Ill. Admin. Code tit. 89, § 146.235 - Staffing
a) The SLP setting
shall have a manager or a qualified designee present at the SLP during normal
business hours plus whenever necessary to ensure attention to the management
and administration of the resident contracts. Staff shall have access to the
manager or the manager's designee at all times. The manager shall designate a
qualified individual capable of acting in an emergency during his or her
absence from the SLP setting.
b)
The manager shall have at least five years' experience in providing health care
services to adults with physical disabilities or the elderly population either
in an assisted living program, inpatient hospital, long term care setting,
adult day care or in a Department approved health related field. The manager
shall also have at least two years of management experience.
c) The SLP setting shall have licensed and
certified staff sufficient in number to meet the needs of the population being
served.
d) Licensed nurses or
certified nursing assistants on duty in the SLP setting shall not be utilized
in an adjoining or other part of the building not certified in the SLP setting.
This includes, but is not limited to, a nursing facility, assisted living
facility, and independent living facility.
e) Staff Training. All staff training
materials shall be available for review by the Department. If required by the
Department, the SLP setting shall make changes in the training materials.
1) The SLP setting shall provide staff and
subcontractors who provide direct care with:
A) training that takes place no later than 30
days after beginning employment and semi-annual training in areas related to
their employment;
B) training that
covers resident rights; infection control; crisis intervention; prevention and
notification of abuse, neglect and financial exploitation; behavioral
intervention; tuberculosis identification, prevention, control and reporting;
encouraging independence; potential resident inquiry and admission application
policy; and non-discrimination policy (these subjects shall be trained as part
of staff orientation and at least annually thereafter);
C) documented training performed by qualified
individuals in their area or areas of responsibility;
D) training geared toward the manner in which
services are to be performed;
E)
training that includes techniques for working with persons with physical
disabilities and the elderly populations; and
F) in the case of an SLP setting serving
persons with physical disabilities, disability specific sensitivity training
conducted by an outside entity familiar with working with persons with
disabilities. The training shall occur for all staff initially prior to
certification, at staff orientation for new staff, and at least annually
thereafter.
2) In the
case of subcontractors, training by the SLP provider is not required if the SLP
provider can document that similar training is being provided through the
subcontractor's employer.
f) The SLP provider shall employ certified
nursing assistants (CNAs) as follows:
1)
Qualifications
Must be 18 years of age or older and have successfully completed no later than 120 days after employment a nursing assistant training course or a Department of Public Health approved equivalent training and competency evaluation.
2)
Names of CNAs shall be checked against the Illinois Department of Public
Health's Health Care Worker Registry prior to employment.
3) Job responsibilities shall include, but
not be limited to:
A) Follow and help carry
out a resident's written service plan;
B) Provide personal care services for
residents, including but not limited to bathing, eating, dressing, personal
hygiene, grooming, toileting, ambulation and assistance with
transfer;
C) Observe the resident's
functioning, maintain written records of the observations and report any
changes to the licensed nurse; and
D) Attend initial training, in-service
training sessions and staff conferences.
g) The SLP provider shall employ or contract
with a dietitian. The dietitian shall comply with the following:
1) The dietitian shall be licensed under the
Dietician Nutritionist Practice Act [225 ILCS 30].
2) Job responsibilities shall include, but
not be limited to, consultation and training in all food service procedures
such as menu planning and review, food preparation, food storage, food service,
safety, sanitation and management of therapeutic diets.
3) The dietician shall come on-site at least
twice per quarter for a period of not less than a cumulative total of eight
hours.
h) The SLP
provider shall employ a minimum of one cook who shall have at least one year of
experience in commercial food preparation.
i) Twenty-four hour response staff shall be
at least 18 years of age and possess at least a high school diploma or a GED.
Response staff shall be certified in emergency resuscitation. The staff shall
respond to scheduled or unpredictable needs and emergency calls from
residents.
j) Nurses on staff, or
subcontracted, shall be licensed by the State of Illinois and shall be
responsible for nursing services set forth in Section
146.230.
k) The SLP provider shall designate a trained
staff person to be responsible for planning and directing social and
recreational activities. This person shall be at least 18 years of age and
possess at least a high school diploma or a GED.
l) The SLP provider shall ensure that all
employees who have or may have contact with residents or have access to the
living quarters or the financial, medical or personal records of residents
undergo a criminal history background check that conforms to the Health Care
Worker Background Check Act [225 ILCS 46]. No SLP provider shall knowingly
hire, employ or retain any individual in a position, with duties involving
contact with residents, access to resident living quarters or access to the
financial, medical or personal records of residents, who has been convicted of
committing or attempting to commit one or more of the offenses defined under
the Health Care Worker Background Check Act unless that individual has obtained
a waiver issued by the Department of Public Health. An SLP provider may
conditionally employ an applicant for up to three months pending the results of
the criminal history record check.
m) Each employee and volunteer shall have a
tuberculin skin test in accordance with the Control of Tuberculosis Code (77
Ill. Adm. Code 696).
Notes
Amended at 33 Ill. Reg. 11803, effective August 1, 2009
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