reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 390.1420 - Compliance with Licensed Prescriber's Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications shall be given only upon
				the written, facsimile or electronic order of a licensed prescriber. The
				facsimile or electronic order of a licensed prescriber shall be authenticated
				by the licensed prescriber within 10 calendar days, in accordance with Section
				390.1610.
				All such orders shall have the handwritten or electronic signature of the
				licensed prescriber. (Rubber stamp signatures are not acceptable.) These
				medications shall be administered as ordered by the licensed prescriber and at
				the designated time.
b) Telephone
				orders may be taken by a registered professional nurse, licensed practical
				nurse or licensed pharmacist. All such orders shall be immediately written on
				the resident's clinical record or a telephone order form and signed by the
				nurse or pharmacist taking the order. These orders shall be countersigned by
				the licensed prescriber within 10 calendar days.
c) The staff pharmacist or consultant
				pharmacist shall review the medical record, including licensed prescriber
				orders and laboratory test results, at least monthly and, based on their
				clinical experience and judgment, and Section 390. Appendix C, determine if
				there are irregularities that would cause adverse reactions, allergies,
				interactions, contraindications, medication errors or ineffectiveness. This
				review shall be documented in the clinical record. Portions of this review may
				be done outside the facility. Any irregularities noted shall be reported to the
				attending physician, the advisory physician, the director of nursing and the
				administrator, and shall be acted upon.
d) A medication order not specifically
				limiting the time or number of doses shall be automatically stopped in
				accordance with written policy approved by the pharmaceutical advisory
				committee.
e) The resident's
				licensed prescriber shall be notified of medications about to be stopped so
				that the licensed prescriber may promptly renew such orders to avoid
				interruption of the resident's therapeutic regimen.
f) The licensed prescriber shall approve the
				release of any medications to the resident, or person responsible for the
				resident's care, at the time of discharge or when the resident is going to be
				temporarily out of the facility at medication time. Disposition of the
				medications shall be noted in the resident's clinical record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 390.1430 - Administration of Medication

