reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.680 - Direct Support Persons

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				facility shall not employ an individual as a nursing assistant, home health
				aide,
Direct Support Person (DSP),
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
				checked 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. The facility shall not employ an individual as a nursing
				assistant
or DSP
if that individual is not on the Health Care
				Worker Registry unless the individual is enrolled in a training program under
				Section 3-206(a)(5) of
the
Act.
(Section 3-206.01 of
				the Act)
b) A DSP that is not
				listed on the Health Care Worker Registry shall provide documentation of
				completion of, or enrollment in, a DSP training program or a
				Department-approved basic nursing assistant training program (see 77 Ill. Adm.
				Code 395). The program shall be successfully completed no later than 120 days
				after the date of initial employment. Programs approved in accordance with 77
				Ill. Adm. Code 395 may last longer than 120 days. However, a DSP may be
				employed no more than 120 days prior to the successful completion of the
				program.
c) Each person employed by
				the facility as a DSP shall meet each of the following requirements:
1)
Be at least sixteen years of age,
				of temperate habits and good moral character, honest, reliable and
				trustworthy.
(Section 3-206(a)(1) of the Act)
2)
Be able to speak and understand
				the English language or a language understood by a substantial percentage of
				the facility's residents.
(Section 3-206(a)(2) of the Act)
3)
Provide evidence of
prior
employment or occupation, if any, and residence for 2 years prior to
				his or her present employment
. (Section 3-206(a)(3) of the
				Act)
4)
Have completed at
				least 8 years of grade school or provide proof of equivalent
				knowledge.
(Section 3-206(a)(4) of the Act)
5)
Begin a current course of training
				for nursing assistants
or DSPs
, approved by the Department,
				within 45 days of initial employment in the capacity of a nursing
				assistant
or DSP
at any facility. Courses of training shall be
				successfully completed within 120 days of initial employment in the capacity of
				nursing assistant
or DSP
at a facility. Nursing
				assistants
and DSPs
who are enrolled in approved courses in
				community colleges or other educational institutions on a term, semester or
				trimester basis, shall be exempt from the 120-day completion time
				limit.
(Section 3-206(a)(5) of the Act)
6)
Be familiar with and have general
				skills related to resident care.
(Section 3-206(a)(6) of the
				Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.681 - 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 and the Health Care Worker Background Check
				  Code.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.682 - Resident Attendants

Current through Register Vol. 48, No. 28, July 12, 2024
a) As used
				in this Section, "resident attendant" means an individual who assists residents
				in a facility with the following activities:
1) eating and drinking; and
2) personal hygiene limited to washing a
				resident's hands and face, brushing and combing a resident's hair, oral
				hygiene, shaving residents with an electric razor, and applying makeup.
				(Section 3-206.03(a) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.683 - Health Care Worker Registry

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				individual will be placed on the Department's Health Care Worker Registry when
				that individual has successfully completed a training program approved in
				accordance with the Long-Term Care Assistants and Aides Training Program Code
				and has met background check information required in Section
				390.681
				of this Part.
b) An individual
				shall be placed on the Health Care Worker Registry if that individual has met
				background check information required by the Health Care Worker Background
				Check Code and submits documentation supporting one of the following
				equivalencies:
1) Documentation of current
				registration from another state.
2)
				Documentation of successful completion of a DSP training course approved by
				another state as evidenced by a diploma or certificate. The documentation must
				demonstrate that the course is equivalent to, or exceeds, the requirements for
				DSPs in the Department's rules governing long-term care assistants and aides
				training programs (see 77 Ill. Adm. Code 395).
3) Documentation of successful completion of
				a nursing arts course with at least 40 hours of supervised clinical experience
				in an accredited nurse training program as evidenced by a diploma,
				certification or other written verification from the school.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.685 - Student Interns

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				person who meets the definition of student intern in Section
				390.330 shall be
				required to complete a current course of training for DSPs.
b) The facility may utilize student interns
				to perform basic DSP skills for which they have been evaluated and deemed
				competent by an approved evaluator using the State approved manual skills
				competency evaluation (see 77 Ill. Adm. Code
				395.320),
				but shall not allow interns to provide rehabilitation nursing (see 77 Ill. Adm.
				Code
				300.1210(b)),
				in-bed bathing, assistance with skin care, foot care, or to administer enemas,
				except under the direct, immediate supervision of a licensed nurse.
c) No facility shall have more than fifteen
				percent of its DSP staff positions held by student interns.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.690 - 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 within 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.700 - 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 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.750 - 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 Section
				390.330.
