Sen. Don Harmon

Filed: 4/19/2010

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 5132

2     AMENDMENT NO. ______. Amend House Bill 5132 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Department of Human Services Act is amended
5 by changing Section 1-17 as follows:
 
6     (20 ILCS 1305/1-17)
7     (Text of Section before amendment by P.A. 96-339)
8     Sec. 1-17. Inspector General.
9     (a) Nature and purpose. It is the express intent of the
10 General Assembly to ensure the health, safety, and financial
11 condition of individuals receiving services in this State due
12 to mental illness, developmental disability, or both by
13 protecting those persons from acts of abuse, neglect, or both
14 by service providers. To that end, the Office of the Inspector
15 General for the Department of Human Services is created to
16 investigate and report upon allegations of the abuse, neglect,

 

 

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1 or financial exploitation of individuals receiving services
2 within mental health facilities, developmental disabilities
3 facilities, and community agencies operated, licensed, funded,
4 or certified by the Department of Human Services or , but not
5 licensed or certified by any other State agency. It is also the
6 express intent of the General Assembly to authorize the
7 Inspector General to investigate alleged or suspected cases of
8 abuse, neglect, or financial exploitation of adults with
9 disabilities living in domestic settings in the community under
10 the Abuse of Adults with Disabilities Intervention Act.
11     (b) Definitions. The following definitions apply to this
12 Section:
13     "Agency" or "community agency" means (i) a community agency
14 licensed, funded, or certified by the Department or , but not
15 licensed or certified by any other human services agency of the
16 State, to provide mental health service or developmental
17 disabilities service, or (ii) a program licensed, funded, or
18 certified by the Department or , but not licensed or certified
19 by any other human services agency of the State, to provide
20 mental health service or developmental disabilities service.
21     "Aggravating circumstance" means a factor that is
22 attendant to a finding and that tends to compound or increase
23 the culpability of the accused.
24     "Allegation" means an assertion, complaint, suspicion, or
25 incident involving any of the following conduct by an employee,
26 facility, or agency against an individual or individuals:

 

 

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1 mental abuse, physical abuse, sexual abuse, neglect, or
2 financial exploitation.
3     "Day" means working day, unless otherwise specified.
4     "Deflection" means a situation in which an individual is
5 presented for admission to a facility or agency, and the
6 facility staff or agency staff do not admit the individual.
7 "Deflection" includes triage, redirection, and denial of
8 admission.
9     "Department" means the Department of Human Services.
10     "Developmentally disabled" means having a developmental
11 disability.
12     "Developmental disability" means "developmental
13 disability" as defined in the Mental Health and Developmental
14 Disabilities Code.
15     "Egregious neglect" means a finding of neglect as
16 determined by the Inspector General that (i) represents a gross
17 failure to adequately provide for, or a callused indifference
18 to, the health, safety, or medical needs of an individual and
19 (ii) results in an individual's death or other serious
20 deterioration of an individual's physical condition or mental
21 condition.
22     "Employee" means any person who provides services at the
23 facility or agency on-site or off-site. The service
24 relationship can be with the individual or with the facility or
25 agency. Also, "employee" includes any employee or contractual
26 agent of the Department of Human Services or the community

 

 

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1 agency involved in providing or monitoring or administering
2 mental health or developmental disability services. This
3 includes but is not limited to: owners, operators, payroll
4 personnel, contractors, subcontractors, and volunteers.
5     "Facility" or "State-operated facility" means a mental
6 health facility or developmental disabilities facility
7 operated by the Department or certified or licensed by any
8 other State agency.
9     "Financial exploitation" means taking unjust advantage of
10 an individual's assets, property, or financial resources
11 through deception, intimidation, or conversion for the
12 employee's, facility's, or agency's own advantage or benefit.
13     "Finding" means the Office of Inspector General's
14 determination regarding whether an allegation is
15 substantiated, unsubstantiated, or unfounded.
16     "Health care worker registry" or "registry" means the
17 health care worker registry created by the Nursing Home Care
18 Act.
19     "Individual" means any person receiving mental health
20 service, developmental disabilities service, or both from a
21 facility or agency, while either on-site or off-site.
22     "Mental abuse" means the use of demeaning, intimidating, or
23 threatening words, signs, gestures, or other actions by an
24 employee about an individual and in the presence of an
25 individual or individuals that results in emotional distress or
26 maladaptive behavior, or could have resulted in emotional

 

 

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1 distress or maladaptive behavior, for any individual present.
2     "Mental illness" means "mental illness" as defined in the
3 Mental Health and Developmental Disabilities Code.
4     "Mentally ill" means having a mental illness.
5     "Mitigating circumstance" means a condition that (i) is
6 attendant to a finding, (ii) does not excuse or justify the
7 conduct in question, but (iii) may be considered in evaluating
8 the severity of the conduct, the culpability of the accused, or
9 both the severity of the conduct and the culpability of the
10 accused.
11     "Neglect" means an employee's, agency's, or facility's
12 failure to provide adequate medical care, personal care, or
13 maintenance and that, as a consequence, (i) causes an
14 individual pain, injury, or emotional distress, (ii) results in
15 either an individual's maladaptive behavior or the
16 deterioration of an individual's physical condition or mental
17 condition, or (iii) places the individual's health or safety at
18 substantial risk.
19     "Physical abuse" means an employee's non-accidental and
20 inappropriate contact with an individual that causes bodily
21 harm. "Physical abuse" includes actions that cause bodily harm
22 as a result of an employee directing an individual or person to
23 physically abuse another individual.
24     "Recommendation" means an admonition, separate from a
25 finding, that requires action by the facility, agency, or
26 Department to correct a systemic issue, problem, or deficiency

 

 

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1 identified during an investigation.
2     "Required reporter" means any employee who suspects,
3 witnesses, or is informed of an allegation of any one or more
4 of the following: mental abuse, physical abuse, sexual abuse,
5 neglect, or financial exploitation.
6     "Secretary" means the Chief Administrative Officer of the
7 Department.
8     "Sexual abuse" means any sexual contact or intimate
9 physical contact between an employee and an individual,
10 including an employee's coercion or encouragement of an
11 individual to engage in sexual behavior that results in sexual
12 contact, intimate physical contact, sexual behavior, or
13 intimate physical behavior.
14     "Substantiated" means there is a preponderance of the
15 evidence to support the allegation.
16     "Unfounded" means there is no credible evidence to support
17 the allegation.
18     "Unsubstantiated" means there is credible evidence, but
19 less than a preponderance of evidence to support the
20 allegation.
21     (c) Appointment. The Governor shall appoint, and the Senate
22 shall confirm, an Inspector General. The Inspector General
23 shall be appointed for a term of 4 years and shall function
24 within the Department of Human Services and report to the
25 Secretary and the Governor.
26     (d) Operation and appropriation. The Inspector General

 

 

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1 shall function independently within the Department with
2 respect to the operations of the Office, including the
3 performance of investigations and issuance of findings and
4 recommendations. The appropriation for the Office of Inspector
5 General shall be separate from the overall appropriation for
6 the Department.
7     (e) Powers and duties. The Inspector General shall
8 investigate reports of suspected mental abuse, physical abuse,
9 sexual abuse, neglect, or financial exploitation of
10 individuals in any mental health or developmental disabilities
11 facility or agency and shall have authority to take immediate
12 action to prevent any one or more of the following from
13 happening to individuals under its jurisdiction: mental abuse,
14 physical abuse, sexual abuse, neglect, or financial
15 exploitation. Investigations shall be commenced no later than
16 24 hours after the report is received by the Inspector General.
17 Upon written request of an agency of this State, the Inspector
18 General may assist another agency of the State in investigating
19 reports of the abuse, neglect, or abuse and neglect of persons
20 with mental illness, persons with developmental disabilities,
21 or persons with both. To comply with the requirements of
22 subsection (k) of this Section, the Inspector General shall
23 also review all reportable deaths for which there is no
24 allegation of abuse or neglect. Nothing in this Section shall
25 preempt any duties of the Medical Review Board set forth in the
26 Mental Health and Developmental Disabilities Code. The

 

 

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1 Inspector General shall have no authority to investigate
2 alleged violations of the State Officials and Employees Ethics
3 Act. Allegations of misconduct under the State Officials and
4 Employees Ethics Act shall be referred to the Office of the
5 Governor's Executive Inspector General for investigation.
6     (f) Limitations. The Inspector General shall not conduct an
7 investigation within an agency or facility if that
8 investigation would be redundant to or interfere with an
9 investigation conducted by another State agency. The Inspector
10 General shall have no supervision over, or involvement in, the
11 routine programmatic, licensing, funding, or certification
12 operations of the Department. Nothing in this subsection limits
13 investigations by the Department that may otherwise be required
14 by law or that may be necessary in the Department's capacity as
15 central administrative authority responsible for the operation
16 of the State's mental health and developmental disabilities
17 facilities.
18     (g) Rulemaking authority. The Inspector General shall
19 promulgate rules establishing minimum requirements for
20 reporting allegations as well as for initiating, conducting,
21 and completing investigations based upon the nature of the
22 allegation or allegations. The rules shall clearly establish
23 that if 2 or more State agencies could investigate an
24 allegation, the Inspector General shall not conduct an
25 investigation that would be redundant to, or interfere with, an
26 investigation conducted by another State agency. The rules

 

 

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1 shall further clarify the method and circumstances under which
2 the Office of Inspector General may interact with the
3 licensing, funding, or certification units of the Department in
4 preventing further occurrences of mental abuse, physical
5 abuse, sexual abuse, neglect, egregious neglect, and financial
6 exploitation.
7     (h) Training programs. The Inspector General shall (i)
8 establish a comprehensive program to ensure that every person
9 authorized to conduct investigations receives ongoing training
10 relative to investigation techniques, communication skills,
11 and the appropriate means of interacting with persons receiving
12 treatment for mental illness, developmental disability, or
13 both mental illness and developmental disability, and (ii)
14 establish and conduct periodic training programs for facility
15 and agency employees concerning the prevention and reporting of
16 any one or more of the following: mental abuse, physical abuse,
17 sexual abuse, neglect, egregious neglect, or financial
18 exploitation. Nothing in this Section shall be deemed to
19 prevent the Office of Inspector General from conducting any
20 other training as determined by the Inspector General to be
21 necessary or helpful.
22     (i) Duty to cooperate.
23         (1) The Inspector General shall at all times be granted
24     access to any facility or agency for the purpose of
25     investigating any allegation, conducting unannounced site
26     visits, monitoring compliance with a written response, or

 

 

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1     completing any other statutorily assigned duty. The
2     Inspector General shall conduct unannounced site visits to
3     each facility at least annually for the purpose of
4     reviewing and making recommendations on systemic issues
5     relative to preventing, reporting, investigating, and
6     responding to all of the following: mental abuse, physical
7     abuse, sexual abuse, neglect, egregious neglect, or
8     financial exploitation.
9         (2) Any employee who fails to cooperate with an Office
10     of the Inspector General investigation is in violation of
11     this Act. Failure to cooperate with an investigation
12     includes, but is not limited to, any one or more of the
13     following: (i) creating and transmitting a false report to
14     the Office of the Inspector General hotline, (ii) providing
15     false information to an Office of the Inspector General
16     Investigator during an investigation, (iii) colluding with
17     other employees to cover up evidence, (iv) colluding with
18     other employees to provide false information to an Office
19     of the Inspector General investigator, (v) destroying
20     evidence, (vi) withholding evidence, or (vii) otherwise
21     obstructing an Office of the Inspector General
22     investigation. Additionally, any employee who, during an
23     unannounced site visit or written response compliance
24     check, fails to cooperate with requests from the Office of
25     the Inspector General is in violation of this Act.
26     (j) Subpoena powers. The Inspector General shall have the

 

 

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1 power to subpoena witnesses and compel the production of all
2 documents and physical evidence relating to his or her
3 investigations and any hearings authorized by this Act. This
4 subpoena power shall not extend to persons or documents of a
5 labor organization or its representatives insofar as the
6 persons are acting in a representative capacity to an employee
7 whose conduct is the subject of an investigation or the
8 documents relate to that representation. Any person who
9 otherwise fails to respond to a subpoena or who knowingly
10 provides false information to the Office of the Inspector
11 General by subpoena during an investigation is guilty of a
12 Class A misdemeanor.
13     (k) Reporting allegations and deaths.
14         (1) Allegations. If an employee witnesses, is told of,
15     or has reason to believe an incident of mental abuse,
16     physical abuse, sexual abuse, neglect, or financial
17     exploitation has occurred, the employee, agency, or
18     facility shall report the allegation by phone to the Office
19     of the Inspector General hotline according to the agency's
20     or facility's procedures, but in no event later than 4
21     hours after the initial discovery of the incident,
22     allegation, or suspicion of any one or more of the
23     following: mental abuse, physical abuse, sexual abuse,
24     neglect, or financial exploitation. A required reporter as
25     defined in subsection (b) of this Section who knowingly or
26     intentionally fails to comply with these reporting

 

 

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1     requirements is guilty of a Class A misdemeanor.
2         (2) Deaths. Absent an allegation, a required reporter
3     shall, within 24 hours after initial discovery, report by
4     phone to the Office of the Inspector General hotline each
5     of the following:
6             (i) Any death of an individual occurring within 14
7         calendar days after discharge or transfer of the
8         individual from a residential program or facility.
9             (ii) Any death of an individual occurring within 24
10         hours after deflection from a residential program or
11         facility.
12             (iii) Any other death of an individual occurring at
13         an agency or facility or at any Department-funded site.
14         (3) Retaliation. It is a violation of this Act for any
15     employee or administrator of an agency or facility to take
16     retaliatory action against an employee who acts in good
17     faith in conformance with his or her duties as a required
18     reporter.
19     (l) Reporting criminal acts. Within 24 hours after
20 determining that there is credible evidence indicating that a
21 criminal act may have been committed or that special expertise
22 may be required in an investigation, the Inspector General
23 shall notify the Department of State Police or other
24 appropriate law enforcement authority, or ensure that such
25 notification is made. The Department of State Police shall
26 investigate any report from a State-operated facility

 

 

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1 indicating a possible murder, sexual assault, or other felony
2 by an employee. All investigations conducted by the Inspector
3 General shall be conducted in a manner designed to ensure the
4 preservation of evidence for possible use in a criminal
5 prosecution.
6     (m) Investigative reports. Upon completion of an
7 investigation, the Office of Inspector General shall issue an
8 investigative report identifying whether the allegations are
9 substantiated, unsubstantiated, or unfounded. Within 10
10 business days after the transmittal of a completed
11 investigative report substantiating an allegation, or if a
12 recommendation is made, the Inspector General shall provide the
13 investigative report on the case to the Secretary and to the
14 director of the facility or agency where any one or more of the
15 following occurred: mental abuse, physical abuse, sexual
16 abuse, neglect, egregious neglect, or financial exploitation.
17 In a substantiated case, the investigative report shall include
18 any mitigating or aggravating circumstances that were
19 identified during the investigation. If the case involves
20 substantiated neglect, the investigative report shall also
21 state whether egregious neglect was found. An investigative
22 report may also set forth recommendations. All investigative
23 reports prepared by the Office of the Inspector General shall
24 be considered confidential and shall not be released except as
25 provided by the law of this State or as required under
26 applicable federal law. Unsubstantiated and unfounded reports

 

 

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1 shall not be disclosed except as allowed under Section 6 of the
2 Abused and Neglected Long Term Care Facility Residents
3 Reporting Act. Raw data used to compile the investigative
4 report shall not be subject to release unless required by law
5 or a court order. "Raw data used to compile the investigative
6 report" includes, but is not limited to, any one or more of the
7 following: the initial complaint, witness statements,
8 photographs, investigator's notes, police reports, or incident
9 reports. If the allegations are substantiated, the accused
10 shall be provided with a redacted copy of the investigative
11 report. Death reports where there was no allegation of abuse or
12 neglect shall only be released pursuant to applicable State or
13 federal law or a valid court order.
14     (n) Written responses and reconsideration requests.
15         (1) Written responses. Within 30 calendar days from
16     receipt of a substantiated investigative report or an
17     investigative report which contains recommendations,
18     absent a reconsideration request, the facility or agency
19     shall file a written response that addresses, in a concise
20     and reasoned manner, the actions taken to: (i) protect the
21     individual; (ii) prevent recurrences; and (iii) eliminate
22     the problems identified. The response shall include the
23     implementation and completion dates of such actions. If the
24     written response is not filed within the allotted 30
25     calendar day period, the Secretary shall determine the
26     appropriate corrective action to be taken.

