# 89 Ill. Adm. Code 146.235: Section 146.235 Staffing

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_235

## Section

- **Citation:** 89 Ill. Adm. Code 146.235
- **Heading:** Section 146.235 Staffing
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89 SOCIAL SERVICES / CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES / Part 146 SPECIALIZED HEALTH CARE DELIVERY SYSTEMS / Section 146.235 Staffing

## Text

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).

## Nearby sections

- [89 Ill. Adm. Code 146.200 Section 146.200  General Description](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_200.md)
- [89 Ill. Adm. Code 146.210 Section 146.210  Structural Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_210.md)
- [89 Ill. Adm. Code 146.220 Section 146.220  Resident Participation Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_220.md)
- [89 Ill. Adm. Code 146.225 Section 146.225  Reimbursement for Medicaid Residents](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_225.md)
- [89 Ill. Adm. Code 146.230 Section 146.230  Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_230.md)
- [89 Ill. Adm. Code 146.235 Section 146.235  Staffing](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_235.md)
- [89 Ill. Adm. Code 146.240 Section 146.240  Resident Contract](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_240.md)
- [89 Ill. Adm. Code 146.245 Section 146.245  Assessment and Service Plan and Quarterly Evaluation](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_245.md)
- [89 Ill. Adm. Code 146.255 Section 146.255  Discharge](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_255.md)
- [89 Ill. Adm. Code 146.260 Section 146.260  Grievance Procedure](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_260.md)
- [89 Ill. Adm. Code 146.265 Section 146.265  Records and Reporting Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_265.md)
- [89 Ill. Adm. Code 146.270 Section 146.270  Quality Assurance Plan](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_270.md)
- [89 Ill. Adm. Code 146.275 Section 146.275  Monitoring](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_275.md)
- [89 Ill. Adm. Code 146.280 Section 146.280  Non-Compliance Action](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_280.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_235. Check the current official text before relying on it. Not legal advice.