reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.760 - Personnel Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				facility shall develop and maintain written personnel policies that are
				followed in the operation of the facility. These policies shall include, at a
				minimum, each of the requirements of this Section.
b) Employee Records
1) Employment application forms shall be
				completed for each employee and kept on file in the facility. Completed forms
				shall be available to Department personnel for review.
2) Individual personnel files for each
				employee shall contain date of birth; home address; educational background;
				experience, including types and places of employment; date of employment and
				position employed to fill in this facility; and (if no longer employed in this
				facility) last date employed and reasons for leaving.
3) Facilities shall maintain a confidential
				medical file for each employee that shall contain health records, including the
				employee's vaccination and testing records, initial health evaluation, and the
				results of the tuberculin skin test required under Section
				330.765, and any other pertinent
				health records.
4) Individual
				personnel records for each employee shall also contain records of evaluation of
				performance.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.761 - Whistleblower Protection

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the
				purposes of this Section, "retaliatory action" means the reprimand, discharge,
				suspension, demotion, denial of promotion or transfer, or change in the terms
				and conditions of employment of any employee of a facility that is taken in
				retaliation for the employee's involvement in a protected activity as set forth
				in Section 3-810 of the Act and this Section
				330.761.
				(Section 3-810(a) of the Act)
b) A
				facility shall not take any retaliatory action against an employee of the
				facility, including a nursing home administrator, because the employee does any
				of the following:
1) Discloses or threatens
				to disclose to a supervisor or to a public body an activity, inaction, policy,
				or practice implemented by a facility that the employee reasonably believes is
				in violation of a law, rule, or regulation.
2) Provides information to or testifies
				before any public body conducting an investigation, hearing, or inquiry into
				any violation of a law, rule, or regulation by a nursing home
				administrator.
3) Assists or
				participates in a proceeding to enforce the provisions of the Act and this
				Part. (Section 3-810(b) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.765 - Initial Health Evaluation for Employees

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each employee shall have an initial health
				evaluation which shall be used to insure that employees are not placed in
				positions which would pose undue risk of infection to themselves, other
				employees, residents, or visitors.
b) The initial health evaluation shall be
				conducted not more than 30 days prior to the employee beginning employment in
				the facility. The evaluation shall be completed not more than 30 days after the
				employee begins employment in the facility.
c) The initial health evaluation shall
				include a health inventory. This inventory shall be obtained from the employee
				and shall include the employee's immunization status and any available history
				of conditions which would predispose the employee to acquiring or transmitting
				infectious diseases. This inventory shall include any history of exposure to,
				or treatment for, tuberculosis. The inventory shall also include any history of
				hepatitis, dermatologic conditions, or chronic draining infections or open
				wounds.
d) The initial health
				evaluation shall include a physical examination. The examination shall include
				at a minimum any procedures needed in order to:
1) Detect any unusual suspectibility to
				infection and any conditions which would increase the likelihood of the
				transmission of disease to residents, other employees, or visitors.
2) Determine that the employee appears to be
				physically able to perform the job functions which the facility intends to
				assign to the employee.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.770 - Disaster Preparedness

Current through Register Vol. 48, No. 28, July 12, 2024
a) For
				the purpose of this Section only, "disaster" means an occurrence, as a result
				of a natural force or mechanical failure such as water, wind or fire, or a lack
				of essential resources such as electrical power, that poses a threat to the
				safety and welfare of residents, personnel, and others present in the
				facility.
b) Each facility shall
				have policies covering disaster preparedness, including a written plan for
				staff, residents and others to follow. The plan shall include, but not be
				limited to, the following:
1) Proper
				instruction in the use of fire extinguishers for all personnel employed on the
				premises;
2) A diagram of the
				evacuation route, which shall be posted and made familiar to all personnel
				employed on the premises;
3) A
				written plan for moving residents to safe locations within the facility in the
				event of a tornado warning or severe thunderstorm warning; and
4) An established means of facility
				notification when the National Weather Service issues a tornado or severe
				thunderstorm warning that covers the area in which the facility is located. The
				notification mechanism shall be other than commercial radio or television.
				Approved notification measures include being within range of local tornado
				warning sirens, an operable National Oceanic and Atmospheric Administration
				weather radio in the facility, or arrangements with local public safety
				agencies (police, fire, emergency management agency) to be notified if a
				warning is issued.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.780 - Incidents and Accidents

