Part 350: INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE

Section 350.1860 Therapeutic Diets (Repealed) (Source: Repealed at 23 Ill. Reg. 7970, effective July 15, 1999)

Section 350.1870 Scheduling Meals a) A minimum of three meals or their equivalent shall be served daily at regular times with no more than a 14 hour span between a substantial evening meal and breakfast. The 14 hour span shall not apply to facilities using the "four or five meals…

Section 350.1880 Menus and Food Records a) Menus, including menus for "sack" lunches or between meal or bedtime snacks, shall be planned at least one week in advance. Food sufficient to meet the nutritional needs of all the residents shall be prepared for each meal. When changes …

Section 350.1890 Food Preparation and Service a) Food shall be prepared by appropriate methods that will conserve their nutritive value, enhance their flavor and appearance. They shall be prepared according to standardized recipes and a file of such recipes shall be available for…

Section 350.190 Experimental Program Conflicting with Requirements a) Any facility desiring to conduct an experimental program or do research that is in conflict with this Part shall submit a written request to the Department and secure prior approval. The Department will not app…

Section 350.1900 Food Handling Sanitation Every facility shall comply with the Department's rules entitled "Food Code". (Source: Amended at 49 Ill. Reg. 7038, effective April 30, 2025)

Section 350.1910 Kitchen Equipment, Utensils, and Supplies Each facility shall provide an adequate number of dishes, glassware, and silverware of a satisfactory type to serve all the residents in the facility at each meal. (Source: Amended at 14 Ill. Reg. 14876, effective October…

Section 350.200 Inspections, Surveys, Evaluations and Consultation a) The terms survey, inspection, and evaluation are synonymous. These terms refer to the overall examination of compliance with the Act and this Part. All facilities to which this Part applies shall be subject to …

Section 350.2010 Maintenance a) Every facility shall have an effective written plan for maintenance, including sufficient staff, appropriate equipment, and adequate supplies. Each facility shall: (B) 1) Maintain the building in good repair safe and free of the following: cracks i…

Section 350.2020 Housekeeping a) Every facility shall have an effective plan for housekeeping including sufficient staff, appropriate equipment, and adequate supplies. Each facility shall: (B) 1) Keep the building in a clean, safe, and orderly condition. This includes all rooms, …

Section 350.2030 Laundry Services a) Every facility shall have an effective means of supplying an adequate amount of clean linen for operation, either through an in-house laundry or a contract with an outside service. 1) An adequate supply of clean linen shall be defined as the t…

Section 350.210 Filing an Annual Attested Financial Statement a) Each licensee shall file annually, or more often as the Director shall prescribe, an attested financial statement. The Director may order an audited financial statement of a particular facility by an auditor of the …

Section 350.220 Information to Be Made Available to the Public by the Department a) The Department shall respect the confidentiality of a resident's record and shall not divulge or disclose the contents of a record in a manner which identifies a resident, except upon a resident's…

Section 350.2210 Furnishings a) Each resident shall be provided with a separate bed suitable to meet the needs of the resident. Each bed shall be at least 36 inches wide, have a headboard, be of sturdy construction and in good repair. A double bed shall be provided for married co…

Section 350.2220 Equipment and Supplies a) The facility shall have a supply of thermometers, emesis basins, ice bags, hot water bottles or equivalent, bedpans, urinals, and sets of enema equipment sufficient to meet the needs of its residents. b) At least one privacy screen shall…

Section 350.230 Information to Be Made Available to the Public by the Licensee a) Every facility shall conspicuously post or display in an area of its offices accessible to residents, employees, and visitors the following: 1) Its current license; 2) A description, provided by the…

Section 350.240 Municipal Licensing a) Municipalities that have adopted a licensing ordinance as provided under Section 3-104 of the Act and this Part shall adopt this Part by complying with Article I, Division 3, of the Illinois Municipal Code. b) Municipalities shall issue lice…

Section 350.2410 Codes Water supply, sewage disposal and plumbing systems shall comply with the all applicable State and local codes and ordinances. (B) (Source: Amended at 13 Ill. Reg. 6040, effective April 17, 1989)

Section 350.2420 Water Supply a) Each facility shall be served by water from a municipal public water supply when available. (B) b) When a municipal water supply is not available, the water supply shall comply with the Department's rules entitled "Drinking Water Systems" (77 Ill.…

Section 350.2430 Sewage Disposal a) All sewage and liquid wastes shall be discharged into a public sewage system when available. (B) b) When a public sewage system is not available, sewage and liquid wastes shall be collected, treated, and disposed of in a private sewage disposal…

Section 350.2440 Plumbing Each plumbing system shall comply with the Department's rules entitled "Illinois Plumbing Code" (77 Ill. Adm. Code 890) effective at the time of construction or approved acceptance by the Department. (Source: Amended at 13 Ill. Reg. 6040, effective April…

Section 350.250 Ownership Disclosure a) As a condition of the issuance or renewal of the license of any facility, the applicant shall file a statement of ownership. The applicant shall update the information required in the statement of ownership within 10 days after any change. …

Section 350.260 Issuance of Conditional License a) The Director may issue a conditional license under Section 3-305 of the Act to any facility if the Director finds that either a Type "A" or Type "B" violation exists in such facility. The issuance of a conditional license shall r…

