111024234825_0001.pdfAn Adult Family t
of your home in t
outside the lesi:d
AGING AND ADULT SERVIdES ADMINISTRATION
FIRE SAFETY EVACUATION PLAN
WAC 34111-76-200(11)
ie shall have a posted plan for evacuathin-to safe area in event of fire. Draw a diagram of the floor plan
space proveded below. Indicate earpsoe routes and designate where staff and residents should meet
,a. Indicate the location of fire extinguisher(s) and woke detector($)
IUCTIONS: Provider/Resideit M or q5�m ei!jk,aqd posts In a c4ns icuous location
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