Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart Q - DAY CARE PROGRAMS › Section 350.4210 - Day Care in Long-Term Care Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
a) For a licensed long-term care facility to
				be approved for a day care program, it is necessary that the facility meet all
				licensing requirements for its level of care.
b) In addition, the following criteria must
				also be met:
1) Staff: Sufficient and
				satisfactory personnel shall be on duty to provide services that meet the total
				needs of the day care residents, without detracting from the services given to
				the residents in the facility in accordance with the various staffing
				requirements of this Part.
2)
				Space:
A) Dining - Adequate space and
				equipment available to accommodate the additional residents in accordance with
				Subparts I or K and Section
				350.2670
				or
				350.2970
				of this Part.
B) Activity Area -
				Large enough area to accommodate capacity of facility, plus additional "Day
				Care" residents in accordance with Section
				350.2670
				or
				350.2970
				of this Part.
C) Rest Area - A
				definite area should be designated as an area available for the Day Care
				resident to nap or rest. This area should be equipped with beds (roll-aways can
				be used) or cots and portable screens. There should also be adequate space
				available for personal items storage for the number of Day Care residents being
				cared for. Suggested areas which can be utilized for the Day Care resident
				could include:
i) Facilities having more than
				one communal area (such as a lounge and sunporch) could designate one of these
				for rest areas;
ii) Non-occupied
				rooms (no one assigned to these rooms);
iii) Toilets - Adequate number to accommodate
				extra number of residents in accordance with Section
				350.2660 or
				350.2960 of this
				Part.
3)
				Records:
A) A statement by a physician who
				has evaluated the resident within the last 30 days stating the resident is free
				of communicable and infectious disease, and indicating any medication or
				treatments and diet needed by the resident during the period of time in the
				facility. Permission should also be granted in this statement for the resident
				to participate in activities with any contraindications or
				limitations.
B) Medication and
				Treatment record - Required for any medications or treatments given during
				resident stay in the facility. (Medications must be in original containers and
				properly labeled.)
C) "Face" sheet
				or admission sheet - Containing all pertinent information necessary for the
				"safe keeping" of the resident such as complete name, address, telephone
				number, social security number, Medicare number, and age of resident; name,
				business, and home address, and telephone number of person to notify in an
				emergency; name of family physician; name of physician to call in an
				emergency.
D) Incident Report - in
				case of medication error or accident of any kind.
4) There must be written policies covering
				"Day Care" Service in the facility which explain implementation of this
				Section.
5) Permission for a Day
				Care Program requires identifying the services of the facility that will be
				used in the program. Examples: Activity area, dining area, administering of
				medications by nursing staff, physical therapy, speech, and social
				services.
6) The maximum number of
				"Day Care" residents served shall be reported with the application under
				Section
				350.160 of this
				Part.
7) The facility should
				consider the following in developing and providing Day Care Programs:
A) Use of house or advisory physician for
				emergencies;
B) Insurance
				coverage;
C) Signed agreement with
				family or responsible individual;
D) Permission to be involved in activities
				outside of the facility (in the community);
E) Attendance record; and
F) Facility should be aware of method and
				time of pick-up and delivery of the Day Care residents.