Section 260.2500  Quality Assessment and Improvement

a)         The licensee shall develop and implement a quality assessment and improvement program designed to meet at least the following goals:

1)         Ongoing monitoring and evaluation of the quality and accessibility of care and services provided at the center or under contract, including but not limited to:

A)        Admission of children appropriate to the capabilities of the center;

B)        Client satisfaction;

C)        Costs for delivery of services;

D)        Infection control and safety; and

E)         Medication administration.

2)         Identification and analysis of problems.

3)         Identification and implementation of corrective action or changes in response to problems.

b)         The program shall operate pursuant to a written plan, which shall include, but not be limited to:

1)         A detailed statement of its goals;

2)         The methodology and criteria that will be used to meet each stated goal;

3)         The action plans for addressing problems;

4)         Procedures for evaluating the effectiveness of action plans and revising action plans to prevent reoccurrence of problems;

5)         Procedures for documenting the activities of the program; and

6)         Identification of the persons responsible for administering the program.

c)         The center shall report to the Department, no later than 5 p.m. the next business day, any serious incident or accident involving a child.  The report shall include the name of the child, a description of the incident or accident, and the date and time of the incident or accident.  Incidents or accidents include, but are not limited to:

1)         A serious injury to a child, including while in a restraint;

2)         A child's death while he or she is a resident in the center; or

3)         A serious medication error resulting in medical intervention and/or hospitalization.

d)         The licensee shall afford the Department and the Board access to any materials or documents generated pursuant to the center's quality assessment and improvement program or that otherwise relate to client demand, utilization and satisfaction; cost effectiveness; financial viability of the center; and access to services.  This information shall be used by the Department and the Board to evaluate and assess the center in relation to the Demonstration Program.

(Source:  Amended at 34 Ill. Reg. 2551, effective January 27, 2010)