| (A) includes procedures for maintaining accurate and
detailed checklists of medications, records, food, water, equipment
and supplies needed during an emergency situation;
(B) identifies facility staff who are assigned to locate
and ensure the transportation of the items on the list described in
subparagraph (A) of this paragraph during an emergency situation;
and
(C) includes procedures to ensure that medications
are secure and stored at the proper temperatures during an emergency
situation.
(e) Training. A facility must:
(1) inform a facility staff member of the staff member's
responsibilities under the plan within five working days after assuming
job duties;
(2) re-train a facility staff member 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, annual 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) for a large facility, include the provisions described
in the Operating Features section of NFPA 101, Chapter 18 (for new
healthcare occupancies) and Chapter 19 (for existing healthcare occupancies)
concerning:
(A) use of alarms;
(B) transmission of alarms to fire department;
(C) emergency phone calls to fire department;
(D) response to alarms;
(E) isolation of fire;
(F) evacuation of immediate area;
(G) evacuation of smoke compartment;
(H) preparation of floors and building for evacuation;
and
(I) extinguishment of fire;
(2) for a small facility, include the provisions described
in the Operating Features section of NFPA 101, Chapter 32 (for new
residential board and care occupancies) and Chapter 33 (for existing
residential board and care occupancies) concerning:
(A) use of alarms;
(B) staff response in the event of a fire;
(C) fire protection procedures for a resident;
(D) actions to take if the primary escape route is
blocked; and
(E) specification of an assembly point after a resident
evacuates from the facility; and
(3) include procedures for:
(A) rehearsing the fire safety plan at least once per
quarter on each work shift;
(B) evacuating residents as follows:
(i) for a small facility that has a prompt or slow
evacuation capability, during every fire drill; or
(ii) for a large facility or facility with an impractical
evacuation capability, during at least one fire drill each year on
each work shift;
(C) completing the HHSC form 4719 titled "Fire Drill
Report" or a form containing, at a minimum, the information on the
HHSC form; and
(D) providing residents and facility staff with experience
in egressing through all exits and means of escape.
(g) Reporting Fires. A facility must report a fire
at the facility to HHSC as follows:
(1) by calling 1-800-458-9858 within 24 hours after
the fire; and
(2) by submitting a completed HHSC form 3707 titled
"Fire Report for Long Term Care Facilities" within 15 days after the
fire.
(h) Emergency Response System.
(1) The facility administrator 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.
|
| Source Note: The provisions of this §551.50 adopted to be effective March 21, 2011, 36 TexReg 1879; amended to be effective October 12, 2017, 42 TexReg 5508; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1883; amended to be effective February 24, 2022, 47 TexReg 787; amended to be effective January 24, 2023, 48 TexReg 216 |
