Section 146.295 Emergency Contingency Plan

TITLE 89: SOCIAL SERVICES

CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES

SUBCHAPTER d: MEDICAL PROGRAMS

PART 146 SPECIALIZED HEALTH CARE DELIVERY SYSTEMS

SECTION 146.295 EMERGENCY CONTINGENCY PLAN

Section 146.295  Emergency

Contingency Plan

For the purpose of this

Section, "emergency" means  an event, as a result of a mechanical

failure or natural force such as water, wind, fire or loss of electrical power,

that poses a threat to the safety and welfare of residents, personnel, and

others present in the SLF.

a)         Each SLF shall have a written plan, which

shall be part of the SLF's Quality Assurance Plan, for protection of all

persons in the event of mechanical failure or natural force emergency, for

keeping persons in place, for evacuating persons to areas of refuge, and for

evacuating persons from the building when necessary. The plan shall:

1)         address the physical and cognitive needs of

residents and include special staff response, including the procedures needed

to ensure the safety of any resident.  The plan shall be amended or revised

whenever any resident with unusual needs is admitted;

2)         provide for the temporary relocation of

residents for any emergency requiring relocation;

3)         provide for the movement of residents to

safe locations within the SLF in the event of a tornado warning or severe

thunder storm warning issued by the National Weather Service;

4)         provide for the health, safety, welfare and

comfort of all residents when the heat index/apparent temperature, as

established by the National Oceanic and Atmospheric Administration, inside the

residents' living, dining, activities, or sleeping areas of the SLF

exceeds a heat index/apparent temperature of 80ºF, or falls below 55ºF, for 12

hours or more;

5)         address power outages, including how

residents call for help, how resident safety is monitored, and how food

spoilage is checked while power is out;

6)         include contingencies in the event of

flooding, if located in a flo

ents' living, dining, activities, or sleeping areas of the SLF

exceeds a heat index/apparent temperature of 80ºF, or falls below 55ºF, for 12

hours or more;

5)         address power outages, including how

residents call for help, how resident safety is monitored, and how food

spoilage is checked while power is out;

6)         include contingencies in the event of

flooding, if located in a flood plain; and

7)         be reviewed by local emergency response

entities, such as fire department, ambulance and EMT services.  The emergency

response entities shall direct recommendations to the SLF concerning the SLF's

plan and any issues that could be life threatening, and the SLFs shall make

changes to the plan, as appropriate.

b)         All personnel employed on the premises

shall be instructed in the emergency contingency plan and the use of fire

extinguishers.

c)         A diagram of emergency evacuation routes

shall be posted in at least all corridors and common areas and all personnel

employed on the premises shall be aware of the route.

d)         There shall be a means of notification to

the SLF when the National Weather Service issues a tornado warning covering the

area in which the SLF is located.  The notification mechanism must be other

than commercial radio or television.  Notification measures include being

within range of local tornado warning sirens, an operable National Oceanic and

Atmospheric Administration weather radio in the SLF, or arrangements with local

public safety agencies (police, fire, ESDA) to be notified if a warning is

issued.

e)         Each resident shall be oriented to the

emergency plans within ten days after the resident's admission.  Orientation

shall include assisting residents in identifying and using emergency exits.

Documentation of the orientation shall be signed and dated by the resident or

the resident's representative.

f)         The SLF shall conduct at least two drills

per year

warning is

issued.

e)         Each resident shall be oriented to the

emergency plans within ten days after the resident's admission.  Orientation

shall include assisting residents in identifying and using emergency exits.

Documentation of the orientation shall be signed and dated by the resident or

the resident's representative.

f)         The SLF shall conduct at least two drills

per year. At least one drill shall cover evacuation during a fire and the other

shall cover evacuation during a tornado.

g)         The SLF shall evaluate the effectiveness of

emergency plans, procedures and training.

h)         Drills

shall include residents, SLF personnel, and other persons in the SLF.

r)          Drills shall include making a general

announcement throughout the SLF that a drill is being conducted or sounding an

emergency alarm.  Drills may be announced in advance to residents.

j)          Drills shall involve the actual evacuation

of residents to an assembly point as specified in the emergency plan and shall

provide residents with experience using various means of escape.

k)         A written evaluation of each drill shall be

submitted to the SLF manager and the Quality Assurance Committee and shall be

maintained for one year from the date of the drill.  The evaluation shall

include the date and time of the drill, names of employees participating in the

drill, and identification of any residents who received assistance for

evacuation.

l)          Upon the occurrence of an emergency resulting

from a mechanical failure or natural force requiring hospital service, police,

fire department or coroner, the SLF manager or designee must provide a

preliminary report to the Department by fax within 24 hours after the

occurrence

s participating in the

drill, and identification of any residents who received assistance for

evacuation.

l)          Upon the occurrence of an emergency resulting

from a mechanical failure or natural force requiring hospital service, police,

fire department or coroner, the SLF manager or designee must provide a

preliminary report to the Department by fax within 24 hours after the

occurrence.  This includes, but is not limited to, loss of electrical power in

excess of an hour, physical injury suffered by residents during a mechanical

failure or force of nature, evacuation of residents for any reason, and fire

alarm activation that results in an on-site response by the local fire

department.  It does not include fire department response that is the result of

resident cooking mishaps that only cause minimal smoke limited to a resident's

apartment or false alarm as determined by the local fire department.  This

preliminary report shall include, at a minimum:

1)         name

and location of the SLF;

2)         type

of emergency;

3)         number

of injuries or deaths to residents;

4)         names

of residents involved in the emergency;

5)         number

of units not usable due to the occurrence;

6)         estimate

of the extent of damages to the SLF;

7)         type

of assistance needed, if any;

8)         location

of displaced residents, if any; and

9)         other

State or local agencies notified about the problem.

m)        The SLF manager or designee shall submit a

final report to the Department that includes how the emergency was handled,

final outcome, who was involved, and what steps are being taken to prevent the

situation in the future.