TX HHS Form 1127. Fire Marshal/State Fire Marshal Notification

The TX HHS Form 1127 is a notification form used by the Texas Health and Human Services (HHS) to inform the Fire Marshal or State Fire Marshal of a resident being inappropriately placed in an assisted living facility. This form is completed when the facility or HHS determines that a resident does not meet evacuation requirements outlined in the Licensing Standards for Assisted Living Facilities.

The purpose of this form is to notify the authority having jurisdiction, which is responsible for fire and life safety codes and standards, about the change in evacuation capability of a resident. The form requires the facility to acknowledge receipt of the notification and submit any supporting documentation to the Regulatory Services regional office. This process ensures that local authorities are informed of changes affecting the safety and well-being of residents.

The TX HHS Form 1127 is an essential tool for ensuring compliance with fire safety regulations and protecting the health, safety, and welfare of assisted living facility residents in Texas. As a notification form, it plays a critical role in facilitating communication between facilities, HHS, and local authorities, ultimately promoting a safer environment for all involved.