Section 146.235 Staffing

Section 146

Section 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

n 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

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

all 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]

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).