The facility shall comply with: All applicable local fire and building codes; and The National Fire Protection Association (NFPA) 101 Life Safety Code, including Chapter 24 of NFPA 101 if the facility is a one or two family dwelling as defined by NFPA 101. Fire Extinguishers. An assisted living program shall: Ensure that fire extinguishers are: Located on each floor and adjacent to, or in, special hazard areas, such as: Furnace rooms; Boiler rooms; Kitchens; or Laundries; Of standard and approved types; Installed and maintained to be conveniently available for use at all times; and Serviced annually, as evidenced by documentation maintained on-site, by an individual or company licensed by the Maryland State Fire Marshall; and Initially and at least annually instruct staff in the use of fire extinguishers. Emergency and Disaster Plan. The assisted living program shall develop an Assisted Living Emergency Preparedness Packet in compliance with the requirements of §C(2)—(11) of this regulation, which shall be readily available to all staff. The assisted living program shall develop an emergency and disaster plan that includes procedures that shall be followed before, during, and after an emergency or disaster, including: Evacuation, transportation, or sheltering in-place of residents; Notification of families and staff regarding the action that will be taken concerning the safety and well-being of the residents; Staff coverage, organization, and assignment of responsibilities for ongoing sheltering in-place or evacuation, including identification of staff members available to report to work or remain for extended periods; and The continuity of services, including: Operations, planning, financial, and logistical arrangements; Procuring essential goods, equipment, and services to sustain operations for at least 72 hours; Relocation to alternate facilities or other locations; and Reasonable efforts to continue care. The assisted living program shall have a tracking system to locate and identify residents in the event of displacement, an emergency, or a disaster that includes at a minimum the: Resident’s name; Date and time that the resident was sent to the initial alternative facility or location; Name of the initial alternative facility or location where the resident was sent; and Contact person and phone number for the facility where the resident was sent. When the assisted living program relocates residents, the assisted living program shall send a brief medical fact sheet with each resident that includes at a minimum the resident’s: Name; Medical condition or diagnosis; Medications; Allergies; Special diets or dietary restrictions; and Family or legal representative contact information. The brief medical fact sheet for each resident described in §C(4) of this regulation shall be: Updated upon the occurrence of change in any of the required information; Reviewed at least monthly; and Maintained in a central location readily accessible and available to accompany residents in case of an emergency evacuation. The assisted living program shall review the emergency and disaster plan at least annually and update the plan as necessary. The assisted living program shall: Identify a facility, facilities, or an alternate location or locations that have agreed to house the licensee’s residents during an emergency evacuation; and Document an agreement with each facility or location. The assisted living program shall: Identify a source or sources of transportation that have agreed to safely transport residents during an emergency evacuation; and Document an agreement with each transportation source. Upon request, an assisted living program shall provide a copy of the facility’s emergency and disaster plan to the local emergency management organization for the purpose of coordinating local emergency planning. The assisted living program shall provide the emergency and disaster plan in a format that is mutually agreeable to the local emergency management organization. The assisted living program shall identify an emergency and disaster planning liaison for the facility and shall provide the liaison’s contact information to the local emergency management organization. The assisted living program shall prepare an executive summary of its evacuation procedures to provide to a resident, family member, or legal representative upon request. The executive summary shall, at a minimum: List means of potential transportation to be used in the event of evacuation; List potential alternative facilities or locations to be used in the event of evacuation; Describe means of communication with family members and legal representatives; Describe the role of the resident, family member, or legal representative in the event of an emergency situation; and Notify families that the information provided may change depending upon the nature or scope of the emergency or disaster. Evacuation Plans. The facility shall: Conspicuously post individual floor plans with designated evacuation routes on each floor; and Ensure that all staff have access to the entire emergency preparedness plan. Orientation and Drills. The assisted living program shall: Orient staff to the emergency and disaster plan and to their individual responsibilities within 24 hours of the commencement of job duties; and Document completion of the orientation in the staff member’s personnel file through the signature of the employee. Fire Drills. The assisted living program shall conduct fire drills at least quarterly