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Emergency Power Plans for Assisted Living Facilities and
Nursing Homes
Office of Emergency Management
April 10, 2018
Emergency Power Plans
Emergency Power Plan Approval Process
Regulatory Authority
Summary
Overview
Hurricane Irma: Multiple deaths occurred at a South Florida healthcare facility due to failure of climate control system during storm-related power outage
Emergency Power Plans
Nursing Home’s Central AC failed
14 patients died
Deaths were ruled a homicide
The facility was ultimately shut down by the State
September 2017: Governor Scott issues Emergency Power Rule Requires all ALFs and Nursing Homes to have an
emergency power plan
Plans must ensure climate control system can be sustained in the event of an extended power outage
March 26, 2018: Governor signs legislation into law Defines specific criteria for duration of
emergency power and safe temperatures Plans are due to OEM by April 26, 2018 Plans must be implemented by June 1, 2018
Emergency Power Plans
Emergency Power Plans
Alternate Power Source
Emergency Power Plans
Rule 58A-5.036 Emergency Environmental Control for Assisted Living Facilities Rule 59A-4.1265 Emergency Environmental Control for Nursing Homes
Applies to 115 ALFs and 34 Nursing Homes in Orange County
State Rules require facilities to: Maintain an alternate source of power Ensure ambient temperatures can be kept at 81oF or less for up
to 96 hours after loss of primary power Store enough fuel on-site to run the alternate source of power
for specified time periods (varies by facility size) Submit plan to local Emergency Management for approval Comply with local zoning and Florida Building Code for location
of alternate power source
Emergency Power Plans
Emergency Power Plan Approval Process
Regulatory Authority
Summary
Overview
Orange County EPP Approval Process
Criteria have been developed to standardize the plan review process and facilitate approval
Approval Criteria developed in coordination with:
Office of Emergency Management County Attorney’s Office Building Safety Environmental Protection Division Orange County Fire Marshall’s Office Municipalities within the County
Emergency Power Plan Approval
Resubmit plan with changes if not approved
Facility forwards approval letter to AHCA within 2 business days
If approved, letter is issued by OEM to the facility
Emergency Power Plan Approval
Plan reviewed by OEM Goal is to review within 30 Days
Submit Plan to OEM by 4/26/2018
Emergency Power Plans
Emergency Power Plan Approval Process
Regulatory Authority
Summary
Overview
Regulatory Authority
• EPP Implementation • Onsite inspections in coordination with
State Fire Marshall • Deadline extensions • Fines, penalties & sanctions • Revocation of license possible for non-
compliance
• EPP Review & Approval by OEM • Zoning & Permitting • Enforce Florida Fire Prevention Code
Orange County
Plan Approval Plan Implementation
AHCA
Emergency Power Plans
Emergency Power Plan Approval Process
Regulatory Authority
Summary
Overview
Florida law requires Assisted Living Facilities and Nursing Homes to develop and implement an Emergency Power Plan
EPPs are due to the local emergency management agency for review by April 26, 2018
EPPs must be implemented by June 1, 2018
Orange County has developed a process to facilitate compliance by affected agencies
The Office of Emergency management will assist as needed to help agencies achieve compliance with the new rules
Regulatory authority for failure to comply – by way of sanctions, fees or penalties – is primarily a function of AHCA
Summary
Emergency Power Plans for Assisted Living Facilities and
Nursing Homes
Office of Emergency Management
April 10, 2018