Sample Approved Emergency Plan for Assisted Living …

1 Sample of anOrangeCounty ApprovedEmergency plan forAssisted Living FacilitiesALF NAMEADDRESSADDRESSPHONE:FAX:ALF Emergency MANAGEMENT PLANALF IS AN Assisted Living FACILITYO wned and Operated By:I. NameADDRESSADDRESSPHONE:FAX: Assisted Living FACILITYLICENSE NUMBER2. OWNERADDRESSADDRESS3. BUILDING IS 26 YEARS OLD PURCHASED BUILDING IN 1998 CONSTRUCTION TYPE: 1 STORY BUILDING FOUNDATION INCONCRETE SLAB AND CONCRETE AND BLOCK PRIMARY CONTACTPHONE:PAGER:ALTERNATE:NAMEADDRESS ADDRESSPHONE:5. plan IMPLEMENTED BY ADMINISTRATOR6. NAMESTREETORLANDO, FLORIDA 32825 PHONE:7. ORGANIZATION CHART OF MANAGEMENT POSITION1ST IN CHARGE:NAMEPHONE2ND IN CHARGE:NAMEPHONEII. AUTHORITIES AND REFERENCESA. THIS COMPREHENSIVE Emergency MANAGEMENT plan WASDEVELOPED IN ACCORDANCEWITH THE REQUIREMENTS FOR Assisted Living FACILITIES AS SETFORTH IN RULE 58A-5, 024(I) (J) OF THE FLORIDA ADMINISTRATIVECODE FOR Assisted Living FACILITIES AND IN CHAPTER 252 (1), FLORIDA REFERENCE MATERIALS USED IN DEVELOPING THIS plan INCLUDES:1.

2 Emergency MANAGEMENT PLANNING CRITERIA FOR DISASTER PLANNING FOR Assisted Living OF COMMAND: SAME AS IN CHARGE: NAME: PHONE 2ND IN CHARGE: NAME: PHONEIII. HAZARD ANALYSISA. THIS IS VULNERABLE TO HURRICANES, TORNADOES AND FIREBECAUSE THESE ARE UNPREDICTABLE. WE ARE NOT NEAR TO ANYFIXED HAZARDOUS MATERIAL FACILITIES OR NUCLEAR , THESE DO NOT POSE ANY IMMEDIATE THREATS. WEHAVE EXPERIENCED POWER OUTAGES IN THE PAST BUT HAVEALWAYS HAD Emergency SUPPLIES SUCH As: BATTERY POWERED LIGHTS AND FLASHLIGHT (1) ALF IS LICENSED FOR SIX CLIENTS. WE CAN ACCOMODATE SIX ,AT THE TIME OF DEVELOPING THIS plan , WE HAVE NO CLIENTS,(2)ALF IS LOCATED IN SOUTHEAST ORANGE COUNTY.(3)ALF ACCEPTS ELDERLY RESIDENTS.(A)WE WILL HAVE SIX SELF SUFFICIENT RESIDENTS. NoALZEIMER 'S PATIENTS WILL BE LOCATED IN FLOOD ZONE "C".(5)ALF IS LOCATED BETWEEN HIGHWAY 1436 (SEMORAN BLVD.)

3 ANDDEAN ROAD. MORE THAN 7 MILES FROM AN ACTIVERAILROAD.(6)ALF IS APPROXIMATELY 67 MILES WEST OF A NUCLEAR CONCEPTS OF AND CONTROL 1. ADMINISTRATOR, IS FIRST IN CHARGE DURING AN Emergency . ALF IS THE ALF IS FIRSTALF IS SECONDTHIS IS THE CHAIN OF COMMAND TO ENSURE CONTINUOUS LEADERSHIPANDAUTHORITY FOR IMPLEMENTING IN AN Emergency , ALF WILL INITIATE CHAIN OF COMMAND. STAFF ON DUTY WILL START Emergency PROCEDURES. ALL WILL BE ALERTED TO GO INTO ALF WILL COLLECT ALL MEDICATIONS AND RECORDS ANDSECURE FOR TRANSPORTATION TO HOST FACILITY. WHEN ALLCLIENTS AND STAFF ARE OUT OF THE FACILITY AND IS SECUREDIN TRANSPORTATION, WHICH INCLUDES 5 PASSENGER , 4 DOORSEDANS ON PREMISES, OWNED AND OPERATED BY ALF AND ALF,STAFF PERSONNEL WILL COUNT RESIDENTS. A MASTER LIST WITHADMINISTRATOR OR DESIGNEE, WHO WILL CONDUCT ANADDITIONAL COUNT AFTER CONVOY WILL PROCEED TO STAFF MEMBERS WILL ASSIST RESIDENTS OUT OF THEFACILITY AND INTO WILL GET ALL MEDICATION AND resident RECORDS ANDSECURE THEM IN VEHICLE IN WHICH HE WILL BE WILL THEN DO A HEAD COUNT AFTER ALL RESIDENTS ANDSTAFF ARE PLACE IN VEHICLES BEFORE LEAVING ALF.

