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iF,r'L,"n, FIRE SAFETY EVACUATION PLANE"-9TH
WAC 388.76-200(l1)
An Aout Famuy do no sr`iall have a posted 'Pan to• svacuatlon to safe areas In event of fire. Draw a alagram.of the floor c
of your home In the space proveded below. Inalcate escape routes and designate where staff and residents should me
outside the residence. Indicate the location of fire extinguisher(s) and smoke detector($).
INSTRUCTIONS: Provider/Resident Manaoer comoletes and oosts In a conspicuous Iocatinn
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OCTAL 11 FIRE SAFEEVACUATION PLAN
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)EM WAC 386-76-200(11)
An Adult Family Ho snail have a postazl plan to, evacuation to safe areas in event of fire. Draw a diagram of the floor C ,
of your home in the space proveaed below. indicate escape routes and designate where staff and residents should me,.
outside the residen 9. Indicate the location of fire extinguisher(s) and smoke detector(s).
INST 11LICTIONS: Proviaer/Resident Manaaer comoletes and costs in a consoicuous location
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