begin providing hands-on personal care | ||
| F. Within 45 days of hiring if they are working under the direct supervision of a registered nurse |
7b. Supporting Reference
| I. WAC 388-112-0075 | ||
| II. RCW 18.20.230 | ||
| III. RCW 70.129.020 | ||
| IV. WAC 388-78A-2450 |
8a. Which of the following is not a reason to require a resident to move out of a boarding home?
| A. The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility | ||
| B. The safety of individuals in the facility is endangered | ||
| C. The health of individuals in the facility would otherwise be endangered | ||
| D. The resident’s family does not participate in the development of service agreements | ||
| E. The resident has failed to make the required payment for his or her stay |
8b. Supporting Reference
| I. WAC 246-888-040 | ||
| II. RCW 18.20.180 | ||
| III. RCW 70.129.110 | ||
| IV. WAC 388-78A-2660 |
9a. Which of the following is not a true statement regarding medication assistance?
| A. Medication assistance includes reminding or coaching the individual to take their medication, handing the medication container to the individual, opening the medication container, using an enabler, or placing the medication in the hand of the individual/resident. | ||
| B. The individual/resident receiving medication assistance must be able to put the medication into his or her mouth or apply or instill the medication. | ||
| C. The individual/resident receiving medication assistance must be able to state the name of the medication, intended effects, side effects, or other details, and must be aware that he/she is receiving medications. | ||
| D. The individual/resident receiving medication assistance retains the right to refuse medication. | ||
| E. Administration of intravenous and injectable medications are specifically excluded from mediation assistance. |
9b. Supporting Reference
| I. WAC 246-888-020 | ||
| II. RCW 18.20.160 | ||
| III. WAC 246-840-870 | ||
| IV. WAC 388-78A-2210 |
10a. Who must sign the resident’s negotiated service agreement?
| A. The resident or the resident’s representative if the resident has one and is unable to sign or chooses not to sign | ||
| B. The resident’s public or private case manager if available and the resident has one | ||
| C. A representative of the boarding home | ||
| D. The resident’s physician | ||
| E. A, C, and D | ||
| F. A, B, and C |
10b. Supporting Reference
| I. WAC 246-215-230 | ||
| II. RCW 43.43.836 | ||
| III. WAC 388-112-0160 | ||
| IV. WAC 388-78A-2150 |
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