PURPOSE: This rule requires group homes and
child care facilities to prepare and respond to disasters and
emergencies.
PUBLISHER'S NOTE: The secretary of state has
determined that the publication of the entire text of the material which is
incorporated by reference as a portion of this rule would be unduly cumbersome
or expensive. This material as incorporated by reference in this rule shall be
maintained by the agency at its headquarters and shall be made available to the
public for inspection and copying at no more than the actual cost of
reproduction. This note applies only to the reference material. The entire text
of the rule is printed here.
(1) Disaster and Emergency Plan.
(A) The facility shall develop, implement,
and maintain policies and procedures for responding to a disaster emergency,
including a written plan for:
1. Medical and
non-medical emergencies and disaster situations that could pose a hazard to
staff and children, such as a fire, tornado, flood, chemical spill, exposure to
carbon monoxide, power failure, bomb threat, person coming to the facility
whose health or behavior may be harmful to a child or staff member, or
kidnapping or missing child;
2.
Evacuation from the facility in the event of a disaster or an emergency that
could cause damage to the facility or pose a hazard to the staff and
children;
3. Lock-down procedures
in situations that may result in harm to persons inside the facility such as a
shooting, hostage incident, intruder, trespassing, or disturbance or to be used
at the discretion of the director, designee, or public safety personnel;
and
4. Evacuation from a vehicle
used to transport children.
(B) When developing disaster and emergency
plans, the facility shall consider-
1. The age
and physical and mental abilities of the children;
2. The types of services offered, including
whether the facility provides care for non-ambulatory children or overnight
care;
3. The types of disasters or
emergencies likely to affect the area;
4. The requirements of the Division of Fire
Safety and the Department of Health and Senior Services'
The ABC's of
Emergency Preparedness Ready in 3 Program (2006), which is
incorporated by reference and is published by the Department of Health and
Senior Services, Center for Emergency Response and Terrorism, PO Box 570,
Jefferson City, MO 65102-0570, telephone number 573-526-4768, and is available
at
www.health. mo.gov, and advice from
the Red Cross or other health and emergency professionals. This rule does not
include any later amendments or additions; and
5. The need for ongoing communication and
data sharing with other types of agencies providing services to children and
with state and local disaster emergency management agencies.
(C) At a minimum, a disaster and
emergency plan shall identify the staff members responsible for implementing
the plan and ensuring the safety of the children and shall include:
1. The location of the child's attendance
record and emergency information and emergency supplies;
2. Diagrams that identify exit routes from
each area of the facility used for child care to a safe location out of the
facility and to a safe location within the facility where children and staff
members can stay until the threat of danger passes;
3. A list of emergency contacts as set out in
subsection (2) (B) below;
4. The
disaster drill and emergency procedures to be followed, which include but are
not limited to the following:
A. Use of alarms
to warn other building occupants and summon staff;
B. Emergency telephone call to the fire
department;
C. Response to
alarms;
D. Isolation of a fire,
including confinement by closing doors to the fire area;
E. Evacuation of the immediate
area;
F. Two (2) off-site locations
identified as meeting places in case of evacuation;
G. Relocation of building occupants as
detailed in the emergency plan, including individuals with special needs, such
as non-ambulatory children and children who sleep overnight, if applicable;
and
H. System of contact for
parents of children and notification of parents of the plan to assist in
re-unification; and
5.
Lock-down procedures shall include:
A. An
announcement of the lock-down by the director or designee. The alert may be
made using a pre-selected code word;
B. In a lock-down situation, staff shall keep
children in their rooms or other designated location that are away from the
danger; and
C. Staff is responsible
for accounting for children and ensuring that no one leaves the room or safe
area until "all clear" is announced.
(2) Access to Emergency Information. The
licensee shall ensure that-
(A) At all times,
a copy of the facility's disaster and emergency plan is readily available in
the office area and in each room used for care of children; and
(B) The following information is posted in
each room used for child care and beside each telephone in the facility:
1. Contact information, including the
following:
A. The name, address, and telephone
number of the facility;
B. A list
of emergency numbers, including 911, if available, the fire department, police
department, ambulance service, poison control center, and local radio
station;
C. When a facility
operates at more than one (1) site, the name and telephone number of the
facility's principal place of business; and
D. When a facility occupies space it does not
own, the name and telephone number of the owner of the building or the building
manager;
2. A diagram of
evacuation routes from the room; and
3. Any special instructions for infants and
non-ambulatory children;
(3) Disaster Emergency Response Drills for
Staff and Children.
(A) The licensee shall
ensure that the facility has on file documentation that, at least every three
(3) months, all staff and children at the facility have participated in a
disaster or emergency drill based on the facility's disaster and emergency
plan.
(B) In addition to fire
safety requirements found in 19 CSR 3062.087, a review of the following
disaster drill procedures with the staff and children shall be conducted:
1. Staff duties and responsibilities in the
event of an emergency;
2. Disaster
drill procedures such as fire drill, tornado drill, carbon monoxide exposure,
power failure, bomb threat, chemical spill, intruder training, and CPR or other
medical procedures;
3. The use of
and response to fire alarms; and
4.
The use of fire extinguishers.