Current through Register Vol. 30, No. 38, September 20, 2024
A.
Except for an outdoor behavioral health care program provided by a behavioral
health residential facility, an administrator shall ensure that a behavioral
health residential facility has:
1. A fire
alarm system installed according to the National Fire Protection Association
72: National Fire Alarm and Signaling Code, incorporated by reference in
R9-10-104.01, and a sprinkler system installed according to the National Fire
Protection Association 13: Standard for the Installation of Sprinkler Systems,
incorporated by reference in R9-10-104.01, that are in working order;
or
2. An alternative method to
ensure resident's safety that is documented and approved by the local
jurisdiction.
B. Except
for an outdoor behavioral health care program provided by a behavioral health
residential facility, 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;
b. How each resident's
medical record will be available to individuals providing services to the
resident during a disaster;
c. A
plan to ensure each resident's medication will be available to administer to
the resident during a disaster; and
d. A plan for obtaining food and water for
individuals present in the behavioral health residential facility, under the
care and supervision of personnel members, or in the behavioral health
residential facility's relocation site during a disaster;
2. The disaster plan required in subsection
(B)(1) is reviewed at least once every 12 months;
3. Documentation of a disaster plan review
required in subsection (B)(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 on the premises is conducted at least once every
six months on each shift;
6.
Documentation of each evacuation drill is created, is maintained for 12 months
after the date of the evacuation drill, and includes:
a. The date and time of the evacuation
drill;
b. The amount of time taken
for all employees and residents to evacuate the behavioral health residential
facility;
c. Names of employees
participating in the evacuation drill;
d. An identification of residents needing
assistance for evacuation;
e. Any
problems encountered in conducting the evacuation drill; and
f. Recommendations for improvement, if
applicable; and
7. An
evacuation path is conspicuously posted on each hallway of each floor of the
behavioral health residential facility.
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.
The following Section was adopted under an exemption from
the provisions of the Administrative Procedure Act which means these rules were
not reviewed by the Governor's Regulatory Review Council; the Department did
not submit notice of proposed rulemaking to the Secretary of State for
publication in the Arizona Administrative Register; and the Department was not
required to hold public hearings on these rules (Supp.
98-4).
