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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 550LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS
SUBCHAPTER CGENERAL PROVISIONS
DIVISION 1OPERATIONS AND SAFETY PROVISIONS
RULE §550.209Emergency Preparedness Planning and Implementation

      (xi) notifying HHSC Regulatory Services by telephone immediately after the EPC makes a decision to evacuate all minors from the center.

  (6) Transportation. A center's plan must contain a section for transportation that:

    (A) arranges for a sufficient number of vehicles to safely evacuate all minors;

    (B) identifies staff or contractors designated to drive a center owned, leased, or rented vehicle during an evacuation;

    (C) includes procedures for safely transporting minors and staff involved in an evacuation; and

    (D) includes procedures for safely transporting and having timely access to oxygen, medications, medical records, food, water, equipment, and supplies needed during an evacuation.

  (7) Health and Medical Needs. A center's plan must contain a section for health and special needs that:

    (A) identifies the types of services and medical equipment used by minors, including oxygen, respirator care, or hospice services; and

    (B) ensures that a minor's needs identified in subparagraph (A) of this paragraph are met during an emergency situation.

  (8) Resource Management. A center's plan must contain a section for resource management that:

    (A) includes a plan for identifying medications, medical records, food, water, equipment, and supplies needed during an emergency situation;

    (B) identifies staff who are assigned to locate the items in subparagraph (A) of this paragraph and who must ensure the transportation of the items during an emergency situation; and

    (C) includes procedures to ensure that medications are secure and maintained at the proper temperature during an emergency situation.

(e) Training. A center must:

  (1) train staff on their responsibilities under the plan no later than 30 days from their hire date;

  (2) train staff on the staff responsibilities under the plan at least annually and when the staff member's responsibilities under the plan change; and

  (3) conduct one unannounced annual drill with staff for severe weather and other emergency situations identified by a center as likely to occur, based on the results of the risk assessment required by subsection (c) of this section.

(f) Fire Emergency Response Plan.

  (1) The center must have a comprehensive written fire emergency response plan. Copies of the plan must be available to all staff. The center must periodically instruct and inform staff about the duties of their positions under the plan. The written fire emergency response plan must provide for the following:

    (A) use of alarms;

    (B) transmission of an alarm to a fire department;

    (C) response to alarms;

    (D) isolation of fire;

    (E) evacuation of the immediate area;

    (F) preparation of floors and building for evacuation; and

    (G) fire extinguishment;

  (2) The fire emergency response plan must include procedures to contact HHSC by telephone, at 1-800-458-9858, no later than 24 hours after activation of its Fire Emergency Response Plan.

  (3) The staff must conduct emergency egress and relocation drills as follows:

    (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 drill, all occupants of the building to a predetermined location where occupants must remain until a recall or dismissal is given; and

    (C) complete the HHSC Fire Drill Report Form 4719 for each required drill.

  (4) The EPC or a designee must conduct fire prevention inspections on a monthly basis and prepare a report of the inspection results. The center must maintain copies of the fire prevention inspection report prepared by the center within the last 12 months. The center must post a copy of the most recent fire prevention inspection report in a conspicuous place at the center.

(g) Emergency Response System.

  (1) The center administrator and alternate administrator must enroll in an emergency communication system in accordance with instructions from HHSC.

  (2) The center must respond to requests for information received through the emergency communication system in the format established by HHSC.


Source Note: The provisions of this §550.209 adopted to be effective September 1, 2014, 39 TexReg 6569; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875; amended to be effective January 24, 2023, 48 TexReg 215

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