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PREPARE Disaster Plan Template and Guidelines

PREPARE Disaster Plan Template and Guidelines August 2008 Developed by Mather LifeWays with funding from the Assistant Secretary for Preparedness and Response. To learn more about Mather LifeWays Disaster preparedness programs, go to TABLE OF CONTENTS PREPARE Disaster Plan Template and Guidelines Page 2 PAGE Organization Information .. 3 Introduction to the Plan .. 4 Facility Preparation .. 4 Authorities and References .. 5 Emergency Response Roles .. 5 Job Action Sheet .. 7 Communication Plan and Resources .. 8 Emergency Resource Call 9 Staff Call Protocol .. 10 Response .. 11 Resident Emergency Profile .. 14 Resident Tracking System .. 15 Sample Mutual Aid and Transfer Agreement .. 17 Surge Capacity Plan .. 18 Security/Safety 22 Evacuation .. 23 Re-Entry .. 26 Post- Disaster Recovery .. 26 Information , Training and Exercise.

I. INTRODUCTION TO THE PLAN PURPOSE: To continue providing quality care to residents of (name of your community) during times of major emergencies and/or disasters or when such events are reasonably believed to be pending by maintaining close coordination and planning links with local emergency response organizations on an ongoing basis.

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