 

 

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1         (2) Reconsideration requests. The facility, agency,
2     victim or guardian, or the subject employee may request
3     that the Office of Inspector General reconsider or clarify
4     its finding based upon additional information.
5     (o) Disclosure of the finding by the Inspector General. The
6 Inspector General shall disclose the finding of an
7 investigation to the following persons and entities: (i) the
8 Governor, (ii) the Secretary, (iii) the director of the
9 facility or agency, (iv) the licensing entity of the facility,
10 if any, (v) the alleged victims and their guardians, (vi) the
11 complainant, and (vii) the accused (iv) the alleged victims and
12 their guardians, (v) the complainant, and (vi) the accused.
13 This information shall include whether the allegations were
14 deemed substantiated, unsubstantiated, or unfounded.
15     (p) Secretary review. Upon review of the Inspector
16 General's investigative report and any agency's or facility's
17 written response, the Secretary shall accept or reject the
18 written response and notify the Inspector General of that
19 determination. The Secretary may further direct that other
20 administrative action be taken, including, but not limited to,
21 any one or more of the following: (i) additional site visits,
22 (ii) training, (iii) provision of technical assistance
23 relative to administrative needs, licensure or certification,
24 or (iv) the imposition of appropriate sanctions.
25     (q) Action by facility or agency. Within 30 days of the
26 date the Secretary approves the written response or directs

 

 

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1 that further administrative action be taken, the facility or
2 agency shall provide an implementation report to the Inspector
3 General and the licensing entity of the facility, if any, that
4 provides the status of the action taken. The facility or agency
5 shall be allowed an additional 30 days to send notice of
6 completion of the action or to send an updated implementation
7 report. If the action has not been completed within the
8 additional 30 day period, the facility or agency shall send
9 updated implementation reports every 60 days until completion.
10 The Inspector General shall conduct a review of any
11 implementation plan that takes more than 120 days after
12 approval to complete, and shall monitor compliance through a
13 random review of approved written responses, which may include,
14 but are not limited to: (i) site visits, (ii) telephone
15 contact, and (iii) requests for additional documentation
16 evidencing compliance.
17     (r) Sanctions. Sanctions, if imposed by the Secretary under
18 Subdivision (p)(iv) of this Section, shall be designed to
19 prevent further acts of mental abuse, physical abuse, sexual
20 abuse, neglect, egregious neglect, or financial exploitation
21 or some combination of one or more of those acts at a facility
22 or agency, and may include any one or more of the following:
23         (1) Appointment of on-site monitors.
24         (2) Transfer or relocation of an individual or
25     individuals.
26         (3) Closure of units.

 

 

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1         (4) Termination of any one or more of the following:
2     (i) Department licensing, (ii) funding, or (iii)
3     certification, or (iv) licensing enforcement by the
4     licensing entity of the facility, if any, up to and
5     including revocation of the licensure or an administrative
6     order of closure, or both.
7     The Inspector General may seek the assistance of the
8 Illinois Attorney General or the office of any State's Attorney
9 in implementing sanctions.
10     (s) Health care worker registry.
11         (1) Reporting to the registry. The Inspector General
12     shall report to the Department of Public Health's health
13     care worker registry, a public registry, the identity and
14     finding of each employee of a facility or agency against
15     whom there is a final investigative report containing a
16     substantiated allegation of physical or sexual abuse or
17     egregious neglect of an individual.
18         (2) Notice to employee. Prior to reporting the name of
19     an employee, the employee shall be notified of the
20     Department's obligation to report and shall be granted an
21     opportunity to request an administrative hearing, the sole
22     purpose of which is to determine if the substantiated
23     finding warrants reporting to the registry. Notice to the
24     employee shall contain a clear and concise statement of the
25     grounds on which the report to the registry is based, offer
26     the employee an opportunity for a hearing, and identify the

 

 

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1     process for requesting such a hearing. Notice is sufficient
2     if provided by certified mail to the employee's last known
3     address. If the employee fails to request a hearing within
4     30 days from the date of the notice, the Inspector General
5     shall report the name of the employee to the registry.
6     Nothing in this subdivision (s)(2) shall diminish or impair
7     the rights of a person who is a member of a collective
8     bargaining unit under the Illinois Public Labor Relations
9     Act or under any other federal labor statute.
10         (3) Registry hearings. If the employee requests an
11     administrative hearing, the employee shall be granted an
12     opportunity to appear before an administrative law judge to
13     present reasons why the employee's name should not be
14     reported to the registry. The Department shall bear the
15     burden of presenting evidence that establishes, by a
16     preponderance of the evidence, that the substantiated
17     finding warrants reporting to the registry. After
18     considering all the evidence presented, the administrative
19     law judge shall make a recommendation to the Secretary as
20     to whether the substantiated finding warrants reporting
21     the name of the employee to the registry. The Secretary
22     shall render the final decision. The Department and the
23     employee shall have the right to request that the
24     administrative law judge consider a stipulated disposition
25     of these proceedings.
26         (4) Testimony at registry hearings. A person who makes

 

 

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1     a report or who investigates a report under this Act shall
2     testify fully in any judicial proceeding resulting from
3     such a report, as to any evidence of abuse or neglect, or
4     the cause thereof. No evidence shall be excluded by reason
5     of any common law or statutory privilege relating to
6     communications between the alleged perpetrator of abuse or
7     neglect, or the individual alleged as the victim in the
8     report, and the person making or investigating the report.
9     Testimony at hearings is exempt from the confidentiality
10     requirements of subsection (f) of Section 10 of the Mental
11     Health and Developmental Disabilities Confidentiality Act.
12         (5) Employee's rights to collateral action. No
13     reporting to the registry shall occur and no hearing shall
14     be set or proceed if an employee notifies the Inspector
15     General in writing, including any supporting
16     documentation, that he or she is formally contesting an
17     adverse employment action resulting from a substantiated
18     finding by complaint filed with the Illinois Civil Service
19     Commission, or which otherwise seeks to enforce the
20     employee's rights pursuant to any applicable collective
21     bargaining agreement. If an action taken by an employer
22     against an employee as a result of a finding of physical
23     abuse, sexual abuse, or egregious neglect is overturned
24     through an action filed with the Illinois Civil Service
25     Commission or under any applicable collective bargaining
26     agreement and if that employee's name has already been sent

 

 

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1     to the registry, the employee's name shall be removed from
2     the registry.
3         (6) Removal from registry. At any time after the report
4     to the registry, but no more than once in any 12-month
5     period, an employee may petition the Department in writing
6     to remove his or her name from the registry. Upon receiving
7     notice of such request, the Inspector General shall conduct
8     an investigation into the petition. Upon receipt of such
9     request, an administrative hearing will be set by the
10     Department. At the hearing, the employee shall bear the
11     burden of presenting evidence that establishes, by a
12     preponderance of the evidence, that removal of the name
13     from the registry is in the public interest. The parties
14     may jointly request that the administrative law judge
15     consider a stipulated disposition of these proceedings.
16     (t) Review of Administrative Decisions. The Department
17 shall preserve a record of all proceedings at any formal
18 hearing conducted by the Department involving health care
19 worker registry hearings. Final administrative decisions of
20 the Department are subject to judicial review pursuant to
21 provisions of the Administrative Review Law.
22     (u) Quality Care Board. There is created, within the Office
23 of the Inspector General, a Quality Care Board to be composed
24 of 7 members appointed by the Governor with the advice and
25 consent of the Senate. One of the members shall be designated
26 as chairman by the Governor. Of the initial appointments made

 

 

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1 by the Governor, 4 Board members shall each be appointed for a
2 term of 4 years and 3 members shall each be appointed for a
3 term of 2 years. Upon the expiration of each member's term, a
4 successor shall be appointed for a term of 4 years. In the case
5 of a vacancy in the office of any member, the Governor shall
6 appoint a successor for the remainder of the unexpired term.
7     Members appointed by the Governor shall be qualified by
8 professional knowledge or experience in the area of law,
9 investigatory techniques, or in the area of care of the
10 mentally ill or developmentally disabled. Two members
11 appointed by the Governor shall be persons with a disability or
12 a parent of a person with a disability. Members shall serve
13 without compensation, but shall be reimbursed for expenses
14 incurred in connection with the performance of their duties as
15 members.
16     The Board shall meet quarterly, and may hold other meetings
17 on the call of the chairman. Four members shall constitute a
18 quorum allowing the Board to conduct its business. The Board
19 may adopt rules and regulations it deems necessary to govern
20 its own procedures.
21     The Board shall monitor and oversee the operations,
22 policies, and procedures of the Inspector General to ensure the
23 prompt and thorough investigation of allegations of neglect and
24 abuse. In fulfilling these responsibilities, the Board may do
25 the following:
26         (1) Provide independent, expert consultation to the

 

 

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1     Inspector General on policies and protocols for
2     investigations of alleged abuse, neglect, or both abuse and
3     neglect.
4         (2) Review existing regulations relating to the
5     operation of facilities.
6         (3) Advise the Inspector General as to the content of
7     training activities authorized under this Section.
8         (4) Recommend policies concerning methods for
9     improving the intergovernmental relationships between the
10     Office of the Inspector General and other State or federal
11     offices.
12     (v) Annual report. The Inspector General shall provide to
13 the General Assembly and the Governor, no later than January 1
14 of each year, a summary of reports and investigations made
15 under this Act for the prior fiscal year with respect to
16 individuals receiving mental health or developmental
17 disabilities services. The report shall detail the imposition
18 of sanctions, if any, and the final disposition of any
19 corrective or administrative action directed by the Secretary.
20 The summaries shall not contain any confidential or identifying
21 information of any individual, but shall include objective data
22 identifying any trends in the number of reported allegations,
23 the timeliness of the Office of the Inspector General's
24 investigations, and their disposition, for each facility and
25 Department-wide, for the most recent 3-year time period. The
26 report shall also identify, by facility, the staff-to-patient

 

 

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1 ratios taking account of direct care staff only. The report
2 shall also include detailed recommended administrative actions
3 and matters for consideration by the General Assembly.
4     (w) Program audit. The Auditor General shall conduct a
5 program audit of the Office of the Inspector General on an
6 as-needed basis, as determined by the Auditor General. The
7 audit shall specifically include the Inspector General's
8 compliance with the Act and effectiveness in investigating
9 reports of allegations occurring in any facility or agency. The
10 Auditor General shall conduct the program audit according to
11 the provisions of the Illinois State Auditing Act and shall
12 report its findings to the General Assembly no later than
13 January 1 following the audit period.
14     (x) Nothing in this Section shall be construed to mean that
15 a patient is a victim of abuse or neglect because of health
16 care services appropriately provided or not provided by health
17 care professionals.
18     (y) Nothing in this Section shall require a facility,
19 including its employees, agents, medical staff members, and
20 health care professionals, to provide a service to a patient in
21 contravention of that patient's stated or implied objection to
22 the provision of that service on the ground that that service
23 conflicts with the patient's religious beliefs or practices,
24 nor shall the failure to provide a service to a patient be
25 considered abuse under this Section if the patient has objected
26 to the provision of that service based on his or her religious

 

 

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1 beliefs or practices.
2     (z) The General Assembly recognizes a need to protect from
3 abuse and neglect clients with developmental disabilities and
4 adult students with disabilities in public schools who are not
5 covered by any administrative investigative entity. Therefore,
6 OIG shall have the authority to investigate and report on
7 allegations of abuse or neglect of clients with developmental
8 disabilities. Additionally, when an allegation of abuse or
9 neglect is received by OIG regarding an adult student with
10 disabilities, OIG shall make the appropriate law enforcement
11 referral. The following provisions apply only to
12 investigations and referrals conducted pursuant to this
13 subsection (z). The provisions contained in subsections (a)
14 through (y) of this Section do not apply to this subsection
15 (z).
16         (1) Definitions. As used in this subsection:
17         "Abuse" means a non-accidental act committed by an
18     employee, parent, or care giver against a client with
19     developmental disabilities or an adult student with
20     disabilities that results in physical injury or contact of
21     a sexual nature.
22         "Adult student with disabilities" means an adult
23     public school student between the ages of 18 and 21 years,
24     inclusive to the day before the student's 22nd birthday,
25     who is identified as having multiple disabilities as that
26     term is defined in 34 CFR 300.8(c)(7) and who is enrolled

 

 

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1     in an individualized education program as that term is
2     defined in 34 CFR 300.320.
3         "Aggravating circumstance" means a factor that is
4     attendant to a finding and that tends to compound or
5     increase the culpability of the accused.
6         "Allegation" means an assertion, complaint, suspicion,
7     or incident of abuse or neglect by an employee, parent, or
8     care giver.
9         "Client with a developmental disability" means a
10     person over the age of 18 living in a residential facility
11     licensed by the Department of Children and Family Services
12     whose residential placement is funded by the Department of
13     Human Services.
14         "Credible evidence" means any evidence that relates to
15     the allegation or incident and that is considered
16     believable and reliable.
17         "DCFS" means the Department of Children and Family
18     Services.
19         "Department" means the Department of Human Services.
20         "Employee" means any person employed at a facility
21     where the abuse or neglect allegedly occurred, or any
22     person employed by the school district in which the abuse
23     or neglect allegedly occurred. "Employee" also includes
24     contractors, subcontractors, employees of contractors or
25     subcontractors, and volunteers.
26         "Facility" means a DCFS licensed residential facility.