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall maintain a file of all written reports of each incident and
				accident affecting a resident that is not the expected outcome of a resident's
				condition or disease process. A descriptive summary of each incident or
				accident affecting a resident shall also be recorded in the progress notes or
				nurse's notes of that resident.
b)
				The facility shall notify the Department of any serious incident or accident.
				For purposes of this Section, "serious" means any incident or accident that
				causes physical harm or injury to a resident.
c) The facility shall, by fax or phone,
				notify the Regional Office within 24 hours after each reportable incident or
				accident. If a reportable incident or accident results in the death of a
				resident, the facility shall, after contacting local law enforcement pursuant
				to Section
				330.785,
				notify the Regional Office by phone only. For the purposes of this Section,
				"notify the Regional Office by phone only" means talk with a Department
				representative who confirms over the phone that the requirement to notify the
				Regional Office by phone has been met. If the facility is unable to contact the
				Regional Office, it shall notify the Department's toll-free complaint registry
				hotline. The facility shall send a narrative summary of each reportable
				accident or incident to the Department within seven days after the
				occurrence.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.785 - Contacting Local Law Enforcement

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purpose of this Section, the
				following definitions shall apply:
1) "911" -
				an emergency answer and response system in which the caller need only dial
				9-1-1 on a telephone to obtain emergency services, including police, fire,
				medical ambulance and rescue.
2)
				Physical abuse - see 77 Ill. Adm. Code
				300.330.
3) Sexual abuse - sexual penetration,
				intentional sexual touching or fondling, or sexual exploitation (i.e., use of
				an individual for another person's sexual gratification, arousal, advantage, or
				profit).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.790 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Policies and procedures for investigating, controlling, and preventing
				infections in the facility shall be established and followed. The policies and
				procedures shall be consistent with and include the requirements of the Control
				of Communicable Diseases Code and Control of Sexually Transmissible Infections
				Code. Activities shall be monitored to ensure that these policies and
				procedures are followed.
b) A
				group, e.g., an infection control committee, quality assurance committee, or
				other facility entity, shall periodically review the results of investigations
				and activities to control infections.
c) Depending on the services provided by the
				facility, each facility shall adhere to the following guidelines of the Center
				for Infectious Diseases, Centers for Disease Control and Prevention, United
				States Public Health Service, Department of Health and Human Services, as
				applicable (see Section
				330.340):
1) Guideline for Hand Hygiene in Health-Care
				Settings
2) Guidelines for
				Preventing Healthcare-Associated Pneumonia
3) 2007 Guideline for Isolation Precautions:
				Preventing Transmission of Infectious Agents in Healthcare Settings
4) Infection Control in Healthcare
				Personnel
5) The Core Elements of
				Antibiotic Stewardship for Nursing Homes
6) The Core Elements of Antibiotic
				Stewardship for Nursing Homes, Appendix A: Policy and Practice Actions to
				Improve Antibiotic Use
7) Nursing
				Home Antimicrobial Stewardship Guide
8) Toolkit 3. Minimum Criteria for Common
				Infections Toolkit
9) Toolkit for
				Controlling Legionella in Common Sources of Exposure
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.792 - Testing for Legionella Bacteria