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				medications shall be administered only by personnel who are licensed to
				administer medications, in accordance with their respective licensing
				requirements. Licensed practical nurses shall have successfully completed a
				course in pharmacology or have at least one year's full-time supervised
				experience in administering medications in a health care setting if their
				duties include administering medications to residents.
1) Medications shall be administered as soon
				as possible after doses are prepared at the facility and shall be administered
				by the same person who prepared the doses for administration, except under
				single unit dose packaged distribution systems.
2) Each dose administered shall be properly
				recorded in the clinical record by the person who administered the dose. (See
				Section
				390.1620.)
3) Self-administration of medication shall be
				permitted only upon the written order of the licensed prescriber.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 390.1440 - Labeling and Storage of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications for all residents shall be
				properly labeled and stored at or near the nurses' station in a locked cabinet,
				in a locked medication room, or in one or more locked mobile medication carts
				of satisfactory design for such storage. (See subsections (f) and (g) of this
				Section.)
1) These cabinets, rooms, and carts
				shall be well lighted and of sufficient size to permit storage without
				crowding.
2) All mobile medication
				carts shall be under the visual control of the responsible nurse at all times
				when not stored safely and securely.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 390.1450 - Control of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall comply with all federal and State laws and State regulations
				relating to the procurement, storage, dispensing, administration, and disposal
				of medications.
b) All Schedule II
				controlled substances shall be stored so that two separate locks, using two
				different keys, must be unlocked to obtain these substances. This may be
				accomplished by several methods, such as locked cabinets within locked medicine
				rooms; separately locked, securely fastened boxes (or drawers) within a locked
				medicine cabinet; locked portable medication carts that are stored in locked
				medicine rooms when not in use; or portable medication carts containing a
				separate locked area within the locked medication cart, when such cart is made
				immobile.
c) Disposal of
				Medications
1) All medications having an
				expiration date that has passed, and all medications of residents who have been
				discharged or who have died shall be disposed of in accordance with the written
				policies and procedures established by the facility in accordance with Section
				390.1410.
				Medications shall be transferred with a resident, upon the order of the
				resident's physician, when a resident transfers to another facility. All
				discontinued medications, with the exception of those products regulated and
				defined as controlled substances under Section 802 of the federal Controlled
				Substances Act (
				21
				USC 802 ), shall be returned to the
				dispensing pharmacy.
2) Medications
				for any resident who has been temporarily transferred to a hospital shall be
				kept in the facility. Medications may be given to a discharged resident only
				upon the order of the licensed prescriber.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1620 - Content of Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				later than the time of admission, the facility shall enter the following
				information onto the identification sheet or admission sheet for each resident:
1) Name, sex, date of birth and Social
				Security Number,
2) Whether the
				resident has been previously admitted to the facility,
3) Date of current admission to the
				facility,
4) State or country of
				birth,
5) Religious affiliation (if
				any),
6) Name, address and
				telephone number of any referral agency, state hospital, zone center or
				hospital from which the resident has been transferred (if
				applicable),
7) Name and telephone
				number of the resident's personal physician.
8) Name and telephone number of the
				resident's next of kin or responsible relative,
9) Race and origin,
10) Father's name and mother's maiden name,
				Social Security numbers, birthplaces, address and marital status of resident's
				parents,
11) Name, address and
				telephone number of the resident's dentist, and
12) The diagnosis applicable at the time of
				admission.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1630 - Confidentiality of Resident's Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) All information contained in a resident's
				record, including information contained in an automated data bank, shall be
				considered confidential. The facility shall permit the appropriate State and
				federal agencies (such as Illinois Departments of Public Aid, Public Health,
				and Mental Health and Developmental Disabilities, and the U.S. Department of
				Health and Human Services) to have access to resident records.
b) The facility shall develop and implement
				written policies governing access to, duplication of, and dissemination of
				information from medical records.
c) The facility shall obtain written consent
				of the resident, or, if a guardian, the resident's guardian, prior to any
				release of any resident record information to persons not authorized to receive
				the information.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1640 - Records Pertaining to Resident's Property

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall maintain a record of
				any resident's belongings, including money, valuables and personal property,
				accepted by the facility for safekeeping. This record shall be initiated at the
				time of admission and shall be updated on an ongoing basis and made part of the
				resident's record.
b) When
				purchases are made for a resident from the resident's personal monies, receipts
				shall be obtained and retained that verify the date, amount, and items
				purchased.
c) A separate
				bookkeeping system shall be maintained by the facility which accounts for all
				transactions affecting each resident's account. Each individual resident, or
				the individual resident's representative, shall have access to the record of
				that individual resident's account.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1650 - Retention and Transfer of Resident Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Records of discharged residents shall be
				placed in an inactive file and retained as follows:
1) Records for any resident who is discharged
				prior to being 18 years old shall be retained at least until the resident
				reaches the age of 23.
2) Records
				of residents who are over 18 years old at the time of discharge shall be
				retained for a minimum of five years.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1670 - Staff Responsibility for Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
The facility shall designate a staff member skilled in record
				  maintenance and preservation who shall be responsible for maintaining and
				  preserving medical records. If the designated person is not a health
				  information management consultant, then the designated person shall receive
				  consultation from a health information management consultant in order to meet
				  the medical record requirements of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1680 - Retention of Facility Records