 

 

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1         "Finding" means OIG's determination regarding whether
2     an allegation of abuse or neglect is substantiated,
3     unsubstantiated, or unfounded.
4         "Inspector General" means the Inspector General from
5     the Department of Human Services' Office of the Inspector
6     General.
7         "Mitigating circumstance" means a condition that is
8     attendant to a finding and does not excuse or justify the
9     conduct in question, but may be considered in evaluating
10     the severity of the conduct, the culpability of the
11     accused, or both the severity of the conduct and the
12     culpability of the accused.
13         "Neglect" means failure by an employee, parent, or care
14     giver to provide adequate food, shelter, clothing,
15     personal care, or medical care to ensure the overall
16     health, well-being or safety of a client with a
17     developmental disability or an adult student with
18     disabilities.
19         "OIG" means the Department of Human Services' Office of
20     the Inspector General.
21         "Parent or care giver" means the parent of an adult
22     student with disabilities or any other person responsible
23     for the student's welfare or any individual with ongoing
24     access to the student.
25         "Raw data" means data that includes, but is not limited
26     to, any one or more of the following used to compile the

 

 

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1     investigative report: the initial complaint, witness
2     statements, photographs, investigator's notes, police
3     reports, or incident reports.
4         "Required reporter" means any employee as defined in
5     this subsection (z).
6         "School" means any public school in the State of
7     Illinois.
8         "Secretary" means the Secretary of the Department of
9     Human Services.
10         "Substantiated" means there is a preponderance of the
11     evidence to support the allegation.
12         "Unfounded" means there is no credible evidence to
13     support the allegation.
14         "Unsubstantiated" means there is credible evidence,
15     but less than a preponderance to support the allegation.
16         (2) Duty to Cooperate. The Inspector General shall at
17     all times be granted access to any DCFS-licensed facility
18     where a client with a developmental disability resides for
19     the purpose of investigating any allegation. The Inspector
20     General's authority in these settings is limited to
21     investigating allegations of abuse or neglect. No person
22     shall obstruct or impede OIG's access to a client with a
23     developmental disability, and shall not obstruct or impede
24     the investigation of abuse or neglect. If a person does so
25     obstruct or impede access to the alleged victim, local law
26     enforcement agencies shall take all appropriate action to

 

 

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1     assist OIG in performing its duties.
2         (3) Reporting allegations. Any required reporter who
3     has reasonable cause to believe abuse or neglect of a
4     client with a developmental disability or an adult student
5     with disabilities occurred shall report this to the OIG
6     Hotline within 4 hours of discovery.
7         (4) Reporting criminal acts. If, during the course of
8     an investigation of abuse or neglect, OIG determines there
9     is credible evidence that a crime has been committed, the
10     incident shall be reported to the appropriate law
11     enforcement agency and OIG, the facility, and the school
12     shall defer to that agency regarding the propriety of any
13     further investigative activity.
14         (5) Investigative reports. Upon completion of an
15     investigation, OIG shall issue an investigative report
16     identifying whether the allegations are substantiated,
17     unsubstantiated, or unfounded. Within 10 business days
18     after the transmittal of a completed investigative report
19     substantiating the allegation, the Inspector General shall
20     provide a copy of the investigative report to the
21     Secretary, the Department's Director of the Division of
22     Developmental Disabilities, the Director of the agency
23     that owns or operates the facility where the abuse or
24     neglect occurred, and the licensing bureau of DCFS. In a
25     substantiated case, the investigative report shall include
26     any mitigating or aggravating circumstances that were

 

 

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1     identified during the investigation and a redacted copy of
2     the investigative report shall be provided to the accused.
3     All investigative reports prepared by OIG shall be
4     considered confidential and shall not be released except as
5     otherwise provided by the law of this State or as required
6     under applicable federal law. Unsubstantiated and
7     unfounded reports shall not be disclosed except with a
8     court order. Raw data used to compile the investigative
9     report shall not be subject to release unless required by
10     law or a court order.
11         (6) Disclosure of the finding by the Inspector General.
12     The Inspector General shall disclose the finding of an
13     investigation to the following persons: (i) the Governor,
14     (ii) the Secretary, (iii) the Director of the agency that
15     owns or operates the facility, (iv) the Department's
16     Director of the Division of Developmental Disabilities,
17     (v) the alleged victim or guardian if applicable, and (vi)
18     the accused. The information shall include whether the
19     allegations were substantiated, unsubstantiated, or
20     unfounded.
21         (7) Law enforcement referrals. Upon receipt of a
22     reportable allegation regarding an adult student with
23     disabilities, OIG shall make an expeditious referral to the
24     respective law enforcement entity.
25         (8) Limitations. OIG shall have no involvement in any
26     disciplinary proceeding except to provide testimony

 

 

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1     pursuant to a subpoena. OIG shall be notified in writing of
2     any action taken as a result of a substantiated finding,
3     but shall have no involvement in reviewing or implementing
4     actions taken as a result of the finding.
5         (9) Sanctions.
6             (A) When necessary, sanctions may be imposed by the
7         licensing entity of the facility and shall be designed
8         to prevent further acts of abuse or neglect, and may
9         include any one or more of the following:
10                 (i) Appointment of on-site monitors.
11                 (ii) Transfer or relocation of the victim.
12                 (iii) Closure of a facility.
13                 (iv) Termination of any one or more of the
14             following: licensing, funding, certification, or
15             licensing enforcement by the licensing entity of
16             the facility, if any, up to and including
17             revocation of licensure or an administrative order
18             of closure, or both.
19             (B) The Secretary is authorized to withdraw
20         funding for any facility where an allegation
21         concerning a client with a developmental disability
22         was substantiated.
23 (Source: P.A. 95-545, eff. 8-28-07; 96-407, eff. 8-13-09;
24 96-555, eff. 8-18-09; revised 9-25-09.)
 
25     (Text of Section after amendment by P.A. 96-339)

 

 

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1     Sec. 1-17. Inspector General.
2     (a) Nature and purpose. It is the express intent of the
3 General Assembly to ensure the health, safety, and financial
4 condition of individuals receiving services in this State due
5 to mental illness, developmental disability, or both by
6 protecting those persons from acts of abuse, neglect, or both
7 by service providers. To that end, the Office of the Inspector
8 General for the Department of Human Services is created to
9 investigate and report upon allegations of the abuse, neglect,
10 or financial exploitation of individuals receiving services
11 within mental health facilities, developmental disabilities
12 facilities, and community agencies operated, licensed, funded,
13 or certified by the Department of Human Services or , but not
14 licensed or certified by any other State agency. It is also the
15 express intent of the General Assembly to authorize the
16 Inspector General to investigate alleged or suspected cases of
17 abuse, neglect, or financial exploitation of adults with
18 disabilities living in domestic settings in the community under
19 the Abuse of Adults with Disabilities Intervention Act.
20     (b) Definitions. The following definitions apply to this
21 Section:
22     "Agency" or "community agency" means (i) a community agency
23 licensed, funded, or certified by the Department or , but not
24 licensed or certified by any other human services agency of the
25 State, to provide mental health service or developmental
26 disabilities service, or (ii) a program licensed, funded, or

 

 

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1 certified by the Department or , but not licensed or certified
2 by any other human services agency of the State, to provide
3 mental health service or developmental disabilities service.
4     "Aggravating circumstance" means a factor that is
5 attendant to a finding and that tends to compound or increase
6 the culpability of the accused.
7     "Allegation" means an assertion, complaint, suspicion, or
8 incident involving any of the following conduct by an employee,
9 facility, or agency against an individual or individuals:
10 mental abuse, physical abuse, sexual abuse, neglect, or
11 financial exploitation.
12     "Day" means working day, unless otherwise specified.
13     "Deflection" means a situation in which an individual is
14 presented for admission to a facility or agency, and the
15 facility staff or agency staff do not admit the individual.
16 "Deflection" includes triage, redirection, and denial of
17 admission.
18     "Department" means the Department of Human Services.
19     "Developmentally disabled" means having a developmental
20 disability.
21     "Developmental disability" means "developmental
22 disability" as defined in the Mental Health and Developmental
23 Disabilities Code.
24     "Egregious neglect" means a finding of neglect as
25 determined by the Inspector General that (i) represents a gross
26 failure to adequately provide for, or a callused indifference

 

 

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1 to, the health, safety, or medical needs of an individual and
2 (ii) results in an individual's death or other serious
3 deterioration of an individual's physical condition or mental
4 condition.
5     "Employee" means any person who provides services at the
6 facility or agency on-site or off-site. The service
7 relationship can be with the individual or with the facility or
8 agency. Also, "employee" includes any employee or contractual
9 agent of the Department of Human Services or the community
10 agency involved in providing or monitoring or administering
11 mental health or developmental disability services. This
12 includes but is not limited to: owners, operators, payroll
13 personnel, contractors, subcontractors, and volunteers.
14     "Facility" or "State-operated facility" means a mental
15 health facility or developmental disabilities facility
16 operated by the Department or certified or licensed by any
17 other State agency.
18     "Financial exploitation" means taking unjust advantage of
19 an individual's assets, property, or financial resources
20 through deception, intimidation, or conversion for the
21 employee's, facility's, or agency's own advantage or benefit.
22     "Finding" means the Office of Inspector General's
23 determination regarding whether an allegation is
24 substantiated, unsubstantiated, or unfounded.
25     "Health care worker registry" or "registry" means the
26 health care worker registry created by the Nursing Home Care

 

 

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1 Act.
2     "Individual" means any person receiving mental health
3 service, developmental disabilities service, or both from a
4 facility or agency, while either on-site or off-site.
5     "Mental abuse" means the use of demeaning, intimidating, or
6 threatening words, signs, gestures, or other actions by an
7 employee about an individual and in the presence of an
8 individual or individuals that results in emotional distress or
9 maladaptive behavior, or could have resulted in emotional
10 distress or maladaptive behavior, for any individual present.
11     "Mental illness" means "mental illness" as defined in the
12 Mental Health and Developmental Disabilities Code.
13     "Mentally ill" means having a mental illness.
14     "Mitigating circumstance" means a condition that (i) is
15 attendant to a finding, (ii) does not excuse or justify the
16 conduct in question, but (iii) may be considered in evaluating
17 the severity of the conduct, the culpability of the accused, or
18 both the severity of the conduct and the culpability of the
19 accused.
20     "Neglect" means an employee's, agency's, or facility's
21 failure to provide adequate medical care, personal care, or
22 maintenance and that, as a consequence, (i) causes an
23 individual pain, injury, or emotional distress, (ii) results in
24 either an individual's maladaptive behavior or the
25 deterioration of an individual's physical condition or mental
26 condition, or (iii) places the individual's health or safety at

 

 

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1 substantial risk.
2     "Physical abuse" means an employee's non-accidental and
3 inappropriate contact with an individual that causes bodily
4 harm. "Physical abuse" includes actions that cause bodily harm
5 as a result of an employee directing an individual or person to
6 physically abuse another individual.
7     "Recommendation" means an admonition, separate from a
8 finding, that requires action by the facility, agency, or
9 Department to correct a systemic issue, problem, or deficiency
10 identified during an investigation.
11     "Required reporter" means any employee who suspects,
12 witnesses, or is informed of an allegation of any one or more
13 of the following: mental abuse, physical abuse, sexual abuse,
14 neglect, or financial exploitation.
15     "Secretary" means the Chief Administrative Officer of the
16 Department.
17     "Sexual abuse" means any sexual contact or intimate
18 physical contact between an employee and an individual,
19 including an employee's coercion or encouragement of an
20 individual to engage in sexual behavior that results in sexual
21 contact, intimate physical contact, sexual behavior, or
22 intimate physical behavior.
23     "Substantiated" means there is a preponderance of the
24 evidence to support the allegation.
25     "Unfounded" means there is no credible evidence to support
26 the allegation.

 

 

09600HB5132sam001 - 36 - LRB096 18641 KTG 40193 a

1     "Unsubstantiated" means there is credible evidence, but
2 less than a preponderance of evidence to support the
3 allegation.
4     (c) Appointment. The Governor shall appoint, and the Senate
5 shall confirm, an Inspector General. The Inspector General
6 shall be appointed for a term of 4 years and shall function
7 within the Department of Human Services and report to the
8 Secretary and the Governor.
9     (d) Operation and appropriation. The Inspector General
10 shall function independently within the Department with
11 respect to the operations of the Office, including the
12 performance of investigations and issuance of findings and
13 recommendations. The appropriation for the Office of Inspector
14 General shall be separate from the overall appropriation for
15 the Department.
16     (e) Powers and duties. The Inspector General shall
17 investigate reports of suspected mental abuse, physical abuse,
18 sexual abuse, neglect, or financial exploitation of
19 individuals in any mental health or developmental disabilities
20 facility or agency and shall have authority to take immediate
21 action to prevent any one or more of the following from
22 happening to individuals under its jurisdiction: mental abuse,
23 physical abuse, sexual abuse, neglect, or financial
24 exploitation. Investigations shall be commenced no later than
25 24 hours after the report is received by the Inspector General.
26 Upon written request of an agency of this State, the Inspector

 

 

09600HB5132sam001 - 37 - LRB096 18641 KTG 40193 a

1 General may assist another agency of the State in investigating
2 reports of the abuse, neglect, or abuse and neglect of persons
3 with mental illness, persons with developmental disabilities,
4 or persons with both. To comply with the requirements of
5 subsection (k) of this Section, the Inspector General shall
6 also review all reportable deaths for which there is no
7 allegation of abuse or neglect. Nothing in this Section shall
8 preempt any duties of the Medical Review Board set forth in the
9 Mental Health and Developmental Disabilities Code. The
10 Inspector General shall have no authority to investigate
11 alleged violations of the State Officials and Employees Ethics
12 Act. Allegations of misconduct under the State Officials and
13 Employees Ethics Act shall be referred to the Office of the
14 Governor's Executive Inspector General for investigation.
15     (f) Limitations. The Inspector General shall not conduct an
16 investigation within an agency or facility if that
17 investigation would be redundant to or interfere with an
18 investigation conducted by another State agency. The Inspector
19 General shall have no supervision over, or involvement in, the
20 routine programmatic, licensing, funding, or certification
21 operations of the Department. Nothing in this subsection limits
22 investigations by the Department that may otherwise be required
23 by law or that may be necessary in the Department's capacity as
24 central administrative authority responsible for the operation
25 of the State's mental health and developmental disabilities
26 facilities.

