Updated Form and Guide for Emergency and Disaster Plan for Adult Community Care Facilities

California Department of Social Services through its Community Care Licensing Division (CCLD) has released an updated Emergency and Disaster Plan form for Adult Care Facilities. 

The updated LIC 610D form is provided as a courtesy to all adult facility applicants and licensees. It provides a template for facilities to ensure that they have a comprehensive emergency and disaster plan in place. The update also included a summary of additional elements to include in facility emergency and disaster plans.

For licensees of adult residential community care facilities (ARF, CCH, EBSH, SRF) and RCFC):

• Provide training on their plans to each staff member upon hire and annually thereafter.

• Conduct drills for each shift covering various emergency situations at least once each quarter. Residents are not required to participate in drills.

• Have resident’s necessary information ready in case of relocation, including contact information for resident’s responsible person and physician.

• Transportation plans.

• Two potential shelter locations (one outside the immediate area).

• Location of utility shutoff valves and instructions for use.

• Backup generator plan.

• Communication plans.

• Assistance with medications and assistive medical devices

For licensees of ADPs and ARFPSHN:

• Evacuation plans.

• Transportation arrangements.

• Contact information for local agencies, (e.g., Community Care Licensing Division, local emergency response personnel, and each client’s authorized representative or local emergency contact name).

For the related Provider Information Notice announcing this update, please check PIN 22-01-ASC.