Part 350: INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE

Section 350.1040 Speech Pathology and Audiology Services a) Speech pathology and audiology services shall be provided to meet the needs of the residents through the following: (B) 1) Direct contact between speech pathologists, audiologists and residents. 2) Working with other per…

Section 350.1050 Recreational and Activities Services 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 assess…

Section 350.1055 Volunteer Program 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…

Section 350.1060 Training and Habilitation Services a) The facility shall provide training and habilitation services to facilitate the intellectual, sensorimotor, and effective development of each resident in the facility. b) Each resident shall have individual evaluations that s…

Section 350.1070 Training and Habilitation Staff Appropriately qualified staff shall be provided in sufficient numbers to meet the training and habilitation needs of the residents. At a minimum, staffing shall be provided as described in Section 350.810(b) of this Part. (Source: …

Section 350.1080 Restraints 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 …

Section 350.1082 Nonemergency Use of Physical Restraints a) Physical restraints shall only be used when required to treat the resident's medical symptoms or as a therapeutic intervention, as ordered by a physician, and based on: 1) the assessment of the resident's capabilities an…

Section 350.1084 Emergency Use of Physical Restraints 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 the treatment in q…

Section 350.1086 Unnecessary, Psychotropic, and Antipsychotic Drugs a) A resident shall not be given unnecessary drugs in accordance with Section 350.Appendix E. In addition, an unnecessary drug is any drug used: 1) in an excessive dose, including in duplicative therapy; 2) for e…

Section 350.1088 Language Assistance Services 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). (Source: Added at 29 Ill. Reg. 12954, effec…

Section 350.110 General Requirements a) This Part applies to the operator/licensee of facilities, or distinct parts of facilities, that are to be licensed and classified to provide intermediate care for persons with developmental disabilities, pursuant to the terms and conditions…

Section 350.120 Application for License a) Application for a license to establish or operate an ID/DD facility shall be made in writing and submitted to the Department on forms furnished by the Department. (Section 3-103(1) of the Act) The facility shall provide a written descrip…

Section 350.1210 Health Services a) Comprehensive resident care plan. A facility, with the participation of the resident and the resident's guardian or resident's representative, as applicable, must develop and implement a comprehensive care plan for each resident that includes m…

Section 350.1220 Physician Services a) The facility shall have a written program of medical services 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 health services …

Section 350.1223 Communicable Disease Policies 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 …

Section 350.1225 Tuberculin Skin Test Procedures Tuberculin skin tests for employees and residents shall be conducted in accordance with the Control of Tuberculosis Code (77 Ill. Adm. Code 696). (Source: Amended at 23 Ill. Reg. 7970, effective July 15, 1999)

Section 350.1230 Nursing Services a) Each facility shall have a full-time director of nursing services (DON) who is a registered nurse (RN) and whose only responsibility is the immediate supervision of the facility's health services. This person shall be on duty a minimum of 36 h…

Section 350.1235 Life-Sustaining Treatments 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 concernin…

Section 350.1236 Care and Treatment of Sexual Assault Survivors 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 …

Section 350.1240 Dental Services a) There shall be comprehensive diagnostic services for all residents which include a complete extra and intra oral examination utilizing all diagnostic aides necessary to properly evaluate the resident's oral condition, within a period of one mon…

Section 350.1250 Physical and Occupational Therapy Services a) Physical and occupational therapy services shall be provided as needed by the residents through personal contact of the therapists directly with the residents or indirectly with persons involved with the residents. b)…

Section 350.1260 Vaccinations 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…

Section 350.130 Licensee a) The licensee is the corporate body, political subdivision, individual, or individuals responsible for the operation of the facility and upon whom rests the responsibility for meeting the licensing requirements. The licensee does not have to own the bui…

Section 350.140 Issuance of an Initial License for a New Facility a) Upon receipt and review of an application for a license and inspection of the applicant facility, the Director will issue a probationary license if they find: 1) That the individual applicant, or the corporation…

Section 350.1410 Medication Policies and Procedures a) Every facility shall adopt written policies and procedures for properly and promptly obtaining, dispensing, administering, returning and disposing of drugs and medications. These policies and procedures shall be consistent wi…

