Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 370 - COMMUNITY LIVING FACILITIES CODE › Subpart N - RESIDENT'S RIGHTS › Appendix A - PROGRAM STANDARDS

Current through Register Vol. 48, No. 28, July 12, 2024
The Department of Mental Health and Developmental
				  Disabilities considers the following programs to be appropriate and necessary
				  to assist the developmentally disabled resident in a Community Living Facility
				  program toward more independent living.
Social Service shall be provided under the direction and
				  supervision of a registered or a certified social worker. The service must
				  foster maximum personal and social development of the resident and also must
				  foster and facilitate family functioning and effective and satisfactory social
				  and community relationships within the ability of the developmentally disabled
				  individual.
Vocational Training shall be provided under the direction and
				  supervision of a qualified vocational counselor or instructor. Qualifications
				  shall be in accordance with the State Department of Personnel job
				  classifications. The program should assist each developmentally disabled person
				  to progress as far as he or she can along the continuum from vocational
				  function to competitive employment and entrance into society.
Activity Therapy should function under the direction of a
				  qualified activity therapist or occupational therapist. Qualifications shall be
				  in accordance with the State Department of Personnel job classifications.
				  Programs should provide for physical and mental health, promote optimal
				  sensorimotor, cognitive, affective and social development. They also should
				  encourage movement from dependent to independent and interdependent functioning
				  and provide for enjoyable use of leisure time.
Psychology should be directed and supervised by a registered
				  psychologist. The service should facilitate, through the application of
				  psychology principles, the optimal development of each developmentally disabled
				  individual. The service should provide evaluation and assessment with
				  individual and group therapy and program services related to resident
				  habilitation, staff training, and communication participation.
Behavior Modification must be under the direction and
				  supervision of a trained professional with a background in behavior
				  modification, if the facility maintains this type of program. Support staff
				  must also have had adequate training and receive appropriate supervision as
				  they conduct and maintain this program. Monies budgeted for the maintenance of
				  token economies or reward systems shall not be used for staff or consultant
				  salaries and/or expenses, nor for the rental or maintenance of
				  facilities.
Training Staff are designated as program support personnel
				  who function in appropriate program areas. They are not meant to provide
				  routine care which is assumed under the basic community living program. These
				  individuals will be assigned to program areas or tasks as the needs of
				  individuals or small groups of residents are considered.
Training services should provide a planned and
				  systematic sequence of instruction in formal and informal activities, based on
				  appropriate evaluation and objectives designed to:
a. develop skills in performing activities of
				  daily living including self-help, motor skills, and communication;
b. enhance emotional, personal, and social
				  development;
c. provide experiences conducive to the
				  acquisition of a positive self-concept and desire to learn; and
d. provide experiences for gaining useful
				  occupational and prevocational skills.
Transportation is given program consideration because it
				  involves the resident's ability to participate in community work, recreation,
				  and other activities. This is a desirable program activity which should lead to
				  independence and possible return to the community.
STAFFING
Staffing shall include at least the following: a program
				  coordinator, a full-time house manager, and the following full or part-time
				  professional staff; social worker, psychologist, activity staff. In a small
				  facility one person may function as the program coordinator and full-time house
				  manager.
Program Coordinator: The program coordinator may
				  be the executive director of a host agency who would serve in lieu of a
				  full-time program coordinator if the size and type of program does not warrant
				  a full-time person.
1. The duties and responsibilities of the program
				  coordinator include: planning, coordinating and participating in the activities
				  of the Community Living Facility; assisting in establishing and implementing
				  procedures for admitting residents and providing related services; recruiting,
				  supervising, and coordinating activities of staff; arranging for treatment and
				  special diagnostic services when necessary; conducting conferences with staff
				  to develop programs; resolving administrative services when necessary; and
				  keeping staff informed of changes in responsibilities or procedures;
				  interpreting the Community Living Facility program to parents and visitors;
				  establishing liason with generic community services to facilitate use of such
				  services by project participants; preparing records, recommendations, and
				  reports reflecting Community Living Facility programs and operations.
2. Education and Experience: An appropriate
				  college degree and at least one year of full-time professional experience with
				  the developmentally disabled or other handicapped persons. The individual
				  should be experienced in the dynamics of individual and group behavior.
House Manager
1. The duties and responsibilities of the house
				  manager include: Day to day supervision of the residents living in the
				  Community Living Facility; in cooperation with the Program Coordinator, assists
				  in planning, coordinating and participating in the activities of the Community
				  Living Facility; being immediately responsible for the residents' health,
				  welfare and safety, as well as for the provision of an appropriate social and
				  vocational program which will lead to a greater degree of independence in
				  living or to independent living status.
2. Education and training: Includes working
				  knowledge of household management, food service, and sanitation with experience
				  in home management and housekeeping; basic knowledge of principles and
				  practices of guiding and training the developmentally disabled; basic knowledge
				  of health and safety precautions and first aid methods; ability to keep
				  records; ability to become aware of the specific needs and interests of the
				  developmentally disabled and to cope with their social, emotional and
				  intellectual needs; and ability to profit from in-service training.