Section 350.2610 Applicability of These Standards a) These standards shall apply to all new Long-Term Care Facilities and major alterations and additions to existing Long-Term Care Facilities. (Major alterations are those that are not defined as minor alterations in Section 350.2…

Section 350.2620 Codes and Standards a) Each facility shall comply with the applicable provisions of the following codes and standards: 1) State of Illinois rules A) Illinois Plumbing Code, Department of Public Health B) Illinois Accessibility Code, Capital Development Board C) F…

Section 350.2630 Preparation of Drawings and Specifications a) The preparation of drawings and specifications shall be executed by or be under the immediate supervision of an architect registered in the State of Illinois. b) The first submission shall be the design development dr…

Section 350.2640 Site a) The facility shall be located on a reasonably flat or rolling, well drained site that is not subject to flooding; reasonably free from sources of excessive noise, noxious or hazardous smoke or fumes; not in deteriorated, unpleasant, or potentially hazardo…

Section 350.2650 Administration and Public Areas a) Facilities for the physically handicapped (public, staff and residents) shall be provided in administration and public areas as well as in resident areas. b) Lobby shall include a reception and information counter or desk, waiti…

Section 350.2660 Nursing Unit a) The number of resident beds in a nursing unit shall not exceed 75 beds. Not less than 60 percent of the resident beds shall be in bedrooms with one or two beds. b) General Requirements for Bedrooms 1) Resident bedrooms shall have an entrance direc…

Section 350.2670 Dining, Living, Activities Rooms a) The combined area of these rooms shall not be less than 40 square feet per resident bed. b) Provide a minimum of one dining room with at least ten square feet per resident bed. c) Provide a minimum of one comfortably furnished …

Section 350.2680 Therapy and Personal Care a) Physical and occupational therapy facilities shall be provided as required by the approved program. b) A separate room shall be provided with appropriate equipment for hair care and grooming needs of the residents. (Source: Amended at…

Section 350.2690 Service Departments a) Dietary facilities shall comply with the standards specified in the Department's rules entitled "Food Service Sanitation" (77 Ill. Adm. Code 750). Food service facilities shall be designed and equipped to meet the requirements of the Narrat…

Section 350.270 Monitor and Receivership a) The Department may place an employee or agent to serve as a monitor in a facility or may petition the circuit court for appointment of a receiver for a facility, or both, when any of the following conditions exist: 1) The facility is op…

Section 350.2700 General Building Requirements a) Elevators 1) Each facility of two or more stories in height shall have a minimum of one elevator. The basement shall be considered as one story if it is used by residents. 2) If 80 to 200 beds are located above the first floor, at…

Section 350.271 Presentation of Findings a) If it is probable that findings will be presented that could be issued as violations of regulations that represent a direct threat to the health, safety or welfare of residents, surveyors shall notify the administrator or designee durin…

Section 350.2710 Structural a) General Structural Requirements 1) The buildings and all parts thereof shall be of sufficient strength to support all dead, live, and lateral loads without exceeding the working stresses permitted for the materials of their construction in generally…

Section 350.272 Determination to Issue a Notice of Violation or Administrative Warning a) Upon receipt of a report of an inspection, survey or evaluation of a facility, the Director shall review the findings contained in the report to determine whether the report's findings const…

Section 350.2720 Mechanical Systems a) Mechanical systems shall be tested, balanced, and operated to demonstrate that the installation and performance of these systems conform to the requirements of this Section. 1) Upon the completion of the contract, the owner shall be furnishe…

Section 350.2730 Plumbing Systems a) All plumbing systems shall be designed and installed in accordance with the requirements of the Department's rules entitled "Illinois Plumbing Code" except that the number of resident required (77 Ill. Adm. Code 890) water closets, lavatories,…

Section 350.274 Determination of the Type of a Violation a) After determining that issuance of a notice of violation is warranted and prior to issuance of the notice, the Director will review the findings that are the basis of the violation and any comments and documentation prov…

Section 350.2740 Electrical Systems a) General Electrical System Requirements 1) All material including equipment, conductors, controls, and signaling devices shall be installed to provide a complete electrical system with the necessary characteristics and capacity to supply the …

Section 350.276 Notice of Violation a) Each notice of violation shall be prepared in writing and shall contain the following information: 1) A description of the nature of the violation. 2) A citation of the specific statutory provision or rule alleged by the Department to have b…

Section 350.277 Administrative Warning a) If the Department finds a situation, condition or practice which violates the Act or this Part which does not constitute a Type "AA", Type "A", Type "B", or Type "C" violation, the Department shall issue an administrative warning. (Sectio…

Section 350.278 Plans of Correction a) The situation, condition or practice constituting a Type "AA" violation or a Type "A" violation shall be abated or eliminated immediately unless a fixed period of time, not exceeding 15 days, as determined by the Department and specified in …

Section 350.280 Reports of Correction a) In lieu of submission of a plan of correction, a facility may submit a report of correction if the corrective action has been completed. The report of correction must be submitted within the time periods required in Section 350.278 for sub…

Section 350.282 Conditions for Assessment of Penalties The Department will consider the assessment of a monetary penalty against a facility under the following conditions: a) A licensee who commits a Type "AA" violation as defined in Section 1-128.5 of the Act is automatically is…

Section 350.284 Calculation of Penalties (Repealed) (Source: Repealed at 46 Ill. Reg. 10519, effective June 2, 2022)