Current through Register Vol. 48, No. 28, July 12, 2024
The facility shall retain the records referenced in this
				  Section for a minimum of three years. It is suggested that the administrator
				  check with legal counsel regarding the advisability of retaining records for a
				  longer period of time, and the procedures to be followed in the event the
				  facility ceases operation. The records for which this requirement applies are
				  as follows:
a) The annual financial
				statement described in Section
				390.210
				of this Part.
b) The minutes of
				resident advisory council meetings required by Section
				390.650(j)
				of this Part.
c) The records of
				in-service training required by Section
				390.670(b)(4)
				of this Part.
d) Copies of reports
				of serious incidents or accidents involving residents required by Section
				390.700
				of this Part.
e) Records of the
				emergency medication kit review by the pharmaceutical advisory committee
				required by Section
				390.1410(i)(3)
				 of this Part.
f) The reports of findings and
				recommendations from consultants required in Section
				390.1690(a)
				of this Part.
g) Copies of the
				quarterly reports for all employees that are filed for Social Security and
				Unemployment Compensation as required by Section
				390.1690(d)
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 390.1690 - Other Facility Record Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall maintain a file of
				reports of findings and recommendations from consultants. Each report shall be
				dated and indicate each specific date and time the consultant was in the
				facility.
b) The facility shall
				complete the Illinois Department of Public Health Annual Long Term Care (LTC)
				Facility Survey.
c) The facility
				shall maintain a permanent chronological resident registry showing date of
				admission, name of resident and of discharge or death.
d) The facility shall make available to the
				Department upon request copies of the quarterly reports for all employees that
				are filed for Social Security and Employment Compensation.
e) Rules located in other Sections of this
				Part that pertain to the content and maintenance of facility records are as
				follows:
1) The facility shall file an annual
				financial statement as described in Section
				390.210
				of this Part.
2) Records and daily
				time schedules shall be kept on each employee as set forth in Section
				390.670(a) and
				(b) of this Part.
3) The facility shall maintain a controlled
				substances record as described in Section
				390.1450(d)
				of this Part.
4) Menu and food
				purchase records shall be maintained as set forth in Section
				390.1880(d) and
				(f) of this Part.
5) The facility shall maintain a file of all
				reports of serious incidents or accidents involving residents as required by
				Section
				390.700
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1810 - Director of Food Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				full-time person, qualified by training and experience, shall be responsible
				for the total food and nutrition services of the facility. This person shall be
				on duty a minimum of 40 hours each week.
1)
				This person shall be either a dietitian or a dietetic service
				supervisor.
2) The person
				responsible for the food service may assume some cooking duties but only if
				these duties do not interfere with the responsibilities of management and
				supervision.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1820 - Dietary Staff in Addition to Director of Food Services

Current through Register Vol. 48, No. 28, July 12, 2024
There shall be sufficient number of food service personnel
				  employed and on duty. Their working hours shall be scheduled to meet the total
				  dietary needs of the residents. All dietary employees' time schedules and work
				  assignments shall be posted in the kitchen. Dietary duties and job procedures
				  shall be available in the dietary department for employees' knowledge and use.
				  (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1830 - Hygiene of Dietary Staff

Current through Register Vol. 48, No. 28, July 12, 2024
Food service personnel shall be in good health. Food service
				  personal shall practice hygienic food handling techniques and good personal
				  grooming. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1840 - Diet Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) Two or more
				copies of a current diet manual shall be available and in use. One copy shall
				be located in the kitchen for use by dietary personnel. Other copies shall be
				located at each nurses' station for use by physicians when prescribing
				diets.
b) Physicians shall write a
				diet order, in the medical record, for each resident indicating whether the
				resident is to have a general or a therapeutic diet. The diet shall be served
				as ordered.
c) A written diet order
				shall be sent to the food service department when each resident is admitted and
				each time that the resident's diet is changed. Each change shall be ordered by
				the physician. The diet order shall include, at a minimum, the following
				information: name of resident, room and bed number, type of diet, consistency
				if other than regular consistency, date diet order is sent to dietary, name of
				physician ordering the diet, and the signature of the person transmitting the
				order to the food service department.
d) The resident shall be observed to
				determine acceptance of the diet, and these observations shall be recorded in
				the medical record. Any significant changes in weight shall be reported to the
				dietitian.
e) A therapeutic diet
				means a diet ordered by the physician as part of treatment for a disease or
				clinical condition, to eliminate or decrease certain substances in the diet
				(e.g., sodium) or to increase certain substances in the diet (e.g., potassium),
				or to provide food in a form that the resident is able to eat (e.g.,
				mechanically altered diet).
f) All
				therapeutic diets shall be medically prescribed and shall be planned or
				approved by a dietitian.
g) The
				kinds and variations of prescribed therapeutic diets shall be available in the
				kitchen. If separate menus are not planned for each specified diet, information
				for each specified type, in a form easily understood by staff, shall be
				available in a convenient location in the kitchen.
h) All oral liquid diets shall be reviewed
				every 48 hours. Medical soft diets, sometimes known as transitional diets,
				shall be reviewed every three weeks. All other therapeutic and mechanically
				altered diets, including commercially prepared formulas that are in liquid form
				and blenderized liquid diets, shall be reviewed as needed, or at least every
				three months.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1850 - Meal Planning