4 ALLPRESENT STAFF MEMBERS, WHICH WILL INCLUDE ALF, WILLASSIST CLIENTS OUT OF BUILDING AND INTO VEHICLES, SECURINGTHEM WITH SEAT WILL GATHER ALL THE Emergency SUPPLIES ON THEEMERGENCY WILL HAVE ALL MEDICATIONS, resident RECORDS ANDSUPPLIES IN WHICH HE IS WILL TAKE A THREE-DAY SUPPLY OF FOOD AND WATER FORRESIDENTS AND STAFF DURING THEIR STAY IN HOST HAS CAMP STOVES AND GAS POWERED LAMPS, WHICHCOULD ONLY BE USED HAS ACCESS TO TWO CARS: BOTH 5 SEATERS OWNED ANDOPERATED BY THE OWNERS. THESE VEHICLES ARE READILY AVAILABLE. THERE WILL BE ADEQUATE ROOM FOR RESIDENTS, STAFF AND SUPPLIES. D. ALF HAS A TWO WEEK SUPPLY OF ALL ESSENTIALS ON HAND AT ALL STAFF HAS BEEN INSTRUCTED AND THEY HAVE AGREED TO BEINGON DUTY UNTIL Emergency IS OVER. STAFF MEMBERS HAVEBEEN GIVEN OPTION OF HAVING THEIR FAMILY WITH THEM; AND,IN THAT CASE, ADDITIONAL SUPPLIES WILL BE TAKEN TOHOST FACILITY.

5 HOST FACILITIES HAVE BEEN CONSULTED ABOUT POSSIBLE ADDED PERSONS AND HAVE NOTIFICATIONALF HAS IN PLACE PROCEDURES FOR THE FACILITY TO RECEIVETIMELY INFORMATION ON IMPENDING THREATS AS WELL ASALERTING DECISION MAKERS, STAFF AND RESIDENTS OF ANYPOTENTIAL Emergency WE WILL RECEIVE WARNING DURING A CRISIS VIA RADIO, TELEVISION AND TELEPHONE. 2. ALF 24 HOUR CONTACT NUMBER IS (407) OR (407)IF BOTH NUMBERS ARE DISFUNTIONAL, THEN, THEALTERNATIVE NUMBERS (407) OR (800) WILL BE KEY STAFF WILL BE NOTIFIED BY TELEPHONE OR BY EMPLOYEES WILL USE THEIR OWN/PUBLIC TRANSPORTATION TO REPORT TO WORK. 5. RESIDENTS WILL BE INFORMED IN A CALM AND REASSURING MANNER, KEEPING IN MIND THAT THEIR SAFETY IS OUR FIRST IF THE PRIMARY TELEPHONE SYSTEM FAILS, THEN MESSENGERWILL BE HOST FACILITIES WILL BE NOTIFIED BY TELEPHONE WHENPOSSIBLE OR NY FAMILIES OF ALF RESIDENTS WILL BE NOTIFIED BY TELEPHONEAFTER ARRIVAL AT MUTUAL AID FACILITY OR BY PUBLICANNOUNCEMENTS AS TO WHERE THEIR LOVED ONES AREHOUSED.

