EmailMe Form - Vulnerable Adult Quiz.

Employee Name: *

First Last

Today's Date: *

MM / DD / YYYY

Site: *

It is a requirement that all program staff review the Program Abuse Prevention Plan for all program sites worked at least annually. *

	Completed
By checking this box, I acknowledge that I have reviewed and understand the Program Abuse Prevention Plan for the site listed above.

1. Every individual Zumbro House serves is a Vulnerable Adult. *

True

False

2. Any suspected maltreatment of a Vulnerable Adult must be reported to a supervisor immediately. *

True

False

3. Zumbro House employees may make an internal or external report of any suspected maltreatment of a Vulnerable Adult. *

True

False

4. All Zumbro House employees are considered Mandated Reporters. *

Yes

No

5.If a Mandated Reporter intentionally fails to make a report, the person is guilty of a misdemeanor crime. *

No

Yes

6. Financial Exploitation is failure to use a Vulnerable Adult’s financial resources (money) to provide for the that specific Vulnerable Adult. *

I agree

I disagree

7. All individuals Zumbro House serves, have the right to voice a complaint or grievance. *

True

False

8. A Mandated Reporter is required to report accidents. *

True

False

9. If a resident says they would like to buy your meal, it is best to: *

Allow them to buy, and return the favor the next time.

Ask them to check their account balance first.

Accept the meal and ask them not to tell anyone.

Politely decline and remind them their money is only for their individual use.

10. Interactions with a Vulnerable Adult that could reasonably be expected to produce physical pain, injury or emotional distress is considered maltreatment. *

True

False

Employee Signature:

Clear