Social Services: 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 qualified social worker the facility shall
				  have an effective arrangement with a qualified social worker to provide social
				  service consultation.
The social worker shall make prompt use of information
				  available on health and welfare resources in the community to deal with social
				  problems. The social worker shall review social service data in the resident's
				  permanent record and shall insure that a current social history is on file.
				  This shall be a written part of the resident's permanent record and shall be
				  updated by the social worker as needed.
The social worker shall, on request of the program
				  coordinator, maintain active contacts with the resident's family and shall
				  assist in community placement when the resident is deemed ready for more
				  independent living. Such placement is to be made in consultation with the
				  facility's psychologist.
Psychological Services: A registered psychologist shall be
				  provided for staff consultation. The consultant shall also provide services to
				  the residents as needed.
A current psychological evaluation (completed within the last
				  year), including an evaluation of the resident's intellectual capacity, should
				  be submitted to the Community Living Facility upon a resident's admission. If
				  such an evaluation has not been completed, the staff psychologist of the
				  Community Living Facility shall make such an evaluation within fifteen (15)
				  days of the resident's admission.
The psychologist shall also be available to staff for
				  consultation regarding the resident's adjustment and behavior within the
				  Community Living Facility. The results of any psychological evaluation and
				  consultation with staff shall become a permanent part of the resident's written
				  record.
Activity Staff: The facility shall designate a staff member
				  to be director of the activities program. If the facility does not have a
				  qualified recreational therapist, occupational therapist or group social worker
				  on its staff, arrangements shall be made with a person from one (1) or more of
				  the above disciplines to provide consultation to the activities director
				  regarding programming to meet the assessed needs of the residents. This
				  consultant shall assist facility staff in developing an individualized activity
				  program for each resident within fifteen (15) days after the resident's
				  admission to the facility.
ACTIVITY PROGRAM
1. There shall be a specified planned program of
				  group and individual activities geared to the individual resident's needs.
				  Activities shall be available daily and for a reasonable amount of time.
				  Residents shall be given an opportunity to contribute to planning, preparation,
				  conducting, cleanup, and critique of the program.
2. There shall be a trained staff person
				  responsible for planning and directing the activities program. This person,
				  though not necessarily a full-time employee, shall provide a program that
				  adequately meets the resident's needs and interests. Additional activity
				  personnel shall be provided as necessary to meet the needs of the residents and
				  the program.
3. There shall be written permission given by the
				  resident's physician for the resident to participate in the activity program.
				  Standing orders will be acceptable with individual contraindications
				  noted.
4. The activity program should include, but is not
				  limited to, the following program areas:
Recreational activities (examples: games, both
				  quiet and active; parties; outside entertainment, etc.)
Crafts (applicable to both men and women)
Community activities (examples: resident
				  participation in community activities such as plays; church events; band
				  concerts; tours, etc.)
5. A planned volunteer and/or auxiliary program
				  that supports the activities program shall be encouraged. It shall be under the
				  direction of a staff member in a supervisory capacity.
Vocational Training Staff: Appropriate to the nature and size
				  of the facility, a clearly designated person or team shall be responsible for
				  the implementation, evaluation, and revision of the facility's vocational
				  program. Vocational program personnel shall be vocational instructors qualified
				  by the appropriate state agency or tradesmen who have attained at least
				  journeyman status.
The ultimate objectives of the vocational program should be
				  to assist every resident to move as far as he can along the continuum from
				  nonvocational status to remunerative employment, and entry into the mainstream
				  of society as an independent citizen and worker.
The vocational program shall be rendered as follows:
1. Directly, through personal contact between
				  vocational personnel and residents, and
2. Indirectly, through contact between vocational
				  personnel and other persons working with the residents, designed to enhance and
				  facilitate the development and maintenance of a rehabilitative
				  environment.
The vocational program which is made available to the
				  residents in accordance with their needs shall include the following:
1. Vocational adjustment,
2. The formulation of a written vocational
				  objective for each resident,
3. The formulation of a written plan to achieve
				  the stated objective,
4. Implementation of the vocational plan.
Prevocational services shall be established when needed and
				  should contribute to the development of work readiness. This program should
				  provide for:
1. Vocationally relevant academic
				  instruction,
2. Instruction in the self-help and social skills
				  necessary for vocational success,
3. Instruction and practice in the social skills
				  necessary for maximal independent functioning in the community, such as travel,
				  handling of money, and use of community resources,
4. Orientation into the world of work,
5. Development of work attitudes needed for
				  vocational success,
6. Rotated exploration and tryout of job
				  tasks,
7. Continuation of evaluation of vocational
				  potential.
Vocational training programs shall meet all applicable legal
				  requirements and shall be provided through means such as:
1. Work training stations,
2. Work activity centers,
3. Transitional sheltered workshops,
4. Work-study programs,
5. On-the-job training,
6. Training in the classroom or on the job.
Appropriate to the nature and size of the facility, provision
				  shall be made for vocational training staff development, through such means
				  as:
1. In-service training,
2. Short-term workshops,
3. Seminars,
4. Attendance at conferences,
5. Visits to other facilities.