Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
1569.695 Emergency Plans..(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill.... Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Based on record review, the facility conducted the last fire drill on 01/17/2026 but should be conducted at least quarterly and fire drill logs as required. which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The administrator will ensure that emergency drill is conducted at least quarterly for each shift. Administrator will submit signed self certification that she read, reviewed & understood HSC1569.695 along with an in-service training emergency drill log. Administrator agreed to submit all the required proof of corrections to LPA/CCLD by POC due date.
Deadline recorded: Sep 4, 2026. A deadline is not proof that correction was completed.