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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.760 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				facility shall have an infection prevention and control program for the
				surveillance, investigation, prevention, and control of healthcare-associated
				infections and other infectious diseases. The infection prevention and control
				program shall also include an antibiotic stewardship program that includes
				antibiotic use protocols and a system to monitor antibiotic use.
b) Written policies and procedures for
				surveillance, investigation, prevention, and control of infectious agents and
				healthcare-associated infections in the facility shall be established and
				followed, including the appropriate use of personal protective equipment as
				provided in the Centers for Disease Control and Prevention's Guideline of
				Isolation Precautions, Hospital Respiratory Protection Program Toolkit, and the
				Occupational Safety and Health Administration's Respiratory Protection
				Guidance. 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.
1) All
				staff shall be trained annually on the facility's infection control policies
				and procedures, and training records shall be maintained for 3 years. For the
				purposes of this Section, "staff" means any individual employed by the
				facility, any individual contracted by the facility or employed by an entity
				that is contracted by the facility to provide treatment and services, and any
				volunteer providing services on behalf of the facility.
2) Students enrolled in accredited health
				care training programs who are providing direct care during internships or
				clinical rotations must have previously completed infection prevention and
				control training as part of their curriculum prior to entering a facility for
				the first time. The facility shall maintain a record of all interns and
				students who have completed infection and prevention control training and
				provide a copy of this record upon request by the Department.
3) Activities shall be monitored on an
				ongoing basis by the infection preventionist to ensure adherence to all
				infection prevention and control policies and procedures.
4) Infection prevention and control policies
				and procedures shall be maintained in the facility and made available upon
				request to facility staff, the resident and the resident's family or resident's
				representative, the Department, the certified local health department, and the
				public.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart C - POLICIES › Section 390.770 - Electronic Monitoring

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall comply with Section 2-116 and subsections
				  3-318(a)(8) and (9) of the Act and with the Authorized Electronic Monitoring in
				  Long-Term Care Facilities Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart D - PERSONNEL › Section 390.810 - General

Current through Register Vol. 48, No. 28, July 12, 2024
a) 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. (B)
b) The number and categories of personnel to
				be provided shall be based on the following:
1) Number of residents.
2) Amount and kind of nursing care, program
				services, supervision, and personal care needed to meet the particular needs of
				the residents at all times.
3)
				Size, physical condition, and the layout of the building including proximity of
				service areas to the resident's rooms.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart D - PERSONNEL › Section 390.820 - Categories of Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
Categories of personnel to be provided shall include but are
				  not limited to the following:
a) an
				administrator as set forth in Subpart B. (B)
b) nursing personnel as set forth in Subpart
				E. (B)
c) a Resident Services
				Director who is a Qualified Mental Retardation Professional as defined in
				Section
				390.330, who is
				assigned responsibility for the coordination and monitoring of each resident's
				overall plan of care (Individual Habilitation Plan). This person shall have at
				least one year experience working with developmentally disabled residents. The
				administrator or an individual on the professional staff of the facility may
				fill this assignment to assure that residents' plans of care (Individual
				Habilitation Plan) are individualized, written in terms of short and long range
				goals, understandable and utilized; their needs are met through appropriate
				staff interventions and community resources; and residents are involved,
				whenever possible, in the preparation of their plan of care (Individual
				Habilitation Plan). This person shall have at least one year experience working
				with developmentally disabled residents.(B)
d) recreational activity personnel as set
				forth in Section
				390.1100(c)(1)
				(B)
e) dietary personnel as set forth in Sections
				390.1810
				through Section 390.1820.(B)
f) a
				staff member suited by training and experience to be responsible for social
				services and for the integration of social services with other elements of the
				plan of care (Individual Habilitation Plan). (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart D - PERSONNEL › Section 390.830 - Consultation Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have all arrangements for each consultant's services in a
				written agreement setting forth the services to be provided. These agreements
				shall be updated annually.
b) 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.
c) The facility shall designate a staff
				member to be the director of the activities program. If the activity director
				is not a Registered Occupational Therapist, a Therapeutic Recreation
				Specialist, or a social worker, the facility shall have a written agreement
				with a person from one of those disciplines, to provide adequate and sufficient
				consultation to the Activity Director to assure that programming meets the
				assessed needs of the residents.
