111025000852_0001.pdfDate:
FIRE SAFETY EVACUATION PLAN (Revised: January 1999)
WAC 388-76-765 (11)
"An Adult Family Home shall have a posted plan for evacuation to safe areas in event of fire. All
staff, caregivers and residents shall be instructed in emergency evacuation procedures."
Instructions- Providerl Resident manager draws a diagram of the floor plan of the home in the
space provided below. Indicate escape routes and designate where staff and residents should
meet outside the residence. Indicate the location of the fire a)dinguisher(s) and smoke
detector(s).
(SAMPLE)
POST 1N A CONSPICUOUS LOCAMON IN THE ADULT FAMILY HOME.
16Y