 

 

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1     (g) Rulemaking authority. The Inspector General shall
2 promulgate rules establishing minimum requirements for
3 reporting allegations as well as for initiating, conducting,
4 and completing investigations based upon the nature of the
5 allegation or allegations. The rules shall clearly establish
6 that if 2 or more State agencies could investigate an
7 allegation, the Inspector General shall not conduct an
8 investigation that would be redundant to, or interfere with, an
9 investigation conducted by another State agency. The rules
10 shall further clarify the method and circumstances under which
11 the Office of Inspector General may interact with the
12 licensing, funding, or certification units of the Department in
13 preventing further occurrences of mental abuse, physical
14 abuse, sexual abuse, neglect, egregious neglect, and financial
15 exploitation.
16     (h) Training programs. The Inspector General shall (i)
17 establish a comprehensive program to ensure that every person
18 authorized to conduct investigations receives ongoing training
19 relative to investigation techniques, communication skills,
20 and the appropriate means of interacting with persons receiving
21 treatment for mental illness, developmental disability, or
22 both mental illness and developmental disability, and (ii)
23 establish and conduct periodic training programs for facility
24 and agency employees concerning the prevention and reporting of
25 any one or more of the following: mental abuse, physical abuse,
26 sexual abuse, neglect, egregious neglect, or financial

 

 

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1 exploitation. Nothing in this Section shall be deemed to
2 prevent the Office of Inspector General from conducting any
3 other training as determined by the Inspector General to be
4 necessary or helpful.
5     (i) Duty to cooperate.
6         (1) The Inspector General shall at all times be granted
7     access to any facility or agency for the purpose of
8     investigating any allegation, conducting unannounced site
9     visits, monitoring compliance with a written response, or
10     completing any other statutorily assigned duty. The
11     Inspector General shall conduct unannounced site visits to
12     each facility at least annually for the purpose of
13     reviewing and making recommendations on systemic issues
14     relative to preventing, reporting, investigating, and
15     responding to all of the following: mental abuse, physical
16     abuse, sexual abuse, neglect, egregious neglect, or
17     financial exploitation.
18         (2) Any employee who fails to cooperate with an Office
19     of the Inspector General investigation is in violation of
20     this Act. Failure to cooperate with an investigation
21     includes, but is not limited to, any one or more of the
22     following: (i) creating and transmitting a false report to
23     the Office of the Inspector General hotline, (ii) providing
24     false information to an Office of the Inspector General
25     Investigator during an investigation, (iii) colluding with
26     other employees to cover up evidence, (iv) colluding with

 

 

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1     other employees to provide false information to an Office
2     of the Inspector General investigator, (v) destroying
3     evidence, (vi) withholding evidence, or (vii) otherwise
4     obstructing an Office of the Inspector General
5     investigation. Additionally, any employee who, during an
6     unannounced site visit or written response compliance
7     check, fails to cooperate with requests from the Office of
8     the Inspector General is in violation of this Act.
9     (j) Subpoena powers. The Inspector General shall have the
10 power to subpoena witnesses and compel the production of all
11 documents and physical evidence relating to his or her
12 investigations and any hearings authorized by this Act. This
13 subpoena power shall not extend to persons or documents of a
14 labor organization or its representatives insofar as the
15 persons are acting in a representative capacity to an employee
16 whose conduct is the subject of an investigation or the
17 documents relate to that representation. Any person who
18 otherwise fails to respond to a subpoena or who knowingly
19 provides false information to the Office of the Inspector
20 General by subpoena during an investigation is guilty of a
21 Class A misdemeanor.
22     (k) Reporting allegations and deaths.
23         (1) Allegations. If an employee witnesses, is told of,
24     or has reason to believe an incident of mental abuse,
25     physical abuse, sexual abuse, neglect, or financial
26     exploitation has occurred, the employee, agency, or

 

 

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1     facility shall report the allegation by phone to the Office
2     of the Inspector General hotline according to the agency's
3     or facility's procedures, but in no event later than 4
4     hours after the initial discovery of the incident,
5     allegation, or suspicion of any one or more of the
6     following: mental abuse, physical abuse, sexual abuse,
7     neglect, or financial exploitation. A required reporter as
8     defined in subsection (b) of this Section who knowingly or
9     intentionally fails to comply with these reporting
10     requirements is guilty of a Class A misdemeanor.
11         (2) Deaths. Absent an allegation, a required reporter
12     shall, within 24 hours after initial discovery, report by
13     phone to the Office of the Inspector General hotline each
14     of the following:
15             (i) Any death of an individual occurring within 14
16         calendar days after discharge or transfer of the
17         individual from a residential program or facility.
18             (ii) Any death of an individual occurring within 24
19         hours after deflection from a residential program or
20         facility.
21             (iii) Any other death of an individual occurring at
22         an agency or facility or at any Department-funded site.
23         (3) Retaliation. It is a violation of this Act for any
24     employee or administrator of an agency or facility to take
25     retaliatory action against an employee who acts in good
26     faith in conformance with his or her duties as a required

 

 

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1     reporter.
2     (l) Reporting criminal acts. Within 24 hours after
3 determining that there is credible evidence indicating that a
4 criminal act may have been committed or that special expertise
5 may be required in an investigation, the Inspector General
6 shall notify the Department of State Police or other
7 appropriate law enforcement authority, or ensure that such
8 notification is made. The Department of State Police shall
9 investigate any report from a State-operated facility
10 indicating a possible murder, sexual assault, or other felony
11 by an employee. All investigations conducted by the Inspector
12 General shall be conducted in a manner designed to ensure the
13 preservation of evidence for possible use in a criminal
14 prosecution.
15     (m) Investigative reports. Upon completion of an
16 investigation, the Office of Inspector General shall issue an
17 investigative report identifying whether the allegations are
18 substantiated, unsubstantiated, or unfounded. Within 10
19 business days after the transmittal of a completed
20 investigative report substantiating an allegation, or if a
21 recommendation is made, the Inspector General shall provide the
22 investigative report on the case to the Secretary and to the
23 director of the facility or agency where any one or more of the
24 following occurred: mental abuse, physical abuse, sexual
25 abuse, neglect, egregious neglect, or financial exploitation.
26 In a substantiated case, the investigative report shall include

 

 

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1 any mitigating or aggravating circumstances that were
2 identified during the investigation. If the case involves
3 substantiated neglect, the investigative report shall also
4 state whether egregious neglect was found. An investigative
5 report may also set forth recommendations. All investigative
6 reports prepared by the Office of the Inspector General shall
7 be considered confidential and shall not be released except as
8 provided by the law of this State or as required under
9 applicable federal law. Unsubstantiated and unfounded reports
10 shall not be disclosed except as allowed under Section 6 of the
11 Abused and Neglected Long Term Care Facility Residents
12 Reporting Act. Raw data used to compile the investigative
13 report shall not be subject to release unless required by law
14 or a court order. "Raw data used to compile the investigative
15 report" includes, but is not limited to, any one or more of the
16 following: the initial complaint, witness statements,
17 photographs, investigator's notes, police reports, or incident
18 reports. If the allegations are substantiated, the accused
19 shall be provided with a redacted copy of the investigative
20 report. Death reports where there was no allegation of abuse or
21 neglect shall only be released pursuant to applicable State or
22 federal law or a valid court order.
23     (n) Written responses and reconsideration requests.
24         (1) Written responses. Within 30 calendar days from
25     receipt of a substantiated investigative report or an
26     investigative report which contains recommendations,

 

 

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1     absent a reconsideration request, the facility or agency
2     shall file a written response that addresses, in a concise
3     and reasoned manner, the actions taken to: (i) protect the
4     individual; (ii) prevent recurrences; and (iii) eliminate
5     the problems identified. The response shall include the
6     implementation and completion dates of such actions. If the
7     written response is not filed within the allotted 30
8     calendar day period, the Secretary shall determine the
9     appropriate corrective action to be taken.
10         (2) Reconsideration requests. The facility, agency,
11     victim or guardian, or the subject employee may request
12     that the Office of Inspector General reconsider or clarify
13     its finding based upon additional information.
14     (o) Disclosure of the finding by the Inspector General. The
15 Inspector General shall disclose the finding of an
16 investigation to the following persons and entities: (i) the
17 Governor, (ii) the Secretary, (iii) the director of the
18 facility or agency, (iv) the licensing entity of the facility,
19 if any, (v) the alleged victims and their guardians, (vi) the
20 complainant, and (vii) the accused (iv) the alleged victims and
21 their guardians, (v) the complainant, and (vi) the accused.
22 This information shall include whether the allegations were
23 deemed substantiated, unsubstantiated, or unfounded.
24     (p) Secretary review. Upon review of the Inspector
25 General's investigative report and any agency's or facility's
26 written response, the Secretary shall accept or reject the

 

 

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1 written response and notify the Inspector General of that
2 determination. The Secretary may further direct that other
3 administrative action be taken, including, but not limited to,
4 any one or more of the following: (i) additional site visits,
5 (ii) training, (iii) provision of technical assistance
6 relative to administrative needs, licensure or certification,
7 or (iv) the imposition of appropriate sanctions.
8     (q) Action by facility or agency. Within 30 days of the
9 date the Secretary approves the written response or directs
10 that further administrative action be taken, the facility or
11 agency shall provide an implementation report to the Inspector
12 General and the licensing entity of the facility, if any, that
13 provides the status of the action taken. The facility or agency
14 shall be allowed an additional 30 days to send notice of
15 completion of the action or to send an updated implementation
16 report. If the action has not been completed within the
17 additional 30 day period, the facility or agency shall send
18 updated implementation reports every 60 days until completion.
19 The Inspector General shall conduct a review of any
20 implementation plan that takes more than 120 days after
21 approval to complete, and shall monitor compliance through a
22 random review of approved written responses, which may include,
23 but are not limited to: (i) site visits, (ii) telephone
24 contact, and (iii) requests for additional documentation
25 evidencing compliance.
26     (r) Sanctions. Sanctions, if imposed by the Secretary under

 

 

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1 Subdivision (p)(iv) of this Section, shall be designed to
2 prevent further acts of mental abuse, physical abuse, sexual
3 abuse, neglect, egregious neglect, or financial exploitation
4 or some combination of one or more of those acts at a facility
5 or agency, and may include any one or more of the following:
6         (1) Appointment of on-site monitors.
7         (2) Transfer or relocation of an individual or
8     individuals.
9         (3) Closure of units.
10         (4) Termination of any one or more of the following:
11     (i) Department licensing, (ii) funding, or (iii)
12     certification, or (iv) licensing enforcement by the
13     licensing entity of the facility, if any, up to and
14     including revocation of licensure or an administrative
15     order of closure, or both.
16     The Inspector General may seek the assistance of the
17 Illinois Attorney General or the office of any State's Attorney
18 in implementing sanctions.
19     (s) Health care worker registry.
20         (1) Reporting to the registry. The Inspector General
21     shall report to the Department of Public Health's health
22     care worker registry, a public registry, MR/DD Community
23     Care Act the identity and finding of each employee of a
24     facility or agency against whom there is a final
25     investigative report containing a substantiated allegation
26     of physical or sexual abuse or egregious neglect of an

 

 

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1     individual. MR/DD Community Care Act
2         (2) Notice to employee. Prior to reporting the name of
3     an employee, the employee shall be notified of the
4     Department's obligation to report and shall be granted an
5     opportunity to request an administrative hearing, the sole
6     purpose of which is to determine if the substantiated
7     finding warrants reporting to the registry. Notice to the
8     employee shall contain a clear and concise statement of the
9     grounds on which the report to the registry is based, offer
10     the employee an opportunity for a hearing, and identify the
11     process for requesting such a hearing. Notice is sufficient
12     if provided by certified mail to the employee's last known
13     address. If the employee fails to request a hearing within
14     30 days from the date of the notice, the Inspector General
15     shall report the name of the employee to the registry.
16     Nothing in this subdivision (s)(2) shall diminish or impair
17     the rights of a person who is a member of a collective
18     bargaining unit under the Illinois Public Labor Relations
19     Act or under any other federal labor statute.
20         (3) Registry hearings. If the employee requests an
21     administrative hearing, the employee shall be granted an
22     opportunity to appear before an administrative law judge to
23     present reasons why the employee's name should not be
24     reported to the registry. The Department shall bear the
25     burden of presenting evidence that establishes, by a
26     preponderance of the evidence, that the substantiated

 

 

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1     finding warrants reporting to the registry. After
2     considering all the evidence presented, the administrative
3     law judge shall make a recommendation to the Secretary as
4     to whether the substantiated finding warrants reporting
5     the name of the employee to the registry. The Secretary
6     shall render the final decision. The Department and the
7     employee shall have the right to request that the
8     administrative law judge consider a stipulated disposition
9     of these proceedings.
10         (4) Testimony at registry hearings. A person who makes
11     a report or who investigates a report under this Act shall
12     testify fully in any judicial proceeding resulting from
13     such a report, as to any evidence of abuse or neglect, or
14     the cause thereof. No evidence shall be excluded by reason
15     of any common law or statutory privilege relating to
16     communications between the alleged perpetrator of abuse or
17     neglect, or the individual alleged as the victim in the
18     report, and the person making or investigating the report.
19     Testimony at hearings is exempt from the confidentiality
20     requirements of subsection (f) of Section 10 of the Mental
21     Health and Developmental Disabilities Confidentiality Act.
22         (5) Employee's rights to collateral action. No
23     reporting to the registry shall occur and no hearing shall
24     be set or proceed if an employee notifies the Inspector
25     General in writing, including any supporting
26     documentation, that he or she is formally contesting an

 

 

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1     adverse employment action resulting from a substantiated
2     finding by complaint filed with the Illinois Civil Service
3     Commission, or which otherwise seeks to enforce the
4     employee's rights pursuant to any applicable collective
5     bargaining agreement. If an action taken by an employer
6     against an employee as a result of a finding of physical
7     abuse, sexual abuse, or egregious neglect is overturned
8     through an action filed with the Illinois Civil Service
9     Commission or under any applicable collective bargaining
10     agreement and if that employee's name has already been sent
11     to the registry, the employee's name shall be removed from
12     the registry.
13         (6) Removal from registry. At any time after the report
14     to the registry, but no more than once in any 12-month
15     period, an employee may petition the Department in writing
16     to remove his or her name from the registry. Upon receiving
17     notice of such request, the Inspector General shall conduct
18     an investigation into the petition. Upon receipt of such
19     request, an administrative hearing will be set by the
20     Department. At the hearing, the employee shall bear the
21     burden of presenting evidence that establishes, by a
22     preponderance of the evidence, that removal of the name
23     from the registry is in the public interest. The parties
24     may jointly request that the administrative law judge
25     consider a stipulated disposition of these proceedings.
26     (t) Review of Administrative Decisions. The Department

 

 

