The law requires, after July 1, 2010, all licensed GACHs, APHs, and SHs to conduct, not less than annually, a security and safety assessment and, using the assessment, develop, and annually update based on the assessment, a security plan with measures to protect personnel, patients, and visitors from aggressive or violent behavior. The security and safety assessment must examine trends of aggressive or violent behavior at the facility. These hospitals must track incidents of aggressive or violent behavior as part of the quality assessment and improvement program and for the purposes of developing a security plan to deter and manage further aggressive or violent acts of a similar nature. The plan may include, but must not be limited to, security considerations relating to all of the following:
(1) Physical layout
(2) Staffing
(3) Security personnel availability
(4) Policy and training related to appropriate responses to violent acts
(5) Efforts to cooperate with local law enforcement regarding violent acts in the facility