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Using FNSS Guidance and Establishing Accessible General Population Shelters Iowa Partners in Preparedness Conference Ju PowerPoint Presentation
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Using FNSS Guidance and Establishing Accessible General Population Shelters Iowa Partners in Preparedness Conference June 22-23, 2011. Karin Ford, MSPS Iowa Department of Public Health. Photo courtesy of FEMA/Patsy Lynch. Kam Kennedy American Red Cross FEMA Region VII. Overview.

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Using FNSS Guidance and Establishing Accessible General Population Shelters Iowa Partners in Preparedness Conference Ju

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Using FNSS Guidance and Establishing Accessible General Population Shelters Iowa Partners in Preparedness ConferenceJune 22-23, 2011

Karin Ford, MSPS

Iowa Department of Public Health

Photo courtesy of FEMA/Patsy Lynch

Kam Kennedy

American Red Cross


  • Provide an overview of Functional Needs Support Services (FNSS) in general population shelters
  • Discuss Red Cross FNSS Guidance to Chapters
  • Provide examples of integration from recent responses and a response model for consideration
  • Discuss Iowa’s work with FNSS in general population shelters
  • How to make temporary changes for accessibility
defining fnss
Defining FNSS
  • Services that enable children and adults to maintain their usual level of independence in general population shelters. These services include:
    • Reasonable modifications to policies, practices and procedures
    • Durable Medical Equipment (DME)
    • Consumable Medical Supplies (CMS)
    • Personal Assistance Services (PAS)
    • Other goods and services as needed
red cross vision for accommodation
Red Cross Vision for Accommodation
  • Safely accommodate individuals with disabilities and those with functional needs in our congregate shelters by working with partners and increasing and sustaining capacity within the Red Cross
  • Provide appropriate referrals to partners when reasonable accommodation is not possible
red cross vision for accommodation1
Red Cross – Vision for Accommodation
  • Exceptions:
    • Individuals who need:
      • Continuous medical supervision
      • Acute, life-sustaining medical care
    • Individuals who are a danger to themselves or others
americans with disabilities act ada
Americans with Disabilities Act (ADA)

Under the ADA, the Red Cross must:

  • Make reasonable modifications to its policies, practices and procedures when necessary to deliver shelter services to clients with disabilities
  • Provide auxiliary aids and services to ensure effective communication
  • Welcome people with service animals
  • Ensure that shelter facilities are physically accessible for people who use wheelchairs or other mobility devices
  • Shelter Inventory
  • Community Planning
  • Response
shelter inventory
Shelter Inventory
  • 56,000 + shelter inventory
  • Agreements updated annually
  • Facilities physically surveyed every three years
integrated community planning
Integrated Community Planning
  • Work with all stakeholders to:
    • Review current plans
    • Conduct community gap analysis
    • Identify resources
    • Establish relationships with resource providers
  • Ensure Health Services (HS)/Disaster Mental Health (DMH) staff are present in shelters
  • Identify and address individual client needs
    • Use Initial Intake and Assessment Tool during registration
    • Consult with HS/DMH to address needs
    • HS and DMH will work directly with client to determine resources and next steps
    • New “scope of practice” model replacing nursing protocols
fast concept
FAST Concept
  • Functional Assessment Support Teams
  • Model from California
  • Provides for deployment of local teams to conduct assessments within shelters and bring state resources to bear
  • Under consideration in Missouri
fnss in iowa
FNSS in Iowa
  • Karin Ford, MSPS IDPH
  • Working with Polk and Story counties to establish accessible shelters
  • Developing coalitions with faith based groups
  • Include providers in shelter management and case management
emergency management and title ii of the ada
Emergency Management and Title II of the ADA
  • Requires that programs, services, and activities directly provided by state and local governments, and third parties must be accessible to people with disabilities
  • The ADA also requires making reasonable accommodations to policies, practices, and procedures when necessary to avoid discrimination against people with disabilities
accessible general population shelter
Accessible General Population Shelter
  • Temporary features
  • Must meet ADA standards
  • Must be safe
  • Meet minimum accommodation
four main areas