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1 shall preserve a record of all proceedings at any formal
2 hearing conducted by the Department involving health care
3 worker registry hearings. Final administrative decisions of
4 the Department are subject to judicial review pursuant to
5 provisions of the Administrative Review Law.
6     (u) Quality Care Board. There is created, within the Office
7 of the Inspector General, a Quality Care Board to be composed
8 of 7 members appointed by the Governor with the advice and
9 consent of the Senate. One of the members shall be designated
10 as chairman by the Governor. Of the initial appointments made
11 by the Governor, 4 Board members shall each be appointed for a
12 term of 4 years and 3 members shall each be appointed for a
13 term of 2 years. Upon the expiration of each member's term, a
14 successor shall be appointed for a term of 4 years. In the case
15 of a vacancy in the office of any member, the Governor shall
16 appoint a successor for the remainder of the unexpired term.
17     Members appointed by the Governor shall be qualified by
18 professional knowledge or experience in the area of law,
19 investigatory techniques, or in the area of care of the
20 mentally ill or developmentally disabled. Two members
21 appointed by the Governor shall be persons with a disability or
22 a parent of a person with a disability. Members shall serve
23 without compensation, but shall be reimbursed for expenses
24 incurred in connection with the performance of their duties as
25 members.
26     The Board shall meet quarterly, and may hold other meetings

 

 

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1 on the call of the chairman. Four members shall constitute a
2 quorum allowing the Board to conduct its business. The Board
3 may adopt rules and regulations it deems necessary to govern
4 its own procedures.
5     The Board shall monitor and oversee the operations,
6 policies, and procedures of the Inspector General to ensure the
7 prompt and thorough investigation of allegations of neglect and
8 abuse. In fulfilling these responsibilities, the Board may do
9 the following:
10         (1) Provide independent, expert consultation to the
11     Inspector General on policies and protocols for
12     investigations of alleged abuse, neglect, or both abuse and
13     neglect.
14         (2) Review existing regulations relating to the
15     operation of facilities.
16         (3) Advise the Inspector General as to the content of
17     training activities authorized under this Section.
18         (4) Recommend policies concerning methods for
19     improving the intergovernmental relationships between the
20     Office of the Inspector General and other State or federal
21     offices.
22     (v) Annual report. The Inspector General shall provide to
23 the General Assembly and the Governor, no later than January 1
24 of each year, a summary of reports and investigations made
25 under this Act for the prior fiscal year with respect to
26 individuals receiving mental health or developmental

 

 

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1 disabilities services. The report shall detail the imposition
2 of sanctions, if any, and the final disposition of any
3 corrective or administrative action directed by the Secretary.
4 The summaries shall not contain any confidential or identifying
5 information of any individual, but shall include objective data
6 identifying any trends in the number of reported allegations,
7 the timeliness of the Office of the Inspector General's
8 investigations, and their disposition, for each facility and
9 Department-wide, for the most recent 3-year time period. The
10 report shall also identify, by facility, the staff-to-patient
11 ratios taking account of direct care staff only. The report
12 shall also include detailed recommended administrative actions
13 and matters for consideration by the General Assembly.
14     (w) Program audit. The Auditor General shall conduct a
15 program audit of the Office of the Inspector General on an
16 as-needed basis, as determined by the Auditor General. The
17 audit shall specifically include the Inspector General's
18 compliance with the Act and effectiveness in investigating
19 reports of allegations occurring in any facility or agency. The
20 Auditor General shall conduct the program audit according to
21 the provisions of the Illinois State Auditing Act and shall
22 report its findings to the General Assembly no later than
23 January 1 following the audit period.
24     (x) Nothing in this Section shall be construed to mean that
25 a patient is a victim of abuse or neglect because of health
26 care services appropriately provided or not provided by health

 

 

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1 care professionals.
2     (y) Nothing in this Section shall require a facility,
3 including its employees, agents, medical staff members, and
4 health care professionals, to provide a service to a patient in
5 contravention of that patient's stated or implied objection to
6 the provision of that service on the ground that that service
7 conflicts with the patient's religious beliefs or practices,
8 nor shall the failure to provide a service to a patient be
9 considered abuse under this Section if the patient has objected
10 to the provision of that service based on his or her religious
11 beliefs or practices.
12     (z) The General Assembly recognizes a need to protect from
13 abuse and neglect clients with developmental disabilities and
14 adult students with disabilities in public schools who are not
15 covered by any administrative investigative entity. Therefore,
16 OIG shall have the authority to investigate and report on
17 allegations of abuse or neglect of clients with developmental
18 disabilities. Additionally, when an allegation of abuse or
19 neglect is received by OIG regarding an adult student with
20 disabilities, OIG shall make the appropriate law enforcement
21 referral. The following provisions apply only to
22 investigations and referrals conducted pursuant to this
23 subsection (z). The provisions contained in subsections (a)
24 through (y) of this Section do not apply to this subsection
25 (z).
26         (1) Definitions. As used in this subsection:

 

 

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1         "Abuse" means a non-accidental act committed by an
2     employee, parent, or care giver against a client with
3     developmental disabilities or an adult student with
4     disabilities that results in physical injury or contact of
5     a sexual nature.
6         "Adult student with disabilities" means an adult
7     public school student between the ages of 18 and 21 years,
8     inclusive to the day before the student's 22nd birthday,
9     who is identified as having multiple disabilities as that
10     term is defined in 34 CFR 300.8(c)(7) and who is enrolled
11     in an individualized education program as that term is
12     defined in 34 CFR 300.320.
13         "Aggravating circumstance" means a factor that is
14     attendant to a finding and that tends to compound or
15     increase the culpability of the accused.
16         "Allegation" means an assertion, complaint, suspicion,
17     or incident of abuse or neglect by an employee, parent, or
18     care giver.
19         "Client with a developmental disability" means a
20     person over the age of 18 living in a residential facility
21     licensed by the Department of Children and Family Services
22     whose residential placement is funded by the Department of
23     Human Services.
24         "Credible evidence" means any evidence that relates to
25     the allegation or incident and that is considered
26     believable and reliable.

 

 

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1         "DCFS" means the Department of Children and Family
2     Services.
3         "Department" means the Department of Human Services.
4         "Employee" means any person employed at a facility
5     where the abuse or neglect allegedly occurred, or any
6     person employed by the school district in which the abuse
7     or neglect allegedly occurred. "Employee" also includes
8     contractors, subcontractors, employees of contractors or
9     subcontractors, and volunteers.
10         "Facility" means a DCFS licensed residential facility.
11         "Finding" means OIG's determination regarding whether
12     an allegation of abuse or neglect is substantiated,
13     unsubstantiated, or unfounded.
14         "Inspector General" means the Inspector General from
15     the Department of Human Services' Office of the Inspector
16     General.
17         "Mitigating circumstance" means a condition that is
18     attendant to a finding and does not excuse or justify the
19     conduct in question, but may be considered in evaluating
20     the severity of the conduct, the culpability of the
21     accused, or both the severity of the conduct and the
22     culpability of the accused.
23         "Neglect" means failure by an employee, parent, or care
24     giver to provide adequate food, shelter, clothing,
25     personal care, or medical care to ensure the overall
26     health, well-being or safety of a client with a

 

 

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1     developmental disability or an adult student with
2     disabilities.
3         "OIG" means the Department of Human Services' Office of
4     the Inspector General.
5         "Parent or care giver" means the parent of an adult
6     student with disabilities or any other person responsible
7     for the student's welfare or any individual with ongoing
8     access to the student.
9         "Raw data" means data that includes, but is not limited
10     to, any one or more of the following used to compile the
11     investigative report: the initial complaint, witness
12     statements, photographs, investigator's notes, police
13     reports, or incident reports.
14         "Required reporter" means any employee as defined in
15     this subsection (z).
16         "School" means any public school in the State of
17     Illinois.
18         "Secretary" means the Secretary of the Department of
19     Human Services.
20         "Substantiated" means there is a preponderance of the
21     evidence to support the allegation.
22         "Unfounded" means there is no credible evidence to
23     support the allegation.
24         "Unsubstantiated" means there is credible evidence,
25     but less than a preponderance to support the allegation.
26         (2) Duty to Cooperate. The Inspector General shall at

 

 

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1     all times be granted access to any DCFS-licensed facility
2     where a client with a developmental disability resides for
3     the purpose of investigating any allegation. The Inspector
4     General's authority in these settings is limited to
5     investigating allegations of abuse or neglect. No person
6     shall obstruct or impede OIG's access to a client with a
7     developmental disability, and shall not obstruct or impede
8     the investigation of abuse or neglect. If a person does so
9     obstruct or impede access to the alleged victim, local law
10     enforcement agencies shall take all appropriate action to
11     assist OIG in performing its duties.
12         (3) Reporting allegations. Any required reporter who
13     has reasonable cause to believe abuse or neglect of a
14     client with a developmental disability or an adult student
15     with disabilities occurred shall report this to the OIG
16     Hotline within 4 hours of discovery.
17         (4) Reporting criminal acts. If, during the course of
18     an investigation of abuse or neglect, OIG determines there
19     is credible evidence that a crime has been committed, the
20     incident shall be reported to the appropriate law
21     enforcement agency and OIG, the facility, and the school
22     shall defer to that agency regarding the propriety of any
23     further investigative activity.
24         (5) Investigative reports. Upon completion of an
25     investigation, OIG shall issue an investigative report
26     identifying whether the allegations are substantiated,

 

 

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1     unsubstantiated, or unfounded. Within 10 business days
2     after the transmittal of a completed investigative report
3     substantiating the allegation, the Inspector General shall
4     provide a copy of the investigative report to the
5     Secretary, the Department's Director of the Division of
6     Developmental Disabilities, the Director of the agency
7     that owns or operates the facility where the abuse or
8     neglect occurred, and the licensing bureau of DCFS. In a
9     substantiated case, the investigative report shall include
10     any mitigating or aggravating circumstances that were
11     identified during the investigation and a redacted copy of
12     the investigative report shall be provided to the accused.
13     All investigative reports prepared by OIG shall be
14     considered confidential and shall not be released except as
15     otherwise provided by the law of this State or as required
16     under applicable federal law. Unsubstantiated and
17     unfounded reports shall not be disclosed except with a
18     court order. Raw data used to compile the investigative
19     report shall not be subject to release unless required by
20     law or a court order.
21         (6) Disclosure of the finding by the Inspector General.
22     The Inspector General shall disclose the finding of an
23     investigation to the following persons: (i) the Governor,
24     (ii) the Secretary, (iii) the Director of the agency that
25     owns or operates the facility, (iv) the Department's
26     Director of the Division of Developmental Disabilities,

 

 

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1     (v) the alleged victim or guardian if applicable, and (vi)
2     the accused. The information shall include whether the
3     allegations were substantiated, unsubstantiated, or
4     unfounded.
5         (7) Law enforcement referrals. Upon receipt of a
6     reportable allegation regarding an adult student with
7     disabilities, OIG shall make an expeditious referral to the
8     respective law enforcement entity.
9         (8) Limitations. OIG shall have no involvement in any
10     disciplinary proceeding except to provide testimony
11     pursuant to a subpoena. OIG shall be notified in writing of
12     any action taken as a result of a substantiated finding,
13     but shall have no involvement in reviewing or implementing
14     actions taken as a result of the finding.
15         (9) Sanctions.
16             (A) When necessary, sanctions may be imposed by the
17         licensing entity of the facility and shall be designed
18         to prevent further acts of abuse or neglect, and may
19         include any one or more of the following:
20                 (i) Appointment of on-site monitors.
21                 (ii) Transfer or relocation of the victim.
22                 (iii) Closure of a facility.
23                 (iv) Termination of any one or more of the
24             following: licensing, funding, certification, or
25             licensing enforcement by the licensing entity of
26             the facility, if any, up to and including

 

 

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1             revocation of licensure or an administrative order
2             of closure, or both.
3             (B) The Secretary is authorized to withdraw
4         funding for any facility where an allegation
5         concerning a client with a developmental disability
6         was substantiated.
7 (Source: P.A. 95-545, eff. 8-28-07; 96-339, eff. 7-1-10;
8 96-407, eff. 8-13-09; 96-555, eff. 8-18-09; revised 9-25-09.)
 
9     Section 10. The Abuse of Adults with Disabilities
10 Intervention Act is amended by changing Section 35 as follows:
 
11     (20 ILCS 2435/35)  (from Ch. 23, par. 3395-35)
12     Sec. 35. Assessment of reports.
13     (a) The Adults with Disabilities Abuse Project shall, upon
14 receiving a report of alleged or suspected abuse, neglect, or
15 exploitation obtain the consent of the subject of the report to
16 conduct an assessment with respect to the report. The
17 assessment shall include, but not be limited to, a face-to-face
18 interview with the adult with disabilities who is the subject
19 of the report and may include a visit to the residence of the
20 adult with disabilities, and interviews or consultations with
21 service agencies or individuals who may have knowledge of the
22 circumstances of the adult with disabilities. A determination
23 shall be made whether each report is substantiated. If the
24 Office of Inspector General determines that there is clear and

 

 

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1 substantial risk of death or great bodily harm, it shall
2 immediately secure or provide emergency protective services
3 for purposes of preventing further abuse, neglect, or
4 exploitation, and for safeguarding the welfare of the person.
5 Such services must be provided in the least restrictive
6 environment commensurate with the adult with disabilities'
7 needs.
8     (a-1) The Adults with Disabilities Abuse Project shall,
9 upon receiving a report of alleged or suspected abuse, neglect,
10 or financial exploitation, initiate the investigation within
11 24 hours of receiving the report.
12     (a-5) The Adults with Disabilities Abuse Project shall
13 initiate an assessment of all reports of alleged or suspected
14 abuse or neglect within 7 days after receipt of the report,
15 except reports of abuse or neglect that indicate that the life
16 or safety of an adult with disabilities is in imminent danger
17 shall be assessed within 24 hours after receipt of the report.
18 Reports of exploitation shall be assessed within 30 days after
19 the receipt of the report.
20     (b) (Blank).
21     (c) The Department shall effect written interagency
22 agreements with other State departments and any other public
23 and private agencies to coordinate and cooperate in the
24 handling of substantiated cases; to accept and manage
25 substantiated cases on a priority basis; and to waive
26 eligibility requirements for the adult with disabilities in an

 

 

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1 emergency.
2     (d) Every effort shall be made by the Adults with
3 Disabilities Abuse Project to coordinate and cooperate with
4 public and private agencies to ensure the provision of services
5 necessary to eliminate further abuse, neglect, and
6 exploitation of the adult with disabilities who is the subject
7 of the report.
8     The Office of Inspector General shall promulgate rules and
9 regulations to ensure the effective implementation of the
10 Adults with Disabilities Abuse Project statewide.
11     (e) When the Adults with Disabilities Abuse Project
12 determines that a case is substantiated, it shall refer the
13 case to the appropriate office within the Department of Human
14 Services to develop, with the consent of and in consultation
15 with the adult with disabilities, a service plan for the adult
16 with disabilities.
17     (f) The Adults with Disabilities Abuse Project shall refer
18 reports of alleged or suspected abuse, neglect, or exploitation
19 to another State agency when that agency has a statutory
20 obligation to investigate such reports.
21     (g) If the Adults with Disabilities Abuse Project has
22 reason to believe that a crime has been committed, the incident
23 shall be reported to the appropriate law enforcement agency.
24 (Source: P.A. 91-671, eff. 7-1-00.)
 
