Loading...
Evaluation Form e ° Emergency Preparedness and Response Plans Checklist (O)indicates compliance observed by DHR Licensing Representative (d)indicates not in compliance (S ) indicates certified by staff in charge(use only for*plan updated yearly,written documentation must be on file) Procedures(III.,I., i Documentation The plan shallli'clude procedures tlidt will be used to'prepare for' The plan should also be inclusive of.- and respond to the following types of emergency/disaster situations: Weather eme`r' enc�es/naturald�sasters, _= :r Current emergency plans andprocedures Severe Thindersto r 3i Fms Major snowfall Blizzards30: itit } 4a 7 v Ice storms Earthquakes Lockdown or evacuation due to threats of violence Location and'use of fire extmgwshers V EvhOiatlonS due to, '` .• DocumentatSA ion of th_e'follow ng quarterly,;dr lls, Hazardous materials Fire P. G S 111S Tornado 2. Gas leaks _ Lockdown.;: Bomb threats Relocation t: fi 7 l - Infectious disease emergencies; „ Telephones for on site;and off=site use= _ Lossaof,power water,;or heat.= ,,' Location of the first a►d and'emer enc' su 1 gluts ... _ g. Y. PP_Y r Other;;threatening situations Details Plan Availability f1ie disaster plan'sliallIncludedetails for: The Emergency Preparedness and Response Plans should be: Shelter m place or evacuation. Available to all staff and employees 3 Assisting infants and children with special needs and/or health sted Po m a Conspicuous place Y conditions )Zeunification with parents Submitted to the Department Suppl►es needed for shelter inplace procedures �,_, Copies provided to,all`parents(guard�ans �._ Transportation disaster procedures Staff trammg/i eassignuient as app$ropr,`iate �- *Plan updated'yearly � `- �-' Contact with local emergency'management oftiaals 11 _