Four Main Areas



Common areas



Accessible Parking

  • ADA and Iowa Code
  • first spot must be van accessible
  • parking space 96 inches
  • van access 96 inches on right side
  • car access 60 inches
  • permanent upright signage
  • signage alerts to wider access aisle
number of accessible spaces
Number of Accessible Spaces
  • 1 to 25 – 1
  • 26 to 50 -2
  • 51 to 75 -3
  • 76 to 100 -4
  • 101 to 150 -5
  • 151 to 200 -6
  • 201 to 300 -7
  • 301 to 400 -8
  • 401 to 500 -9
  • 501 to 1000
  • 2 percent of total
  • 1001 and over
  • 20 plus 1 for each 100 over 1000
temporary parking
Temporary Parking
  • Can use temporary signage
  • Three stalls = two accessible

stalls with access aisle in middle

  • First space must be van accessible
  • Close to entrance
  • Flat surface
  • Remember 96 inches wide
  • Access aisles 60 or 96 inches

Orange Cone for the access aisle

  • place orange cone at the end
  • easily moved
  • blocks parking
  • temporary
  • curb cuts
temporary upright signage
Temporary Upright Signage
  • Print and laminate
  • Post on temporary stand
  • Post high enough
  • Can be temporary
  • Must meet ADA specifications
  • Handrails
  • No ski slopes
  • Exterior doors follow locality fire code
  • Automatic openers are not required
entrance of the shelter
Entrance of the Shelter
  • Must be accessible
  • Sidewalk 36 inches wide
  • Can use temporary ramp
  • Signage to accessible entrance
common areas
Common Areas
  • Sleeping areas
  • Eating areas
  • All goods and services on one level unless working elevator
  • Alternate formats – signage, warning systems
  • Quiet room
  • Medicots
  • Transfer boards
adequate space
Adequate space
  • 40 square feet
  • pwd need 80 square feet
  • medicots, higher wider
  • placed against a wall
    • stability
    • near exit
bathroom shower
  • Both accessible
  • Toilet 17-19 inches from finished floor
    • Raised toilet seat
  • 5 foot radius and grab bars for transfer
    • Temporary grab bars
      • Must hold up to 250 lbs
  • Roll in showers with transfer benches
  • Handheld or adjustable shower features
bathroom sink
  • Paper towels and soap can be on the counter
  • Hang lower dispensers or mirror
service animals
Service Animals
  • Perform a task to mitigate the effects of a disability
  • Miniature horses but subject to certain limitations
  • Is not a pet
  • Do not touch or give the animal food or treats

without the permission of the owner

  • Wearing its harness, it is on duty
  • If you are asked to take the dog, hold the leash

not the harness

  • Service animals travel with their human partner
  • Do not need to be registered or

show proof

  • Can only remove if the service animal posses a threat

or is not housebroke

importance of pre planning
Importance of Pre-Planning
  • Care facilities, group homes
  • Are already identified
  • Have Continuity of Operations Plans
  • Can become an asset to the response
medical shelters
Medical Shelters
  • Must be staffed with doctors, nurses and trained staff
  • Best case scenario, pre-established transfer locations and locations of the same level of care are secured before a disaster
  • Need medical shelters to not overwhelm the hospitals
how am i going to remember all this
How am I going to remember all this?
  • ADA homepage has toolkits and checklists –

  • FNSS Guidance
  • Department of Justice technical assistance -

(800) 514-0301 (voice)

  • Call me 515-242-6336


Contact Information:

Karin Ford, MSPS


321 E 12th Street

Des Moines, Iowa



Kam Kennedy

American Red Cross

Special Representative to FEMA R-VII

9221 Ward Parkway

Kansas City, Missouri

(o) 816-283-7520

(bb) 816-808-3024