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				diet for all residents shall be as prescribed by the attending
				physician.
b) Nutritional
				Requirements for Infants and Children
1) The
				charts in Tables A and B labeled Nutritional Requirements for Infants and
				Children have been adapted from current recommendations of the Food and
				Nutrition Board, National Research Council for children with normal growth and
				developmental patterns. These recommendations vary for each age
				group.
2) The Nutritional
				Requirements are to be used as guidelines only in those cases where the
				physician does not prescribe a therapeutic diet. However, the diet of a
				resident with severe physical abnormalities and irregular growth and
				developmental patterns may require a considerable variance from the current
				recommended allowances. Such variance shall be permitted upon the written order
				of the attending physician.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1860 - Infant and Therapeutic Diets

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				An infant diet is a diet whether therapeutic or general for residents under the
				age of 12 months.
b) A therapeutic
				diet is a diet that varies from the recommended nutritional requirements as
				specified in Section
				390.1850.
c) All diets shall be ordered by a physician
				and recorded in the resident's medical record and served as ordered. The
				resident shall be observed to determine acceptance of the diet and these
				observations shall be recorded in his record. (B)
d) All diet orders (see Section 390. 1840(a)
				and (b)) transmitted to the Food Service Department shall include, but are not
				limited to, the following information: name of resident, room and bed number,
				type of diet, date diet order is sent to dietary, name of physician ordering
				the diet, and the signature of the person transmitting the order to the food
				service department.
e) All diets or
				dietary restrictions shall be planned or approved by a dietitian. (B)
f) The kinds and variations of these
				prescribed therapeutic diets shall be available in the kitchen. If separate
				menus are not planned for each specific diet, diet information for each
				specific type shall be posted in the kitchen.
g) All infant and therapeutic diets, with the
				exception of liquid and medical soft, shall be reviewed at least every month.
				Liquid therapeutic diets shall be reviewed every 48 hours. Medical soft diets
				shall be reviewed every three weeks. This review shall be done by licensed
				nursing personnel or a qualified dietitian with recommendations to the
				attending physician. (B)
h) The
				facility shall have available and in use, two or more copies of a current diet
				manual recommended by the Department. One copy shall be located in the kitchen
				for use by dietary personnel; others shall be located at each nurses' station
				for available use by the physician when prescribing diets.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1870 - Scheduling Meals

Current through Register Vol. 48, No. 28, July 12, 2024
a) A minimum of
				three meals or their equivalent shall be served daily at regular times with no
				more than a 14 hour span between a substantial evening meal and breakfast.
				(B)
b) Snacks of nourishing quality
				shall be offered between meals when there is a time span of four or more hours
				between the ending of one meal and the serving of the next. (B) Snacks of
				nourishing quality shall be offered at bedtime when there is a time span of two
				or more hours between the ending of the last meal and bedtime. (B)
c) If a resident refuses food served,
				reasonable and nutritionally appropriate substitutions shall be served.
				(B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1880 - Menus and Food Records

