6 Colo. Code Regs. § 1011-1 Chapter 08 Part 19

Current through Register Vol. 47, No. 11, June 10, 2024

Part 19 - Emergency Management Plan and Procedures

19.1 The governing body shall ensure that an evaluation of risks to the facility is completed using an all hazards approach. This evaluation must address natural and human-caused crises. Such an evaluation of risks shall be reviewed at least annually and updated as necessary, and shall include, but not be limited to:

(A) Fire;

(B) Severe weather, including but not limited to tornados, blizzards, and flooding;

(C) Security threats, including threatened or actual acts of violence;

(D) Gas leaks/explosions;

(E) Internal system failures, such as: electrical outages, internal structural collapse, or flooding; and

(F) Bioterror, pandemic, or disease outbreak events.

19.2 The administrator shall develop and implement a written emergency management plan addressing the hazards identified in Part 19.1, above, and including, at a minimum:

(A) Arrangements for alternative housing, transportation, and the provision of necessary medical care if a resident's primary care practitioner is not immediately available;

(B) Procedures that ensure notification of families or guardians in an emergency;

(C) Procedures for addressing interruptions in the normal supply of essentials, including, but not limited to: water, food, heat/air conditioning and ventilation, medications, and personal protective equipment (PPE). The plan shall ensure continuation of operations for at least 72 hours;

(D) Processes ensuring the protection and transfer of resident information, as needed; and

(E) Routine drills to ensure staff and resident familiarity with emergency procedures, as appropriate, including:

(1) Fire drills in accordance with state and local laws and regulations, but no less than quarterly; and

(2) An annual mock exercise that addresses all the items listed in Part 19.1.

19.3 The administrator shall ensure training in emergency procedures as follows:

(A) Each new staff member or volunteer shall be trained in emergency procedures prior to providing unsupervised resident care.

(B) Each resident capable of self-evacuation shall be trained in emergency procedures within seven (7) days of moving into the facility.

(C) Such training shall be documented in either the personnel file or resident record, as applicable.

19.4 The facility shall conduct and document a monthly review of its response to the items listed in

Part 19.1 of this chapter including its policies and procedures and training of staff and residents.

6 CCR 1011-1 Chapter 08 Part 19