NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

Mental Health Licensure & Certification Section

NC Emergency Management Association Fall Conference

October, 2013

NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

MHLC Regulatory Responsibilities

• MHLC licenses and regulates 32 residential and day facilities: 19 residential services and 21 day programs.

• We conduct the following types of surveys:• Licensure surveys to determine initial

compliance with Mental Health Rules• Annual surveys of all our residential programs

and methadone clinics• Complaint and follow up investigations of all day

and residential programs.

NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

Emergency Planning Rule

10A NCAC 27G .0207       EMERGENCY PLANS AND SUPPLIES

(a)  A written fire plan for each facility and area-wide disaster plan shall be developed and shall be approved by the appropriate local authority.

(b)  The plan shall be made available to all staff and evacuation procedures and routes shall be posted in the facility.

(c)  Fire and disaster drills in a 24-hour facility shall be held at least quarterly and shall be repeated for each shift.  Drills shall be conducted under conditions that simulate fire emergencies.

(d)  Each facility shall have basic first aid supplies accessible for use.

 History Note:        Authority G.S. 122C‑26; 143B‑147;Eff. May 1, 1996;Recodified from 10 NCAC 14V .0205 to NCAC 14V .0207 Eff January 3, 2001.

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NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

Emergency Planning Rule Implementation

• The local authority referred to in rule is the local Emergency Management (EM) office.

• We direct providers to the NC Division of Emergency Management web site to obtain a list of each county’s Emergency Management office.

• We ask the provider to have their plan “reviewed”, not “approved” by the Emergency Management office in their county. This must be done prior to licensure approval.

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NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

Disaster Plan Template• In 2010, a disaster plan template was

developed by the NC Division of Emergency Management in collaboration with the Division of Health Service Regulation.

• A CD template was developed and disseminated at that time to many providers.

• We also provide a link to download the template on our MHLC/DHSR web site.

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NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

Providers Disaster Plans

• Majority of providers use the template.• Feedback from providers: template seems to

be written for institutions vs. small group homes and day programs.

• MHLC surveyors clarify that the disaster plan should address the types of disasters that may occur in their geographical location (examples: power outage, chemical spill, fire).

NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

MHLC Territory Map

AlamanceAlexander

Alleghany

Anson

Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

Buncombe

Burke

Cabarrus

Caldwell

Camden

Carteret

Caswell

CatawbaChatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven

Cumberland

Currituck

DareDavidson

Davie

Duplin

Durham

Edgecombe

Forsyth Franklin

Gaston

Gates

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir

Lincoln

Macon

Madison Martin

McDowell

Mecklenburg

Mitchell

Montgomery

Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rowan

Rutherford

Sampson

Scotland

Stanly

StokesSurry

Swain

Transylvania

Tyrrell

Union

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilkes

Wilson

Yadkin

Yancey

Mental Health Branch Managers

Robin Sulfridge: Mountains, Foothills, North Piedmont (336) 861-7342Robin.Sulfridge@dhhs.nc.gov

Michiele Elliott: South Piedmont, North Coastal, South Coastal(704) 878-4280Michiele.Elliott@dhhs.nc.gov

NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

ICF-IID Territory Map

NC Department of Health and Human Services

Division of Health Service Regulation

http://www.nchhs.gov/dhsrMental Health Licensure & Certification Section

DHSR MHLC Resources DHSR MHLC web site: http://www.ncdhhs.gov/dhsr/Rules and Resources web page: this page includes links to all

relevant NC administrative rules as well as a link to our Procedures for Rule Enforcement. This document gives providers clear information about how our surveyors enforce the rules.

http://www.ncdhhs.gov/dhsr/mhlcs/rules.htmlForms and Applications web page: this page includes

applications, annual survey guidelines including worksheets, incident and death reporting links, disaster plan template, and facility compliance information.

http://www.ncdhhs.gov/dhsr/mhlcs/mhforms.html