Virginia Regulatory Town Hall

Proposed Text


Change generator requirements
Stage: Fast-Track

22VAC40-72-930. Emergency preparedness and response plan.

A. The facility shall develop a written emergency preparedness and response plan that shall address:

1. Documentation of contact with the local emergency coordinator to determine (i) local disaster risks and , (ii) communitywide plans to address different disasters and emergency situations, and (iii) assistance, if any, that the local emergency management office will provide to the facility in an emergency.

2. Analysis of the facility''s potential hazards, including severe weather, fire, loss of utilities, flooding, work place violence or terrorism, severe injuries, or other emergencies that would disrupt the normal course of service delivery operation of the facility.

3. Written emergency management policies outlining specific responsibilities for provision of:

a. Administrative direction and management of response activities;

b. Coordination of logistics during the emergency;

c. Communications;

d. Life safety of residents, staff, volunteers, and visitors;

e. Property protection;

f. Continued provision of services to residents;

g. Community resource accessibility; and

h. Recovery and restoration.

4. Written emergency response procedures for assessing the situation; protecting residents, staff, volunteers, visitors, equipment, medications, and vital records; and restoring services. Emergency procedures shall address:

a. Alerting emergency personnel and facility staff;

b. Warning and notification of residents, including sounding of alarms when appropriate;

c. Providing emergency access to secure areas and opening locked doors;

d. Conducting evacuations or and sheltering in place, as appropriate, and accounting for all residents;

e. Locating and shutting off utilities when necessary;

f. Operating the emergency generator, and if available on-site, testing it periodically Maintaining and operating emergency equipment effectively and safely;

g. Communicating with staff and community emergency responders during the emergency; and

h. Conducting relocations to emergency shelters or alternative sites when necessary and accounting for all residents.

5. Supporting documents that would be needed in an emergency, including emergency call lists, building and site maps necessary to shut off utilities, memoranda of understanding with relocation sites, and list of major resources such as suppliers of emergency equipment.

B. Staff and volunteers shall be knowledgeable in and prepared to implement the emergency preparedness plan in the event of an emergency.

C. The facility shall develop and implement an orientation and quarterly review on the emergency preparedness and response plan for all staff, residents, and volunteers. The orientation and review shall cover responsibilities for:

1. Alerting emergency personnel and sounding alarms;

2. Implementing evacuation, shelter in place, and relocation procedures;

3. Using, maintaining, and operating emergency equipment;

4. Accessing emergency medical information, equipment, and medications for residents;

5. Locating and shutting off utilities; and

6. Utilizing community support services.

D. The facility shall review the emergency preparedness plan annually or more often as needed and make necessary revisions. Such revisions shall be communicated to staff, residents, and volunteers and incorporated into the orientation and quarterly review for staff, residents, and volunteers.

E. In the event of a disaster, fire, emergency or any other condition that may jeopardize the health, safety and welfare of residents, the facility shall take appropriate action to protect the health, safety and welfare of the residents and take appropriate actions to remedy the conditions as soon as possible.

F. After the disaster/emergency is stabilized, the facility shall:

1. Notify family members and legal representatives; and

2. Report the disaster/emergency to the licensing office by the next working day as specified in 22VAC40-72-100.

Statutory Authority

§§63.2-217 and 63.2-1732 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 23, Issue 6, eff. December 28, 2006.

22VAC40-72-960. Emergency equipment and supplies.

A. A complete first aid kit shall be on hand at the facility, located in a designated place that is easily accessible to staff but not to residents. The kit shall include, but not be limited to, the following items:

1. Activated charcoal (use only if instructed by physician or Poison Control Center);

2. Adhesive tape;

3. Antiseptic ointment;

4. Band-aids (assorted sizes);

5. Blankets (disposable or other);

6. Disposable single use breathing barriers/shields for use with rescue breathing or CPR (CPR mask or other type);

7. Cold pack;

8. Disposable single use waterproof gloves;

9. Gauze pads and roller gauze (assorted sizes);

10. Hand cleaner (e.g., waterless hand sanitizer or antiseptic towelettes);

11. Plastic bags;

12. Scissors;

13. Small flashlight and extra batteries;

14. Syrup of ipecac (use only if instructed by physician or Poison Control Center);

15. Thermometer;

16. Triangular bandages;

17. Tweezers; and

18. The first aid instructional manual.

Items with expiration dates must not have dates that have already passed.

B. In facilities that have a motor vehicle that is used to transport residents and in a motor vehicle used for a field trip, there shall be a first aid kit on the vehicle, located in a designated place that is accessible to staff but not residents, that includes items as specified in subsection A of this section.

C. First aid kits shall be checked at least monthly to assure that all items are present and items with expiration dates are not past their expiration date.

D. Each facility with six or more residents shall be able to connect by July 1, 2007, to a temporary emergency electrical power source for the provision of electricity to provide the services listed below in the event of an emergency that disrupts electrical power to the facility during an interruption of the normal electric power supply. The installation of the emergency power source a connection for temporary electric power shall be in compliance with the Virginia Uniform Statewide Building Code, 13VAC5-63.

1. The emergency electrical power shall be sufficient to provide the following services:

a. Heating and cooling as required by 22VAC40-72-860 in an area that provides no less than 40 square feet of floor area per resident;

b. Lighting as required by 22VAC40-72-870 in an area that provides no less than 40 square feet of floor area per resident;

c. Refrigeration adequate to preserve food and medications that require refrigeration; and

d. Operation of any necessary medical equipment.

2. The provision of emergency electrical power may be supplied by:

a. An emergency generator available on-site; or

b. A written agreement with a company or other entity that will provide an emergency generator within four hours of notification.

E. The following emergency lighting shall also be available at all times:

1. Flashlights or battery lanterns with one light for each employee directly responsible for resident care who is on duty between 5 p.m. and 7 a.m for general use.

2. One flashlight or battery lantern for each employee directly responsible for resident care who is on duty between 5 p.m. and 7 a.m.

3. One operable flashlight or battery lantern for each bedroom used by residents and for the living and dining area unless there is a provision for emergency lighting in the adjoining hallways.

3. 4. The use of open flame lighting is prohibited.

F. There shall be an alternative form of communication in addition to the telephone such as a cell phone, two-way radio, or ham radio.

G. The facility shall ensure the availability of a 96-hour supply of emergency food and drinking water, emergency generator fuel, and oxygen for residents using oxygen.

Statutory Authority

§§63.2-217 and 63.2-1732 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 23, Issue 6, eff. December 28, 2006.