The Department of Health, responsible for inspecting and approving the emergency evacuation plans of all the island’s hospitals, only keeps them for the three hospitals that it runs. The agency’s Deputy Secretary’s Office for the Regulation and Accreditation of Health Facilities (SARAFS, in Spanish) does not keep a copy of the evacuation plans that it is supposed to have previously evaluated, and that could mean the difference between life and death for patients and employees. The information surfaced as part of a lawsuit in which the Center for Investigative Journalism (CPI, in Spanish) asked the DH for several documents and protocols related to emergency events. “As part of the inspections, SARAFS personnel check that said plans comply with all the established requirements. However, a physical copy, on paper, digital or in any other way stored in an electronic device(s) of these plans is not delivered to SARAFS personnel, nor is it received by said personnel, nor is it retained in the record of the facilities that work in the SARAFS, so the Department of Health does not have them,” according to the certification that the DH submitted to the San Juan Superior Court as part of the case.