Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 260 - CHILDREN'S COMMUNITY-BASED HEALTH CARE CENTER CODE
Section 260.2200 - Personnel
Current through Register Vol. 48, No. 12, March 22, 2024
a) Each facility shall develop and maintain written personnel policies that are followed in the operation of the facility.
b) The facility shall establish policies to screen all current and prospective employees and volunteers, which shall include at least the following:
c) The facility shall define in written policy that individuals with findings on the DCFS Central Registry shall be ineligible for hire or to volunteer.
d) The facility shall provide orientation to new staff regarding their responsibilities under the Abused and Neglected Child Reporting Act prior to the first day of employment.
e) The facility shall provide orientation to new volunteers prior to the first day of volunteering.
f) Orientation of staff and volunteers shall include, at least, definitions of what constitutes abuse and neglect, the individual's responsibility under the Abused and Neglected Child Reporting Act, and the facility's policy on reporting abuse and neglect. This information shall be reviewed annually with current staff and volunteers.
g) Each employee shall have an initial health evaluation, which shall be used to ensure that employees are not placed in positions that would pose undue risk of infection to themselves, other employees, children or visitors.
h) The facility shall provide enough trained and supervised staff to meet each child's medical plan of care.
i) The facility shall have a designated facility manager.
j) The facility shall have a designated director of nursing (DON) or equivalent. The DON or equivalent shall be a registered professional nurse who holds at least a bachelor's degree in nursing and relevant continuing education. The DON also shall have experience in nursing administration and shall be employed full-time within the facility.
k) At least two registered nurses shall be at the facility at all times that a child is present. The minimum staffing ratio for respite and transitional care is one RN to four children; however, a second nurse shall be in a facility even when the number of children in a facility is below four. All certified nursing assistants shall meet training requirements by completing a training program approved under the Long-Term Care Assistants and Aides Training Programs Code.
l) The facility's site physician shall be a physician with expertise in chronic diseases of children. The facility's site physician shall review medical protocols, resolve issues with children's primary health care provider and provide medical advice when a child's primary health care provider is not available.
m) The facility shall define, through job descriptions, minimum nursing education and clinical experience requirements for all staff, consultants and contract staff, approved DCFS providers, and all others providing nursing services to the facility. All RNs and licensed practical nurses shall be CPR certified prior to employment. All RNs shall be certified in Pediatric Advanced Life Support within three months after employment.
n) The facility shall provide an initial orientation and routine, pertinent training to all staff, including, for registered nurses, training on ventilator equipment within three months after employment. This training may include return demonstration, one-on-one training, small group exercises or lecture. All training shall be documented by a clinical skills checklist that includes:
o) Prior to employing any individual in a position that requires a State license, the facility shall contact the Illinois Department of Financial and Professional Regulation-Division of Professional Regulation to verify that the individual's license is active. A copy of the verification shall be placed in the individual's personnel file.
p) The facility shall check the status of all applicants with the Health Care Worker Registry prior to hiring.
q) All new clinical employees shall review the clinical policies and procedures manual within 15 days after employment. A letter documenting the review, signed by the facility manager, shall be kept in the employee's file.
r) All new administrative employees shall review the facility's operation manual within 15 days after employment. A letter documenting the review, signed by the facility manager, shall be kept in the employee's file.
s) All new employees shall receive fire safety and evacuation training upon hiring. The training shall be reviewed annually for all employees.