January 5, 2010 1 Review of Emergency Operations Plan Tasks and Citations Tips & tools for creating your plan and avoiding deficiencies
Dec 24, 2015
January 5, 2010
1
Review of Emergency Operations Plan Tasks and Citations
Tips & tools for creating your plan and avoiding deficiencies
January 5, 2010
2Review
Federal Requirements (4 tags) Expectations Citations for 2009 (6/15/09-12/15/09)
Resources
Federal Requirements
January 5, 2010
41 Emergency Plans
F517 §483.75(m)(1) The facility must have
detailed written plans and procedures to meet all potential emergencies and disasters, such as fire, severe weather, and missing residents.
January 5, 2010
52 Emergency Training
F518 §483.75(m)(2) The facilities must train all employees in emergency procedures when they begin to work in the facility, periodically review the procedures with existing staff, and carry out unannounced staff drills using those procedures.
January 5, 2010
63 Emergency Water
F466 The facility must §483.70(h)(1) Establish procedures to
ensure that water is available to essential areas when there is a loss of normal water supply.
January 5, 2010
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4 Emergency Power
F455 §483.70(b) Emergency Power (1) An emergency electrical power system
must supply power adequate at least for lighting all entrances and exits; equipment to maintain the fire detection, alarm, and extinguishing systems; and life support systems in the event the normal electrical supply is interrupted.
Pictures can also be presented more dramatically in widescreen.
Surveyor Expectations
January 5, 2010
91 Emergency Plans F517
Surveyor Expectations:(1) Plans are easy to find; located multiple places(2) All contact lists are complete and current(3) Facility has identified all potential emergencies and
disasters, based on geographic area and residents(4) Facility has specific procedures for missing
residents, fire, severe weather, and mass casualty/mass care
(5) Have disaster agreements with other facilities that are specific in nature (1)
January 5, 2010
102 Emergency Training F518
Surveyor Expectations:(1) Records review shows staff at all levels are
being trained on an ongoing basis(2) Records review shows plan is being
exercised and evaluated(3) Minimum one drill a year that is a non-fire
drill(4) Staff can answer basic questions related to
training
January 5, 2010
113 Emergency Water F466
Surveyor Expectations (for potable and non-potable):
(1) Plan review includes the sources of your water supply
(2) There is adequate storage for water(3) Plan review includes method for determining
how much water is needed for an emergency (4) Plan includes how water will be distributed
January 5, 2010
124 Emergency Power F455
Surveyor Expectations:(1) Emergency lighting is on hand and provides
sufficient light(2) Staff know how to locate flashlights(3) Staff know how to locate batteries(4) Flashlight is operable
Citations
January 5, 2010
14
F517, Emergency Plans: 10 citations, S/S all level F
F518, Emergency Training: 16 citations, S/S all level F
F 466, Emergency Water: 7 citations, S/S all level F
F 455, Emergency Power: 0 citations for health surveys; 30 citations for Life Safety Code Tag K-144
Citations Issued Between 6/15/09 – 12/15/09
January 5, 2010
151 Emergency Plans F517
(1) Failed to include current emergency telephone lists in emergency plan (manuals out-of-date, missing contact info for key staff (2)
(2) Failed to tailor their emergency plan to its geographic location (7)
(3) Failed to have emergency plans for a mass casualty/mass care situation (1)
(4) Failed to have emergency plans for missing residents (2)(5) Failed to have disaster agreements with other facilities
that are specific in nature (1)
January 5, 2010
162 Emergency Training F518
(1) Failed to provide training for staff on emergencies identified in the facility’s hazard analysis (11)
(2) Failed to conduct emergency training drills for other than fire emergencies (4)
(3) Failed to carry out unannounced drills for facility staff (2)(4) Failed to provide training on the location of the
emergency electrical outlets (1)
January 5, 2010
173 Emergency Water F466
(1) Failed to provide written policy for distributing water (7)(2) Failed to provide written policy defining method of
estimating the amount of water (6) (3) Failed to establish provisions for storing water (5)(4) Failed to establish location/source of water supply (3)(5) Failed to establish method of acquiring non-potable water
(2)
(6) Failed to establish method of water delivery to facility (2)
January 5, 2010
184 Emergency Power 455
(1) Zero cites under F455, under “health surveys (2) Most frequently cited under LSC survey Tag
K-144, for not maintaining generator Facility failed to properly maintain and test
the emergency power source
Resources
January 5, 2010
20
Resources
List From Web Site: www.healthfacilities.info ; on homepage under Emergency Preparedness Planning
Hazard Analysis Toolkit http://www.cdphe.state.co.us/hf/emergencyplanning/hazardanalysis/HazardAnalysisToolkit.doc
Basic Plan Toolkithttp://www.cdphe.state.co.us/hf/emergencyplanning/basicplan/BasicPlanToolkit.doc
Annexes Toolkit –How to Evacuatehttp://www.cdphe.state.co.us/hf/emergencyplanning/evacuation/EvacuationFunctionalAnnexDevelopmentToolkit.doc
January 5, 2010
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Resources (continued)
Shelter-in-Place Toolkithttp://www.cdphe.state.co.us/hf/emergencyplanning/shelterinplace.html
Mass Care Toolkithttp://www.cdphe.state.co.us/hf/emergencyplanning/masscare.html
Hazard-Specific Toolkithttp://www.cdphe.state.co.us/hf/emergencyplanning/hazardspecific.html
January 5, 2010
22
Resources For YouWe have posted lots of resources to help you.
January 5, 2010
23Contact Information
Melanie Roth, [email protected] or 303-692-2819Your local emergency manager