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

Current through Register Vol. 50, No. 6, June 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.