Section R9-10-424. Emergency and Safety Standards

A.      An administrator shall ensure that:

1.        A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes:

a.         When, how, and where residents will be relocated, including:

i.         Instructions for the evacuation or transfer of residents,

ii.        Assigned  responsibilities  for  each  employee and personnel member, and

iii.      A plan for continuing to provide services to meet a resident’s needs;

b.        How a resident's medical record will be available to individuals providing services to the resident during a disaster;

c.         A plan for back-up power and water supply;

d.        A plan to ensure a resident's medications will be available to administer to the resident during a disas- ter;

e.         A plan to ensure a resident is provided nursing ser- vices and other services required by the resident during a disaster; and

f.         A plan for obtaining food and water for individuals present in the nursing care institution or the nursing care institution's relocation site during a disaster;

2.        The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months;

3.        Documentation of a disaster plan review required in sub- section (A)(2) is created, is maintained for at least 12 months after the date of the disaster plan review, and includes:

a.         The date and time of the disaster plan review;

b.        The name of each personnel member, employee, or volunteer participating in the disaster plan review;

c.         A critique of the disaster plan review; and

d.        If applicable, recommendations for improvement;

4.        A disaster drill for employees is conducted on each shift at least once every three months and documented;

5.        An evacuation drill for employees and residents:

a.         Is conducted at least once every six months; and

b.        Includes all individuals on the premises except for:

i.         A resident whose medical record contains doc- umentation that evacuation from the nursing care institution would cause harm to the resi- dent, and

ii.        Sufficient personnel members to ensure the health and safety of residents not evacuated according to subsection (A)(5)(b)(i);

6.        Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the drill, and includes:

a.         The date and time of the evacuation drill;

b.        The amount of time taken for employees and resi- dents to evacuate to a designated area;

c.         If applicable:

i.         An identification of residents needing assis- tance for evacuation, and

ii.        An identification of residents who  were not evacuated;

d.        Any problems encountered in conducting the evacu- ation drill; and

e.         Recommendations for improvement, if applicable; and

7.        An evacuation path is conspicuously posted on each hall- way of each floor of the nursing care institution.

B.       An administrator shall ensure that, if applicable, a sign is placed at the entrance to a room or area indicating that oxygen is in use.

C.      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 January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). New Section R9-10-424 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt

rulemaking at 19 A.A.R. 3334, effective October 1, 2013 (Supp. 13-4). Amended by exempt rulemaking at 20

A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effec- tive July 1, 2014 (Supp. 14-2).