Section R9-10-1711. Emergency and Safety Standards  


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  • A.      An administrator shall ensure that:

    1.        A first aid kit is available at a health care institution;

    2.        If a firearm or ammunition for a firearm are stored at a health care institution:

    a.         The firearm is stored separate from the ammunition for the firearm; and

    b.        The firearm and the ammunition for the firearm are:

    i.         Stored in a locked closet, cabinet, or container; and

    ii.        Inaccessible to a patient;

    3.        If applicable, there is a smoke detector installed in:

    a.         A bedroom used by a patient,

    b.        A hallway in a health care institution, and

    c.         A health care institution’s kitchen;

    4.        A smoke detector required in subsection (A)(3):

    a.         Is maintained in operable condition; and

    b.        Is battery operated or, if hard-wired into the electri- cal system of a health care institution, has a back-up battery;

    5.        A health care institution has a portable fire extinguisher that is labeled 1A-10-BC by the Underwriters Laboratory and is available to a personnel member;

    6.        A portable fire extinguisher required in subsection (A)(5) is:

    a.         If a disposable fire extinguisher, replaced when the fire extinguisher’s indicator reaches the red zone; or

    b.        Serviced at least once every 12 months and has a tag attached to the fire extinguisher that includes the date of service;

    7.        A written evacuation plan is maintained and available for use by personnel members and any patient in a health care institution;

    8.        An evacuation drill is conducted at least once every six months; and

    9.        A record of an evacuation drill required in subsection (A)(8) is maintained for at least 12 months after the date of the evacuation drill.

    B.       An administrator shall:

    1.        Obtain a fire inspection conducted according to the time- frame established by the local fire department or the State Fire Marshal,

    2.        Make any repairs or corrections stated on the fire inspec- tion report, and

    3.        Maintain documentation of a current fire inspection.

Historical Note

Adopted effective July 24, 1978 (Supp. 78-4). Section repealed; new Section adopted effective July 6, 1994 (Supp. 94-3). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at

20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13;

effective July 1, 2014 (Supp. 14-2).