Kan. Admin. Regs. § 28-4-1264

Current through Register Vol. 43, No. 24, June 13, 2024
Section 28-4-1264 - Emergency plan; safety, security, and control
(a) Emergency plan. Each permittee and each licensee shall implement an emergency plan to provide for the safety of residents, staff members, volunteers, and visitors in emergencies.
(1) The emergency plan shall include the following information:
(A) Input from local emergency response entities, including the fire departments and law enforcement;
(B) the types of emergencies likely to occur in the facility or near the facility, including fire, weather-related events, missing or runaway residents, chemical releases, utility failure, intruders, and an unscheduled closing;
(C) the types of emergencies that could require evacuating the facility and the types that could require the residents, staff members, volunteers, and visitors to shelter in place;
(D) participation in community practice drills for emergencies;
(E) procedures to be followed by staff members in each type of emergency;
(F) designation of a staff member to be responsible for each of the following:
(i) Communicating with emergency response resources, including the fire department and law enforcement;
(ii) ensuring that all residents, staff members, volunteers, and visitors are accounted for;
(iii) taking the emergency contact numbers and a cell phone; and
(iv) contacting the parent, legal guardian, or placing agent of each resident;
(G) the location and means of reaching a shelter-in-place area in the facility, including safe movement of any resident, staff member, volunteer, or visitor with special health care or mobility needs; and
(H) the location and means of reaching an emergency site if evacuating the facility, including the following:
(i) Safely transporting the residents, including residents with special health care or mobility needs;
(ii) transporting emergency supplies, including water, food, clothing, blankets, and health care supplies; and
(iii) obtaining emergency medical care.
(2) The emergency plan shall be kept on file in the facility.
(3) Each staff member shall be informed of and shall follow the emergency plan.
(4) The emergency plan shall be reviewed annually and updated as needed.
(5) The location and means of reaching the shelter-in-place area or an emergency site if evacuating the facility shall be posted in a conspicuous place in the facility.
(b) Fire drills. Each permittee and each licensee shall ensure that a fire drill is conducted at least quarterly and is scheduled to allow participation by each resident. The date and time of each drill shall be recorded and kept on file at the facility for one calendar year.
(c) Tornado drills. Each permittee and each licensee shall ensure that a tornado drill is conducted at least quarterly and is scheduled to allow participation by each resident. The date and time of each drill shall be recorded and kept on file at the facility for one calendar year.
(d) Facility security and control of residents. Each permittee and each licensee shall implement policies and procedures that include the use of a combination of direct supervision, inspection, and accountability to promote safe and orderly operations. The policies and procedures shall be developed with input from local law enforcement and shall include all of the following requirements:
(1) Written operational shift assignments shall state the duties and responsibilities for each assigned staff member.
(2) Supervisory staff shall maintain a permanent log and prepare shift reports that record routine and emergency situations.
(3) All security devices, including locking mechanisms on doors and any delayed-exit mechanisms on doors, shall have current written approval from the state fire marshal and shall be regularly inspected and maintained, with any corrective action completed as necessary and recorded.
(4) The use of mace, pepper spray, and other chemical agents shall be prohibited.
(5) No resident shall have access to any weapons.
(6) Provisions shall be made for the control and use of keys, tools, medical supplies, and culinary equipment.
(7) No resident or group of residents shall exercise control or authority over another resident, have access to the records of another resident, or have access to or the use of keys that control security.
(8) Provisions shall be made for handling runaways and unauthorized absences of residents.
(9) Provisions shall be made for safety and security precautions pertaining to any vehicles used to transport residents.
(10) Provisions shall be made for the prosecution of any illegal act committed while the resident is in care.
(11) Provisions shall be made for documentation of all incidents, including riots and the taking of hostages.
(A) A written report of each incident shall be submitted to the administrator no later than the end of the shift during which the incident occurred. A copy of each report shall be kept in the record of each resident involved in the incident.
(B) A report of each incident shall be made as required in K.A.R. 28-4-1257.
(12) Provisions shall be made for the control of prohibited items and goods, including the screening and searches of residents and visitors and searches of rooms, spaces, and belongings.
(13) Requirements shall be included for 24-hour-a-day observation of all facility entrances and exits by an auxiliary staff member.
(e) Storage and use of hazardous substances and unsafe items. Each permittee and each licensee shall ensure that the following requirements are met for storage and use of hazardous substances and unsafe items:
(1) No resident shall have unsupervised access to poisons, hazardous substances, or flammable materials. These items shall be kept in locked storage when not in use.
(2) Provisions shall be made for the safe and sanitary storage and distribution of personal care and hygiene items. The following items shall be stored in an area that is either locked or under the control of staff members:
(A) Aerosols;
(B) alcohol-based products;
(C) any products in glass containers; and
(D) razors, blades, and any other sharp items.
(3) Policies and procedures shall be developed and implemented for the safe storage and disposal of prescription and nonprescription medications.
(A) All prescription and nonprescription medications shall be stored in a locked cabinet located in a designated area accessible to and supervised by only staff members.
(B) All refrigerated medications shall be stored under all food items in a locked refrigerator, in a refrigerator in a locked room, or in a locked medicine box in a refrigerator.
(C) Medications taken internally shall be kept separate from other medications.
(D) All unused medications shall be accounted for and disposed of in a safe manner, including being returned to the pharmacy, transferred with the resident, or safely discarded.
(4) Each facility shall have first-aid supplies, which shall be stored in a locked cabinet located in a designated area accessible to and supervised by only staff members. First-aid supplies shall include the following supplies:
(A) Assorted adhesive strip bandages;
(B) adhesive tape;
(C) a roll of gauze;
(D) scissors;
(E) a package of gauze squares;
(F) liquid soap;
(G) an elastic bandage;
(H) tweezers;
(I) rubbing alcohol; and
(J) disposable nonporous gloves in assorted sizes.

Kan. Admin. Regs. § 28-4-1264

Authorized by and implementing K.S.A. 2013 Supp. 65-508 and 65-535; effective, T-28-12-17-13, Dec. 17, 2013; effective March 28, 2014.