25     Section 15. The Abused and Neglected Child Reporting Act is

 

 

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1 amended by changing Sections 2, 3, 4, 7, 7.3, 7.4, 7.7, 7.10,
2 7.14, 8.1, 8.5, 9, 9.1, and 11 and by adding Section 4.4a as
3 follows:
 
4     (325 ILCS 5/2)  (from Ch. 23, par. 2052)
5     Sec. 2. (a) The Illinois Department of Children and Family
6 Services shall, upon receiving reports made under this Act,
7 protect the health, safety, and best interests of the child in
8 all situations in which the child is vulnerable to child abuse
9 or neglect, offer protective services in order to prevent any
10 further harm to the child and to other children in the same
11 environment or family, stabilize the home environment, and
12 preserve family life whenever possible. Recognizing that
13 children also can be abused and neglected while living in
14 public or private residential agencies or institutions meant to
15 serve them, while attending day care centers, schools, or
16 religious activities, or when in contact with adults who are
17 responsible for the welfare of the child at that time, this Act
18 also provides for the reporting and investigation of child
19 abuse and neglect in such instances. In performing any of these
20 duties, the Department may utilize such protective services of
21 voluntary agencies as are available.
22     (b) The Department shall be responsible for receiving and
23 investigating reports of adult resident abuse or neglect under
24 the provisions of this Act.
25 (Source: P.A. 92-801, eff. 8-16-02.)
 

 

 

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1     (325 ILCS 5/3)  (from Ch. 23, par. 2053)
2     Sec. 3. As used in this Act unless the context otherwise
3 requires:
4     "Adult resident" means any person between 18 and 22 years
5 of age who resides in any facility licensed by the Department
6 under the Child Care Act of 1969. For purposes of this Act, the
7 criteria set forth in the definitions of "abused child" and
8 "neglected child" shall be used in determining whether an adult
9 resident is abused or neglected.
10     "Child" means any person under the age of 18 years, unless
11 legally emancipated by reason of marriage or entry into a
12 branch of the United States armed services.
13     "Department" means Department of Children and Family
14 Services.
15     "Local law enforcement agency" means the police of a city,
16 town, village or other incorporated area or the sheriff of an
17 unincorporated area or any sworn officer of the Illinois
18 Department of State Police.
19     "Abused child" means a child whose parent or immediate
20 family member, or any person responsible for the child's
21 welfare, or any individual residing in the same home as the
22 child, or a paramour of the child's parent:
23         (a) inflicts, causes to be inflicted, or allows to be
24     inflicted upon such child physical injury, by other than
25     accidental means, which causes death, disfigurement,

 

 

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1     impairment of physical or emotional health, or loss or
2     impairment of any bodily function;
3         (b) creates a substantial risk of physical injury to
4     such child by other than accidental means which would be
5     likely to cause death, disfigurement, impairment of
6     physical or emotional health, or loss or impairment of any
7     bodily function;
8         (c) commits or allows to be committed any sex offense
9     against such child, as such sex offenses are defined in the
10     Criminal Code of 1961, as amended, and extending those
11     definitions of sex offenses to include children under 18
12     years of age;
13         (d) commits or allows to be committed an act or acts of
14     torture upon such child;
15         (e) inflicts excessive corporal punishment;
16         (f) commits or allows to be committed the offense of
17     female genital mutilation, as defined in Section 12-34 of
18     the Criminal Code of 1961, against the child; or
19         (g) causes to be sold, transferred, distributed, or
20     given to such child under 18 years of age, a controlled
21     substance as defined in Section 102 of the Illinois
22     Controlled Substances Act in violation of Article IV of the
23     Illinois Controlled Substances Act or in violation of the
24     Methamphetamine Control and Community Protection Act,
25     except for controlled substances that are prescribed in
26     accordance with Article III of the Illinois Controlled

 

 

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1     Substances Act and are dispensed to such child in a manner
2     that substantially complies with the prescription.
3     A child shall not be considered abused for the sole reason
4 that the child has been relinquished in accordance with the
5 Abandoned Newborn Infant Protection Act.
6     "Neglected child" means any child who is not receiving the
7 proper or necessary nourishment or medically indicated
8 treatment including food or care not provided solely on the
9 basis of the present or anticipated mental or physical
10 impairment as determined by a physician acting alone or in
11 consultation with other physicians or otherwise is not
12 receiving the proper or necessary support or medical or other
13 remedial care recognized under State law as necessary for a
14 child's well-being, or other care necessary for his or her
15 well-being, including adequate food, clothing and shelter; or
16 who is abandoned by his or her parents or other person
17 responsible for the child's welfare without a proper plan of
18 care; or who has been provided with interim crisis intervention
19 services under Section 3-5 of the Juvenile Court Act of 1987
20 and whose parent, guardian, or custodian refuses to permit the
21 child to return home and no other living arrangement agreeable
22 to the parent, guardian, or custodian can be made, and the
23 parent, guardian, or custodian has not made any other
24 appropriate living arrangement for the child; or who is a
25 newborn infant whose blood, urine, or meconium contains any
26 amount of a controlled substance as defined in subsection (f)

 

 

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1 of Section 102 of the Illinois Controlled Substances Act or a
2 metabolite thereof, with the exception of a controlled
3 substance or metabolite thereof whose presence in the newborn
4 infant is the result of medical treatment administered to the
5 mother or the newborn infant. A child shall not be considered
6 neglected for the sole reason that the child's parent or other
7 person responsible for his or her welfare has left the child in
8 the care of an adult relative for any period of time. A child
9 shall not be considered neglected for the sole reason that the
10 child has been relinquished in accordance with the Abandoned
11 Newborn Infant Protection Act. A child shall not be considered
12 neglected or abused for the sole reason that such child's
13 parent or other person responsible for his or her welfare
14 depends upon spiritual means through prayer alone for the
15 treatment or cure of disease or remedial care as provided under
16 Section 4 of this Act. A child shall not be considered
17 neglected or abused solely because the child is not attending
18 school in accordance with the requirements of Article 26 of The
19 School Code, as amended.
20     "Child Protective Service Unit" means certain specialized
21 State employees of the Department assigned by the Director to
22 perform the duties and responsibilities as provided under
23 Section 7.2 of this Act.
24     "Person responsible for the child's welfare" means the
25 child's parent; guardian; foster parent; relative caregiver;
26 any person responsible for the child's welfare in a public or

 

 

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1 private residential agency or institution; any person
2 responsible for the child's welfare within a public or private
3 profit or not for profit child care facility; or any other
4 person responsible for the child's welfare at the time of the
5 alleged abuse or neglect, or any person who came to know the
6 child through an official capacity or position of trust,
7 including but not limited to health care professionals,
8 educational personnel, recreational supervisors, members of
9 the clergy, and volunteers or support personnel in any setting
10 where children may be subject to abuse or neglect.
11     "Temporary protective custody" means custody within a
12 hospital or other medical facility or a place previously
13 designated for such custody by the Department, subject to
14 review by the Court, including a licensed foster home, group
15 home, or other institution; but such place shall not be a jail
16 or other place for the detention of criminal or juvenile
17 offenders.
18     "An unfounded report" means any report made under this Act
19 for which it is determined after an investigation that no
20 credible evidence of abuse or neglect exists.
21     "An indicated report" means a report made under this Act if
22 an investigation determines that credible evidence of the
23 alleged abuse or neglect exists.
24     "An undetermined report" means any report made under this
25 Act in which it was not possible to initiate or complete an
26 investigation on the basis of information provided to the

 

 

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1 Department.
2     "Subject of report" means any child reported to the central
3 register of child abuse and neglect established under Section
4 7.7 of this Act and his or her parent, guardian or other person
5 responsible who is also named in the report.
6     "Perpetrator" means a person who, as a result of
7 investigation, has been determined by the Department to have
8 caused child abuse or neglect.
9     "Member of the clergy" means a clergyman or practitioner of
10 any religious denomination accredited by the religious body to
11 which he or she belongs.
12 (Source: P.A. 94-556, eff. 9-11-05; 95-443, eff. 1-1-08.)
 
13     (325 ILCS 5/4)  (from Ch. 23, par. 2054)
14     Sec. 4. Persons required to report; privileged
15 communications; transmitting false report. Any physician,
16 resident, intern, hospital, hospital administrator and
17 personnel engaged in examination, care and treatment of
18 persons, surgeon, dentist, dentist hygienist, osteopath,
19 chiropractor, podiatrist, physician assistant, substance abuse
20 treatment personnel, funeral home director or employee,
21 coroner, medical examiner, emergency medical technician,
22 acupuncturist, crisis line or hotline personnel, school
23 personnel (including administrators and both certified and
24 non-certified school employees), educational advocate assigned
25 to a child pursuant to the School Code, member of a school

 

 

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1 board or the Chicago Board of Education or the governing body
2 of a private school (but only to the extent required in
3 accordance with other provisions of this Section expressly
4 concerning the duty of school board members to report suspected
5 child abuse), truant officers, social worker, social services
6 administrator, domestic violence program personnel, registered
7 nurse, licensed practical nurse, genetic counselor,
8 respiratory care practitioner, advanced practice nurse, home
9 health aide, director or staff assistant of a nursery school or
10 a child day care center, recreational program or facility
11 personnel, law enforcement officer, licensed professional
12 counselor, licensed clinical professional counselor,
13 registered psychologist and assistants working under the
14 direct supervision of a psychologist, psychiatrist, or field
15 personnel of the Department of Healthcare and Family Services,
16 Juvenile Justice, Public Health, Human Services (acting as
17 successor to the Department of Mental Health and Developmental
18 Disabilities, Rehabilitation Services, or Public Aid),
19 Corrections, Human Rights, or Children and Family Services,
20 supervisor and administrator of general assistance under the
21 Illinois Public Aid Code, probation officer, animal control
22 officer or Illinois Department of Agriculture Bureau of Animal
23 Health and Welfare field investigator, or any other foster
24 parent, homemaker or child care worker having reasonable cause
25 to believe a child known to them in their professional or
26 official capacity may be an abused child or a neglected child

 

 

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1 shall immediately report or cause a report to be made to the
2 Department.
3     Any member of the clergy having reasonable cause to believe
4 that a child known to that member of the clergy in his or her
5 professional capacity may be an abused child as defined in item
6 (c) of the definition of "abused child" in Section 3 of this
7 Act shall immediately report or cause a report to be made to
8 the Department.
9     If an allegation is raised to a school board member during
10 the course of an open or closed school board meeting that a
11 child who is enrolled in the school district of which he or she
12 is a board member is an abused child as defined in Section 3 of
13 this Act, the member shall direct or cause the school board to
14 direct the superintendent of the school district or other
15 equivalent school administrator to comply with the
16 requirements of this Act concerning the reporting of child
17 abuse. For purposes of this paragraph, a school board member is
18 granted the authority in his or her individual capacity to
19 direct the superintendent of the school district or other
20 equivalent school administrator to comply with the
21 requirements of this Act concerning the reporting of child
22 abuse.
23     Notwithstanding any other provision of this Act, if an
24 employee of a school district has made a report or caused a
25 report to be made to the Department under this Act involving
26 the conduct of a current or former employee of the school

 

 

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1 district and a request is made by another school district for
2 the provision of information concerning the job performance or
3 qualifications of the current or former employee because he or
4 she is an applicant for employment with the requesting school
5 district, the general superintendent of the school district to
6 which the request is being made must disclose to the requesting
7 school district the fact that an employee of the school
8 district has made a report involving the conduct of the
9 applicant or caused a report to be made to the Department, as
10 required under this Act. Only the fact that an employee of the
11 school district has made a report involving the conduct of the
12 applicant or caused a report to be made to the Department may
13 be disclosed by the general superintendent of the school
14 district to which the request for information concerning the
15 applicant is made, and this fact may be disclosed only in cases
16 where the employee and the general superintendent have not been
17 informed by the Department that the allegations were unfounded.
18 An employee of a school district who is or has been the subject
19 of a report made pursuant to this Act during his or her
20 employment with the school district must be informed by that
21 school district that if he or she applies for employment with
22 another school district, the general superintendent of the
23 former school district, upon the request of the school district
24 to which the employee applies, shall notify that requesting
25 school district that the employee is or was the subject of such
26 a report.

 

 

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1     Whenever such person is required to report under this Act
2 in his capacity as a member of the staff of a medical or other
3 public or private institution, school, facility or agency, or
4 as a member of the clergy, he shall make report immediately to
5 the Department in accordance with the provisions of this Act
6 and may also notify the person in charge of such institution,
7 school, facility or agency, or church, synagogue, temple,
8 mosque, or other religious institution, or his designated agent
9 that such report has been made. Under no circumstances shall
10 any person in charge of such institution, school, facility or
11 agency, or church, synagogue, temple, mosque, or other
12 religious institution, or his designated agent to whom such
13 notification has been made, exercise any control, restraint,
14 modification or other change in the report or the forwarding of
15 such report to the Department.
16     The privileged quality of communication between any
17 professional person required to report and his patient or
18 client shall not apply to situations involving abused or
19 neglected children and shall not constitute grounds for failure
20 to report as required by this Act.
21     A member of the clergy may claim the privilege under
22 Section 8-803 of the Code of Civil Procedure.
23     In addition to the above persons required to report
24 suspected cases of abused or neglected children, any other
25 person may make a report if such person has reasonable cause to
26 believe a child may be an abused child or a neglected child.