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A facility shall develop a policy for testing its water supply for
				Legionella bacteria. The policy shall include the frequency with which testing
				is conducted. The policy and the results of any tests
and corrective
				actions taken
shall be made available to the Department upon
				request.
(Section 3-206.06 of the Act)
b) The policy shall be based on the ASHRAE
				Guideline "Managing the Risk of Legionellosis Associated with Building Water
				Systems" and the Centers for Disease Control and Prevention's "Toolkit for
				Controlling Legionella in Common Sources of Exposure". The policy shall
				include, at a minimum:
1) A procedure to
				conduct a facility risk assessment to identify potential Legionella and other
				waterborne pathogens in the facility water system;
2) A water management program that identifies
				specific testing protocols and acceptable ranges for control measures;
				and
3) A system to document the
				results of testing and corrective actions taken.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.795 - Language Assistance Services

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall provide language assistance
				  services in accordance with the Language Assistance Services Act [210 ILCS 87 ]
				  and the Language Assistance Services Code (77 Ill. Adm. Code
				  940).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart C - POLICIES › Section 330.796 - Electronic Monitoring

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall comply with Section 2-115 and subsections
				  3-318(a)(8) and (9) of the Act, with the Authorized Electronic Monitoring in
				  Long-Term Care Facilities Act, and with the Authorized Electronic Monitoring in
				  Long-Term Care Facilities Code.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart D - PERSONNEL › Section 330.910 - Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				facility shall not employ an individual as a nursing assistant
,
habilitation aide, home health aide, psychiatric services
				rehabilitation aide, or child care aide, or newly hired as an individual who
				may have access to a resident, a resident's living quarters, or a resident's
				personal, financial, or medical records, unless the facility has inquired of
				the Department's Health Care Worker Registry and the individual is listed on
				the Health Care Worker Registry as eligible to work for a health care
				employer
. (Section 3-206.01 of the Act)
b) Sufficient staff in numbers and
				qualifications shall be on duty all hours of each day to provide services that
				meet the total needs of the residents. At a minimum, at least one staff member
				shall be awake, dressed, and on duty at all times.
c) The facility shall provide an
				administrator as set forth in Subpart B.
d) The facility shall provide activity
				personnel as set forth in Section
				330.1310(b).
e) The facility shall provide dietary
				personnel as set forth in Sections
				330.1910 and
				330.1920.
f) Facilities that care for intellectually
				disabled or discharged psychiatric residents shall be required to employ a
				social worker. The social worker shall devote at least 40 hours per week in a
				facility that cares for 75 or more residents. Facilities that care for fewer
				than 75 residents shall have a social worker who may be assigned other duties
				or shared with other facilities.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart D - PERSONNEL › Section 330.911 - Health Care Worker Background Check

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall comply with the Health Care Worker
				  Background Check Act [225 ILCS 46 ] and the Health Care Worker Background Check
				  Code (77 Ill. Adm. Code 955).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart D - PERSONNEL › Section 330.920 - Consultation Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall designate a staff member to provide social services to
				residents. If the staff member designated to provide social services is not a
				social worker, the facility shall have an effective arrangement with a social
				worker to provide social service consultation.
b) The facility shall have a written
				agreement for activity program consultation if required under Section
				330.1310(c).
c) The facility shall obtain consultation, as
				needed, from a dietician if therapeutic diets are prescribed (see Section
				330.1940(e)
				 ).
d) If the facility does not employ a
				registered professional nurse, the facility shall arrange for consultation from
				a registered nurse. The consultant shall assist with developing policies,
				methods and procedures relating to the medical program, medication, in-service
				on these medications and in-service training on all aspects of personal
				care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart D - PERSONNEL › Section 330.930 - Personnel Policies

Current through Register Vol. 48, No. 28, July 12, 2024
The personnel policies required in Section
				  330.760,
				  Section
				  330.761,
				  and other personnel policies established by the facility shall be followed in
				  the operation of the facility.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart D - PERSONNEL › Section 330.940 - Employee Assistance Program

