1. A. An administrator shall ensure that:

   1. 1. A first aid kit is available at a health care institution;

   2. 2. If a firearm or ammunition for a firearm are stored at a health care institution:

      1. a. The firearm is stored separate from the ammunition for the firearm; and

      2. b. The firearm and the ammunition for the firearm are:

         1. i. Stored in a locked closet, cabinet, or container; and
         2. ii. Inaccessible to a patient;

   3. 3. If applicable, there is a smoke detector installed in:

      1. a. A bedroom used by a patient,
      2. b. A hallway in a health care institution, and
      3. c. A health care institution’s kitchen;

   4. 4. A smoke detector required in subsection (A)(3):

      1. a. Is maintained in operable condition; and
      2. b. Is battery operated or, if hard-wired into the electrical system of a health care institution, has a back-up battery;
   5. 5. A health care institution has a portable fire extinguisher that is labeled 1A-10-BC by the Underwriters Laboratory and is available to a personnel member;

   6. 6. A portable fire extinguisher required in subsection (A)(5) is:

      1. a. If a disposable fire extinguisher, replaced when the fire extinguisher’s indicator reaches the red zone; or
      2. b. Serviced at least once every 12 months and has a tag attached to the fire extinguisher that includes the date of service;
   7. 7. A written evacuation plan is maintained and available for use by personnel members and any patient in a health care institution;
   8. 8. An evacuation drill is conducted at least once every six months; and
   9. 9. A record of an evacuation drill required in subsection (A)(8) is maintained for at least 12 months after the date of the evacuation drill.

2. B. An administrator shall:

   1. 1. Obtain a fire inspection conducted according to the time-frame established by the local fire department or the State Fire Marshal,
   2. 2. Make any repairs or corrections stated on the fire inspection report, and
   3. 3. Maintain documentation of a current fire inspection.

Historical Note

Adopted effective July 24, 1978 (Supp. 78-4). Section repealed; new Section adopted effective July 6, 1994 (Supp. 94-3). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2).