1. A. An administrator of a hospice inpatient facility shall ensure that:

   1. 1. A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes:

      1. a. When, how, and where patients will be relocated, including:

         1. i. Instructions for the evacuation or transfer of patients,
         2. ii. Assigned responsibilities for each employee and personnel member, and
         3. iii. A plan for providing continuing services to meet patient’s needs;
      2. b. How each patient’s medical record will be available to individuals providing services to the patient during a disaster;
      3. c. A plan to ensure each patient’s medication will be available to administer to the patient during a disaster; and
      4. d. A plan for obtaining food and water for individuals present in the hospice inpatient facility or the hospice inpatient facility’s relocation site during a disaster;
   2. 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months;

   3. 3. Documentation of a disaster plan review required in subsection (A)(2) is created, is maintained for at least 12 months after the date of the disaster plan review, and includes:

      1. a. The date and time of the disaster plan review;
      2. b. The name of each personnel member, employee, or volunteer participating in the disaster plan review;
      3. c. A critique of the disaster plan review; and
      4. d. If applicable, recommendations for improvement;
   4. 4. A disaster drill for employees is conducted on each shift at least once every three months and documented; and
   5. 5. An evacuation path is conspicuously posted on each hallway of each floor of the hospice inpatient facility.

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 November 6, 1978 (Supp. 78-6). Section R9-10-616 repealed effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). 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).