FORI Online Test Questionnaire A minimum score of 75% (15 correct answers) is required to pass NOTE:  Licensees/administrators who attended the FORI presentation and received 2 hours credit may not use the additional credit earned from this online test towards their annual requirement of 16 hours of training.

Provider Name:     (First Name) (M.I.) (Last Name)     AFC License #: 1. The Focused Online Renewal Inspection (FORI) is:     Select an Answer the standard inspection process for all licensing renewals will become effective in 2010 an alternative to the standard renewal inspection process   2. A facility with a fire safety inspection or environmental health inspection rating of "C" or "D" cannot be eligible for a Focused Onsite Renewal Inspection.     True      False   3. What is the period of time that a facility shall maintain full compliance or only have violations equivalent to a Notice Of Findings (NOF) in order to qualify for a Focused Onsite Renewal Inspection?     Select an Answer 6 months 2 years 3 years 2 consecutive regular license renewal periods   4. A home on a six-month license (either a temporary or provisional) will not be eligible for a Focused Onsite Renewal Inspection for at least:     Select an Answer 1 year 2 years 2 consecutive regular license renewal periods   5. Homes that qualify for a Focused Onsite Renewal Inspection:     Select an Answer must participate, or they will lose their option to participate in the future will be notified by a letter from the licensing staff or consultant must notify the department that they qualify   6. The licensee will receive written notification if their facility is not eligible for a Focused Onsite Renewal Inspection.     True      False   7. A licensee cannot decline a Focused Onsite Renewal Inspection for a facility once it has been determined FORI eligible.     True      False   8. The rule compliance self-assessment is to be completed using the onsite inspection worksheets, which are:     Select an Answer available on the AFC/HFA website optional forms you will be sent by your licensing staff or consultant   9. What is the earliest that a licensee can complete the "online worksheet – rule compliance self-assessment" prior to a Focused Onsite Renewal Inspection?     Select an Answer 1 year 8 months 6 months 10 months   10. When approaching residents regarding the upcoming Focused Onsite Renewal Inspection, you should tell them:     Select an Answer they are required to stay home on the day of the inspection they are invited to participate they shouldn’t talk to the consultant or licensing staff none of the above   11. How many residents must be in the home at the time of a Focused Onsite Renewal Inspection?     Select an Answer None 50% of resident census 75% of resident capacity All of the residents   12. At the time of the Focused Onsite Renewal Inspection, the consultant or licensing staff will inspect the files of all employees hired since the facility’s last inspection.     True      False   13. At the time of the Focused Onsite Renewal Inspection, the consultant or licensing staff will review the facility’s Self-Assessment and Corrective Action Plan, and will:     Select an Answer verify that corrections have been made issue a NOF for violations cited by the licensee and corrected at the time of the inspection cite the violations noted on the self-assessment, but indicate they were self-reported   14. Unless the licensee’s self-assessment has identified a violation concerning required documentation located in the Resident Records, the consultant or licensing staff may not examine Resident Records as part of the Focused Onsite Renewal Inspection.     True      False   15. During a Focused Onsite Renewal Inspection, the consultant or licensing staff will probably spend most of his/her time interviewing residents and staff and observing their interactions.     True      False   16. The licensee or licensee designee has the right to be present during any or all interviews conducted during the Focused Onsite Renewal Inspection.     True      False   17. At any time during the Focused Onsite Renewal Inspection, the consultant or licensing staff can decide to conduct a full standard inspection.     True      False   18. As part of the Focused Onsite Renewal Inspection, the consultant will review fire drill records and if the facility is certified to provide a specialized program, will also review resident E-scores.     True      False   19. Licensees who have participated in the Focused Onsite Renewal Inspection are required to complete:     Select an Answer a self-assessment worksheet a general inspection an online post inspection questionnaire   20. Once a facility has completed a Focused Onsite Renewal Inspection and their license has been successfully renewed, it is guaranteed that all future renewal inspections will be conducted as a Focused Onsite Renewal Inspection.     True      False