(H) includes procedures for notifying the HHSC Regulatory
Services Regional Office for the area in which the facility is located,
by telephone, as soon as safely possible after a decision to evacuate
is made; and
(I) includes procedures for notifying the HHSC Regulatory
Services Regional Office for the area in which the facility is located,
by telephone, that clients have returned to the facility after an
evacuation, within 48 hours after their return.
(6) Transportation. A facility's plan must contain
a section for transportation that:
(A) provides for a sufficient number of vehicles that
are safe and suitable for any special needs of the clients or requires
that the facility maintain a contract for transporting clients during
an evacuation;
(B) identifies facility staff authorized to drive a
vehicle during an evacuation;
(C) establishes alternate transportation arrangements
if the vehicles or contracted transportation described in subparagraph
(A) of this paragraph are not available;
(D) includes procedures for safely transporting oxygen
tanks currently being used by clients and any extra oxygen tanks that
may be needed during an evacuation; and
(E) includes procedures that will ensure:
(i) safe transport of records, food, water, equipment,
and supplies needed during an evacuation; and
(ii) that the records, food, water, equipment, and
supplies, described in clause (i) of this subparagraph, arrive at
the alternate location at the same time as the clients.
(7) Health and medical needs. A facility's plan must
contain a section for client health and special needs that:
(A) identifies all the facility's special needs clients
including clients with conditions requiring assistance during an evacuation;
and
(B) ensures the needs of those clients are met during
an emergency.
(8) Resource management. A facility's plan must contain
a section for resource management that:
(A) includes procedures for accessing medications,
records, food, water, equipment and supplies needed during an emergency;
(B) identifies facility staff who are assigned to locate
and ensure the transportation of items described in subparagraph (A)
of this paragraph during an emergency situation; and
(C) includes procedures to ensure medications are secure
and stored at the proper temperatures during an emergency situation.
(e) Training. A facility must:
(1) train all staff on their responsibilities under
the plan when hired in accordance with §559.67 of this subchapter
(relating to Training);
(2) retrain staff at least annually on the staff member's
responsibilities under the plan and when the staff member's responsibilities
under the plan change; and
(3) conduct unannounced drills with facility staff
for severe weather and other emergency situations identified by the
facility as likely to occur, based on the results of the risk assessment
required by subsection (c)(1) of this section.
(f) Fire safety plan. A facility's fire safety plan
must:
(1) include the provisions described in the Operating
Features section of the NFPA 101 Life Safety Code, 2000 Edition, Chapter
16 (relating to New Day-Care Occupancies) and Chapter 17 (relating
to Existing Day-Care Occupancies), concerning:
(A) use of alarms;
(B) transmission of alarms to the fire department;
(C) response to alarms;
(D) isolation of fire;
(E) evacuation of immediate area;
(F) evacuation of smoke compartment;
(G) preparation of floors and building for evacuation;
and
(H) fire extinguishment;
(2) include procedures to contact HHSC by telephone,
at 1-800-458-9858, within 24-hours after a fire in accordance with §559.42
of this chapter (relating to Safety); and
(3) include procedures to submit to HHSC, within 15
days after the fire, the form Fire Report for Long Term Care Facilities;
(4) include in the fire safety plan the provisions
described in the Operating Features section of the NFPA 101 Life Safety
Code, 2000 Edition, Chapter 16 and Chapter 17 concerning drills and
inspections, except as superseded by this section; and
(5) establish procedures to:
(A) perform a monthly fire drill with all occupants
of the building at expected and unexpected times and under varying
conditions;
(B) relocate, during the monthly fire drill, all occupants
of the building to a predetermined location where participants must
remain until a recall or dismissal signal is given;
(C) complete the HHSC Fire Drill Report Form for each
required fire drill;
(D) conduct a monthly fire prevention inspection performed
by a trained and senior member of the facility and prepare a report
of the inspection results;
(E) maintain copies of the fire prevention inspection
report, described in subparagraph (D) of this paragraph, that were
prepared by the facility within the last 12 months; and
(F) post a copy of the most recent fire prevention
inspection report, described in subparagraph (D) of this paragraph,
in a conspicuous place in the facility.
(g) Emergency Response System.
(1) The facility director and designee must enroll
in an emergency communication system in accordance with instructions
from HHSC.
(2) The facility must respond to requests for information
received through the emergency communication system in the format
established by HHSC.
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