d)
				The facility shall designate a staff member skilled in record maintenance and
				preservation to be responsible for maintaining and preserving records. If the
				designated person is not a health information management consultant, then that
				person shall receive adequate consultation from a health information management
				consultant.
e) The facility shall
				arrange for a consultant pharmacist as set forth in Section
				390.1410.
f) The facility shall arrange for a medical
				advisory committee as set forth in Section
				390.1020(b).
g) The facility shall arrange for an advisory
				dentist as set forth in Section
				390.1050(a).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart D - PERSONNEL › Section 390.840 - 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1010 - Service Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide, either directly or through arrangements with an outside
				resource, as needed by the individual resident, all services necessary to
				maintain and promote good physical health and development. These services shall
				consist of, at a minimum, the following: (B)
1) Medical Services as described in Section
				390.1020.(B)
2) Physician Services
				described as in Section 390.1030.(B)
3) Nursing Services described in Section
				390.1040.(B)
4) Dental Services as
				described in Section 390.1050.(B)
5) Physical and Occupational Therapy Services
				as described in Section 390.1060.(B)
6) Psychological Services as described in
				Section 390.1070.(B)
7) Social
				Services as described in Section 390.1080.(B)
8) Speech Pathology and Audiology Services as
				described in Section 390.1090.(B)
9) Recreational and Activity Services as
				described in Section 390.1100.(B)
10) Educational Services as described in
				Section 390.1110.(B)
11) Work
				Activity and Prevocational Training Services as described in Section
				390.1120.(B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1020 - Medical Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Medical Services
1) The facility shall have a
				written program of medical services approved in writing by the medical advisory
				committee 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.
2) A medical advisory
				committee composed of at least a physician, administrator and the director of
				nursing shall be responsible for advising the administrator and the licensee on
				the overall medical management of the residents and the staff in the facility.
				If the facility employs a house physician, the physician shall be a member of
				this committee. The written program of medical services shall also include the
				structure and function of the medical advisory committee.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1025 - 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
				life-sustaining treatment. Every facility shall establish a policy concerning
				the implementing 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1030 - Physician Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Requirements for Physician Services
1) The
				services of a physician licensed to practice medicine in Illinois shall be
				available to every resident in the facility. (A, B)
2) Physician services are to include a
				complete physical examination at least annually and formal arrangements to
				provide for medical and behavior emergencies on a 24 hour seven day week basis.
				(B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1035 - 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1050 - Dental Care Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall have an advisory dentist. The advisory dentist shall have a
				contractual relationship to the facility, setting forth the preventive and
				therapeutic oral health services to be provided to residents. (B)
b) There shall be education and training in
				the maintenance of oral health which includes a dental hygiene program that
				includes imparting information regarding nutrition and diet control measures to
				residents and staff; instruction of residents and staff in living units in
				proper oral hygiene methods; and instruction of parents or surrogates in the
				maintenance of proper oral hygiene, where appropriate (as in the case of
				residents leaving the facility). (B)
c) There shall be comprehensive diagnostic
				services for all residents (diagnostic for residents from birth to two years of
				age only if medically indicated) which include a complete extra and intra oral
				examination utilizing all diagnostic aids necessary to properly evaluate the
				residents' oral condition within a period of one month following admission
				unless examined within six months before admission and results received by
				facility with the results of said examination entered in the resident's dental
				record as a separate part of the resident's permanent medical chart.
				(B)
d) There shall be comprehensive
				treatment services for all residents which include, but are not limited to the
				following: (B)
1) Provision for dental
				treatment
2) Provision for
				emergency treatment on a 24 hour, seven days a week basis, by a qualified
				dentist.
3) A recall system that
				will assure that each resident is reexamined at specified intervals in
				accordance with their needs, but at least annually. Needed dental treatment
				shall be provided.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1060 - Physical and Occupational Therapy Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall provide physical
				therapy and occupational therapy directly or by arrangements with an outside
				resource for those residents who need such services. The treatment training
				programs should be designed to preserve and improve abilities for independent
				function, such as range of motion, strength, tolerance, coordination, and
				activities of daily living; and to prevent, insofar as possible, irreducible or
				progressive disabilities, through means such as the use of orthotic and
				prosthetic appliances, assistive and adaptive devices, positioning, behavior
				adaptation, and sensory stimulation. (B)
b) Each resident shall be evaluated within 30
				days of admission regarding the need for such services and the results of such
				evaluation shall be entered in the medical record.
c) The therapist shall function closely with
				the resident's primary physician and with other medical specialists and
				treatment training progress shall be recorded regularly, evaluated
				periodically, and used as the basis for continuation or change of the
				resident's program.
d) Physical and
				occupational therapy services shall be provided as needed by the residents
				through personal contact of the therapists directly with the residents and
				indirectly with persons involved with the residents' treatment programs.
