California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 4 - Intermediate Care Facilities
Article 4 - Administration
Section 73549 - Disaster and Mass Casualty Program

Universal Citation: 22 CA Code of Regs 73549

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) A written disaster and mass casualty program shall be adopted. The program shall be developed with the advice and assistance of qualified fire and safety experts and shall be in conformity with the "State of California Emergency Plan" (2017) and the "State of California Coroners' Mutual Aid Plan" (2014) by the California Governor's Office of Emergency Services, hereby incorporated by reference. A copy of the Program shall be available on the premises for review by the Department.

(b) The program shall provide plans for local disasters occurring in the community and widespread disasters. The written program shall include at least the following:

(1) Availability of adequate basic utilities and supplies, including gas, water, food and essential medical and supportive materials.

(2) An efficient system of notifying and assigning personnel.

(3) Unified medical command.

(4) Conversion of all usable space into clearly defined areas for efficient triage, for patient observation and for immediate care.

(5) Prompt transfer of casualties when necessary and after preliminary medical or surgical services have been rendered to the facility most appropriate for administering definitive care.

(6) Arrangements for provision of transportation of patients including emergency housing where indicated.

(7) Arrangements for care of patients during transporting and while occupying emergency housing.

(8) Disposition and care of patients after evacuation of facility.

(9) A special disaster medical record, such as an appropriately designed tag that accompanies the casualty as he is moved.

(10) Procedures for the prompt discharge or transfer of inpatients at the time of the disaster who can be moved without jeopardy.

(11) Maintaining security in order to keep relatives and curious persons out of the triage area.

(12) Establishment of a public information center and assignment of public relations liaison duties to a responsible individual.

(c) The program shall be brought up-to-date at least annually and all personnel shall be instructed in its requirements. There shall be evidence in the personnel files, e.g., orientation checklist or elsewhere indicating that all new employees have been oriented to the program and procedures at the beginning of their employment.

(d) The disaster plan shall be rehearsed at least twice a year. There shall be a written report and evaluation of all drills.

1. Amendment of subsection (a) and new NOTE filed 5-30-2023; operative 5-30-2023. Submitted to OAL for filing and printing only pursuant to Health and Safety Code section 1275(g) (Register 2023, No. 22).

Note: Authority cited: Sections 20, 21, 1275 and 1276, Health and Safety Code. Reference: Sections 1250 and 1254, Health and Safety Code.

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