Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 85 - Intermediate Care Facilities for Persons with Developmental Disabilities
Subchapter G - Emergency Preparedness
Section I-8595 - Emergency Preparedness Plan
Universal Citation: LA Admin Code I-8595
Current through Register Vol. 50, No. 9, September 20, 2024
A. The ICF/DD shall incorporate an all hazards risk assessment into the facility's emergency preparedness plan which is designed to manage the consequences of medical emergencies, power failures, fire, natural disasters, declared disasters or other emergencies that disrupt the facility's ability to provide care and treatment or threatens the lives or safety of the residents. The facility shall follow and execute its emergency preparedness plan in the event or occurrence of a disaster or emergency. This plan shall be reviewed, updated and approved by the governing body at least annually. Upon the departments request, a facility shall present its emergency preparedness plan for review.
B. At a minimum the emergency preparedness plan shall include and address the following.
1. The emergency preparedness plan
shall be individualized and site specific. All information contained in plan
shall be current and correct. The plan shall be made available to
representatives of the Office of the State Fire Marshal and the Office of
Public Health upon request of either of these offices. The facility's plan
shall follow all current applicable laws, standards, rules or
regulations.
2. The facility's plan
shall contain census information, including transportation requirements for the
ICF/DD residents as to the need for:
a.
wheelchair accessible or para-transit vehicle transport; or
b. the numbers of ICF/DD residents that do
not have any special transport needs.
3. The plan shall contain a clearly labeled
and legible master floor plan(s) that indicate the following:
a. the areas in the facility that is to be
used by residents as shelter or safe zones during emergencies;
b. the location of emergency power
outlets;
c. the locations of
posted, accessible, emergency information; and
d. the detail of what will be powered by
emergency generator(s), if applicable.
4. The facility's plan shall be viable and
promote the health, safety and welfare of facility's residents.
5. The facility shall provide a plan for
monitoring weather warnings and watches and evacuation orders from local and
state emergency preparedness officials. This plan will include who will
monitor, what equipment will be used, and procedures for notifying the
administrator or responsible persons.
6. The plan shall provide for the delivery of
essential care and services to residents during emergencies, who are housed in
the facility or by the facility at another location, during an
emergency.
7. The plan shall
contain information about staffing for when the ICF/DD is sheltering in place
or when there is an evacuation of the ICF/DD. Planning shall include
documentation about staff that have agreed to work during an emergency and
contact information for such staff. Plan shall include provisions for adequate,
qualified staff as well as provisions for the assignment of responsibilities
and duties to staff.
8. The
facility shall have transportation or arrangements for transportation for
evacuation, hospitalization, or any other services which are appropriate.
Transportation or arrangements for transportation shall be adequate for the
current census and meet the ambulatory needs of the residents.
9. The plan shall include procedures to
notify the resident's family or responsible representative whether the facility
is sheltering in place or evacuating to another site. The plan shall include
which staff are responsible for providing this notification. If the facility
evacuates, notification shall include:
a. the
date and approximate time that the facility is evacuating; and
b. the place or location to which the
facility is evacuating, including the:
i.
name;
ii. address; and
iii. telephone number.
10. The plan shall include the
procedure or method whereby each facility resident has a manner of
identification attached to his person which remains with him at all times in
the event of sheltering in place or evacuation, and whose duty and
responsibility this will be; the following minimum information shall be
included with him:
a. current and active
diagnosis;
b. medications,
including dosage and times administered;
c. allergies;
d. special dietary needs or restrictions;
and
e. next of kin or responsible
person and contact information.
11. The plan shall include an evaluation of
the building and necessary systems to determine the ability to withstand wind,
flood, and other local hazards that may affect the facility and should also
include:
a. if applicable, an evaluation of
each generator's fuel source(s), including refueling plans and fuel
consumption; and
b. an evaluation
of the facility's surroundings to determine lay-down hazards, objects that
could fall on facility, and hazardous materials in or around the facility, such
as:
i. trees;
ii. towers;
iii. storage tanks;
iv. other buildings;
v. pipe lines;
vi. chemicals;
vii. fuels; and
viii. biologics.