				(B)
e) Evaluation results,
				treatment objectives, plans, procedures, and continuing observations of
				treatment progress shall be recorded accurately, summarized, communicated, and
				included in the resident's record.
f) Physical therapists and occupational
				therapists shall participate, when appropriate, in the continuing
				interdisciplinary evaluation of individual residents for the purpose of
				initiation, monitoring, and follow-up of habilitation programs.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1070 - Psychological Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide psychological services either directly or indirectly by
				arrangements with an outside resource. These services should be provided to the
				residents as needed both directly through personal contact with the
				psychologist and indirectly through the psychologist's consultation with other
				persons involved in the resident's treatment program. (B)
b) Each resident shall be evaluated within 30
				days of admission regarding the need for such services and results of such
				evaluation shall be entered in the medical record.
c) Psychologists shall participate, when
				appropriate, in the continuing interdisciplinary evaluation of individual
				residents for the purpose of initiation, monitoring, and follow-up of
				individual habilitation programs.
d) The psychologist shall report and
				disseminate the evaluation results in such a manner that the information,
				useful to the staff working with the resident, will be promptly provided and
				that accepted standards of confidentiality will be maintained.
e) The facility shall employ sufficient,
				appropriately qualified staff, and necessary supporting personnel, to carry out
				the various psychological service activities in accordance with the needs of
				the following functions:
1) Psychological
				services to residents including evaluation, consultation, therapy, and program
				development.
2) Administration and
				supervision of psychological services.
3) Staff training.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1080 - Social Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide Social services, needed by the resident. These services
				shall be provided to the residents by or with consultation of a qualified
				social worker through the use of social work methods directed toward: (B)
1) Maximizing the social functioning of each
				resident.
2) Enhancing the coping
				capacity of the resident or his family.
3) Asserting and safeguarding the human and
				civil rights of the residents and their families, and fostering the human
				dignity and personal worth of each resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1090 - Speech Pathology and Audiology Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall provide speech
				pathology and audiology services as needed by the residents, either directly,
				or indirectly by arrangements with an outside resource. These services shall be
				provided both directly by speech pathologists, audiologists and other personnel
				and indirectly through consultation with other persons involved in implementing
				residents communication improvement programs. (B)
b) Each resident shall be evaluated within 30
				days regarding the need for such services and the results of such evaluation
				shall be entered in the medical record.
c) The following services are to be provided
				each resident as indicated by screening and evaluation results:
1) Comprehensive audiological assessment of
				residents, as indicated by screening results, to include tests of puretone air
				and bone conduction, speech audiometry, and other procedures, as necessary, and
				to include assessment of the use of visual cues.
2) Assessment of the use of
				amplification.
3) Provision for
				procurement, maintenance, and replacement of hearing aids, as specified by a
				qualified audiologist.
4)
				Comprehensive speech and language evaluation of residents, as indicated by
				screening results, which include appraisal of articulation, voice, rhythm, and
				language.
5) Participation when
				appropriate in the continuing interdisciplinary evaluation of individual
				residents for purposes of initiation, monitoring, and follow up of
				individualized habilitation programs.
6) Treatment services including: Direct
				counseling with residents, consultation with appropriate staff for speech
				improvement and speech education activities, and collaboration with appropriate
				staff to develop specialized programs for developing the communication skills
				of individuals in comprehension (for example, speech, reading, auditory
				training, and hearing aid utilization) as well as expression (for example,
				improvement in articulation, voice, rhythm, and language).
7) Participation in inservice programs for
				direct care and other staff.
8)
				Report evaluation and assessment results accurately and systematically, and in
				such manner as to, where appropriate, provide information useful to other staff
				working directly with the resident and to provide evaluative and summary
				reports for inclusion in the resident's unit record.
9) Continuing observations of treatment
				progress shall be recorded accurately, summarized, communicated and utilized in
				evaluating progress.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1100 - Recreational and Activity Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) General Requirements for Recreational and
				Activity Services
1) The facility shall
				provide recreational and activity services as necessary to meet the needs of
				the residents. These services shall be coordinated with other services and
				programs provided the residents, in order to make fullest possible use of both
				community and facility resources and to maximize benefits to the
				residents.