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				For the purposes of this Section, an "employee assistance program" is a program
				that supports individual physical and mental well-being and that is provided by
				the facility or through an insurance or employee benefits program offered by
				the facility. Employee assistance programs may include, but are not limited to,
				programs that offer professional counseling, stress management, mental wellness
				support, smoking cessation, and other support services.
b)
A facility shall ensure that
				nurses employed by the facility are aware of employee assistance programs or
				other like programs available for the physical and mental well-being of the
				employee
.
c)
The
				facility shall provide information on these programs, no less than at the time
				of employment, during any benefit open enrollment period, by an information
				form about the respective programs that a nurse
shall
sign
				during onboarding at the facility,
and upon request of the
				employee.
d)
The signed
				information form shall be added to the nurse's personnel file. The facility may
				provide this information to nurses electronically
. (Section 3-613 of
				the Act from PA 102-1007)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1110 - Medical Care Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have a written program of medical services approved in writing
				by the advisory physician that reflects the philosophy of care provided, the
				policies relating to this and the procedures for implementation of the
				services. The program shall include the entire complex of services provided by
				the facility and the arrangements to effect transfer to other facilities as
				promptly as needed. The written program of medical services shall be followed
				in the operation of the facility.
b) The services of a physician licensed to
				practice medicine in Illinois shall be available to every resident of the
				facility.
c) All residents, or
				their guardians, shall be permitted their choice of a physician.
d) All residents shall be seen by their
				physician as often as necessary to assure adequate health care.
e) Each resident admitted shall have a
				complete physical examination, within five days prior to admission, or within
				72 hours after admission to the facility. This examination shall include
				documentation of the presence or the absence of tuberculosis infection by
				tuberculin skin test in accordance with Section
				330.1135 and an evaluation of
				the resident's condition and recommendations for their care including personal
				care needs and permission for participation in the activity program. (See
				Section 330.1310(c).)
f) The facility shall notify the physician of
				any accident, injury, or unusual change in a resident's condition.
g) At the time of an accident, immediate
				treatment shall be provided by personnel trained in medically approved first
				aid procedures.
h)
A
				facility
shall
not refer a
resident
or the
				family of a
resident
to
a home health agency, home
				nursing agency, or home services agency
unless the agency is licensed
				under
the Home Health, Home Services, and Home Nursing Agency
				Licensing Act
.
A facility shall request a copy of an agency's
				license prior to making a referral to that agency. (Section 3.8 of the Home
				Health, Home Services, and Home Nursing Agency Licensing Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1120 - Personal Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				resident shall have proper daily personal attention and care including skin,
				nails, hair, and oral hygiene, in addition to treatment ordered by the
				physician. (B)
b) Each resident
				shall have at least one complete bath and hair wash weekly and as many
				additional baths and hair washes as necessary for satisfactory personal
				hygiene. (B)
c) Each resident shall
				have clean suitable clothing in order to be comfortable, sanitary, free of
				odors, and decent in appearance.
d)
				Each resident shall have clean bed linens at least once weekly and more often
				if necessary.
e) Each resident
				shall have sufficient clothing, in good condition, to be properly dressed each
				day.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1125 - Life-Sustaining Treatments