Section 350.1420 Compliance with Licensed Prescriber's Orders a) All medications shall be given only upon the written, facsimile or electronic order of a licensed prescriber. The facsimile or electronic order of a licensed prescriber shall be authenticated by the licensed prescri…

Section 350.1430 Administration of Medication a) All medications shall be administered only 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…

Section 350.1440 Labeling and Storage of Medications a) All medications for all residents shall be properly labeled and stored at or near the nurses' station in a locked cabinet, in a locked medication room, or in one or more locked mobile medication carts of satisfactory design …

Section 350.1450 Control of Medications a) The facility shall comply with all federal and State laws and State regulations relating to the procurement, storage, dispensing, administration, and disposal of medications. b) All Schedule II controlled substances shall be stored so th…

Section 350.150 Issuance of an Initial License Due to a Change of Ownership a) Upon receipt and review of an application for a license, the Director will issue a probationary license if they find: 1) That the individual applicant, or the corporation, partnership or other entity i…

Section 350.160 Issuance of a Renewal License a) At least 120 days, but not more than 150 days, prior to license expiration, the licensee shall submit an application for renewal of the license in such form and containing such information as the Department requires. If the applica…

Section 350.1610 Resident Record Requirements a) Each facility shall have a medical record system that retrieves information regarding individual residents. b) The facility shall keep an active medical record for each resident. This resident record shall be kept current, complete…

Section 350.1620 Content of Medical Records 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, an…

Section 350.1630 Confidentiality of Resident's Records a) All information contained in a resident's record, including any information contained in an automated data bank, shall be considered confidential. The facility shall permit the appropriate State and federal agencies (such …

Section 350.1640 Records Pertaining to Residents' Property 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…

Section 350.165 Criteria for Adverse Licensure Actions a) Adverse licensure actions are determinations to deny the issuance of an initial license, to deny the issuance of a renewal of a license, or to revoke the current license of a facility. b) A determination by the Director to…

Section 350.1650 Retention and Transfer of Resident Records a) Records of discharged residents shall be placed in an inactive file and retained as follows: 1) Records for any resident who is discharge prior to being 18 years old shall be retained at least until the resident reach…

Section 350.1660 Other Resident Record Requirements This Section contains references to rules located in other Subparts that pertain to the content and maintenance of medical records. a) The resident's record shall include facts involved if the resident's discharge occurs despite…

Section 350.1670 Staff Responsibility for Medical Records The facility shall designate a staff member who is skilled in record maintenance and preservation to be responsible for maintaining and preserving medical records. If the designated person is not a health information manag…

Section 350.1680 Retention of Facility Records The facility shall retain the records referenced in this Section for a minimum of three years. It is suggested that the administrator check with legal counsel regarding the advisability of retaining records for a longer period of tim…

Section 350.1690 Other Facility Record Requirements a) The facility shall maintain a file of reports of findings and recommendations from consultants. Each report shall be dated and indicate each specific date and time the consultant was in the facility. b) The facility shall com…

Section 350.170 Denial of Initial License a) A determination by the Director to deny the issuance of an initial license shall be based on a finding that one or more of the criteria outlined in Section 350.165 or the following criteria are met. 1) Conviction of the applicant, or i…

Section 350.175 Denial of Renewal of License a) Application for renewal of a license of a facility shall be denied and the license of the facility shall be allowed to expire when the Director finds that a condition, occurrence, or situation in the facility meets any of the criter…

Section 350.180 Revocation of License a) The license of a facility shall be revoked when the Director finds that a condition, occurrence or situation in the facility meets any of the criteria specified in Section 350.165(b) and in Section 3-119(a) of the Act. In addition, the lic…

Section 350.1810 Director of Food Services a) A full-time person, qualified by training and experience, shall be responsible for the total food and nutrition services of the facility. This person shall be on duty for a minimum of 40 hours each week. 1) This person shall be either…

Section 350.1820 Dietary Staff in Addition to Director of Food Services There shall be sufficient number of food service personnel employed and on duty to meet the dietary needs of all persons eating meals in the facility. Their working hours shall be scheduled to meet the total …

Section 350.1830 Hygiene of Dietary Staff Food service personnel shall be in good health. Food service personnel shall practice hygienic food handling techniques and good personal grooming. (B) (Source: Amended at 13 Ill. Reg. 6040, effective April 17, 1989)