12. For ICF/DDs that are
geographically located south of Interstate 10 or Interstate 12, the plan shall
include the determinations of when the facility will shelter in place and when
the facility will evacuate for a hurricane and the conditions that guide these
determinations.
a. A facility is considered
to be sheltering in place for a storm if the facility elects to stay in place
rather than evacuate when located in the projected path of an approaching storm
of tropical storm strength, or a tropical cyclone. The facility has elected to
take this action after reviewing all available and required information on the
storm, the facility, the facility's surroundings and consultation with the
local or parish Office of Homeland Security and Emergency Preparedness (OHSEP).
The facility shall accept all responsibility for the health and well being of
all residents that shelter with the facility before during and after the storm.
In making the decision to shelter in place or evacuate the facility shall
consider the following:
i. what conditions
will facility shelter for;
ii. what
conditions will facility close or evacuate for; and
iii. when will these decisions be
made.
b. If the facility
shelters in place, the facility's plan shall include provisions for seven days
of necessary supplies to be provided by the facility prior to emergency event,
to include:
i. drinking water or fluids;
and
ii. non-perishable
food.
13. The
facility's emergency plan shall include a posted communications plan for
contacting emergency services and monitoring emergency broadcasts and whose
duty and responsibility this will be.
14. The facilitys plan shall include how the
ICF/DD will notify OHSEP and LDH when the decision is made to shelter in place
and whose responsibility it is to provide this notification.
15. The facility shall have a plan for an
ongoing safety program to include:
a.
continuous inspection of the facility for possible hazards;
b. continuous monitoring of safety equipment
and maintenance or repair when needed;
c. investigation and documentation of all
accidents or emergencies;
d. fire
control and evacuation planning with documentation of all emergency drills
(residents can be informed of emergency drills);
e. all aspects of the facility's plan,
planning, and drills shall meet the current requirements of the Office of the
State Fire Marshal, and the Life Safety Code NFPA 101; and
f. the facility shall inform the resident
and/or responsible party of the facility's emergency plan and the actions to be
taken.
C. An ICF/DD shall electronically enter current facility information into the departments ESF-8 portal or into the current LDH emergency preparedness webpage or electronic database for reporting.
1. The
following information shall be entered or updated before the fifteenth of each
month:
a. operational status;
b. census;
c. emergency contact and destination location
information; and
d. emergency
evacuation transportation needs categorized by the following types:
i.
red-high-risk residents
who will need to be transported by advanced life support ambulance due to
dependency on mechanical or electrical life sustaining devices or very critical
medical condition;
ii.
yellow-residents who are not dependent on mechanical or
electrical life sustaining devices, but cannot be transported using normal
means (buses, vans, cars), may need to be transported by an ambulance; however,
in the event of inaccessibility of medical transport, buses, vans or cars may
be used as a last resort; and
iii.
green-residents who do not need specialized transportation may
be transported by car, van, bus or wheelchair accessible
transportation.
2. An ICF/DD shall also enter or update the
facilitys information upon request, or as described per notification of an
emergency declared by the secretary. Emergency events may include, but are not
limited to:
a. hurricanes;
b. floods;
c. fires;
d. chemical or biological hazards;
e. power outages;
f. tornados;
g. tropical storms; and
h. severe weather.
3. Effective immediately, upon notification
of an emergency declared by the secretary, all ICFs/DD shall file an electronic
report with the ESF-8 portal or into the current LDH emergency preparedness
webpage or electronic database for reporting.
a. The electronic report shall be filed, as
prescribed by department, throughout the duration of the emergency
declaration.
b. The electronic
report shall include, but is not limited to, the following:
i. status of operation;
ii. availability of beds;
iii. generator status;
iv. evacuation status;
v. shelter in place status;
vi. mobility status of clients;
vii. range of ages of clients;
viii. intellectual levels/needs of clients;
and
ix. any other client or facility
related information that is requested by the department.
NOTE: The electronic report shall not be used to request resources or to report emergency events.
D. The facilitys plan shall include a process for tracking during and after the emergency/disaster for on-duty staff and sheltered clients.
E. The facilitys plan shall also include a process to share with the client, family, and representative appropriate information from the facilitys emergency plan.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2180-2180.5.
Disclaimer: These regulations may not be the most recent version. Louisiana 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
