Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 260 - CHILDREN'S COMMUNITY-BASED HEALTH CARE CENTER CODE › Section 260.1900 - Child's Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) A child
			 shall not be deprived of any rights, benefits or privileges guaranteed by law
			 based solely on his/her status as a client of the facility.
b) A child shall be permitted to retain and
			 use or wear his/her personal property in his/her immediate living quarters
			 unless deemed medically inappropriate or socially disruptive by a physician and
			 so documented in the patient's record.
c) The facility shall make reasonable efforts
			 to prevent loss and theft of children's property. The facility shall develop
			 procedures for investigating complaints concerning theft of children's property
			 and shall promptly investigate each complaint.
d) Children under 16 years of age who are not
			 facility clients and who are related to employees or volunteers of a facility,
			 and who are not themselves employees or volunteers of the facility, shall be
			 restricted to areas reserved for family or employee use, except during times
			 when these children are part of a group visiting the facility as part of a
			 planned program or similar activity.
e) A child shall be permitted the free
			 exercise of religion. Upon the child's request, and if necessary at the expense
			 of the child's representative, the facility management shall make arrangements
			 for a child's attendance at religious services of the child's choice. However,
			 no religious beliefs or practices, or attendance at religious services, may be
			 imposed upon any child.
f) The
			 facility shall immediately notify the child's representative whenever the child
			 suffers from symptoms that require treatment not listed on the child's medical
			 care plan or any acute illness or injury.
g) A child may not be transferred,
			 discharged, evicted, harassed or retaliated against for filing a complaint or
			 providing information concerning a complaint against the facility.
h) A child's representative may not be
			 evicted, harassed or retaliated against for filing a complaint or providing
			 information concerning a complaint against the facility.
i) A child's representative shall be
			 permitted to retain the services of the child's own personal physician at the
			 representative's own expense, under an individual or group plan of health
			 insurance, or under any public or private assistance program providing such
			 coverage.
j) Every child's
			 representative shall be permitted to refuse medical treatment for the child and
			 to know that this action may result in further referrals for medical
			 care.
k) Every child's
			 representative shall be permitted to inspect and copy all of the child's
			 clinical and other records concerning the child's care and maintenance kept by
			 the facility or by the child's physician at the expense of the
			 representative.
l) All children
			 shall be permitted respect and privacy in their medical and personal care
			 program. Every child's case discussion, consultation, examination and treatment
			 shall be confidential and shall be conducted discreetly. Those persons not
			 directly involved in the child's care shall have the permission of the child's
			 representative to be present at consultations, discussions, examinations and
			 treatments.
m) Neither physical
			 restraints nor confinements shall be employed for the purpose of punishment or
			 for the convenience of any facility personnel or volunteer. Orthopedic
			 equipment, high chairs, playpens, cribs or youth beds are not restraints for
			 children less than four years old.
n) Restraints shall be used only for the
			 safety and security of the child upon written order of the attending physician
			 and with the informed consent of the child's representative. The physician's
			 written authorization shall specify the precise time periods and conditions in
			 which any restraints shall be employed. The reasons for ordering and using
			 restraints shall be recorded in the child's treatment plan. Staff shall be
			 trained and be able to demonstrate, at least annually, competency in the
			 application of restraints and in the monitoring, assessment and provision of
			 care for the client in restraints. The training shall include techniques to
			 identify client behaviors and events that may trigger circumstances that
			 require the use of restraints and the safe application and use of all types of
			 restraints, including:
1) Training in how to
			 recognize and respond to signs of physical and psychological distress;
			 and
2) The clinical identification
			 of specific behavioral or medical changes that indicate that the restraint is
			 no longer necessary.