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall respect the residents' right to make decisions relating to their
				own medical treatment, including the right to accept, reject, or limit any
				life-sustaining treatment. Every facility shall establish a policy concerning
				the implementation of such rights. Included within this policy shall be:
1) implementation of Living Wills or Powers
				of Attorney for Health Care in accordance with the Living Will Act (Ill. Rev.
				Stat. 1991, ch. 1101/2, pars. 701 et seq.) [755 ILCS 35 ] and the Powers of
				Attorney for Health Care Law (Ill. Rev. Stat. 1991, ch. 1101/2, pars. 804-1 et
				seq.) [755 ILCS 45 ];
2) the
				implementation of physician orders limiting resuscitation such as those
				commonly referred to as "Do-Not-Resuscitate" orders. This policy may only
				prescribe the format, method of documentation and duration of any physician
				orders limiting resuscitation. Any orders under this policy shall be honored by
				the facility. (Section 2-104.2 of the Act);
3) procedures for providing life-sustaining
				treatments available to residents at the facility;
4) procedures detailing staff's
				responsibility with respect to the provision of life-sustaining treatment when
				a resident has chosen to accept, reject, or limit life-sustaining treatment, or
				when a resident has failed or has not yet been given the opportunity to make
				these choices;
5) procedures for
				educating both direct and indirect care staff in the application of those
				specific provisions of the policy for which they are responsible.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1130 - Communicable Disease Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The facility shall comply with the Control of Communicable Diseases Code (77
				Ill. Adm. Code 690).
b) The
				facility shall not knowingly admit a person with a communicable, contagious, or
				infectious disease, as defined in the Control of Communicable Diseases Code. A
				resident who is suspected of or diagnosed as having any such disease shall be
				placed in isolation, if required, in accordance with the Control of
				Communicable Diseases Code. If the facility believes that it cannot provide the
				necessary infection control measures, it must initiate an involuntary transfer
				and discharge pursuant to Article III, Part 4 of the Act and Section
				330.720
				of this Part. In determining whether a transfer or discharge is necessary, the
				burden of proof rests on the facility.
c) All illnesses required to be reported
				under the Control of Communicable Diseases Code and Control of Sexually
				Transmissible Diseases Code (77 Ill. Adm. Code 693) shall be reported
				immediately to the local health department and to the Department. The facility
				shall furnish all pertinent information relating to such occurrences. In
				addition, the facility shall also inform the Department of all incidents of
				scabies and other skin infestations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1135 - Tuberculin Skin Test Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
Tuberculin skin tests for employees and residents shall be
				  conducted in accordance with the Control of Tuberculosis Code (77 Ill. Adm.
				  Code 696).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1140 - Care and Treatment of Sexual Assault Survivors

