Current through Register Vol. 48, No. 38, September 20, 2024
a) Dissatisfaction of a vendor with any DHS
action arising from the administration of the Program shall be appealed
pursuant to 89 Ill. Adm. Code 510. A vendor may grieve discipline pursuant to
the following procedures for Level I (Administrative Reviews) and Level II
(Evidentiary Hearings). The action of grieving a suspension, not including an
immediate suspension, to Level I or Level II shall stay the imposition of the
discipline until the administrative remedies within DHS have been exhausted. A
Level I Hearing is optional; a vendor may choose to go directly to a Level II
Hearing and follow the procedures in subsection (c)(2) of this Section. A
suspension shall be grieved by appealing directly to Level II.
b) Level I (Administrative Review)
In order to grieve an oral or written reprimand imposed under
Section
650.110,
DHS must receive a request for a Level I Hearing within 15 days after the date
of receipt of notification that discipline is to be imposed. The vendor shall
give notice in writing by certified mail to the Administrator, which shall
state the reason for the grievance and the remedy being sought.
1) If the grievance is timely, the
Administrator or designee shall, within five days, notify the vendor by
certified mail of the time and place of the Level I Hearing, to be held between
10 and 15 days after receipt of the vendor's notice at the Springfield
administrative office of DHS, 809 Commercial Drive, Springfield IL 62703. The
Administrator, or designee, and vendor shall meet and attempt to resolve the
grievance to their mutual satisfaction.
2) Within 10 days after the adjournment of
the meeting, the Administrator shall send the vendor a letter by certified mail
stating DHS' position and summarizing the results of the hearing. The letter
must cite:
A) a statement of the basis upon
which the decision was made;
B) the
applicable laws, rules, regulations and policies used;
C) the name and address of the DHS Hearings
Coordinator; and
D) a statement
that, if the vendor is dissatisfied with the decision, a request for a Level II
Hearing must be received by the Hearings Coordinator within 15 days from the
date of receipt of the Level I Hearing decision notice. The request shall be in
writing, be addressed to the DHS Hearings Coordinator at 100 South Grand Avenue
East, 3rd Floor, Springfield, Illinois 62762,
contain the reason for the Level II Hearing, and propose four acceptable dates
for the hearing, which dates shall be within 20 days after the
request.
c)
Level II (Evidentiary Hearing)
1) If the
vendor requests a review of an action in which there has been no Level I
Hearing, the request for a Level II Hearing must be received by the DHS
Hearings Coordinator within 15 days after the date of notification that
discipline is to be imposed. The request shall also propose four acceptable
dates for the hearing, which dates shall be within 20 days after the
request.
2) If the vendor has
chosen to have a Level I Hearing and then requests a Level II Hearing, the
Hearing Officer at the Level II Hearing shall review only those issues
presented by the vendor or that are material and related to those presented in
the Level I Hearing.
3) Within 5
days after receipt of the request, the DHS Hearings Coordinator shall select
one of the offered dates and notify the vendor by certified mail of the date
and place for the Level II Hearing, stating the Hearing Officer's name and
address and informing the grievant of all rights accorded pursuant to this
Part.
4) DHS shall be represented
by the Administrator or designee, who may be assisted by other staff, including
the DHS legal counsel.
5) At least
three days prior to the hearing, the vendor and the Administrator must provide
each other and the Hearing Officer with a list of witnesses and copies of
documents not in the possession of the other party.
6) The following is the order of proceedings:
A) presentation, argument and disposition of
all preliminary motions and matters;
B) opening statements;
C) evidence presented by the
vendor;
D) evidence presented by
DHS;
E) rebuttal by either or both
sides; and
F) closing
statements.
7) The vendor
and DHS are entitled to present their cases by oral or documentary evidence, to
submit rebuttal evidence and to conduct such examination and cross-examination
of witnesses as may be required for disclosure of all facts bearing on the
issues.
8) The Hearing Officer
A) The Level II Hearing shall be heard by an
Impartial Hearing Officer appointed by the Hearing Coordinator from a list
maintained by him/her.
B) The
qualifications for a hearing officer are:
i)
impartiality;
ii) an understanding
of the applicable rules (89 Ill. Adm. Code 650);
iii) the ability to preside over the
evidentiary hearing; and
iv) the
ability to reach a recommendation based upon the facts presented at the
evidentiary hearing and the applicable rules.
9) The Hearing Officer has the power to:
A) control the conduct of the hearing to
prevent irrelevant or immaterial discussion;
B) rule upon all motions and other matters
arising in the course of the hearing, including, but not limited to,
admissibility of evidence; and
C)
require the parties, in an agreed upon time frame, at any stage of any hearing
or after all parties have completed the presentation of their evidence, to
present further evidence, including, but not limited to, the production of any
and all documents, books, papers and accounts the Hearing Officer deems
pertinent or relevant to any issue.
10) Any relevant evidence presented that is
of a type commonly relied upon by reasonably prudent individuals may be
admissible, i.e., any information not presented in the hearings previously that
pertains to the issues raised in the grievance and has been made available to
both parties within the agreed upon time.
11) DHS will make an audio tape recording of
the proceedings and will provide the vendor with one copy, upon request, at no
cost. Upon request by a vendor, a Braille or large print transcript will be
provided at no cost.
12) The record
of testimony, exhibits, and all papers and documents filed in the hearing shall
constitute the exclusive record for decision.