 

 

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1     Any person who enters into employment on and after July 1,
2 1986 and is mandated by virtue of that employment to report
3 under this Act, shall sign a statement on a form prescribed by
4 the Department, to the effect that the employee has knowledge
5 and understanding of the reporting requirements of this Act.
6 The statement shall be signed prior to commencement of the
7 employment. The signed statement shall be retained by the
8 employer. The cost of printing, distribution, and filing of the
9 statement shall be borne by the employer.
10     The Department shall provide copies of this Act, upon
11 request, to all employers employing persons who shall be
12 required under the provisions of this Section to report under
13 this Act.
14     Any person who knowingly transmits a false report to the
15 Department commits the offense of disorderly conduct under
16 subsection (a)(7) of Section 26-1 of the "Criminal Code of
17 1961". Any person who violates this provision a second or
18 subsequent time shall be guilty of a Class 3 felony.
19     Any person who knowingly and willfully violates any
20 provision of this Section other than a second or subsequent
21 violation of transmitting a false report as described in the
22 preceding paragraph, is guilty of a Class A misdemeanor for a
23 first violation and a Class 4 felony for a second or subsequent
24 violation; except that if the person acted as part of a plan or
25 scheme having as its object the prevention of discovery of an
26 abused or neglected child by lawful authorities for the purpose

 

 

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1 of protecting or insulating any person or entity from arrest or
2 prosecution, the person is guilty of a Class 4 felony for a
3 first offense and a Class 3 felony for a second or subsequent
4 offense (regardless of whether the second or subsequent offense
5 involves any of the same facts or persons as the first or other
6 prior offense).
7     A child whose parent, guardian or custodian in good faith
8 selects and depends upon spiritual means through prayer alone
9 for the treatment or cure of disease or remedial care may be
10 considered neglected or abused, but not for the sole reason
11 that his parent, guardian or custodian accepts and practices
12 such beliefs.
13     A child shall not be considered neglected or abused solely
14 because the child is not attending school in accordance with
15 the requirements of Article 26 of the School Code, as amended.
16     Nothing in this Act prohibits a mandated reporter who
17 reasonably believes that an animal is being abused or neglected
18 in violation of the Humane Care for Animals Act from reporting
19 animal abuse or neglect to the Department of Agriculture's
20 Bureau of Animal Health and Welfare.
21     A home rule unit may not regulate the reporting of child
22 abuse or neglect in a manner inconsistent with the provisions
23 of this Section. This Section is a limitation under subsection
24 (i) of Section 6 of Article VII of the Illinois Constitution on
25 the concurrent exercise by home rule units of powers and
26 functions exercised by the State.

 

 

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1     For purposes of this Section "child abuse or neglect"
2 includes abuse or neglect of an adult resident as defined in
3 this Act.
4 (Source: P.A. 95-10, eff. 6-30-07; 95-461, eff. 8-27-07;
5 95-876, eff. 8-21-08; 95-908, eff. 8-26-08; 96-494, eff.
6 8-14-09.)
 
7     (325 ILCS 5/4.4a new)
8     Sec. 4.4a. Department of Children and Family Services duty
9 to report to Department of Human Services' Office of Inspector
10 General. Whenever the Department receives, by means of its
11 statewide toll-free telephone number established under Section
12 7.6 for the purpose of reporting suspected child abuse or
13 neglect or by any other means or from any mandated reporter
14 under Section 4 of this Act, a report of suspected abuse,
15 neglect, or financial exploitation of a disabled adult between
16 the ages of 18 and 59 and who is not a ward of the Department,
17 the Department shall instruct the reporter to contact the
18 Department of Human Services' Office of the Inspector General
19 and shall provide the reporter with the statewide, 24-hour
20 toll-free telephone number established and maintained by the
21 Department of Human Services' Office of the Inspector General.
 
22     (325 ILCS 5/7)  (from Ch. 23, par. 2057)
23     Sec. 7. Time and manner of making reports. All reports of
24 suspected child abuse or neglect made under this Act shall be

 

 

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1 made immediately by telephone to the central register
2 established under Section 7.7 on the single, State-wide,
3 toll-free telephone number established in Section 7.6, or in
4 person or by telephone through the nearest Department office.
5 The Department shall, in cooperation with school officials,
6 distribute appropriate materials in school buildings listing
7 the toll-free telephone number established in Section 7.6,
8 including methods of making a report under this Act. The
9 Department may, in cooperation with appropriate members of the
10 clergy, distribute appropriate materials in churches,
11 synagogues, temples, mosques, or other religious buildings
12 listing the toll-free telephone number established in Section
13 7.6, including methods of making a report under this Act.
14     Wherever the Statewide number is posted, there shall also
15 be posted the following notice:
16     "Any person who knowingly transmits a false report to the
17 Department commits the offense of disorderly conduct under
18 subsection (a)(7) of Section 26-1 of the Criminal Code of 1961.
19 A first violation of this subsection is a Class A misdemeanor,
20 punishable by a term of imprisonment for up to one year, or by
21 a fine not to exceed $1,000, or by both such term and fine. A
22 second or subsequent violation is a Class 4 felony."
23     The report required by this Act shall include, if known,
24 the name and address of the child and his parents or other
25 persons having his custody; the child's age; the nature of the
26 child's condition including any evidence of previous injuries

 

 

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1 or disabilities; and any other information that the person
2 filing the report believes might be helpful in establishing the
3 cause of such abuse or neglect and the identity of the person
4 believed to have caused such abuse or neglect. Reports made to
5 the central register through the State-wide, toll-free
6 telephone number shall be immediately transmitted by the
7 Department to the appropriate Child Protective Service Unit.
8 All such reports alleging the death of a child, serious injury
9 to a child including, but not limited to, brain damage, skull
10 fractures, subdural hematomas, and internal injuries, torture
11 of a child, malnutrition of a child, and sexual abuse to a
12 child, including, but not limited to, sexual intercourse,
13 sexual exploitation, sexual molestation, and sexually
14 transmitted disease in a child age 12 and under, shall also be
15 immediately transmitted by the Department to the appropriate
16 local law enforcement agency. The Department shall within 24
17 hours orally notify local law enforcement personnel and the
18 office of the State's Attorney of the involved county of the
19 receipt of any report alleging the death of a child, serious
20 injury to a child including, but not limited to, brain damage,
21 skull fractures, subdural hematomas, and, internal injuries,
22 torture of a child, malnutrition of a child, and sexual abuse
23 to a child, including, but not limited to, sexual intercourse,
24 sexual exploitation, sexual molestation, and sexually
25 transmitted disease in a child age twelve and under. All oral
26 reports made by the Department to local law enforcement

 

 

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1 personnel and the office of the State's Attorney of the
2 involved county shall be confirmed in writing within 24 hours
3 of the oral report. All reports by persons mandated to report
4 under this Act shall be confirmed in writing to the appropriate
5 Child Protective Service Unit, which may be on forms supplied
6 by the Department, within 48 hours of any initial report.
7     Written confirmation reports from persons not required to
8 report by this Act may be made to the appropriate Child
9 Protective Service Unit. Written reports from persons required
10 by this Act to report shall be admissible in evidence in any
11 judicial proceeding relating to child abuse or neglect. Reports
12 involving known or suspected child abuse or neglect in public
13 or private residential agencies or institutions shall be made
14 and received in the same manner as all other reports made under
15 this Act.
16     For purposes of this Section "child" includes an adult
17 resident as defined in this Act.
18 (Source: P.A. 95-57, eff. 8-10-07.)
 
19     (325 ILCS 5/7.3)  (from Ch. 23, par. 2057.3)
20     Sec. 7.3. (a) The Department shall be the sole agency
21 responsible for receiving and investigating reports of child
22 abuse or neglect made under this Act, including reports of
23 adult resident abuse or neglect as defined in this Act, except
24 where investigations by other agencies may be required with
25 respect to reports alleging the death of a child, serious

 

 

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1 injury to a child or sexual abuse to a child made pursuant to
2 Sections 4.1 or 7 of this Act, and except that the Department
3 may delegate the performance of the investigation to the
4 Department of State Police, a law enforcement agency and to
5 those private social service agencies which have been
6 designated for this purpose by the Department prior to July 1,
7 1980.
8     (b) Notwithstanding any other provision of this Act, the
9 Department shall adopt rules expressly allowing law
10 enforcement personnel to investigate reports of suspected
11 child abuse or neglect concurrently with the Department,
12 without regard to whether the Department determines a report to
13 be "indicated" or "unfounded" or deems a report to be
14 "undetermined".
15 (Source: P.A. 95-57, eff. 8-10-07.)
 
16     (325 ILCS 5/7.4)  (from Ch. 23, par. 2057.4)
17     Sec. 7.4. (a) The Department shall be capable of receiving
18 reports of suspected child abuse or neglect 24 hours a day, 7
19 days a week. Whenever the Department receives a report alleging
20 that a child is a truant as defined in Section 26-2a of The
21 School Code, as now or hereafter amended, the Department shall
22 notify the superintendent of the school district in which the
23 child resides and the appropriate superintendent of the
24 educational service region. The notification to the
25 appropriate officials by the Department shall not be considered

 

 

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1 an allegation of abuse or neglect under this Act.
2     (a-5) Beginning January 1, 2010, the Department of Children
3 and Family Services may implement a 5-year demonstration of a
4 "differential response program" in accordance with criteria,
5 standards, and procedures prescribed by rule. The program may
6 provide that, upon receiving a report, the Department shall
7 determine whether to conduct a family assessment or an
8 investigation as appropriate to prevent or provide a remedy for
9 child abuse or neglect.
10     For purposes of this subsection (a-5), "family assessment"
11 means a comprehensive assessment of child safety, risk of
12 subsequent child maltreatment, and family strengths and needs
13 that is applied to a child maltreatment report that does not
14 allege substantial child endangerment. "Family assessment"
15 does not include a determination as to whether child
16 maltreatment occurred but does determine the need for services
17 to address the safety of family members and the risk of
18 subsequent maltreatment.
19     For purposes of this subsection (a-5), "investigation"
20 means fact-gathering related to the current safety of a child
21 and the risk of subsequent abuse or neglect that determines
22 whether a report of suspected child abuse or neglect should be
23 indicated or unfounded and whether child protective services
24 are needed.
25     Under the "differential response program" implemented
26 under this subsection (a-5), the Department:

 

 

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1         (1) Shall conduct an investigation on reports
2     involving substantial child abuse or neglect.
3         (2) Shall begin an immediate investigation if, at any
4     time when it is using a family assessment response, it
5     determines that there is reason to believe that substantial
6     child abuse or neglect or a serious threat to the child's
7     safety exists.
8         (3) May conduct a family assessment for reports that do
9     not allege substantial child endangerment. In determining
10     that a family assessment is appropriate, the Department may
11     consider issues including, but not limited to, child
12     safety, parental cooperation, and the need for an immediate
13     response.
14         (4) Shall promulgate criteria, standards, and
15     procedures that shall be applied in making this
16     determination, taking into consideration the Child
17     Endangerment Risk Assessment Protocol of the Department.
18         (5) May conduct a family assessment on a report that
19     was initially screened and assigned for an investigation.
20     In determining that a complete investigation is not
21 required, the Department must document the reason for
22 terminating the investigation and notify the local law
23 enforcement agency or the Department of State Police if the
24 local law enforcement agency or Department of State Police is
25 conducting a joint investigation.
26     Once it is determined that a "family assessment" will be

 

 

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1 implemented, the case shall not be reported to the central
2 register of abuse and neglect reports.
3     During a family assessment, the Department shall collect
4 any available and relevant information to determine child
5 safety, risk of subsequent abuse or neglect, and family
6 strengths.
7     Information collected includes, but is not limited to, when
8 relevant: information with regard to the person reporting the
9 alleged abuse or neglect, including the nature of the
10 reporter's relationship to the child and to the alleged
11 offender, and the basis of the reporter's knowledge for the
12 report; the child allegedly being abused or neglected; the
13 alleged offender; the child's caretaker; and other collateral
14 sources having relevant information related to the alleged
15 abuse or neglect. Information relevant to the assessment must
16 be asked for, and may include:
17         (A) The child's sex and age, prior reports of abuse or
18     neglect, information relating to developmental
19     functioning, credibility of the child's statement, and
20     whether the information provided under this paragraph (A)
21     is consistent with other information collected during the
22     course of the assessment or investigation.
23         (B) The alleged offender's age, a record check for
24     prior reports of abuse or neglect, and criminal charges and
25     convictions. The alleged offender may submit supporting
26     documentation relevant to the assessment.

 

 

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1         (C) Collateral source information regarding the
2     alleged abuse or neglect and care of the child. Collateral
3     information includes, when relevant: (i) a medical
4     examination of the child; (ii) prior medical records
5     relating to the alleged maltreatment or care of the child
6     maintained by any facility, clinic, or health care
7     professional, and an interview with the treating
8     professionals; and (iii) interviews with the child's
9     caretakers, including the child's parent, guardian, foster
10     parent, child care provider, teachers, counselors, family
11     members, relatives, and other persons who may have
12     knowledge regarding the alleged maltreatment and the care
13     of the child.
14         (D) Information on the existence of domestic abuse and
15     violence in the home of the child, and substance abuse.
16     Nothing in this subsection (a-5) precludes the Department
17 from collecting other relevant information necessary to
18 conduct the assessment or investigation. Nothing in this
19 subsection (a-5) shall be construed to allow the name or
20 identity of a reporter to be disclosed in violation of the
21 protections afforded under Section 7.19 of this Act.
22     After conducting the family assessment, the Department
23 shall determine whether services are needed to address the
24 safety of the child and other family members and the risk of
25 subsequent abuse or neglect.
26     Upon completion of the family assessment, if the Department

 

 

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1 concludes that no services shall be offered, then the case
2 shall be closed. If the Department concludes that services
3 shall be offered, the Department shall develop a family
4 preservation plan and offer or refer services to the family.
5     At any time during a family assessment, if the Department
6 believes there is any reason to stop the assessment and conduct
7 an investigation based on the information discovered, the
8 Department shall do so.
9     The procedures available to the Department in conducting
10 investigations under this Act shall be followed as appropriate
11 during a family assessment.
12     The Department shall arrange for an independent evaluation
13 of the "differential response program" authorized and
14 implemented under this subsection (a-5) to determine whether it
15 is meeting the goals in accordance with Section 2 of this Act.
16 The Department may adopt administrative rules necessary for the
17 execution of this Section, in accordance with Section 4 of the
18 Children and Family Services Act.
19     The demonstration conducted under this subsection (a-5)
20 shall become a permanent program on January 1, 2015, upon
21 completion of the demonstration project period.
22     (b) (1) The following procedures shall be followed in the
23     investigation of all reports of suspected abuse or neglect
24     of a child, except as provided in subsection (c) of this
25     Section.
26         (2) If, during a family assessment authorized by

 

 

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1     subsection (a-5) or an investigation, it appears that the
2     immediate safety or well-being of a child is endangered,
3     that the family may flee or the child disappear, or that
4     the facts otherwise so warrant, the Child Protective
5     Service Unit shall commence an investigation immediately,
6     regardless of the time of day or night. All other
7     investigations shall be commenced within 24 hours of
8     receipt of the report. Upon receipt of a report, the Child
9     Protective Service Unit shall conduct a family assessment
10     authorized by subsection (a-5) or begin an initial
11     investigation and make an initial determination whether
12     the report is a good faith indication of alleged child
13     abuse or neglect.
14         (3) Based on an initial investigation, if the Unit
15     determines the report is a good faith indication of alleged
16     child abuse or neglect, then a formal investigation shall
17     commence and, pursuant to Section 7.12 of this Act, may or
18     may not result in an indicated report. The formal
19     investigation shall include: direct contact with the
20     subject or subjects of the report as soon as possible after
21     the report is received; an evaluation of the environment of
22     the child named in the report and any other children in the
23     same environment; a determination of the risk to such
24     children if they continue to remain in the existing
25     environments, as well as a determination of the nature,
26     extent and cause of any condition enumerated in such

 

 

