Section 146.235  Staffing

a)         The SLF shall have a manager or a qualified designee present at the SLF 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 SLF.

b)         The manager shall have at least five years experience in providing health care services to adults with 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 SLF shall have licensed and certified staff sufficient in number to meet the needs of the population being served.

d)         Nursing facility staff may be utilized in a rehabilitated nursing facility but may not be on duty in both the nursing facility and SLF at the same time.

e)         Staff Training.  All staff training materials shall be available for review by the Department.  If required by the Department, the SLF shall make changes in the training materials.

1)         The SLF 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; and

B)        training that covers infection control, crisis intervention, prevention and notification of abuse and neglect, behavior intervention, negotiated risk and encouraging independence (these subjects shall be trained as part of staff orientation and at least annually thereafter); and

C)        documented training performed by qualified individuals in their area or areas of responsibility; and

D)        training geared toward the manner in which services are to be performed; and

E)         training that includes techniques for working with persons with disabilities and the elderly populations; and

F)         in the case of an SLF serving persons with 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 SLF is not required if the SLF can document that similar training is being provided through the subcontractor's employer.

f)          The SLF shall employ certified nursing assistants 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)         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 SLF shall employ or contract with a dietitian.  The dietitian shall comply with the following:

1)         The dietitian shall be licensed under the Dietetic and Nutrition Services 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 SLF 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 SLF 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 SLF 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 SLF 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 SLF may conditionally employ an applicant for up to three months pending the results of the criminal history record check.

m)        Each employee shall have a tuberculin skin test in accordance with the Control of Tuberculosis Code (77 Ill. Adm. Code 696).  The test must be completed no more than 90 days prior to the date of initial employment in the SLF or the test must be commenced no more than seven days after the date of initial employment in the SLF.

(Source:  Amended at 30 Ill. Reg. 8845, effective May 1, 2006)