411-050-0725 Emergency Preparedness (1) ORIENTATION TO EMERGENCY PROCEDURES. Within 24 hours of arrival, any new resident or caregiver must be shown how to respond to a smoke and carbon monoxide alarm, shown how to participate in an emergency evacuation drill, and receive an orientation to basic fire safety, including the location of designated smoking areas, if applicable. New caregivers must also be oriented in how to conduct an evacuation. (2) EVACUATION PLAN. An emergency evacuation plan must be developed and revised as necessary to reflect the current condition of the residents in the home. The evacuation plan must be rehearsed with all occupants. (3) EVACUATION DRILL. An evacuation drill must be held at least once every 90 calendar days, with at least one evacuation drill per year conducted during sleeping hours. (a) The evacuation drill must be clearly documented, signed by the caregiver conducting the drill, and maintained according to OAR 411-050-0745(1)(h). (b) The licensee and all other caregivers must be able to demonstrate the ability to evacuate all occupants from the facility to the initial point of safety within three minutes or less, and to the final point of safety within an additional two minutes or less. The initial and the final points of safety must both have direct access to a public sidewalk or street and may not be in the backyard of a home unless the backyard has direct access to a public street or sidewalk. (A) The initial point of safety must be exterior to and a minimum of 25 feet away from the structure. (B) The final point of safety must be a minimum of 50 feet away from the structure. (c) SPRINKLERS. When an AFH has a sprinkler system throughout the home that is maintained according to the adopted codes and standards, all occupants may have up to five minutes to evacuate to the initial point of safety, and two minutes to further evacuate occupants to the final point of safety as indicated in (b)(A) of this section. (4) RESIDENT PLACEMENT. (a) A resident, who is non-ambulatory, has impaired mobility, is cognitively impaired, or is not capable of self-preservation, may not be placed in a bedroom on a floor without a second ground level exit. (b) A resident with a bedroom above or below the ground floor must be able to demonstrate their capability for self-preservation. (c) STAIRS. Stairs must have a riser height of between 6 to 8 inches and tread width of between 8 to 10.5 inches. Lifts or elevators are not an acceptable substitute for a resident's capability to ambulate stairs. (See also section 411-050-0720(6)). (5) EXIT WAYS. All exit ways must be barrier free and the corridors and hallways must be a minimum of 36 inches wide or as approved by the State Fire Marshal or the State Fire Marshal's designee. (a) Interior doorways used by the residents must be wide enough to accommodate residents' wheelchairs and walkers, and beds that are used by residents for evacuation purposes. (b) Any bedroom window or door identified as an exit must remain free of obstacles that would interfere with evacuation or rescue. (c) There must be a second safe means of exit from all sleeping rooms. A caregiver whose sleeping room is above the first floor may be required to demonstrate at the time of licensure, renewal, or inspection, how the premises will be evacuated from the caregiver's sleeping room using the secondary exit. (d) There must be at least one wheelchair ramp from a minimum of one exterior door if an occupant of the home is non-ambulatory. Wheelchair ramps must comply with the U.S. Department of Justice's 2010 Americans with Disabilities Act (ADA) Standards for Accessible Design (https://www.ada.gov/regs2010/2010ADAStandards/2010ADAstandards.htm#c4, Chapter 4, Accessible Routes, Section 405, Ramps). (6) FLASHLIGHT. There must be at least one plug-in, rechargeable flashlight in good functional condition available on each floor of the home for emergency lighting. (7) EMERGENCY PREPAREDNESS PLAN. A licensee or administrator must develop and maintain a written emergency preparedness plan for the protection of all occupants in the home in the event of an emergency or disaster. (a) The written emergency plan must: (A) Include an evaluation of potential emergency hazards including, but not limited to: (i) Prolonged power failure or water or sewer loss. (ii) Fire, smoke, or explosion. (iii) Structural damage. (iv) Hurricane, tornado, tsunami, volcanic eruption, flood, or earthquake. (v) Chemical spill or leak. (vi) Pandemic. (B) Include an outline of the caregiver's duties during an evacuation. (C) Consider the needs of all occupants of the home including, but not limited to: (i) Access to medical records necessary to provide services and treatment. (ii) Access to pharmaceuticals, medical supplies, and equipment during and after an evacuation. (iii) Behavioral support needs. (D) Include provisions and supplies sufficient to shelter in place for a minimum of three days without electricity, running water, or replacement staff. (E) Planned relocation sites. (b) The licensee or administrator must notify the Department or the LLA of the home's status in the event of an emergency that requires evacuation and during any emergent situation when requested. (c) The licensee or administrator must re-evaluate the emergency preparedness plan at least annually and whenever there is a significant change in the home. Statutory/Other Authority: ORS 409.050, 410.070, 413.085, 443.001, 443.004, 443.725, 443.730, 443.735, 443.738, 443.742, 443.760, 443.767, 443.775 & 443.790 Statutes/Other Implemented: ORS 409.050, 410.070, 413.085, 443.001 - 443.004, 443.705 - 443.825, 443.875 & 443.991 History: APD 57-2024, amend filed 09/23/2024, effective 09/25/2024 APD 14-2024, temporary amend filed 03/28/2024, effective 04/01/2024 through 09/27/2024 APD 19-2019, adopt filed 06/20/2019, effective 07/01/2019