(a) Specialized Staff Training. - (i) At least one (1) staff person on the premises at all times during the hours of operation shall have certification by an appropriate provider in first aid (multimedia, Personal Safety, or Standard First Aid Modular) issued within the past three (3) years. NOTE: Adult day care facilities operating on the date these rules become effective shall comply with this standard within six (6) months of the effective date of these rules.
- (ii) At least one (1) employee or staff member on the premises at all times during the hours of operation shall have current certification in cardiovascular pulmonary resuscitation (CPR) issued through the American Red Cross or the American Heart Association. The CPR certificate must be renewed every (2) two years. NOTE: Adult day care facilities operating on the date these rules become effective shall comply with this requirement within six (6) months of the effective date of these rules.
(b) Buildings and Equipment. - (i) Each building of the facility and each vehicle shall contain a first aid kit which shall include but not be limited to:
- (E) Band-aids, assorted sizes;
- (H) An antiseptic cleansing solution;
- (I) An antibacterial ointment;
- (J) Bee sting swabs or preparation;
- (ii) The first aid kit shall be stored so that it is not accessible to participants but is easily accessible to staff.
- (iii) A first aid instructional manual shall be kept with each first aid kit at all times.
- (iv) Heating Units.
- (A) Gas stoves, coal stoves, wood stoves, oil stoves, portable electric heaters, kerosene heaters, and portable heating units of a similar nature shall not be used in areas used by participants, except in an emergency such as a power outage in cold weather.
- (B) When any of the above heating sources are used in an emergency, care shall be taken to protect participants from injuries.
- (C) Any heating units used in an emergency shall have been previously inspected and approved by the appropriate fire safety official.
- (v) Portable Fire Extinguishers.
- (A) The proper type and number of fire extinguishers shall be approved by the fire official having jurisdiction. Rating of the fire extinguishers shall not be less than 2A-10 B:C.
- (B) Fire extinguishers shall be inspected and serviced annually by an individual certified by the State of Wyoming. New and serviced fire extinguishers shall have service tags attached showing date of purchase or date of service.
- (C) Fire extinguishers shall be mounted to the wall at a location near an exit. The top of the fire extinguisher shall not be more than five (5) feet from the floor level. Extinguishers shall not be stored or mounted in cupboards or broom closets.
- (vi) Storage.
- (A) Combustible storage under exit stairways shall be prohibited unless such spaces are protected on the enclosed side by one (1) hour fire-resistive construction.
- (vii) Smoke Detectors.
- (A) Approved smoke detectors shall be installed in facilities. Such detectors shall be installed in accordance with their installation instructions and in accordance with the Uniform Building Code.
- (viii) Emergency numbers shall be located near the telephone.
- (ix) There shall be an evacuation plan for the removal of participants in case of fire or other emergencies.
- (A) The plan shall be posted in a conspicuous place in the building.
- (B) Evacuation plans shall be discussed with each participant at the time of admission, and periodically for familiarity.
- (x) Furnaces shall be approved and shall be cleaned (including filters) as often as necessary to prevent the accumulation of lint and dust.
- (xi) Electrical.
- (A) Special protective covers for electrical outlets not in use shall be installed in all areas occupied by participants.
- (B) Electrical wiring, outlets, switches, etc. shall be installed so there is no fire or shock hazard.
- (C) Multi-plug adapters, such as multi-plug extension cords, cube adapters, strip plugs, extension cords, and other devices, that do not comply with the National Electric Code shall not be used.
(c) Plans and Procedures. - (i) Plan for Medical Emergencies.
- (A) The plan shall include written instructions for handling medical emergencies such as:
- (I) Calling the rescue squad;
- (II) Calling an ambulance service, and/or participants physician; and
- (III) Providing first aid and CPR, when appropriate.
- (B) A licensed physician, registered nurse, licensed practical nurse, or other health professional shall be consulted in preparing the plans.
- (C) In medical emergencies, pertinent medical information and history shall be made available to rescue staff and/or sent with the participant if hospitalized.
- (ii) Plan Review, Fire Safety, and Emergency Evacuation.
- (A) Fire safety and plan review shall meet the requirements of the fire official having jurisdiction and authority.
- (I) The plan shall include written procedures to be followed in the event of fire or other emergency. The local fire department or fire prevention bureau shall be consulted in preparing the fire plan, if possible; and
- (II) The plan shall include a drawing showing exits, telephones, fire extinguishers, and fire alarm boxes, if any, in large numbers and letters so that participants can read.
- (B) A copy of the fire and emergency plan shall be posted in a conspicuous place on each floor of each building used by participants.
- (iii) Exits.
- (A) The fire official shall determine the number, placement, and adequacy of exits and other fire safety measures relating to exits in accordance with the Uniform Codes.
- (B) Floors above and below the level of the first story shall not be used for adult day care facilities. Basements shall not be used for adult day care facilities.
- (C) An exit door is a side-hinged door and shall be at least 3' x 68".
- (D) Exits shall not be obstructed in any manner and shall remain free of any material or matter where its presence would obstruct or render the exit hazardous.
- (E) Exit doors shall be able to open from the inside without the use of a key or any special knowledge or effort (i.e., dead bolts, chains, night latches, etc. are unacceptable).
- (iv) Porches, steps, stairs, landings, walkways, ramps, and lifts shall be maintained and in good repair and safe condition.
- (v) Emergency Evacuation Drills.
- (A) Fire drills shall be conducted at least once each month of operation. All fire drills shall be documented to include time, date, name of the person conducting the drill, and the time required for participants and staff to go to an approved location and/or evacuate the building.
- (B) A record of the required evacuation drills shall be kept in the facility for one year. The record shall include:
- (I) The date of the drill;
- (II) The amount of time required to evacuate;
- (III) The total number of staff and participants involved;
- (IV) Problems encountered, if any; and
- (V) The names of all participants who were present in the facility who did participate in the drill, and the reasons for non-participation.
- (vi) Other Emergency Plans.
- (A) There shall be written plans and procedures to meet other emergencies, including severe weather, loss of utilities, and missing persons.
- (vii) Procedures to Meet Emergencies.
- (A) The telephone numbers of the fire department, the rescue squad or ambulance service, the police, and the regional poison control center shall be located in a conspicuous place near each telephone. They shall be written in large enough numbers so that participants can use them.
- (B) A written record shall be made and kept on file of all emergencies such as, but not limited to, fires, severe weather emergencies, injuries or sudden illnesses requiring medical treatment. The record shall include:
- (III) Names of any participants requiring medical treatment;
- (IV) Description of the results of the emergency; and
- (V) Date and time other persons or agencies were contacted, utilized and/or notified.
- (C) Approved numbers or addresses of the adult day care facility shall be placed in such a position as to be plainly visible and legible from the street and/or road fronting the property. Numbers should contrast with their background.
048-7 Wyo. Code R. § 7-13