2) Each resident shall
				be evaluated within 30 days of admission regarding the need for services and
				the results of such evaluation shall be entered in the medical
				record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1110 - Educational Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide either directly or indirectly through arrangements with
				outside resources, educational programming to all residents.
b) The individual educational program for
				each resident shall meet those provisions of the School Code (Ill. Rev. Stat.
				1987, ch. 122, pars. 1-1 et seq.) which are appropriate to meet the educational
				needs of that resident.
c) Each
				individual educational program shall be written and entered in the resident's
				record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1120 - Work Activity and Prevocational Training Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Where appropriate, providers should
				cooperate with state and community agencies in assisting individual residents
				to avail themselves of specialized work activity programs, prevocational and
				work adjustment training, sheltered workshop programs, and other similar
				programs that are provided outside of the facility. (B)
b) 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.
c) Residents
				shall not be used to replace employed staff. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1130 - 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) A resident
				who is suspected of or diagnosed as having any communicable, contagious, or
				infectious 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.
				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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1140 - Vaccinations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				facility shall annually administer or arrange for 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.
b)
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.
c)
A facility shall document in the
				resident's medical record that an annual vaccination against influenza was
				administered, refused or medically contraindicated.
d)
A facility shall provide 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.
e)
A facility shall document in each resident's medical record that a
				vaccination against pneumococcal pneumonia was offered and administered,
				refused, or medically contraindicated.
(Section 2-213 of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1150 - 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 950).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - RESTRAINTS AND BEHAVIOR MANAGEMENT › Section 390.1310 - Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) Pursuant to
				Section 2-106(b) of the Act, the facility shall
have a written policy
				to address the use of restraints and seclusion. Each policy shall include
				periodic review of the use of 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 physical restraint in Section 2-106 of the Act and Section
				390.330, including,
				but not limited to, 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 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. Written policies,
to the extent practicable,
				should be consistent with the requirements for participation in the federal
				Medicare program.
(Section 2-106(b) of the Act)
b) No physical restraints with locks shall be
				used.
c)
Neither restraints
				nor confinements shall be employed for the purpose of punishment or for the
				convenience of any facility personnel.
(Section 2-106(b) of the
				Act)
d) The use of chemical
				restraints is prohibited.
e)
A restraint may be used only for specific periods, if it is the least
				restrictive means necessary to attain and maintain the resident's highest
				practicable physical, mental or psychosocial well being, including brief
				periods of time to provide necessary life saving treatment.
(Section
				2-106(c) of the Act)
f) A facility
				may not issue orders for the use of restraints on a standing or as needed
				basis.
g) A resident placed in a
				restraint must be checked at least every 30 minutes by staff trained in the use
				of restraints, released from the restraint as quickly as possible, and a record
				of these checks and usage must be kept.
h) Restraints shall be designed and used in a
				way that does not cause physical injury to the resident and that results in the
				least possible discomfort.
i)
				Barred enclosures shall not be more than three feet in height and must not have
				tops.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - RESTRAINTS AND BEHAVIOR MANAGEMENT › Section 390.1312 - Nonemergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) The use of high chairs, playpens, cribs or
				youth beds for children up until their fourth birthday shall not be considered
				a physical restraint.
b)
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) 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - RESTRAINTS AND BEHAVIOR MANAGEMENT › Section 390.1314 - Emergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a)
If the resident needs emergency
				care,
physical
restraints may be used for brief periods to
				permit medical treatment to proceed unless the facility has notice that the
				resident has previously made a valid refusal of the 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 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - RESTRAINTS AND BEHAVIOR MANAGEMENT › Section 390.1320 - Behavior Management

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Behavior management shall be conducted under the direction of a psychologist or
				Qualified Mental Retardation Professional with a behavior science education and
				one year of experience in behavior management.
b) The facility shall have written policies
				and procedures concerning behavior management as needed to meet the needs of
				the residents. These policies shall be directed to maximizing the growth and
				development of the resident and shall emphasize positive approaches. These
				policies shall contain at a minimum:
1) A
				hierarchy of available methods from least to most restrictive.
2) Policies that define the use of Individual
				Behavior Programs, the persons qualified to authorize them, and a mechanism for
				monitoring and controlling their use.