EMERGENCY WINTER STORM PREPAREDNESS GUIDE For Group Homes, Assisted Living, Room & Board, and Supportive Housing Purpose: To help you prepare now, maintain safety and continuity of care, and protect life, property, and operations during severe winter weather, ice storms, power outages, and staff shortages. SECTION 1: WHAT TO DO TODAY (IMMEDIATE ACTION – NEXT 12–24 HOURS) 1. Conduct a Rapid Safety & Operations Check • Confirm exact number of residents on-site • Identify high-risk residents: • Oxygen-dependent • Diabetic • Cardiac conditions • Mobility impairments • Behavioral or cognitive challenges • Assign one staff lead or responsible adult per shift • Print and keep a hard copy of: • Resident roster • Emergency contacts • Medication list • Diagnoses and allergies • Physician and pharmacy numbers 2. Secure Power & Heat Continuity • If you have a generator: • Test it now • Fuel it fully (minimum 72 hours) • If no generator: • Designate warm rooms • Stock space heaters (used safely and monitored) • Close unused rooms to conserve heat • Identify backup relocation sites (church, partner home, hotel, warming center) 3. Prepare for Power & Water Outages Stock at least 5–7 days of the following: Power / Lighting • Flashlights (not candles) • Extra batteries • Battery-powered lanterns • Phone battery packs / power banks Water • 1 gallon per person per day minimum • Extra water for hygiene and medications Food • Shelf-stable meals • Easy-to-prepare foods (no stove required) • Special diets accounted for (diabetic, low sodium, puree) 4. Medication & Medical Readiness • Refill all medications immediately • Prepare 7-day medication packets • Secure: • Insulin coolers • Oxygen backup tanks • Nebulizers (battery-powered if possible) • Place medications in one centralized, temperature-safe location SECTION 2: STAFFING CONTINGENCY PLAN (VERY IMPORTANT) 5. Assume Staff Will Be Limited Plan as if: • Roads are impassable • Staff cannot arrive or leave

SPECIALIZED PLACEMENT REFERRAL GROUP Nationwide Placement Agency | 20+ Years of Experience ⸻ CLIENT SUMMARY FACE SHEET #1 URGENT PLACEMENT – MACOMB COUNTY (LICENSED AFC REQUIRED) Client Code: SPRG-MI-MAC-F29-BPS-012226 Placement Needed By: Tomorrow AM (Urgent) County Requested: Macomb County, MI Home Type Required: Licensed Adult Foster Care (AFC) Room Preference: Shared Room / Shared Space (Required) Client Overview (De-Identified) • Age / Gender / Race: 29-year-old Caucasian Female • Primary Diagnoses: Bipolar Disorder; Schizophrenia • Behavioral Profile: Non-violent; elopement risk • Functional Level: Requires structured supervision and monitoring • Placement Goal: Stabilization in a consistent, staffed environment Care & Supervision Needs • Highly structured, licensed AFC setting • 24-hour supervision with redirection as needed • Medication administration and monitoring • Routine-driven household with predictable schedule • Behavioral oversight to prevent elopement (visual checks / safety protocols) Financial Snapshot • Monthly Ability to Pay: • $1,000 minimum • $1,400 typical • Up to $1,500 maximum • Move-In Funds: Family prepared to pay placement and move-in fees today Provider Instructions • Must be LICENSED AFC in Macomb County • Must accept shared room • Must be able to monitor elopement risk • Immediate availability required for next-day placement ⸻ CLIENT SUMMARY FACE SHEET #2 URGENT PLACEMENT – MACOMB COUNTY (DISCHARGE READY) Client Code: SPRG-MI-MAC-M46-SCZ-012226 Placement Needed: Tomorrow or Monday Current Status: Hospitalized – Ready for discharge County Requested: Macomb County, MI Home Type Requested: Structured AFC / staffed adult home (licensed strongly preferred) Client Overview (De-Identified) • Age / Gender: 46-year-old Male • Primary Diagnoses: Schizophrenia; Bipolar Disorder; Psychotic Disorder • Clinical Presentation: Hallucinatory thoughts; may become anxious/frustrated when not medication-compliant • Behavioral Profile: Non-violent

CLIENT SUMMARY FACE SHEET (DE-IDENTIFIED) — HIPAA COMPLIANT SPECIALIZED PLACEMENT REFERRAL GROUP (SPRG) — Nationwide Placement & Case Management Agency | 20+ Years of Service ☎️🌍🏘️🚨 CLIENT CODE: SPRG-MI-OAK-AA33F-011926 (MI = Michigan | OAK = Oakland County | AA33F = African-American 33-Year-Old Female | Date) PLACEMENT STATUS: IMMEDIATE PLACEMENT NEEDED — HOSPITAL DISCHARGE SCHEDULED Estimated Discharge: Next Monday (within 5–6 days) Seeking: Adult Foster Care / Group Home / Supportive Living (Mental Health Support) REQUESTED PLACEMENT AREA: Oakland County, Michigan (Preferred) Open to surrounding Oakland County cities based on availability and fit. BUDGET / PAYMENT: • Client Contribution Toward Room & Board: $850–$900/month • Payee/Income Management: Client appears to be self-managing (no guardian noted) • Payment Timing: Available at/near discharge (arrangements can be coordinated immediately) CLIENT PROFILE (DE-IDENTIFIED): • Age/Sex/Race: 33-year-old African-American female • Functional Status: Independent with ADLs • Presentation: Calm; no known violent or aggressive behaviors reported • Supervision Need: Benefits from a structured environment with supportive monitoring and redirection as needed CLINICAL / BEHAVIORAL HEALTH SUMMARY (AS REPORTED): • Primary Concerns: Hallucinations, delusions, agitation, anxiety, depression • Diagnoses/History Noted: Bipolar disorder, psychosis, schizoaffective disorder, severe malnutrition, depression • Medications: Psychotropic medication regimen; will discharge with medications • Substance Use: Cannabis use reported • Family History: Mental illness history reported in family • Behavioral Notes: No significant behavioral issues noted at this time; calm presentation CARE / HOME REQUIREMENTS: • Medication support: Medication reminders/assistance and monitoring for adherence • Meals/nutrition: Consistent meals and nutrition support (history of malnutrition) • Environment: Stable, low-conflict setting with routine