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purposes of this Section, the
				following definitions shall apply:
1)
				Ambulance Provider - an individual or entity that owns and operates a business
				or service using ambulances or emergency medical services vehicles to transport
				emergency patients.
2) Sexual
				Assault - an act of nonconsensual sexual conduct or sexual penetration, as
				defined in Section 12-12 of the Criminal Code of 1961, including, without
				limitation, acts prohibited under Sections 12-13 through 12-16 of the Criminal
				Code of 1961.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1145 - Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility
				shall have written policies controlling the use of physical restraints
				including, but not limited to, leg restraints, arm restraints, hand mitts, soft
				ties or vests, wheelchair safety bars and lap trays, and all facility practices
				that meet the definition of a restraint, such as tucking in a sheet so tightly
				that a bed-bound resident cannot move; bed rails used to keep a resident from
				getting out of bed; chairs that prevent rising; or placing a resident who uses
				a wheelchair so close to a wall that the wall prevents the resident from
				rising. Adaptive equipment is not considered a physical restraint. Wrist bands
				or devices on clothing that trigger electronic alarms to warn staff that a
				resident is leaving a room do not, in and of themselves, restrict freedom of
				movement and should not be considered as physical restraints. The policies
				shall be followed in the operation of the facility and shall comply with the
				Act and this Part.
b) No physical
				restraints with locks shall be used.
c) Physical restraints shall only be used in
				an emergency as specified in Section
				330.1150.
d)
Neither restraints nor
				confinements shall be employed for the purpose of punishment or for the
				convenience of any facility personnel. No restraints or confinements shall be
				employed except as ordered by a physician who documents the need for such
				restraints or confinements in the resident's clinical record.
(Section
				2-106(b) of the Act)
e) Criteria
				for determining whether physical restraints are needed for a resident shall
				include, but not be limited to whether:
1)
				The assessment of the resident's capabilities and an evaluation and
trial of less restrictive measures has led to the determination that
				the use of less restrictive measures would not attain or maintain the
				resident's highest practicable physical, mental or psychosocial
				well-being;
2) The
				assessment of a specific physical condition or medical treatment indicates the
				condition or medical treatment requires the use of physical
				restraints;
3)
Consultation
				with appropriate health professionals, such as
registered professional
				nurses
, occupational or physical therapists,
indicates that
				the use of less restrictive measures or therapeutic interventions has proven
				ineffective; and
4) Demonstration
				by the care planning process that using a physical restraint as a therapeutic
				intervention will promote the care and services necessary for the resident to
				attain or maintain the
highest practicable physical, mental, or
				psychosocial well-being
. (Section 2-106(c) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1150 - Emergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a)
If a resident needs emergency
				care,
physical
restraints may be used for brief periods to
				permit treatment to proceed unless the facility has notice that the resident
				has previously made a valid refusal of treatment in question.
(Section
				2-106(c) of the Act)
b) For this
				Section only "emergency care" means the unforeseen need for immediate treatment
				inside or outside the facility that is necessary to:
1) Save the resident's life;
2) Prevent the resident from doing serious
				mental or physical harm to himself/herself; or
3) Prevent the resident from injuring another
				individual.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart E - HEALTH SERVICES AND MEDICAL CARE OF RESIDENTS › Section 330.1160 - Vaccinations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				facility shall annually administer or arrange for administration of a
				vaccination against influenza to each resident, in accordance with the
				recommendations of the Advisory Committee on Immunization Practices of the
				Centers for Disease Control and Prevention that are most recent to the time of
				vaccination, unless the vaccination is medically contraindicated or the
				resident has refused the vaccine. Influenza vaccinations for all residents age
				65 and over shall be completed by November 30 of each year or as soon as
				practicable if vaccine supplies are not available before November 1. Residents
				admitted after November 30, during the flu season, and until February 1 shall,
				as medically appropriate, receive an influenza vaccination prior to or upon
				admission or as soon as practicable if vaccine supplies are not available at
				the time of the admission, unless the vaccine is medically contraindicated or
				the resident has refused the vaccine.
(Section 2-213(a) of the
				Act)
b)
A facility shall
				document in the resident's medical record that an annual vaccination against
				influenza was administered, arranged, refused or medically
				contraindicated
. (Section 2-213(a) of the Act)
c)
A facility shall administer or
				arrange for administration of a pneumococcal vaccination to each resident in
				accordance with the recommendations of the Advisory Committee on Immunization
				Practices of the Centers for Disease Control and Prevention, who has not
				received this immunization prior to or upon admission to the facility unless
				the resident refuses the offer for vaccination or the vaccination is medically
				contraindicated
. (Section 2-213(b) of the Act)
d)
A facility shall document in each
				resident's medical record that a vaccination against pneumococcal pneumonia was
				offered and administered, arranged, refused, or medically
				contraindicated
. (Section 2-213(b) of the Act)
e)
A facility shall distribute
				educational information
provided by the Department
on all
				vaccines recommended by the Centers for Disease Control and Prevention's
				Advisory Committee on Immunization Practices, including, but not limited to the
				risks associated with shingles and how to protect oneself against the
				varicella-zoster virus
. The facility shall provide the information
to each resident who requests the information and each newly admitted
				resident. The facility may distribute the information to residents
				electronically.
(Section 2-213(e) of the Act)
f)
A facility shall document in the
				resident's medical record that he or she was verbally screened for risk factors
				associated with hepatitis B, hepatitis C, and HIV, and whether or not the
				resident was immunized against hepatitis B.
(Section 2-213(c) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart F - RESTORATIVE SERVICES › Section 330.1310 - Activity Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide an ongoing program of activities to meet the interests
				and preferences and the physical, mental and psychosocial well-being of each
				resident, in accordance with the resident's comprehensive assessment. The
				activities shall be coordinated with other services and programs to make use of
				both community and facility resources and to benefit the residents.
b) Activity personnel shall be provided to
				meet the needs of the residents and the program. Activity staff time each week
				shall total not less than 45 minutes multiplied by the number of residents in
				the facility. This time shall be spent in providing activity programming as
				well as planning and directing the program. The time spent in the performance
				of other duties not related to the activity program shall not be counted as
				part of the required activity staff time.
1)
				In a facility whose residents participate in regularly scheduled therapeutic
				programs outside the facility, such as school, employment or sheltered
				workshop, the minimum hours per week of activity staff time may be reduced. The
				reduction shall be calculated by multiplying the number of residents in the
				facility who participate in such programs by the percentage of the day that
				these residents spend in such programs.
2) Activity personnel working under the
				direction of the activity director shall have a minimum of 10 hours of
				in-service training per calendar or employment year, directly related to
				recreation/activities. In-service training may be provided by qualified
				facility staff and/or consultants, or may be obtained from college or
				university courses, seminars and/or workshops, educational offerings through
				professional organizations, similar educational offerings or any combination
				thereof.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart F - RESTORATIVE SERVICES › Section 330.1320 - Work Programs

