# COMAR Title 10 — Maryland Department of Health

## Subtitle 07 — Hospitals

### Chapter 16 — Limited Private Inpatient Facilities

#### Regulation .13 Emergency Procedures.

*COMAR 10.07.16.13*

A. The program shall develop an emergency plan and procedures that shall be followed in the event of an internal or external emergency.

B. The emergency plan and procedures shall;

  (1) Be updated annually; and

  (2) Include:

    (a) Easily accessible emergency telephone numbers posted at or near a telephone for:

      (i) Fire;

      (ii) Police;

      (iii) Ambulance;

      (iv) Poison control; and

      (v) The program’s on-call staff;

    (b) An emergency evacuation procedure that is explained to the residents and practiced by residents and staff on all shifts at a minimum of once every 3 months;

    (c) Provisions for emergency lighting and fire detection and suppression systems operable during loss of power as required by the Maryland State Fire Code;

    (d) A 3-day emergency food and water supply; and

    (e) A relocation plan in the event that the facility is partially or entirely vacated, which shall include:

      (i) A plan for transportation of the residents, at the facility’s expense, to relocate the residents;

      (ii) A process for transfer of the medical records information for the residents in a manner to protect the residents’ privacy;

      (iii) A system to track where and how the resident was transported;

      (iv) How families will be notified, if desired by the resident; and

      (v) Provisions that provide for any other associated costs at the facility’s expense.