CLIENT SUMMARY FACE SHEET (DE-IDENTIFIED) — HIPAA COMPLIANT SPECIALIZED PLACEMENT REFERRAL GROUP A Nationwide Placement & Case Management Agency | 20+ Years of Service ⸻ 🔐 CLIENT CODE SPRG-MI-OAKMAC-S81CF-020126 (MI = Michigan | OAKMAC = Oakland/Macomb | S81CF = Senior 81 Caucasian Female | 02/01/26 = Target Move Date) ⸻ 🚨 PLACEMENT STATUS PLACEMENT NEEDED BY FEBRUARY 1, 2026 Client is unable to return home. Family is ready to move forward immediately upon identifying an appropriate home. ⸻ 📍 REQUESTED PLACEMENT AREA Oakland County, MI or Macomb County, MI (Open to surrounding cities within these counties based on availability and fit.) ⸻ 👤 CLIENT PROFILE (DE-IDENTIFIED) • Age/Gender/Race: 81-year-old Caucasian female • Presentation: Mild-mannered, pleasant, not violent, cooperative • Cognition: Early-stage dementia (no aggression reported) • Mobility: Not specified (home should confirm ability to safely accommodate) • Body Type: Small frame (approx. 120–135 lbs) ⸻ 🩺 CARE NEEDS / SUPPORT LEVEL • Incontinence: Yes (requires incontinence support) • ADL Support: Likely needs assistance and supervision consistent with early dementia and incontinence care • Behavioral Concerns: None reported (no violence, no agitation reported) ⸻ 💰 BUDGET / PAYMENT • Monthly Budget Toward Room & Board/Care: $1,700–$1,800/month • Payee/Guardian: Son is Legal Guardian • Payment Timing: Funds typically available around the 5th–7th of each month • Move-In Readiness: Guardian is responsive, pleasant, and prepared to secure placement promptly ⸻ 🏠 PLACEMENT TYPE REQUESTED Supportive Living / Group Home / Assisted Living / Adult Foster Care (Provider must be able to support early dementia needs and incontinence care.) ⸻ PROVIDER RESPONSE REQUEST (WHAT TO SEND) If you have availability and can accommodate this client, please send the following immediately: 1. Full address of the home 2. Photos of the home (bedroom, bathroom, common areas; exterior if available)

🏘️🌍☎️🚨CLIENT SUMMARY FACE SHEET (DE-IDENTIFIED) — HIPAA COMPLIANT SPECIALIZED PLACEMENT REFERRAL GROUP A Nationwide Placement & Case Management Agency | 20+ Years of Service ⸻ 🔐 CLIENT CODE SPRG-MI-OAK-80CF-011326 ⸻ 🚨 PLACEMENT STATUS IMMEDIATE PLACEMENT NEEDED (Decision by End of Week) • Family requesting tours tomorrow between 11:00 AM – 1:00 PM • Requesting 2–4 tours max • Move-in/placement targeted by end of this week ⸻ 📍 PLACEMENT AREA REQUESTED Oakland County, Michigan • Home City: Troy, MI • Radius: 5–10 miles from Troy (surrounding areas) • Open to: Assisted Living, Group Home, Retirement Community (must be able to manage behaviors and medical needs) ⸻ 👤 CLIENT PROFILE (De-Identified) • Gender/Age/Race: Caucasian Female, 80 years old • Mobility: Ambulatory (walks independently) • Cognition: Dementia with significant confusion • Behavioral Presentation (High Need): • Physically combative (may scratch/fight without clear trigger) • Verbally abusive at times • Requires behavioral-capable setting with trained staff and clear protocols ⸻ 🩺 MEDICAL / CARE NEEDS • 24-hour Oxygen: Yes (continuous oxygen requirement) • Diabetes: Insulin-dependent • Requires blood sugar monitoring and insulin administration per orders • Needs structured diabetic meal plan • Continence: Wears briefs • Typically uses restroom (toileting support/monitoring recommended) ⸻ 🍽️ DIET / NUTRITION • Diabetic diet required • Needs facility that can provide: • Consistent carbohydrate meals • Sugar-controlled snacks (as appropriate) • Staff able to coordinate meals with insulin schedule ⸻ 🧩 SAFETY / SUPERVISION LEVEL • High supervision required due to dementia + aggression • Must be able to support: • Behavior management plan • Redirection/de-escalation • Safety monitoring (client + staff safety) • Consistent routines/structure ⸻ 🏡 HOME HISTORY / BARRIERS TO RETURNING HOME • Client cannot return home • Reported hoarding behaviors and unsafe environment • No adequate caregiver support available