Section 2060.310  Facility Requirements

a)         At the time of application for initial and renewal of licensure and during the period of licensure, all facility locations shall meet the following requirements:

1)         Compliance with any local zoning requirement documented in writing from the appropriate local authority where the facility is located; and

2)         Compliance with fire safety regulations in accordance with rules of the Office of the State Fire Marshal at 41 Ill. Adm. Code 100 and with the applicable sections of the National Fire Protection Association's NFPA 101, Life Safety Code: 2015 Edition as confirmed by an attestation from a local code official, OSFM, or an architect licensed in the State of Illinois on the Life Safety Inspection Report.  As applicable, organizations may request a time-limited exception to complete any necessary modifications required to meet the fire safety requirements specified in 41 Ill. Adm. Code 100.

b)         At all times, the days and hours of operation shall be displayed in a location visible to the public.

c)         Each facility shall maintain fire, hazard, and liability insurance coverage.

d)         Each facility shall provide a safe, functional, and sanitary environment that includes the establishment and maintenance of policies and procedures specific to the operation of the facility.

e)         Each facility licensed for treatment shall have areas for private and confidential assessment, individual and group counseling, and medical services that can be separately enclosed from the areas for administration, food service, recreation, break rooms, and public reception.

f)         Each facility shall have a disaster plan that ensures appropriate response, preparedness, and the continuation or re-location of services, if possible, after a disaster.  This plan shall also contain requirements for annual practice drills, identification of the role of the facility in a community-wide disaster, and have an emergency evacuation plan, including provisions for disabled persons.  Each organization shall document the date of annual practice drills and, as applicable, any corrective action.  The authorized organization representative or designee shall ensure that the plan is reviewed annually and distributed to all staff who need to access and review the plan.

g)         Each facility licensed for treatment shall have policies and procedures, developed by the Medical Director or the Medical Director's designee who meets the definition of a physician as specified in Section 2060.120, to ensure compliance with: the U.S. Department of Labor Rule for Occupational Exposure to Bloodborne Pathogens, 29 CFR 1910.1030 (January 18, 2001) and annual training requirements for healthcare workers; and the Centers for Disease Control (CDC) and Prevention, "Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Settings, 2005; MMWR 2005; 54 (No. RR-17), December 30, 2005".  The policies and procedures, detailed in this Subpart, shall be reviewed, updated annually, and require that a tuberculosis (TB) risk assessment be conducted annually for each facility according to the CDC guidelines and utilizing Appendices B and C in the guidelines.  The policies and procedures shall also ensure that all staff have a TB test upon hire to establish a baseline and then only annually based upon the annual risk assessment.  Client/patient/resident screening and education regarding infectious disease shall follow all guidelines referenced in this subsection and be based upon the results of the annual risk assessment.

h)         Each facility shall have first aid supplies and personal protective equipment available in the event of a medical emergency or infectious disease outbreak.  The organization shall establish policies and procedures for each licensed facility that ensure compliance with the CDC's recommendations for infectious disease outbreak, as specified in CDC's "Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings" (April 14, 2024) and available at https://www.cdc.gov/infection-control/hcp/core-practices/index.html-.  Each facility shall also ensure that naloxone is readily available in the event of an opioid overdose.

i)          Each facility that provides 24-hour care shall ensure that it can provide for basic needs of patients/residents including, but not limited to, access to food and clean water.  If such facility also directly provides food service, it shall:

1)         Provide such service in accordance with the Dietitian Nutritionist Practice Act [225 ILCS 30], either as an employee or through a contractual agreement;

2)         Have a written plan for the provision of food service, as developed by the licensed professional referenced in subsection (i)(1), that describes the organization and the delivery of food service or arrangements for the provision of such services;

3)         Ensure that all nutritional aspects of patient/resident care are under the direction and supervision of the licensed professional referenced in subsection (i)(1);

4)         Provide a dining area that is separate from the kitchen area, is supervised and staffed to help patients/residents when needed, and is sized and equipped to accommodate the age and number of persons served;

5)         Ensure that the preparation and cooking of regularly scheduled hot meals is restricted to kitchen areas that are designed and equipped to meet the requirements of the services provided, including receiving, storage, preparation, dish and pot washing, and waste disposal; and

6)         Ensure access to a handwashing sink and toilet and that all equipment and appliances are installed to permit thorough cleaning of all equipment, walls, baseboards, and non-absorbent floor material and that each kitchen has an Underwriters Laboratory (UL)-approved five-pound class B:C dry chemical fire extinguisher.

j)          If laundry is done at the facility, the organization shall ensure that there is space for soiled linen sorting, laundry equipment, including washers and dryers, and clean linen storage space. If laundry is done outside the facility, the organization shall ensure that a soiled linen storage area is provided. 

k)         Each facility licensed for residential treatment (including withdrawal management) shall have a written policy that will ensure that gender-specific and gender-identity needs of patients served are addressed, and ensure, as applicable, that:

1)         Each bedroom is kept clean and organized;

2)         Bedroom occupancy addresses personal safety, preferences, and gender identity of residents;

3)         Bedroom occupancy prioritizes child safety in situations where children are in residence with a parent receiving treatment;

4)         The organization has policies and procedures to ensure the safety of children who are in residence with a parent receiving treatment;

5)         A separate bedroom is provided for any adolescent aged 16 or 17 who is receiving treatment in an adult treatment facility or for any person between the ages of 18 and 22 who is receiving treatment in a treatment facility for adolescents;

6)         A minimum of 80 square feet is provided in a single bedroom and 60 square feet per bed in a multi-bedroom with no more than four beds per room;

7)         At least three feet of space is provided at the foot or head and one side of each bed and at least three feet between each bed;

8)         Bunk beds are not used for any withdrawal management service;

9)         All beds are non-folding, at least 36 inches wide, and have a flame-retardant mattress;

10)       No bedroom is in an attic or in an area with a floor more than three feet below the adjacent ground level;

11)       Each room has a wardrobe, locker, or closet for each occupant;

12)       Each bedroom has a swinging door no less than 32 inches in width that opens directly into a corridor or to the outside;

13)       Each bedroom is an outside room with not less than the equivalent of 10% of its floor area devoted to windows that are covered with curtains, blinds, or shades;

14)       No bedroom opens directly into a kitchen or necessitates passing through a kitchen to reach any part of the facility;

15)       Each bathroom contains a toilet and sink and that each tub or shower is enclosed with space for drying and dressing (the sink may be omitted from a bathroom that services two adjacent bedrooms if each of these rooms contains a sink);

16)       Bedroom doors leading to corridors shall not be lockable from the inside;

17)       One sink, one toilet, and one bathtub or shower is provided per every eight beds on each floor where bathrooms are not adjacent to a bedroom;

18)       All bathrooms are well lighted and vented to the outside either by means of a window that can be opened or by an exhaust fan;

19)       No bathroom, other than for staff, shall open directly into a kitchen, pantry, food preparation area, or food storage room; and

20)       A bathroom is accessible to each central bathing area and that a minimum of one sink, one toilet, and one bathtub or shower for patients shall be provided on each floor.