Current through September 2, 2024
01.
Emergency Plans for Protection and Evacuation of Individuals. In cooperation with the local fire authority, the administrator of each ICF/IID must develop a prearranged written plan for employee response for protection of the individuals who reside there and for orderly evacuation of these individuals in case of an emergency. These plans must include procedures to meet all potential emergencies and disasters relevant to the facility, such as fire, severe weather, and missing individuals.
a. The written emergency plan for each facility must contain a diagram of the building showing emergency protection equipment, evacuation routes, and exits. This diagram must be conspicuously posted in a common area within the facility. An outline of emergency instructions must be posted with the diagram.
b. The facility must communicate the written emergency plan to staff and train staff in the use of the written emergency plan.
c. The facility must periodically review the written emergency plan and thoroughly test it to ensure rapid and efficient function of the plan.
d. The facility must hold unannounced evacuation drills at least quarterly for each shift of personnel for a total of no less than twelve (12) per year. The evacuation drills must be irregularly scheduled throughout all shifts and under varied conditions. At least one (1) drill per shift must be held on a Sunday or holiday. The facility must actually evacuate individuals during at least one (1) drill each year on each shift.
e. The facility must document evacuation drills, cite the problems investigated, and take the appropriate corrective action for the identified problems.
02.
Report of Fire. Each ICF/IID must submit to the Department a separate report of each fire incident that occurs within the facility within thirty (30) days of the occurrence. The facility must use the Department's reporting form, "Facility Fire Incident Report," available online at: http://facilitystandards.idaho.gov. The facility must provide all specific data concerning the fire including the date, origin, extent of damage, method of extinguishment, and injuries, if any, for each fire incident. A reportable fire incident is when a facility has an incident:
a. That causes staff to activate the facility emergency plan in whole or in part;
b. That causes an alarm throughout, causing staff or residents to activate the facility emergency plan, in whole, or in part;
c. That causes a response by the fire department or emergency services to investigate an alarm or incident;
d. That is unplanned in which residents are evacuated, prepared to evacuate, partially evacuated, or protected in place, due to smoke, fire, unknown gases/odors, or other emergency; or
e. That results in an injury, burn, smoke inhalation, death, or other fire or emergency-related incident.
03.
Maintenance of Equipment. Each ICF/IID must establish routine test, check, and maintenance procedures for alarm systems, extinguishment systems, and all essential electrical systems. Each facility must meet the following requirements:
a. The use of any defective equipment on the premises of any facility is prohibited.
b. The administrator of the ICF/IID must have all newly acquired equipment and appliances inspected for safe condition and function prior to use by any individual residing there, employee, or visitor to the facility.
c. The administrator of the ICF/IID must show written evidence of adequate preventive maintenance procedures for equipment directly related to the health and safety of the individuals who reside there.
d. The facility must have the fire alarm system and smoke detection system serviced at least annually by an authorized servicing agency. Servicing must be in accordance with the applicable provision of NFPA Standard 72, The National Fire Alarm Code.
e. The facility's automatic sprinkler systems, if installed, must be serviced at least annually by an authorized servicing agency. Servicing must be in accordance with the applicable provisions of NFPA Standard 25, "Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems." Facilities protected by an NFPA 13D sprinkler system must be serviced and tested annually by an authorized servicing agency to include a visual inspection of all heads, testing of all water flow and tamper devices at a minimum.
f. The facility must have all portable fire extinguishers serviced annually in accordance with the applicable provisions of NFPA Standard 10, "Portable Fire Extinguishers."
g. The facility must establish routine in-house test and check procedures covering alarm systems, extinguishment systems, and essential electrical systems.
Effective March 17, 2022
