| 6400.103 | The written emergency evacuation procedures did not include an emergency shelter location at the time of inspection. | There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location.
| This was corrected during the inspection on 8/19/2020. The Residential Director retrained the managers and supervisors on this regulation to ensure the emergency evacuation procedures include the list of the emergency shelter location on 8/31/2020. The Supervisors will check and ensure that the emergency shelter location list is attached to the evacuation procedures as they review the monthly fire drill and documented on the monthly monitoring form, the Supervisor will complete the initial review for each home by 9/30/2020 to ensure the emergency shelter location list is attached. Managers will randomly review the emergency evacuation procedures every quarter to ensure compliance. The quarterly internal audit teams will review the emergency evacuation procedures to ensure the list of emergency shelter is attached during the audits. |
09/30/2020
| Implemented |