6 IT WILL BE POLICY TO PROVIDE IN ADVANCEFAMILIES WITH THE NAMES AND PLACES WHERE RELATIVESWILL BE ACCOMMODATED DURING PERSON IN CHARGE WILL BE RESPONSIBLE FOR IMPLEMENTINGTHE EVACUATION WILL BE SUPPLIED BY THE TRANSPORTATION ARRANGEMENTS ARE AS RESIDENTS WILL TRAVEL IN 2 VEHICLES OWNED ANDOPERATED BY THE OWNERS OF RECORDS, MEDICATION, FOOD, WATER AND OTHERNECESSITIES WILL BE BOXED AND LABELED, THEN PUT INTO THECARS OWNED BY THE EVACUATE ALL CLIENTS FROM ALF TO THE ALF FACILITYCENTRE (SEMINOLE COUNTY) WILL TAKE APPROXIMATELY 35 MINUTES, A DISTANCE OF ABOUT 16 STAFF FROM ALF WILL BE ASSIGNED BY THE PERSON INCHARGE TO EACH VEHICLE TO ACCOMPANY CLIENTS AND REMAINWITH THEM TO HOST ONE IN CHARGE WILL TAKE A HEAD COUNT AND A ROLLCALL OF EVERYONE INCLUDING STAFF BEFORE LEAVING ALFAND UPON ARRIVAL AT HOST FACILITY. ALF CLIENTS WILLNOT BE A BURDEN ON HOST STAFF.

7 ALF STAFF WILL BETHERE TO CARE FOR ALF RESIDENTS, AS LONG AS THEEMERGENCY ,EACH CLIENT AND STAFF WILL TAKE A THREE DAY SUPPLY OFNECESSARY ITEMS WITH FAMILIES OF RESIDENTS WILL BE NOTIFIED BY TELEPHONE ORPUBLIC ANNOUNCEMENT, RADIO OR TELEVISION, NAME, LOCATION AND TELEPHONE NUMBER OF HOST FAMILY WHERE THEIR RELATIVES ARE BEING HOUSED UPON ARRIVAL ATMUTUAL AID BE SURE ALL RESIDENTS ARE ACCOUNTED FOR, RESIDENTSWILL BE COUNTED BY AT LEAST TWO STAFF MEMBERS, ASWELL AS A ROLL CALL. MASTER LIST WILL BE GIVEN TOPERSON IN CHARGE AS WELL AS TO HOST ADMINISTRATOROR DESIGNEE UPON PREPOSITIONING OF NECESSARY MEDICAL SUPPLY ANDPROVISIONS WILL BEGIN AS SOON AS THE CRISIS IS THE MUTUAL AIDE AGREEMENT FOR TRANSPORTATION (SHOULDOUR AUTOMOBILES BE DAMAGE OR DISABLED) OF CLIENTSAND NOTIFICATION OF ALTERNATE FACILITIES WILL BEGINAS SOON AS NOTIFICATION OF DISASTER IS OWNER/ADMINISTRATOR IS RESPONSIBLE FOR AUTHORIZING RE-ENTRY TO ALF.

8 THE ADMINISTRATOR WILL INITIATE THE RE-ENTRYTO THE THE ADMINISTRATOR WILL CLEAR WITH COUNTY, BUILDING ANDFIRE INSPECTORS IF THE BUILDING WAS SERIOUSLY DAMAGED FORPERMISSION TO RE-ENTER RESIDENTS AND STAFF WILL RETURN TO ALF BY THE SAMEMEANS BY WHICH THEY LEFT ALF BY AUTOMOBILES,UTILIZING THE SAME PROCEDURES USED IN EVACUATIONPROCESS, STAFF AND PERSON IN CHARGE WILL TAKE AHEAD COUNT AS WELL AS ROLL CALL PRIOR TO LEAVINGHOST FACILITY, WHEN ALL RESIDENTS AND SUPPLIES AREACCOUNTED FOR, CONVOY WILL RETURN TO SHELTERINGALF WILL NOT BE USED AS A SHELTER FOR INFORMATION, TRAINING AND EXERCISESA. ALL KEY WORKERS WILL BE INSTRUCTED IN THEIR EMERGENCYROLES DURING NON- Emergency TIMES BY IN SERVICE CLASSES,INCLUDING MATERIALS, FILMS, AND LECTURES HELD QUARTERLYBY THE QUARTERLY TRAINING SCHEDULES FOR ALL EMPLOYEES WILL BECONDUCTED BY THE TRAINING WILL BE GIVEN TO NEW EMPLOYEES AS THEY ARE HIREDWITHIN ONE (1) WEEK DURING ORIENTATION.

