TX HHS Form 1129. Fire Suppression Authority Notification

The TX HHS Form 1129, Fire Suppression Authority Notification, is a crucial document that helps solve the problem of ensuring the safety and well-being of residents in assisted living facilities. This form is used when a resident is deemed to be inappropriately placed in an assisted living facility, and the facility or Texas Health and Human Services Commission (HHSC) has determined that the resident does not meet evacuation requirements.

The form requires specific information from the Fire Suppression Authority, including their acknowledgement of the change in evacuation capability for a particular resident. This notification is essential to ensure that the fire-fighting organization responsible for responding to fires at the facility is aware of any changes that may affect their operations. The form also includes space for comments and signature.

This form is typically filled out by the assisted living facility or HHSC, and submitted along with supporting documentation to the Regulatory Services regional office for the area. Key features of this form include:

• The Fire Suppression Authority's acknowledgement of the change in evacuation capability
• The requirement for the facility or HHSC to notify the Fire Suppression Authority of the waiver request
• The submission of supporting documentation, such as Form 3724 (Statement of Licensing Violations and Plan of Correction)