Current through Register Vol. 48, No. 28, July 12, 2024
Work programs for residents in facilities may be allowed if
				  they are oriented toward resident adjustment and therapeutic benefits.
a) Permission for such programming shall be
				secured from the Department. The program shall be presented in writing
				indicating such things as objectives, possible work assignment, duties,
				policies governing the program, agency involvement (where appropriate), and
				supervision.
b) Residents involved
				in such programs shall meet all requirements of the Department for persons
				functioning in these positions.
c)
				Residents shall not be used to replace employed staff. (B)
d) Appropriate records shall be maintained
				for each resident functioning in these programs. These shall show
				appropriateness of the program for the individual, resident's response to the
				program and any other pertinent observations and shall become a part of the
				resident's record. (See Section
				330.1710(f)(1).)
e) All such programs shall be in full
				compliance with all applicable regulations of both the State and Federal
				Departments of Labor. Any program found by the Department not to be in
				compliance with State and Federal Departments of Labor regulations shall be
				terminated immediately.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart F - RESTORATIVE SERVICES › Section 330.1330 - Written Policies for Restorative Services

Current through Register Vol. 48, No. 28, July 12, 2024
There shall be written policies, which are followed in the
				  operation of the facility covering all restorative services offered by the
				  facility to achieve and maintain the highest possible degree of function,
				  self-care and independence. These shall be developed as set forth in Section
				  330.710(a) through (c).
				  (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart F - RESTORATIVE SERVICES › Section 330.1340 - Volunteer Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) If the
				facility has a volunteer or auxiliary program, a facility staff person shall
				direct the program. Community groups such as Boy and Girl Scouts, church groups
				and civic organizations that may occasionally present programs, activities, or
				entertainment in the facility shall not be considered volunteers for the
				purposes of this Section.
b)
				Volunteers shall complete a standard orientation program, in accordance with
				their facility responsibilities and with the facility's policies and procedures
				governing the volunteer program. The orientation shall include, but not be
				limited to:
1) Residents' rights;
2) Confidentiality;
3) Disaster preparedness (i.e., fire,
				tornado);
4) Emergency response
				procedures;
5) Safety
				procedures/precautions;
6)
				Infection control; and
7) Body
				mechanics.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart G - MEDICATIONS › Section 330.1510 - Medication Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall adopt written policies and procedures for assisting residents in
				obtaining individually prescribed medication for self-administration and for
				disposing of medications prescribed by the attending physicians. These policies
				and procedures shall be consistent with the Act and this Part and shall be
				followed by the facility.
1) Medication
				policies and procedures shall be developed with consultation from an Illinois
				registered professional nurse and a registered pharmacist. These policies and
				procedures shall be part of the written program of care and services.
2) All medications taken by residents shall
				be ordered by the licensed prescriber directly from a pharmacy. If the facility
				has a licensed nurse who supervises the medication regimen of the residents,
				the nurse may transmit the licensed prescriber's orders to the
				pharmacy.
3) If facility policy
				permits residents to be totally responsible for their own medication, with
				written permission from the attending physician, the resident and attending
				physician shall be given written statements concerning what the
				responsibilities of the facility, the resident and the physician are if the
				resident, or any other person, suffers harm as a result of the resident's
				handling his or her own medications.
4) If the facility elects to administer
				medications to some residents for control purposes, the medications shall be
				administered by personnel who are licensed to administer medications, in
				accordance with their respective licensing requirements. Medications shall not
				be recorded as having been administered prior to their actual administration to
				the resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart G - MEDICATIONS › Section 330.1520 - Administration of Medication