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1     report; the name, age and condition of other children in
2     the environment; and an evaluation as to whether there
3     would be an immediate and urgent necessity to remove the
4     child from the environment if appropriate family
5     preservation services were provided. After seeing to the
6     safety of the child or children, the Department shall
7     forthwith notify the subjects of the report in writing, of
8     the existence of the report and their rights existing under
9     this Act in regard to amendment or expungement. To fulfill
10     the requirements of this Section, the Child Protective
11     Service Unit shall have the capability of providing or
12     arranging for comprehensive emergency services to children
13     and families at all times of the day or night.
14         (4) If (i) at the conclusion of the Unit's initial
15     investigation of a report, the Unit determines the report
16     to be a good faith indication of alleged child abuse or
17     neglect that warrants a formal investigation by the Unit,
18     the Department, any law enforcement agency or any other
19     responsible agency and (ii) the person who is alleged to
20     have caused the abuse or neglect is employed or otherwise
21     engaged in an activity resulting in frequent contact with
22     children and the alleged abuse or neglect are in the course
23     of such employment or activity, then the Department shall,
24     except in investigations where the Director determines
25     that such notification would be detrimental to the
26     Department's investigation, inform the appropriate

 

 

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1     supervisor or administrator of that employment or activity
2     that the Unit has commenced a formal investigation pursuant
3     to this Act, which may or may not result in an indicated
4     report. The Department shall also notify the person being
5     investigated, unless the Director determines that such
6     notification would be detrimental to the Department's
7     investigation.
8     (c) In an investigation of a report of suspected abuse or
9 neglect of a child by a school employee at a school or on
10 school grounds, the Department shall make reasonable efforts to
11 follow the following procedures:
12         (1) Investigations involving teachers shall not, to
13     the extent possible, be conducted when the teacher is
14     scheduled to conduct classes. Investigations involving
15     other school employees shall be conducted so as to minimize
16     disruption of the school day. The school employee accused
17     of child abuse or neglect may have his superior, his
18     association or union representative and his attorney
19     present at any interview or meeting at which the teacher or
20     administrator is present. The accused school employee
21     shall be informed by a representative of the Department, at
22     any interview or meeting, of the accused school employee's
23     due process rights and of the steps in the investigation
24     process. The information shall include, but need not
25     necessarily be limited to the right, subject to the
26     approval of the Department, of the school employee to

 

 

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1     confront the accuser, if the accuser is 14 years of age or
2     older, or the right to review the specific allegations
3     which gave rise to the investigation, and the right to
4     review all materials and evidence that have been submitted
5     to the Department in support of the allegation. These due
6     process rights shall also include the right of the school
7     employee to present countervailing evidence regarding the
8     accusations.
9         (2) If a report of neglect or abuse of a child by a
10     teacher or administrator does not involve allegations of
11     sexual abuse or extreme physical abuse, the Child
12     Protective Service Unit shall make reasonable efforts to
13     conduct the initial investigation in coordination with the
14     employee's supervisor.
15         If the Unit determines that the report is a good faith
16     indication of potential child abuse or neglect, it shall
17     then commence a formal investigation under paragraph (3) of
18     subsection (b) of this Section.
19         (3) If a report of neglect or abuse of a child by a
20     teacher or administrator involves an allegation of sexual
21     abuse or extreme physical abuse, the Child Protective Unit
22     shall commence an investigation under paragraph (2) of
23     subsection (b) of this Section.
24     (c-5) In any instance in which a report is made or caused
25 to made by a school district employee involving the conduct of
26 a person employed by the school district, at the time the

 

 

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1 report was made, as required under Section 4 of this Act, the
2 Child Protective Service Unit shall send a copy of its final
3 finding report to the general superintendent of that school
4 district.
5     (d) If the Department has contact with an employer, or with
6 a religious institution or religious official having
7 supervisory or hierarchical authority over a member of the
8 clergy accused of the abuse of a child, in the course of its
9 investigation, the Department shall notify the employer or the
10 religious institution or religious official, in writing, when a
11 report is unfounded so that any record of the investigation can
12 be expunged from the employee's or member of the clergy's
13 personnel or other records. The Department shall also notify
14 the employee or the member of the clergy, in writing, that
15 notification has been sent to the employer or to the
16 appropriate religious institution or religious official
17 informing the employer or religious institution or religious
18 official that the Department's investigation has resulted in an
19 unfounded report.
20     (e) Upon request by the Department, the Department of State
21 Police and law enforcement agencies are authorized to provide
22 criminal history record information as defined in the Illinois
23 Uniform Conviction Information Act and information maintained
24 in the adjudicatory and dispositional record system as defined
25 in Section 2605-355 of the Department of State Police Law (20
26 ILCS 2605/2605-355) to properly designated employees of the

 

 

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1 Department of Children and Family Services if the Department
2 determines the information is necessary to perform its duties
3 under the Abused and Neglected Child Reporting Act, the Child
4 Care Act of 1969, and the Children and Family Services Act. The
5 request shall be in the form and manner required by the
6 Department of State Police. Any information obtained by the
7 Department of Children and Family Services under this Section
8 is confidential and may not be transmitted outside the
9 Department of Children and Family Services other than to a
10 court of competent jurisdiction or unless otherwise authorized
11 by law. Any employee of the Department of Children and Family
12 Services who transmits confidential information in violation
13 of this Section or causes the information to be transmitted in
14 violation of this Section is guilty of a Class A misdemeanor
15 unless the transmittal of the information is authorized by this
16 Section or otherwise authorized by law.
17     (f) For purposes of this Section "child abuse or neglect"
18 includes abuse or neglect of an adult resident as defined in
19 this Act.
20 (Source: P.A. 95-908, eff. 8-26-08; 96-760, eff. 1-1-10.)
 
21     (325 ILCS 5/7.7)  (from Ch. 23, par. 2057.7)
22     Sec. 7.7. There shall be a central register of all cases of
23 suspected child abuse or neglect reported and maintained by the
24 Department under this Act. Through the recording of initial,
25 preliminary, and final reports, the central register shall be

 

 

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1 operated in such a manner as to enable the Department to: (1)
2 immediately identify and locate prior reports of child abuse or
3 neglect; (2) continuously monitor the current status of all
4 reports of child abuse or neglect being provided services under
5 this Act; and (3) regularly evaluate the effectiveness of
6 existing laws and programs through the development and analysis
7 of statistical and other information.
8     The Department shall maintain in the central register a
9 listing of unfounded reports where the subject of the unfounded
10 report requests that the record not be expunged because the
11 subject alleges an intentional false report was made. Such a
12 request must be made by the subject in writing to the
13 Department, within 10 days of the investigation.
14     The Department shall also maintain in the central register
15 a listing of unfounded reports where the report was classified
16 as a priority one or priority two report in accordance with the
17 Department's rules or the report was made by a person mandated
18 to report suspected abuse or neglect under this Act.
19     The Department shall maintain in the central register for 3
20 years a listing of unfounded reports involving the death of a
21 child, the sexual abuse of a child, or serious physical injury
22 to a child as defined by the Department in rules.
23     For purposes of this Section "child abuse or neglect"
24 includes abuse or neglect of an adult resident as defined in
25 this Act.
26 (Source: P.A. 90-15, eff. 6-13-97.)
 

 

 

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1     (325 ILCS 5/7.10)  (from Ch. 23, par. 2057.10)
2     Sec. 7.10. Upon the receipt of each oral report made under
3 this Act, the Child Protective Service Unit shall immediately
4 transmit a copy thereof to the state central register of child
5 abuse and neglect. A preliminary report from a Child Protective
6 Service Unit shall be made at the time of the first of any
7 30-day extensions made pursuant to Section 7.12 and shall
8 describe the status of the related investigation up to that
9 time, including an evaluation of the present family situation
10 and danger to the child or children, corrections or up-dating
11 of the initial report, and actions taken or contemplated.
12     For purposes of this Section "child" includes an adult
13 resident as defined in this Act.
14 (Source: P.A. 86-904.)
 
15     (325 ILCS 5/7.14)  (from Ch. 23, par. 2057.14)
16     Sec. 7.14. All reports in the central register shall be
17 classified in one of three categories: "indicated",
18 "unfounded" or "undetermined", as the case may be. After the
19 report is classified, the person making the classification
20 shall determine whether the child named in the report is the
21 subject of an action under Article II of the Juvenile Court Act
22 of 1987. If the child is the subject of an action under Article
23 II of the Juvenile Court Act, the Department shall transmit a
24 copy of the report to the guardian ad litem appointed for the

 

 

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1 child under Section 2-17 of the Juvenile Court Act. All
2 information identifying the subjects of an unfounded report
3 shall be expunged from the register forthwith, except as
4 provided in Section 7.7. Unfounded reports may only be made
5 available to the Child Protective Service Unit when
6 investigating a subsequent report of suspected abuse or
7 maltreatment involving a child named in the unfounded report;
8 and to the subject of the report, provided that the subject
9 requests the report within 60 days of being notified that the
10 report was unfounded. The Child Protective Service Unit shall
11 not indicate the subsequent report solely based upon the
12 existence of the prior unfounded report or reports.
13 Notwithstanding any other provision of law to the contrary, an
14 unfounded report shall not be admissible in any judicial or
15 administrative proceeding or action. Identifying information
16 on all other records shall be removed from the register no
17 later than 5 years after the report is indicated. However, if
18 another report is received involving the same child, his
19 sibling or offspring, or a child in the care of the persons
20 responsible for the child's welfare, or involving the same
21 alleged offender, the identifying information may be
22 maintained in the register until 5 years after the subsequent
23 case or report is closed.
24     Notwithstanding any other provision of this Section,
25 identifying information in indicated reports involving serious
26 physical injury to a child as defined by the Department in

 

 

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1 rules, may be retained longer than 5 years after the report is
2 indicated or after the subsequent case or report is closed, and
3 may not be removed from the register except as provided by the
4 Department in rules. Identifying information in indicated
5 reports involving sexual penetration of a child, sexual
6 molestation of a child, sexual exploitation of a child, torture
7 of a child, or the death of a child, as defined by the
8 Department in rules, shall be retained for a period of not less
9 than 50 years after the report is indicated or after the
10 subsequent case or report is closed.
11     For purposes of this Section "child" includes an adult
12 resident as defined in this Act.
13 (Source: P.A. 94-160, eff. 7-11-05.)
 
14     (325 ILCS 5/8.1)  (from Ch. 23, par. 2058.1)
15     Sec. 8.1. If the Child Protective Service Unit determines
16 after investigating a report that there is no credible evidence
17 that a child is abused or neglected, it shall deem the report
18 to be an unfounded report. However, if it appears that the
19 child or family could benefit from other social services, the
20 local service may suggest such services, including services
21 under Section 8.2, for the family's voluntary acceptance or
22 refusal. If the family declines such services, the Department
23 shall take appropriate action in keeping with the best interest
24 of the child, including referring a member of the child's
25 family to a facility licensed by the Department of Human

 

 

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1 Services or the Department of Public Health. For purposes of
2 this Section "child" includes an adult resident as defined in
3 this Act.
4 (Source: P.A. 88-85; 88-487; 88-670, eff. 12-2-94; 89-507, eff.
5 7-1-97.)
 
6     (325 ILCS 5/8.5)  (from Ch. 23, par. 2058.5)
7     Sec. 8.5. The Child Protective Service Unit shall maintain
8 a local child abuse and neglect index of all cases reported
9 under this Act which will enable it to determine the location
10 of case records and to monitor the timely and proper
11 investigation and disposition of cases. The index shall include
12 the information contained in the initial, progress, and final
13 reports required under this Act, and any other appropriate
14 information. For purposes of this Section "child abuse and
15 neglect" includes abuse or neglect of an adult resident as
16 defined in this Act.
17 (Source: P.A. 81-1077.)
 
18     (325 ILCS 5/9)  (from Ch. 23, par. 2059)
19     Sec. 9. Any person, institution or agency, under this Act,
20 participating in good faith in the making of a report or
21 referral, or in the investigation of such a report or referral
22 or in the taking of photographs and x-rays or in the retaining
23 a child in temporary protective custody or in making a
24 disclosure of information concerning reports of child abuse and

 

 

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1 neglect in compliance with Sections 4.2 and 11.1 of this Act or
2 Section 4 of this Act, as it relates to disclosure by school
3 personnel and except in cases of wilful or wanton misconduct,
4 shall have immunity from any liability, civil, criminal or that
5 otherwise might result by reason of such actions. For the
6 purpose of any proceedings, civil or criminal, the good faith
7 of any persons required to report or refer, or permitted to
8 report, cases of suspected child abuse or neglect or permitted
9 to refer individuals under this Act or required to disclose
10 information concerning reports of child abuse and neglect in
11 compliance with Sections 4.2 and 11.1 of this Act, shall be
12 presumed. For purposes of this Section "child abuse and
13 neglect" includes abuse or neglect of an adult resident as
14 defined in this Act.
15 (Source: P.A. 95-908, eff. 8-26-08.)
 
16     (325 ILCS 5/9.1)  (from Ch. 23, par. 2059.1)
17     Sec. 9.1. Employer discrimination. No employer shall
18 discharge, demote or suspend, or threaten to discharge, demote
19 or suspend, or in any manner discriminate against any employee
20 who makes any good faith oral or written report of suspected
21 child abuse or neglect, or who is or will be a witness or
22 testify in any investigation or proceeding concerning a report
23 of suspected child abuse or neglect. For purposes of this
24 Section "child abuse or neglect" includes abuse or neglect of
25 an adult resident as defined in this Act.

 

 

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1 (Source: P.A. 86-904.)
 
2     (325 ILCS 5/11)  (from Ch. 23, par. 2061)
3     Sec. 11. All records concerning reports of child abuse and
4 neglect or records concerning referrals under this Act and all
5 records generated as a result of such reports or referrals,
6 shall be confidential and shall not be disclosed except as
7 specifically authorized by this Act or other applicable law. It
8 is a Class A misdemeanor to permit, assist, or encourage the
9 unauthorized release of any information contained in such
10 reports, referrals or records.
11     Nothing contained in this Section prevents the sharing or
12 disclosure of records relating or pertaining to the death of a
13 minor under the care of or receiving services from the
14 Department of Children and Family Services and under the
15 jurisdiction of the juvenile court with the juvenile court, the
16 State's Attorney, and the minor's attorney. For purposes of
17 this Section "child abuse and neglect" includes abuse or
18 neglect of an adult resident as defined in this Act.
19 (Source: P.A. 90-15, eff. 6-13-97.)
 
20     Section 95. No acceleration or delay. Where this Act makes
21 changes in a statute that is represented in this Act by text
22 that is not yet or no longer in effect (for example, a Section
23 represented by multiple versions), the use of that text does
24 not accelerate or delay the taking effect of (i) the changes

 

 

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1 made by this Act or (ii) provisions derived from any other
2 Public Act.
 
3     Section 99. Effective date. This Act takes effect upon
4 becoming law.".