Part 350: INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE

Section 350.3870 Laundry Room a) Provide a laundry room equipped with appropriate and satisfactory type equipment of a design to meet the needs of the facility, unless a commercial laundry is used. b) Laundry facilities shall not be located in rooms used for food storage, prepara…

Section 350.3880 General Building Requirements a) Stairway Dimensions 1) If a facility has a stairway, the stairway must have a minimum headroom of six feet, eight inches and a maximum height of 12 feet between landings. A minimum clear width of three feet is required, except for…

Section 350.3890 Corridors a) In every facility all corridors used by residents shall have a minimum unobstructed width of three feet, and shall be lighted properly at night and at other times when necessary. If there are handrails, and they project more than three and one-half i…

Section 350.3900 Special Care Room A special care room is not required in Intermediate Care Facilities for the Developmentally Disabled of 16 Beds or Less. (Source: Amended at 15 Ill. Reg. 466, effective January 1, 1991)

Section 350.3910 Exit Facilities and Subdivision of Floor Areas a) At least two exits, remote from each other, shall be provided for each floor or fire section of the building used by residents. All exits shall be so arranged as to provide a safe path of travel to the outside of …

Section 350.3920 Stairways, Vertical Openings and Doorways a) Interior stairways must be enclosed with a minimum of one and three-eighths inch solid core wood door, with a self-closing device at the top and bottom of the stairway. (B) b) There shall be no variation exceeding one-…

Section 350.3930 Hazardous Areas and Combustible Storage Walls at enclosure of hazardous areas shall have a one-hour fire resistive rating. Doors at enclosure of hazardous areas shall be a minimum of one and three-eighths inches thick solid core wood, with automatic closer. Hazar…

Section 350.3940 Mechanical Systems Thermal and acoustical insulation requirements in Section 350.2720(b) of this Part do not apply to ICF/DD Facilities of 16 Beds or Less. (Source: Amended at 15 Ill. Reg. 466, effective January 1, 1991)

Section 350.3950 Heating, Cooling, and Ventilating Systems a) Air conditioning and ventilation systems shall be designed, installed and maintained as required by NFPA 90B. (B) b) Compliance with pressure relationships and ventilation rates as shown in Table B is not required. c) …

Section 350.3960 Plumbing Systems a) Wrist blade handles are not required on lavatories. b) Clinical rim flush sinks are not required. c) Plumbing fixtures are not required to have quiet operating type flush valves. d) Hot water distribution systems shall be arranged to provide h…

Section 350.3970 Electrical Systems a) Resident's rooms shall have general lighting. At least one light fixture shall be switched at the entrance to each resident room. b) Duplex Receptacles in Resident Bedrooms 1) There shall be one duplex receptacle for each 12 lineal feet of w…

Section 350.3980 Fire Alarm and Detection System a) An approved automatic smoke detection system shall be installed on each floor level. Such system shall be installed in accordance with NFPA 101, Section 6-3 of the 1976 edition of the Life Safety Code, and with NFPA Standard 72,…

Section 350.3990 Emergency Electrical System a) The facility shall have an emergency electrical service which shall provide services as follows: 1) Illumination for means of egress 2) Fire detection and alarm system (A, B) b) Emergency electrical service is not required to provid…

Section 350.4000 Fire Protection The Department, or, upon request, the Fire Prevention Division of the Office of the State Fire Marshal, will make inspections for fire safety and compliance with these standards. The Fire Prevention Division shall call to the attention of the Depa…

Section 350.4010 Construction Types a) Buildings shall be of fire resistive, protected noncombustible, one hour protected ordinary, one hour protected wood frame, heavy timber, or unprotected noncombustible type construction. (B) b) Buildings shall be no more than two stories in …

Section 350.4020 Equivalencies Existing facilities which are in substantial compliance with this Subpart P, but which have any deficiencies, will be considered for approval, if alternative construction exists which will provide health and safety features that are equivalent to th…

Section 350.4030 New Construction Requirements The requirements listed in Sections 350.3780 through 350.4010 for existing facilities also apply to new construction unless modified by this Section . This Section applies only to new construction. a) Single resident bedrooms shall c…

Section 350.4210 Day Care in Long-Term Care Facilities a) For a licensed long-term care facility to be approved for a day care program, it is necessary that the facility meet all licensing requirements for its level of care. b) In addition, the following criteria must also be met…

Section 350.510 Administrator a) An administrator licensed under the Nursing Home Administrators Licensing and Disciplinary Act shall be employed full-time for each facility. The licensee shall report any change in administrator to the Department within five days after any change…

Section 350.610 Management Policies a) The facility's governing body shall exercise general direction of the facility, and shall establish the broad policies and procedures for the facility related to its purpose, objectives, operation, and the welfare of the residents served. b)…

Section 350.620 Resident Care Policies a) The facility shall have written policies and procedures governing all services provided by the facility which shall be formulated with the involvement of the administrator. The policies shall be available to the staff, residents and the p…

