Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 411 - LICENSING STANDARDS FOR SECURE CHILD CARE FACILITIES › Subpart H - HEALTH CARE, SAFETY AND SANITATION › Section 411.720 - Health Care Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				child and youth shall be screened for communicable diseases within 24 hours
				after arrival at the facility.
b)
				Any employee, child or youth suspected of having a communicable disease shall
				have a medical examination.
c)
				Children's and youth's medical complaints shall be monitored and responded to
				daily by a registered nurse who documents the complaint and the action
				taken.
d) Treatment by health care
				personnel other than a physician, dentist, psychologist, optometrist,
				podiatrist, or similar provider shall be performed pursuant to written standing
				or direct orders by a physician or dentist. Nurse practitioners and physician
				assistants may practice within the limits of applicable laws and
				regulations.
e) Consent for medical
				care shall be obtained from the guardian and documented in the client file. The
				informed consent of child or youth, parent, guardian, or legal custodian shall
				be obtained when required by law. When health care is rendered against the
				patient's will, it shall be in accordance with federal and State laws and
				Department rules.
f) The child's or
				youth's parents, caseworker, Department's Office of the Guardian, licensing
				representative and regional administrator shall be notified in case of serious
				illness or injury, surgery, or death.
g) A registered nurse shall be available on
				site at all times and shall coordinate the health delivery services in the
				facility under the joint supervision of a licensed physician and the facility
				director.
h) Questions regarding
				the appropriateness of medical treatment shall be referred through the child's
				or youth's caseworker to the Department's Office of the Guardian.
i) The facility shall develop a written
				health plan that shall address the management of serious and communicable
				diseases. The plan shall be updated as new information becomes available. The
				plan shall include: an ongoing educational program for staff and children,
				including Universal Precautions, control, treatment, and prevention strategies
				that may include screening and testing, special supervision, or special housing
				arrangements, as appropriate; discharge planning; and protection of individual
				confidentiality pursuant to federal, State, and local laws and regulations. The
				plan shall provide for the emergency detoxification of children and youth from
				alcohol, opiates, barbiturates, and similar drugs to be performed under medical
				supervision. The plan shall provide for the clinical management of chemically
				dependent children and youth.
j) At
				the time a child or youth is admitted, program and secure child care staff
				shall be informed of special medical and mental health concerns on a
				need-to-know basis.
k) Emergency
				medical, dental, and mental health care shall be available to children and
				youth on a 24 hour basis. Availability of these services shall be outlined in a
				written plan that includes arrangements for the following:
1) On-site emergency first aid and crisis
				intervention;
2) Emergency
				evacuation of the children and youth from the facility;
3) Use of an emergency medical
				vehicle;
4) Use of one or more
				designated hospital emergency rooms or other appropriate health
				facilities;
5) Emergency on-call
				physician, dentist, and mental health professional services when the emergency
				health facility is not located in a nearby community;
6) Security procedures when transportation is
				required for children and youth; and
7) Process to notify the caseworker, parents,
				and Guardian ad Litem.