Sound Advice for A Sound Inspection

1. Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Sound Advice for A Sound Inspection Reducing Re-inspections in Long Term Care

2. Why? Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Many of us will have family members in long tem care Long Term Care populations are increasing due to the aging parents of baby boomers.

3. Presentation Outline Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 • WA State Fire Marshal Office • About Us • Why do this • Life Safety and Efficiency • What needs to be done • Provide Training • How shall we do it • Action Plan • Curriculum Development • Inspection staff training and motivation • Outreach to facilities • Was it a success? • Performance Measures • Success Incidents

4. About Us Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Prevention Division-Inspections • 2 Chief Deputies -Inspections • 11 Inspectors • Fire Protect Bureau – All Staff: 49 • 11 -Preparedness Division • 13 – Fire Training Academy • 2 3 - Prevention Division

5. About UsInspection Program Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Licensed Care Facilities • Hospitals –– 30 annual inspections, Total of 97 • Ambulatory Surgical Centers 40 annual inspections -Total 213 • Nursing Homes – 260 annually • Intermediate Care Facilities for Intellectually Disabled -4 annually • Assisted Living • Residential Treatment Facilities • Day Care Centers (initial only) • Birthing Centers -1 annual (initial only)

6. Why do this? Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Why do we need to reduce re-inspections in Long Term Care? Life Safety Residents hesitated to pull the fire alarm because they had always been told not to touch it.

7. Why do this? Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Why do we need to reduce re-inspections in Long Term Care? Time is Short and So is Money Efficiency • Time Savings • Cost Savings

8. What needs to be done? Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 If we can train the staff of Long Term care in fire prevention, • 1. We can reduce fires in LTC • Staff and residents will be safer • 2. We can reduce their inspection citations. • Happier customers Resident was cold and was using the hold lamp to warm themself through the blankets.

9. What needs to be done? Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 • If we reduce their citations • We can reduce re-inspections • We can save staff time and money

10. How shall we do it?Action Plan Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 • Teach Fire Prevention to Long Term Care staff • Curriculum Development • Pilot Project 2005

11. How shall we do it? Curriculum Development Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 How to motivate staff to prevent a fire from ever happening • Two motivation pieces • A 1951 fire at the McClary Rest Home in Hoquiam, WA where 21 elderly people died • A 2003 fire at the Greenwood Health Care center Hartford, CT where 9 died

12. How shall we do it? Curriculum Development Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Motivational Piece Nursing Homes have a tragic history of multiple fire deaths. A 1951 fire at the McClary rest home in Hoquiam where 21 elderly people died, caused a national outcry and prompted sweeping legal changes in senior citizen care.

13. How shall we do it? Curriculum Development Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Motivational Piece

14. Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 • Curriculum Development • Other Elements • Top Ten Fire Causes • Top Ten Citations • Emergency Preparedness • A Record book for the Facility Maintenance Director • Curriculum and CD of PowerPoint Presentation

15. Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Cleaning and maintenance in the laundry area

16. Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Leading Citations - Three -Year Trend Fire Doors Work!

17. How shall we do it? Curriculum Development Example of the Curriculum

18. How shall we do it? Curriculum Development • Example of the Curriculum

19. How shall we do it? Curriculum Development • Example of the Curriculum

20. How shall we do it?Staff Training and Motivation Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901

21. How shall we do it? Outreach to Industry Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 • Through • Information Bulletins • List Serve • Washington Health Care Association • Web page • Media Releases • Recognizing successes • Direct Contact • Inspection Exit Interviews

22. How shall we do it? Outreach to Industry Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Targeting facilities that had: • Fire incidents with inappropriate response • Fire Incident where a person was injured • Immediate Jeopardy to health and safety • Fire Drills incomplete • Include in enforcement pieces of inspection

23. Was It a Success?Performance Measures Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 • Nursing Homes • Staff from 45 Nursing Homes attended classes • 21 facilities had before/after inspections • 10 of the 21 (48%) had decreased violations • Overall violations decreased from 145 to 76 • (48%) • 4 (19%) did not need a re-inspection • Boarding Homes • Staff from 40 Boarding Homes attended classes. • 11 had before/after inspections • 7 (63%) had a decrease in violations • Overall violations decreased from 30 to 15. • (50%) • 4 (36%) did not need a re-inspection Inspection Inspection 175 Violations Before Training 91 Violations After Training

24. Success Incident! Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Was It a Success?Performance Measures • When a real fire happened they carried out their rolls with confidence Automatic Sprinkler Activation and Fast Acting Staff Credited with Saving Lives in Boarding Home Major life safety and structure loss was avoided because the facility had a fire sprinkler system and the staff took life saving action.  At approximately 09:45 a.m. a shredder caught on fire in a resident room.  The resident left to get a fire extinguisher.  The fire alarm activated and staff responded immediately to the fire area. They closed the door and kept the resident from re-entering the room.  Next, they evacuated all residents from the smoke compartment (or fire area).  The fire sprinkler system activated and extinguished the fire.  Within minutes the fire department was at the retirement center.  The Van Mall staff reported that a recent fire safety class presented by Deputy State Fire Marshal Dan Young taught them the importance of fire drills.  After taking the class, staff applied what they learned and conducted their fire drills as if there were a real fire.  When a real fire did happen, they were prepared and did an excellent job stopping the spread of smoke and keeping residents safe. Van Mall Retirement Community

25. Questions Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901

26. Thank You Washington State Patrol Office of the State Fire Marshal Serving Washington Since 1901 Web Site: http://www.wsp.wa.gov/fire/fire_life.htm