Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
Section R9-10-523 - Emergency and Safety Standards
Universal Citation: AZ Admin Code R 9-10-523
Current through Register Vol. 30, No. 38, September 20, 2024
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. A floor plan of the facility
showing emergency protection equipment, evacuation routes, and exits;
b. 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;
c. How a resident's medical record will be
available to individuals providing services to the resident during a
disaster;
d. A plan for back-up
power and water supply;
e. A plan
to ensure a resident's medications will be available to administer to the
resident during a disaster;
f. A
plan to ensure a resident is provided nursing services, rehabilitation
services, and other services required by the resident during a disaster;
and
g. A plan for obtaining food
and water for individuals present in the ICF/IID or the ICF/IID's relocation
site during a disaster;
2. Personnel members receive training on the
content and use of the disaster plan required in subsection (A)(1);
3. The disaster plan required in subsection
(A)(1) is reviewed at least once every 12 months;
4. Documentation of a disaster plan review
required in subsection (A)(3) 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;
5. A disaster drill for employees is
conducted on each shift at least once every three months and
documented;
6. An evacuation drill
for employees is conducted on each shift at least once every three months and
documented;
7. An evacuation drill
for residents:
a. Is conducted at least once
each year on each shift and documented; and
b. Includes all residents on the premises
except for:
i. A resident whose medical record
contains documentation that evacuation from the ICF/IID would cause harm to the
resident, and
ii. Sufficient
personnel members to ensure the health and safety of residents not evacuated
according to subsection (A)(7)(b)(i);
8. 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 residents to evacuate to a designated
area;
c. If applicable:
i. An identification of residents needing
assistance for evacuation, and
ii.
An identification of residents who were not evacuated;
d. Any problems encountered in conducting the
evacuation drill; and
e.
Recommendations for improvement, if applicable; and
9. An evacuation path is conspicuously posted
on each hallway of each floor of the ICF/IID.
B. An administrator shall ensure that, if an ICF/IID has:
1. More than 16 residents or a
resident who has a medical care plan or whose medical record contains
documentation that evacuation from the ICF/IID would cause harm to the
resident:
a. A fire alarm system is installed
according to the National Fire Protection Association 72: National Fire Alarm
and Signaling Code, incorporated by reference in
R9-10-104.01, and is in working
order; and
b. A sprinkler system is
installed according to the National Fire Protection Association 13 Standard for
the Installation of Sprinkler Systems, incorporated by reference in
R9-10-104.01, and is in working
order; and
2. Sixteen or
fewer residents, none of whom have a medical care plan or whose medical record
contains documentation that evacuation from the ICF/IID would cause harm to the
resident:
a. A fire alarm system and a
sprinkler system meeting the requirements in subsection (B)(1) are installed
and in working order; or
b. The
ICF/IID has:
i. A fire extinguisher that is:
(1) Labeled as rated at least 2A-10-BC by the
Underwriters Laboratories;
(2)
Accessible to personnel members and inaccessible to residents;
(3) If a disposable fire extinguisher,
replaced when its indicator reaches the red zone; and
(4) If a rechargeable fire extinguisher, is
serviced at least once every 12 months, as documented by a tag attached to the
fire extinguisher that specifies the date of the last servicing and the
identification of the person who serviced the fire extinguisher; and
ii. Smoke detectors that are:
(1) Installed in each bedroom, hallway that
adjoins a bedroom, storage room, laundry room, attached garage, and room or
hallway adjacent to the kitchen, and other places recommended by the
manufacturer;
(2) Either battery
operated or, if hard-wired into the electrical system of the ICF/IID, has a
back-up battery;
(3) In working
order; and
(4) Tested at least once
a month, with documentation of the test maintained for at least 12 months after
the date of the test.
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 inspection report, and
3. Maintain documentation of a current fire
inspection.
D. 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.
Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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