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Menus, including menus for between meal or bedtime snacks and "sack" lunches,
				if required, shall be planned at least one week in advance. Food sufficient to
				meet the nutritional needs of all the residents shall be prepared for each
				meal. When changes in the menu are necessary, substitutions shall provide equal
				nutritive value and shall be recorded on the original menu, or in a notebook
				marked "Substitutions", that is kept in the kitchen. If a notebook is used to
				document substitutions, it shall include the date of the substitution; the meal
				at which the substitution was made; the menu as originally written; and the
				menu as actually served.
b) The
				menu for the current week shall be dated and available in the kitchen. Upon the
				request of the Department, sample menus shall be submitted for
				evaluation.
c) Menus shall be
				different for the same day of consecutive weeks and adjusted for seasonal
				differences.
d) All menus as
				actually served shall be kept on file at the facility for not less than 30
				days.
e) Food label information for
				purchased prepared food, listing food composition and, when available, nutrient
				content, shall be kept on file in the facility for the current menu
				cycle.
f) Supplies of staple food
				for a minimum of a one week period and of perishable foods for a minimum of a
				two day period shall be maintained on the premises. These supplies shall be
				appropriate to meet the requirements of the menu.
g) Records of all food purchased shall be
				kept on file in the facility for not less than 30 days.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1890 - Food Preparation and Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Food shall be prepared by appropriate
				methods that will conserve their nutritive value, enhance their flavor and
				appearance. They shall be prepared according to standardized recipes and a file
				of such recipes shall be available for the cook's use.
b) Foods shall be attractively served at the
				proper temperatures and in a form to meet individual needs. Foods shall not be
				mixed for feeding so that residents may develop individual tastes. All solids
				shall be spoon fed. (B)
c) All
				residents shall be served in a dining room or multipurpose room in an upright
				position unless contraindicated by resident's condition. All infants shall be
				held for each feeding. (B)
d) The
				method of feeding shall encourage, in each resident, the acquisition of
				developmentally sequential feeding skills. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1900 - Preparation of Infant Formula

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Formula may be prepared by either the facility or by approved outside
				resources. Approved outside resources are:
1)
				Those infant formula services which are approved to prepare infant formula for
				sale or distribution by the health department of the state in which the plant
				is located if the formula is sold interstate; or
2) If sold only in Illinois, the infant
				formula service is approved by a local, full-time health department under an
				ordinance dealing specifically with infant formula preparation to prepare
				infant formula for sale or distribution.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1910 - Food Handling Sanitation

Current through Register Vol. 48, No. 28, July 12, 2024
Every facility shall comply with the Department's rules
				  entitled "Food Service Sanitation" (77 Ill. Adm. Code 750).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 390.1920 - Kitchen Equipment, Utensils, and Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility shall provide an adequate
				number of dishes, glassware, and silverware of a satisfactory type to serve all
				the residents in the facility at each meal.
b) Each facility shall provide a sufficient
				supply of adaptive food service equipment necessary to meet the need of each
				resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart J - MAINTENANCE, HOUSEKEEPING, AND LAUNDRY › Section 390.2010 - Maintenance

Current through Register Vol. 48, No. 28, July 12, 2024
Every facility shall have an effective written plan for
				  maintenance, including sufficient staff, appropriate equipment, and adequate
				  supplies. Each facility shall: (B)
a)
				Maintain the building in good repair, safe and free of the following: cracks in
				floors, walls, or ceilings; peeling wallpaper or paint; warped or loose boards;
				warped, broken, loose, or cracked floor covering, such as tile or linoleum;
				loose handrails or railings; loose or broken panes; and any other similar
				hazards. (B)
b) Maintain all
				electrical, signaling, mechanical, water supply, heating, fire protection, and
				sewage disposal systems in safe, clean and functioning condition. This shall
				include regular inspections of these systems. (A, B)
c) Maintain all electrical cords and
				appliances in a safe and functioning condition. (B)
d) Maintain the interior and exterior
				finishes of the building as needed to keep it attractive, clean and safe
				(painting, washing, and other types of maintenance).
e) Maintain all furniture and furnishings in
				a clean, attractive, and safely repaired condition.
f) Maintain the grounds and other buildings
				on the grounds in a safe, sanitary and presentable condition. (B)
g) Maintain the grounds free from refuse,
				litter, insect and rodent breeding areas.
h) The building and grounds shall be kept
				free of any possible infestations of insects and rodents by eliminating sites
				of breeding and harborage inside and outside the building; eliminating sites of
				entry into the building with screens of not less than 16 mesh to the inch and
				repair of any breaks in construction. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart J - MAINTENANCE, HOUSEKEEPING, AND LAUNDRY › Section 390.2020 - Housekeeping

