| (G) includes procedures for notifying the HHSC regional
office for the area in which the individualized skills and socialization
provider is located, by telephone, that individuals have returned
to the building after an evacuation, within 48 hours after their return.
(6) Transportation. An individualized skills and socialization
provider must include in the plan a section with procedures for transportation.
(7) Health and Medical Needs. An individualized skills
and socialization provider's plan must contain a section ensuring
that the health and medical needs of individuals are met during an
emergency.
(8) Resource Management. An individualized skills and
socialization provider's plan must contain a section for resource
management that ensures individuals have appropriate access to resources
during an emergency.
(e) Training. An individualized skills and socialization
provider must:
(1) train all staff when hired on fire, disaster, and
their responsibilities under the plan in accordance with §559.227(k)
of this subchapter (relating to Program Requirements); and
(2) retrain staff at least annually on fire, disaster,
and the staff member's responsibilities under the plan and when the
staff member's responsibilities under the plan change.
(f) An individualized skills and socialization provider
offering on-site services must:
(1) conduct unannounced drills with staff for fire,
severe weather, and other emergency situations identified by the individualized
skills and socialization provider as likely to occur, based on the
results of the risk assessment required by subsection (c)(1) of this
section; and
(2) establish procedures to:
(A) perform a fire drill at least once every 90 days
with all occupants of the building at the time of the fire drill at
expected and unexpected times and under varying conditions;
(B) relocate, during the fire drill, all occupants
of the building to a predetermined location where participants must
remain until a recall or dismissal signal is given; and
(C) complete the HHSC Fire Drill Report Form for each
required fire drill.
(g) An individualized skills and socialization services
provider or designee must enroll in an emergency communication system
in accordance with instructions from HHSC.
(h) An individualized skills and socialization services
provider or designee must respond to requests for information received
through the emergency communication system in the format established
by HHSC.
(i) An individualized skills and socialization services
provider must ensure that each facility has:
(1) exterior doors that are unobstructed and accessible
to all individuals;
(2) two means of escape from the facility;
(3) fire extinguishers that are:
(A) accessible and unobstructed to the service provider;
(B) on each level of the facility;
(C) serviced or replaced after each use; and
(D) if unused, serviced according to the manufacturer's
instructions, or as required by the state or local fire marshal.
(j) The facility must conform to all applicable state
laws and local ordinances pertaining to occupancy. When these laws,
codes, and ordinances are more stringent than the standards in this
section, the more stringent requirements govern. If state laws or
local codes or ordinances conflict with the requirements of these
standards, the provider must submit an application to alter the licensed
capacity so that these conflicts may be legally resolved.
(k) The facility must meet the provisions and requirements
concerning accessibility for individuals with disabilities in the
following laws and regulations: the Americans with Disabilities Act
(ADA) of 1990 (Title 42, United States Code, Chapter 126); Title 28,
Code of Federal Regulations, Part 35; Texas Government Code, Chapter
469, Elimination of Architectural Barriers; and 16 TAC Chapter 68,
Elimination of Architectural Barriers. Plans for new construction,
substantial renovations, modifications, and alterations must be submitted
to the Texas Department of Licensing and Regulation (Attn: Elimination
of Architectural Barriers Program) for accessibility approval under
Texas Government Code, Chapter 469. At least 50 percent of the client
restrooms must be in accordance with ADA. Exception: facilities licensed
for 45 or fewer persons may provide one unisex restroom in accordance
with accessibility requirements.
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