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				medications taken by residents shall be self-administered, unless administered
				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.
b) No person shall be
				admitted to a facility who is not capable of taking his or her own medications
				and any needed biologicals, as approved in writing by the resident's personal
				physician. Facility staff may remind residents when to take medications and
				watch to ensure that they follow the directions on the container.
c) Assistance in Self-Administration of
				Medications
1) Facility staff may assist a
				resident in the self-administration of medications by taking the medication
				from the locked area where it is stored and handing it to the resident. If the
				resident is physically unable to open the container, a staff member may open
				the container for the resident.
2)
				Facility staff may also assist physically impaired residents, such as those who
				have arthritis, cerebral palsy, or Parkinson's disease, in the removal of the
				medication from the container and in assisting the resident in consuming or
				applying the medication when requested to do so by the resident. (For example,
				a staff member may place a dose of medicine in a container and place the
				container to the mouth of a resident who would not be able to do so himself
				without spilling it.)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart G - MEDICATIONS › Section 330.1530 - Labeling and Storage of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications shall be stored in a
				locked area at all times. Areas shall be well lighted and of sufficient size to
				permit storage without crowding. This area may be a drawer, cabinet, closet, or
				room. In those facilities where a licensed nurse dispenses medication to
				residents, medications may be stored in a locked mobile medication cart, which
				is made immobile when not in use by the nurse to dispense medication.
b) The key to the medicine area shall be the
				responsibility of, and in the possession of, the staff persons responsible for
				overseeing the self-administration of medications by residents.
1) The medicine area shall not be used for
				any other purpose. It shall not be located in residents' rooms, bathrooms, or
				the kitchen. However, for those persons whom the attending physician has given
				written permission to handle their own medication, medications may be stored in
				a locked drawer or cabinet in the resident's room.
2) Residents whom the attending physician has
				given permission to be totally responsible for their own medication shall
				maintain possession of the key, or combination of the lock, to their own
				medication storage area. A duplicate key, or a copy of the combination, shall
				be kept by the facility in a secure place for emergency use.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart H - RESIDENTS AND FACILITY RECORDS › Section 330.1720 - 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) Marital Status,
				and the name of spouse (if there is one),
3) Whether the resident has been previously
				admitted to the facility,
4) Date
				of current admission to the facility,
5) State or country of birth,
6) Home address,
7) Religious affiliation (if any),
8) Name, address and telephone number of any
				referral agency, state hospital, zone center or hospital from which the
				resident has been transferred (if applicable),
9) Name and telephone number of the
				resident's personal physician,
10)
				Name and telephone number of the resident's next of kin or responsible
				relative,
11) Race and
				origin,
12) Most recent
				occupation,
13) Whether the
				resident or the resident's spouse is a veteran,
14) Father's name and mother's maiden
				name,
15) Name, address and
				telephone number of the resident's dentist, and
16) The diagnosis applicable at the time of
				admission.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart H - RESIDENTS AND FACILITY RECORDS › Section 330.1730 - Records Pertaining to Residents' 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 330 - SHELTERED CARE FACILITIES CODE › Subpart H - RESIDENTS AND FACILITY RECORDS › Section 330.1740 - 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.