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility
				shall have an effective plan for housekeeping including sufficient staff,
				appropriate equipment, and adequate supplies. Each facility shall: (B)
1) Keep the building in a clean, safe, and
				orderly condition. This includes all rooms, corridors, attics, basements, and
				storage areas. (B)
2) Keep floors
				clean and as nonslip as possible, and free from tripping hazards. Throw rugs
				and scatter rugs with nonslip type backings may be utilized if they do not
				constitute a serious tripping hazard.
3) Control odors within the housekeeping
				staff's areas of responsibility by effective cleaning procedures and by the
				proper use of ventilation systems. Deodorants shall not be used to cover up
				persistent odors caused by unsanitary conditions or poor housekeeping
				practices.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart J - MAINTENANCE, HOUSEKEEPING, AND LAUNDRY › Section 390.2030 - Laundry Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall have an effective means of supplying an adequate amount of clean
				linen for operation, either through an in-house laundry or a contract with an
				outside service.
1) An adequate supply of
				clean linen shall be defined as the three sets of sheets, draw sheets, and
				pillow cases required to provide for the residents' needs. Additional changes
				of linen may be required in consideration of the time involved for laundering
				and transporting soiled linens.
2)
				If an in-house laundry service is provided, then the following conditions shall
				exist:
A) The laundry area shall be
				maintained and operated in a clean, safe and sanitary manner. No part of the
				laundry shall be used as a smoking or dining area.
B) Written operating procedures shall be
				developed, posted and implemented which provide for the handling, transport and
				storage of clean and soiled linens.
C) Laundry personnel must be in good health
				and practice good personal grooming. Employees must thoroughly wash their hands
				and exposed portions of their arms with soap and warm water before starting
				work, during work as often as necessary to keep them clean and after smoking,
				eating, drinking, using the toilet and handling soiled linens.
D) Clean linen shall be protected from
				contamination during handling, transport and storage.
E) Soiled linen shall be handled, transported
				and stored in a manner that protects facility residents and
				personnel.
F) If supplies and
				equipment not directly connected with the operation of the laundry are stored
				in the laundry or its accessory storage and handling areas, they shall be
				protected from contamination by the soiled linens and shall not contribute to
				contamination of the clean linens.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart K - FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 390.2210 - Furnishings

