Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(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. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. 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: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in that the last Emergency Disaster Drill, per the facility's disaster drill log, was held on 1/3/2025 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/28/2025 Plan of Correction Licensee or Administrator will Self Certify on an LIC 9098 that they will conduct Emergency Disaster Drills quarterly. In addition, Licensee or Administrator will conduct an Emergency Disaster Drill and submit proof of the Emergency Disaster Drill and the LIC 9098 to Community Care Licensing by the POC due date of 10/28/2025.