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Vary your fire drills because surveyors will be checking
Vary the start time of your quarterly fire drills by at least an hour on each shift because surveyors will be checking.
And beware of establishing a pattern of scheduling drills because both The Joint Commission (TJC) and the Healthcare Facilities Accreditation Program (HFAP), now operating under the Accreditation Commission for Health Care (ACHC), have cited hospitals for problems.
CMS inspectors also regularly check fire drill logs
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