Current through Register Vol. 48, No. 28, July 12, 2024
a) There shall be
				safely constructed individual bassinets, cribs, or beds in each bedroom. These
				shall not be painted with a paint containing lead. Beds or cribs with spokes
				shall have only narrow openings between the spokes. Each bed shall be of
				adequate size to accommodate the resident.
b) Each bed shall be provided with
				satisfactory type springs in good repair and a clean, firm, comfortable
				mattress of appropriate size for the bed.
c) Each bedroom exterior window shall have a
				device to insure privacy and light control.
d) A satisfactory reading lamp, or
				equivalent, shall be provided for each bed unless contraindicated.
e) Each bed shall be provided with a minimum
				of one clean, comfortable pillow unless contraindicated. There shall be
				additional pillows available in the facility to satisfactorily serve the needs
				of the residents.
f) Each lavatory
				and each bedroom or adjoining bathroom shall be provided with a mirror when
				appropriate.
g) Each resident area
				shall be provided with appropriate furnishings and equipment to meet resident
				needs. These furnishings shall be well constructed, and of satisfactory design,
				and be appropriate for the residents.
h) Office spaces, nurses' stations, treatment
				rooms, and other areas shall be satisfactorily furnished with desks, chairs,
				lamps, cabinets, benches, work tables, and other furnishings essential to the
				proper use of the area.
i) Each
				resident shall be provided with an adequate amount of storage space within the
				resident's bedroom for personal items and clothing. This space shall be easily
				accessible to the residents when appropriate.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart K - FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 390.2220 - Equipment and Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide adequate equipment and supplies including at a minimum
				the following:
1) An adequate supply of
				nursing equipment such as individual thermometers, catheters, dressings,
				scales, hypodermic needles, syringes, and other equipment for giving medicines
				based on the needs of the residents in the facility.
2) At least one properly operating suction
				machine and one emergency type oxygen apparatus on each floor or section of the
				building housing residents. (B)
3)
				A sufficient quantity of linen such as sheets, diapers, blankets, towels, wash
				cloths, and plastic sheeting to provide each resident with a daily individual
				supply.
4) At least one privacy
				screen available in the facility for emergency use when resident privacy is
				needed.
5) An emergency first-aid
				kit or emergency box containing bandages, sterile gauze dressing, bandage
				scissors, tape, sling, burn ointment, airways, tourniquet, sterile suture set,
				antiseptic skin cleaner and other equipment deemed necessary by the advisory
				physician or the medical advisory committee. (B)
6) Proper clothing to assure cleanliness and
				warmth for each resident. (B)
7) A
				sufficient number of play pens provided for residents under one year of age and
				in addition for those over one year of age, if needed for proper care. These
				shall be safe for use. (B)
8)
				Washable toys and other developmental toys and equipment provided. These shall
				be of safe and sanitary design.
9)
				Cleaning equipment and supplies shall be provided as set forth in Subpart
				J.
10) All supplies and special
				equipment including implements or utensils needed for residents.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart K - FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 390.2230 - Sterilization of Supplies and Equipment

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility shall have and follow an
				acceptable plan to provide for sterile equipment and supplies, such as needles,
				syringes, catheters, and dressings. There shall be an autoclave available for
				sterilizing this type of equipment and supplies. The autoclave should be
				located in a central sterilization area, clean utility area, or nurses'
				station. An autoclave will not be required in a facility when other acceptable
				arrangements have been made, such as: (A, B)
1) Use of individually wrapped sterile
				dressings, disposable syringes, needles, catheters, and gloves.
2) Formal plan with another facility for the
				autoclaving of equipment and supplies.
3) Other alternative methods when approved on
				an individual basis in writing from the Department based on a written request
				from the facility giving in detail the method proposed to be used and which
				method meets acceptable criteria for proper sterilization for these items to be
				sterilized.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart L - WATER SUPPLY AND SEWAGE DISPOSAL › Section 390.2410 - Codes

Current through Register Vol. 48, No. 28, July 12, 2024
Water supply, sewage disposal, and plumbing systems shall
				  comply with all applicable State and local codes and ordinances.
				  (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart L - WATER SUPPLY AND SEWAGE DISPOSAL › Section 390.2420 - Water Supply

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				facility shall be served by water from a municipal public water supply when
				available. (B)
b) When a municipal
				public water supply is not available, the water supply shall comply with the
				Department's rules entitled "Drinking Water Systems" (77 Ill. Adm. Code 900).
				(B)
c) If water is supplied by a
				well that is not part of a municipal system, the well shall be constructed and
				maintained in accordance with the Department's rules entitled "Illinois Water
				Well Construction Code" (77 Ill. Adm. Code 920) and "Illinois Water Well Pump
				Installation Code" (77 Ill. Adm. Code 925).
d) Each facility shall have a written
				agreement with a water company, dairy, or other water purveyor to provide an
				emergency supply of potable water for drinking and culinary purposes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart L - WATER SUPPLY AND SEWAGE DISPOSAL › Section 390.2430 - Sewage Disposal

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				sewage and liquid wastes shall be discharged into a public sewage system when
				available. (B)
b) When a public
				sewage system is not available, sewage and liquid wastes shall be collected,
				treated, and disposed of in a private sewage disposal system. The design,
				construction, maintenance, and operation of the system shall comply with the
				"Department's rules entitled "Private Sewage Disposal Code" (77 Ill. Adm. Code
				905). (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart L - WATER SUPPLY AND SEWAGE DISPOSAL › Section 390.2440 - Plumbing