on all shifts. Documentation and Retention. The assisted living program shall document and maintain on file for a minimum of 2 years the: Completion date and time of each drill; Names and signatures of staff who participated in the drill; Fire scenario used in the drill; Steps taken by staff during the drill; Successful and non-successful actions taken by staff during the drill; and Opportunities for improvement identified as a result of the drill. Semiannual Disaster Drill. The assisted living program shall conduct a semiannual emergency and disaster drill on all shifts during which it practices evacuating residents or sheltering in-place so that each is practiced at least one time a year. The drills may be conducted via a table-top exercise if the program can demonstrate that moving residents will be harmful to the residents. The assisted living program shall document and keep on file for a minimum of 2 years the: Completion date and time of each disaster drill or training session; Names and signature of staff who participated in the drill or training; Type of disaster utilized for the drill or training; Type of drill or training undertaken; Steps taken or discussed by staff during the drill or training; Successful and non-successful actions taken or discussed by staff during the drill or training; and Opportunities for improvement as identified as a result of the drill. The assisted living program shall cooperate with the local emergency management agency in emergency planning, training, and drills and in the event of an actual emergency. Emergency Electrical Power Generator. Generator Required. By October 1, 2009, an assisted living program with 50 or more residents shall have an emergency electrical power generator on the premises, unless the program meets the requirements of §F(7) of this regulation. Generator Specifications. The power source shall be a generating set and prime mover located on the program’s premises with automatic transfer. The emergency generator shall: Be activated immediately when normal electrical service fails to operate; Come to full speed and load acceptance within 10 seconds; and Have the capability of 48 hours of operation of the systems listed in §F(5) of this regulation from fuel stored on-site. Test of Emergency Power System. The program shall test the emergency power system once each month. During testing of the emergency power system, the generator shall be exercised for a minimum of 30 minutes under normal emergency facility connected load. Results of the test shall be recorded in a permanent log book that is maintained for that purpose. The assisted living program shall monitor the fuel level of the emergency generator after each test. The emergency power system shall provide lighting in the following areas of the facility: Areas of egress and protection as required by the State Fire Prevention Code and Life Safety Code 101 as adopted by the State Fire Prevention Commission; Nurses’ station; Medication distribution station or unit dose storage; An area for emergency telephone use; Boiler or mechanical room; Kitchen; Emergency generator location and switch gear location; Elevator, if operable on emergency power; Areas where life support equipment is used; If applicable, common areas or areas of refuge; and If applicable, toilet rooms of common areas or areas of refuge. Emergency electrical power shall be provided for the following: Nurses’ call system; At least one telephone in order to make and receive calls; Fire pump; Well pump; Sewerage pump and sump pump; If required for evacuation purposes, an elevator; If necessary, heating equipment needed to maintain a minimum temperature of 70°F (24°C) in all common areas or areas of refuge; Life support equipment; and Nonflammable medical gas systems. Common Areas or Areas of Refuge. If the emergency power system does not provide heat to all resident rooms and toilet rooms, the program shall provide common areas or areas of refuge for all residents. The areas shall meet the following requirements: The common area or areas of refuge shall maintain a minimum temperature of 70°F (24°C); Heated toilet rooms shall be provided adjacent to the common areas or areas of refuge; and The program facility shall provide to the Department a written plan that defines the: Specified common areas or areas of refuge; Paths of egress from the common areas or areas of refuge; and Provision for light, heat, food service, and washing and toileting of residents. Applicability of Emergency Power Requirements. An assisted living program shall be exempt from the requirements of this section if the program can safely transfer residents through an enclosed corridor to a building that is equipped with an electrical power generator that satisfies the requirements of §E of this regulation. An assisted living program may request a waiver from the requirements of this section in accordance with the procedures outlined in COMAR 10.07.14.09 on a year-to-year basis. The program shall demonstrate in the waiver request financial hardship that would create an undue financial burden on the facility and will require the facility to cease operation of the assisted living program. When the Department grants a waiver to an assisted living program for the requirements of this section, the assisted living program shall: Disclose in writing to current and prospective residents that the program does not have an emergency generator; and Develop a plan to follow in the event of a loss of electrical power.