9 TRAINING WILLINCLUDE MATERIAL, HAND-OUTS AND ALF SCHEDULE FOR TRAINING WILL BE DONE ON A QUARTERLYSCHEDULE. FIRE DRILLS WILL BE DONE MONTHLY, ONCE DURINGTHE YEAR, PREFERABLY DURING A SUMMER MONTH, ALL STAFFAND CLIENTS WILL PERFORM A PORTION OF THE DISASTER plan , ALL MISTAKES AND DEFICIENCIES NOTED DURING TRAININGEXERCISES WILL, AT THAT TIME, BE CORRECTED, REINFORCEDWITH ADDITIONAL CLASSES UNTIL ALL PROCEDURES AREUNDERSTOOD CLEARLY AND CAN BE PERFORMED FAST,EFFICIENTLY AND OF EMPLOYEES AND COMPANIES WITH KEY DISASTER LIST OF ADDRESSES AND TELEPHONE NUMBERS OF STAFF WITHDISASTER RELATED ROLES ARE INCLUDED IN THE plan NAMES OF COMPANIES, CONTACT PERSON, TELEPHONE NUMBER ANDADDRESSES OF Emergency SERVICE PROVIDER ARE AS FOLLOWS:A)TRANSPORTATION(TO BE PROVIDED BY OWNER AND POSITIONED AT THE ALF)ORLANDO, FL 32822B) Emergency POWERORLANDO, FL 32822(407)C)FUEL STREET ORLANDO, FL 32822D)DEPARTMENT OF CHILDREN & FAMILIES, AGING & ADULTSERVICES (407) 245-0440E)ELECTRICFLORIDA POWER(407) 629-1010F)POLICE911 G) FIRE 911 H)RED CROSS(407) OF UNDERSTANDINGALL COPIES OF MUTUAL AID AGREEMENTS ARE ATTACHED TO THIS EVACUATION ROUTE MAPA MAP OF THE EVACUATION ROUTES TO HOST FACILITIES ARE SUPPORT MATERIAL IS USED IN THE plan COPY OF ALF SAFETY plan IS ATTACHED TO THIS ADDITIONAL FIRE PRECAUTIONSTWO (2) 5 LB FIRE EXTINGUISHERS, SERIAL NUMBERS PL103760 AND PL103685, ARE IN PLACE IN THE FACILITY.

10 ONE IN THEKITCHEN AND ONE IN THE FAMILY ROOM. IN CASE OF FIRE, 911 WILL BE NOTIFIED, CLIENTS EVACUATED AND EXTINGUISH SMALLFIRES AS AID AGREEMENTORSTATEMENT OF UNDERSTANDINGBETWEENANDNAME OF FACILITY NAME OF SUPPORTADDRESS ADDRESSORLANDO FL ORLANDO FLTELEPHONE TELEPHONEPURPOSE:TO PROVIDE THE "FACILITY" WITH PRE-ARRANGED SUPPORT TO ALTERNATIVE Emergency RESOURCES, AS NEEDED DURING ACTUAL DISASTER SITUATIONS,TO MINIMIZE AND LOSS OF LIFE, INJURY OR PROPERTY DAMAGE, ( SUPPLIES, EVACUATION, PATIENT TRANSPORTATION, HOUSINGSUBSISTENCE, ETC.) WE HAVE 180 :THE "SUPPORT AGENCY" (NAME) AGREES TO FURNISH THE "FACILITY" GOODS,OR FACILITIES DURING THE TIME OF ACTUAL DISASTER AS FOLLOWS:"THE FACILITY AGREES TO PAY THE "SUPPORT AGENCY" A NORMAL ANDREASONABLE FEE FOR ALL GOODS AND SERVICES.