Current through Register Vol. 48, No. 28, July 12, 2024
Each plumbing system shall comply with the "Illinois Plumbing
				  Code" and the rules promulgated thereunder (77 Ill. Adm. Code 890) effective at
				  the time of construction and approved acceptance by the
				  Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart M - DESIGN AND CONSTRUCTION STANDARDS FOR NEW FACILITIES › Section 390.2610 - Applicability of these Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				This Subpart M shall apply to all new MC/DD facilities and major alterations
				and additions to existing MC/DD facilities. (Major alterations are those that
				are not defined as minor alterations in subsection (i).) MC/DD facilities
				contemplating construction shall contact the Health Facilities Planning Board
				for information concerning the current requirements. Projects for which working
				drawings and specifications have received final approval by the Department
				prior to the promulgation of these Standards will only be required to meet
				those Standards that were in effect at the time that the final approval was
				given.
b)
Before commencing
				construction of a new facility or specified types of alteration or additions to
				an existing facility involving major construction,
as defined in
				subsection (a),
architectural drawings and specifications for the
				facility
shall comply with Section
				390.2630
				and
shall be submitted to the Department for review and approval. Final
				approval of the drawings and specifications for compliance with design and
				construction standards shall be obtained from the Department before the
				alteration, addition, or new construction is begun.
Approval will be
				based upon compliance with Section 390.2630. (Section 3-202.5(a) of the
				Act)
c) The drawings and
				specifications shall be submitted to the Department for review and approval
				prior to beginning of construction. For final approval to remain valid,
				contracts shall be signed within one year after the date of final approval.
1)
The Department
will
inform an applicant in writing within 10 working days after receiving
				drawings and specifications and the required fee, if any, from the applicant
				whether the applicant's submission is complete or incomplete. Failure to
				provide the applicant with this notice within 10 working days
will
result in the submission being deemed complete for purposes of
				initiating the 60 day review period under this
Part.
2)
If the submission is complete and
				the required fee, if any, has been paid, the Department
will
approve or disapprove drawings and specifications submitted to the
				Department no later than 60 days following receipt by the
				Department.
3)
If
				the drawings and specifications are disapproved, the Department
will
state in writing, with specificity, the reasons for the
				disapproval.
(Section 3-202.5(b) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart M - DESIGN AND CONSTRUCTION STANDARDS FOR NEW FACILITIES › Section 390.2620 - Codes and Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				facility shall comply with the applicable provisions of the following codes and
				standards. Any incorporation by reference in this Section of federal
				regulations or of any standards of a nationally recognized organization or
				association refers to the regulations and standards on the date specified and
				does not include any amendments or editions subsequent to the date specified.
1) State of Illinois rules
A) Illinois Plumbing Code (77 Ill. Adm. Code
				890), Department of Public Health
B) Illinois Accessibility Code (71 Ill. Adm.
				Code 400), Capital Development Board
C) Food Service Sanitation Code (77 Ill. Adm.
				Code 750), Department of Public Health
D) Boiler and Pressure Vessel Safety (41 Ill.
				Adm. Code 2120), Office of the State Fire Marshal
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart M - DESIGN AND CONSTRUCTION STANDARDS FOR NEW FACILITIES › Section 390.2630 - Preparation of Drawings and Specifications

Current through Register Vol. 48, No. 28, July 12, 2024
a) The preparation of drawings and
				specifications shall be executed by or be under the immediate supervision of an
				architect registered in the State of Illinois:
b) The first submission shall be the design
				development drawings indicating in detail the assignment of all spaces, size or
				areas and rooms, and indicating in outline, the fixed and movable equipment and
				furniture, and the outline specifications.
c) The plans shall be drawn at a scale
				sufficiently large to clearly present the proposed design.
d) The drawings shall include:
1) a plan of each floor including the
				basement or ground floor,
2) roof
				plan,
3) plot plan showing roads,
				parking areas, sidewalks, and other areas,
4) elevations of all facades,
5) sections through the building,
6) identification of all fire and smoke
				compartmentation.