<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".29" citation="COMAR 10.12.04.29" title_num="10" subtitle_num="12" chapter_num="04" heading="Emergency Preparedness.">
  <paragraph num="A.">
    <text>The center shall develop an emergency and disaster plan that includes policies and procedures that shall be followed before, during, and after an emergency or disaster, including:</text>
    <paragraph num="(1)">
      <text>The safe management of individuals who are receiving services at the adult medical day care center when an emergency occurs;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notification of families, staff and licensing authorities regarding the action that will be taken concerning the safety and well-being of the participants;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Staff coverage, organization, and assignment of responsibilities; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The continuity of operations, including procedures to secure access to essential goods, equipment, and services to sustain operation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A center is solely responsible for any financial obligation arising from voluntary or mandatory activation of any aspect of the emergency plan developed by the center under this regulation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>This regulation does not prohibit an adult medical day care center from applying for and receiving reimbursement:</text>
    <paragraph num="(1)">
      <text>Under any applicable insurance policy; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>From any state or federal funds that may be available due to a declared state or federal emergency.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>For purposes of coordinating local emergency planning efforts a center shall provide access to the emergency plans developed under this regulation to local organizations for emergency management.</text>
  </paragraph>
  <paragraph num="E.">
    <text>The center shall provide OHCQ a contact phone number, providing direct access to the center or center’s representative that shall be available 24 hours a day, 7 days a week.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Evacuation Plans. The center shall conspicuously post individual floor plans with designated evacuation routes on each floor.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Orientation and Drills.</text>
    <paragraph num="(1)">
      <text>The licensee shall:</text>
      <paragraph num="(a)">
        <text>Orient staff to the emergency and disaster plan and to their individual responsibilities within 24 hours of the commencement of job duties; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Document completion of the orientation in the staff member's personnel file through the signature of the employee.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Fire Drills.</text>
      <paragraph num="(a)">
        <text>The center shall conduct fire drills at least quarterly on all shifts.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation. The center shall:</text>
        <paragraph num="(i)">
          <text>Document completion of each drill; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Maintain the documentation on file for a minimum of 2 years.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Semiannual Disaster Drill.</text>
      <paragraph num="(a)">
        <text>The center shall conduct a semiannual emergency and disaster drill on all shifts during which it practices evacuating participants or sheltering in-place so that each is practiced at least one time a year.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The drills may be conducted via a table-top exercise if the program can demonstrate that moving participants will be harmful to the participants.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Documentation. The center shall:</text>
        <paragraph num="(i)">
          <text>Document completion of each disaster drill or training session;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Have all staff who participated in the drill or training sign the document;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Document any opportunities for improvement as identified as a result of the drill; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Keep the documentation on file for a minimum of 2 years.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The licensee shall cooperate with the local emergency management agency in emergency planning, training, and drills and in the event of an actual emergency.</text>
    </paragraph>
  </paragraph>
</regulation>