Section 350.625 Determination of Need Screening and Request for Resident Criminal History Record Information a) For the purpose of this Section only, a facility is any location certified to participate in the Medicare program under Title XVIII of the Social Security Act or Medica…

Section 350.630 Admission, Retention and Discharge Policies a) All involuntary discharges and transfers shall be in accordance with Sections 3-401 through 3-423 of the Act. b) Only residents who have had a comprehensive evaluation covering physical, emotional, social and cognitiv…

Section 350.634 Criminal History Background Checks for Persons Who Were Residents on May 10, 2006 (Repealed) (Source: Repealed at 46 Ill. Reg. 10519, effective June 2, 2022)

Section 350.635 Identified Offenders a) The facility shall review the results of the criminal history background checks immediately upon receipt of the checks. b) The facility shall be responsible for taking all steps necessary to ensure the safety of residents while the results …

Section 350.636 Discharge Planning for Identified Offenders a) If, based on the security measures listed in the Identified Offender Report and Recommendation, a facility determines that it cannot manage the identified offender resident safely within the facility, it shall commenc…

Section 350.637 Transfer of an Identified Offender a) If, based on the security measures listed in the Identified Offender Report and Recommendation, a facility determines that it cannot manage the identified offender resident safely within the facility, it shall commence involun…

Section 350.640 Contract Between Resident and Facility a) Contract Execution 1) Before a person is admitted to a facility, or at the expiration of the period of previous contract, or when the source of payment for the resident's care changes from private to public funds or from p…

Section 350.650 Residents' Advisory Council a) Each facility shall establish a residents' advisory council consisting of at least five resident members. If there are not five residents capable of functioning on the residents' advisory council, as determined by the Interdisciplina…

Section 350.660 General Policies a) The facility shall have policies and procedures, established in writing, that protect the financial interests of residents and when large sums of money accrue to a resident, provide for counseling the resident concerning its use, and for approp…

Section 350.670 Personnel Policies a) Each facility shall develop and maintain written personnel policies that are followed in the operation of the facility. These policies shall include, at a minimum, each of the requirements of this Section. b) Employee Records 1) Employment ap…

Section 350.671 Whistleblower Protection a) For the purposes of this Section, "retaliatory action" means the reprimand, discharge, suspension, demotion, denial of promotion or transfer, or change in the terms and conditions of employment of any employee of a facility that is take…

Section 350.675 Initial Health Evaluation for Employees a) Each employee shall have an initial health evaluation which shall be used to insure that employees are not placed in positions which would pose undue risk of infection to themselves, other employees, residents, or visitor…

Section 350.680 Direct Support Persons (DSP) a) A facility shall not employ an individual as a nursing assistant, habilitation aide, home health aide, a developmental disabilities aide, or a direct support person, or newly hired as an individual who may have access to a resident,…

Section 350.681 Health Care Worker Background Check A facility shall comply with the Health Care Worker Background Check Act and the Health Care Worker Background Check Code. (Source: Amended at 48 Ill. Reg. 2546, effective January 30, 2024)

Section 350.682 Resident Attendants 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…

Section 350.683 Registry of Direct Support Persons a) To be placed on the Health Care Worker Registry as a DSP, an individual shall either complete the required training or submit documentation of equivalency, as follows: 1) An individual will be placed on the Health Care Worker …

Section 350.684 Certified Nursing Assistant Interns a) A certified nursing assistant intern shall report to a facility's charge nurse or nursing supervisor and may only be assigned duties authorized in Section 2310-434 of the Department of Public Health Powers and Duties Law of t…

Section 350.685 Student Interns a) No person who meets the definition of student intern in Section 350.330 shall be required to complete a current course of training for developmental disabilities aides. b) The facility may utilize student interns to perform basic developmental d…

Section 350.690 Disaster Preparedness 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 s…

Section 350.691 Electronic Monitoring A facility shall comply with Section 2-116 and subsections 3-318(a)(8) and (9) of the Act, with the Authorized Electronic Monitoring in Long-Term Care Facilities Act, and with the Authorized Electronic Monitoring in Long-Term Care Facilities …

Section 350.700 Incidents and Accidents 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 acciden…

Section 350.750 Contacting Local Law Enforcement 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, f…

Section 350.760 Infection Control a) Policies and procedures for investigating, controlling, and preventing infections in the facility shall be established and followed. The policies and procedures shall be consistent with and include the requirements of the Control of Communicab…

Section 350.765 Essential Support Persons A facility shall comply with the Essential Support Person Act and with the Essential Support Person Code. (Source: Added at 50 Ill. Reg. 327, effective December 29, 2025)

Section 350.770 Sex Education A person who is a resident admitted to a facility and receiving habilitation shall have access to sex education, related resources, and treatment planning that supports their right to sexual health and healthy sexual practices and to be free from sex…

Section 350.810 Personnel a) The facility shall have staff sufficient in number and qualifications on duty 24 hours each day to provide services that meet the total needs of the residents. At a minimum, there shall be at least one staff member awake dressed and on duty at the fac…