13) The Decision
A) Within 15 days after the hearing is
adjourned, the Hearing Officer shall provide a recommendation to the Director
of DHS-DRS. The recommendation of the Hearing Officer shall be based upon the
record of the hearing and shall set forth the principal issues and relevant
facts adduced at the hearing; the applicable provisions in law and regulation;
and a recommended action. It shall also contain findings of fact and
conclusions with respect to each of the issues and the bases for those findings
and conclusions.
B) The
recommendation may also set forth any remedial action necessary to resolve
operational problems of the Program.
C) The Director of DHS-DRS shall make a
decision as to the disciplinary action to be taken within 15 days after receipt
of the recommendations. The Director's decision shall state the principal
issues and relevant facts brought out at the hearing, pertinent provisions in
law, regulation and Program procedures, the reasoning that led to the decision,
and the vendor's right to appeal to the U.S. Department of Education pursuant
to
34 CFR
395.13 (2009). A copy of the Hearing
Officer's recommendations shall be attached to the Director's letter. The
Director shall send copies of the decision by certified mail to the Hearing
Officer, the vendor and his or her personal representative, and the
Administrator.
D) If the vendor is
dissatisfied with the decision rendered after a Level II Hearing, the vendor
may request that an arbitration panel be convened by filing a complaint with
the Secretary of the United States Department of Education, as authorized by
Section 5(a) of the Randolph-Sheppard Act and
34 CFR
395.13 (2009).
d) General Provisions for Level I and II
Hearings
1) A vendor may only designate one
personal representative at any one time. DHS and the Hearing Officer must be
notified by the vendor of the appointment of a representative by filing, at
least three days in advance of a hearing, a notice of appearance stating the
representative's name, address and telephone number, identifying the vendor
represented, and signed by the vendor.
2) Grievances by any party not directly
aggrieved by the discipline cannot be heard by DHS pursuant to this
Part.
3) The vendor may request a
reader, which DHS shall provide at its expense if it is necessary. Either
Braille, large print or audio material, at the vendor's request, will be used
as required.
4) All meetings with
the vendor pursuant to this Section must occur at a time and location
convenient to both parties.
5) All
proceedings pursuant to this Section are to be confidential and not open to the
general public unless requested to be so by the vendor.
6) DHS will assume the administrative costs
of the appeals, e.g., reader and court reporter/transcription, but not costs
personally incurred by the vendor because of the proceedings, e.g., legal fees,
travel, witness costs, and room and board.
e) Vendor's Rights Regarding a Grievance
After a request for a hearing is received by DHS, the vendor
must be informed of the right to:
1)
review his or her file and other related documents, with the exception of
information submitted under Section
650.90
and confidential information;
2) be
represented by a personal representative who has filed a notice of appearance
with DHS;
3) an explanation of the
grievance process as set forth in this Section;
4) request a reader;
5) withdraw the grievance at any time during
the process, in which case the vendor cannot request a reopening of the
grievance;
6) a timely and
impartial hearing;
7) decline to
appear for a Level I or II Hearing, in which case a review of the case file and
any new written information or evidence submitted by the grievant shall be
examined and a decision made based on that review by the Hearing
Officer;
8) confidentiality of the
proceedings as set forth in 89 Ill. Adm. Code
505.10;
and
9) have DHS employees directly
involved in the appealed action present at the hearings, and to question them.
However, if the employee is no longer employed by DHS and declines to attend
the hearing after DHS has made a reasonable attempt to secure his or her
attendance, the person most knowledgeable about the case shall
attend.
f) DHS Rights
Regarding a Grievance
DHS has the right to:
1) refuse to hear grievances if not timely
filed;
2) have a DHS attorney
present;
3) cooperation by the
vendor (e.g., responding to Hearing Officer questions, adhering to time frames
provided in this Section);
4)
publish hearing summaries, with deletions as necessary to ensure a vendor's
confidentiality; and
5) consolidate
for hearing all issues related to a vendor or to several vendors out of the
same set of facts and circumstances.
g) Conduct of the Hearings
1) A hearing shall not be adjourned until the
Administrator or Hearing Officer is satisfied that all facts needed for a
decision have been presented.
2)
Only evidence bearing directly on the issue under review may be introduced;
only evidence that has been made available to the other party may be considered
by the Administrator or Hearing Officer.
3) It is DHS' responsibility to prove that a
violation occurred. If the Hearing Officer determines that DHS failed to prove
that a violation occurred, based on evidence and a review of applicable law and
regulations, he or she may direct that the disciplinary action being grieved be
removed from the vendor's file.
4)
All parties involved in the hearing must avoid undue delay caused by repetitive
continuances so that the subject matter of the hearing may be resolved
expeditiously. A hearing may, for good cause shown (e.g., illness of a vendor
or witness, crisis at a facility, severe weather), be continued by the
Administrator or Hearing Officer. Notice of the request must be given in
writing to the other party and to the Hearing Officer no less than 5 days prior
to the scheduled hearing date (in the absence of an emergency).
h) Use of the Record
1) Upon completion of the hearing, all
records, recommendations, orders, and attached materials shall be placed in a
permanent file. This file shall be confidential and only those DHS officials
involved in the disciplinary process shall have access to them. In future
cases, the legal representative of a vendor may examine the files, but only
after the names, addresses, and identifying characteristics of any vendors
involved have been removed.
2) The
Director of DHS-DRS reserves the right to submit the record of the Level II
Hearing to the appropriate State or federal officials, together with a request
that action be taken, if the record discloses that illegal conduct relating to
the operation of the facility may have occurred.