Rep. Eddie Lee Jackson, Sr.

Filed: 5/18/2011

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 1968

2    AMENDMENT NO. ______. Amend Senate Bill 1968 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Illinois Act on the Aging is amended by
5changing Sections 4.02c and 8.08 as follows:
 
6    (20 ILCS 105/4.02c)
7    Sec. 4.02c. Comprehensive Care in Residential Settings
8Demonstration Project.
9    (a) The Department may establish and fund a demonstration
10program of bundled services designed to support the specialized
11needs of clients who qualify for Community Care Program
12services and reside in projects designated by the Department as
13Comprehensive Care Residential Settings. Designated projects
14must hold a valid certificate license, which remains
15unsuspended, unrevoked, and unexpired, under the provisions of
16the Assisted Living and Shared Housing Act.

 

 

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1    (b) The designated projects in the demonstration program
2must include, at a minimum:
3        (1) 3 meals per day;
4        (2) routine housekeeping services;
5        (3) 24-hour-a-day security;
6        (4) an emergency response system;
7        (5) personal laundry and linen service;
8        (6) assistance with activities of daily living;
9        (7) medication management; and
10        (8) money management.
11    Optional services, such as transportation and social
12activities, may be provided.
13    (c) Reimbursement for the program shall be based on the
14client's level of need and functional impairment, as determined
15by the Department. Clients must meet all eligibility
16requirements established by rule. The Department may establish
17a capitated reimbursement mechanism based on the client's level
18of need and functional impairment. Reimbursement for program
19must be made to the Department-contracted provider delivering
20the services.
21    (d) The Department shall adopt rules and provide oversight
22for the project, with assistance and advice provided by the
23Community Care Program Advisory Committee.
24    The project may be funded through the Department
25appropriations that may include Medicaid waiver funds.
26(Source: P.A. 96-918, eff. 6-9-10; 96-1538, eff. 3-4-11.)
 

 

 

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1    (20 ILCS 105/8.08)
2    Sec. 8.08. Older direct care worker recognition. The
3Department shall present one award annually to older direct
4care workers in each of the following categories: Older
5American Act Services, Home Health Services, Community Care
6Program Services, Nursing Homes, and programs that provide
7housing with services licensed or certified by the State. The
8Department shall solicit nominations from associations
9representing providers of the named services or settings and
10trade associations representing applicable direct care
11workers. Nominations shall be presented in a format designated
12by the Department. Direct care workers honored with this award
13must be 55 years of age or older and shall be recognized for
14their dedication and commitment to improving the quality of
15aging in Illinois above and beyond the confines of their job
16description. Award recipients shall be honored in conjunction
17with the Senior Illinoisans Hall of Fame awards before their
18peers at the Governor's Conference on Aging or at a similar
19venue, shall have their pictures displayed on the Department's
20website with their permission, and shall receive a letter of
21commendation from the Governor. The Department shall include
22the recipients of these awards in all Senior Hall of Fame
23displays required by the Act on Aging. Except as otherwise
24prohibited by law, the Department may solicit private sector
25funding to underwrite the cost of all awards and recognition

 

 

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1materials and shall request that all associations representing
2providers of the named services or settings and trade
3associations applicable to direct care workers publicize the
4awards and the award recipients in communications with their
5members. The Department shall request nominations no later than
6July 1, 2011, and every May 1 thereafter.
7(Source: P.A. 96-376, eff. 8-13-09; 96-918, eff. 6-9-10.)
 
8    Section 10. The Assisted Living and Shared Housing Act is
9amended by changing Sections 5, 10, 20, 25, 30, 32, 35, 40, 45,
1055, 60, 65, 75, 90, 100, 110, 120, 140, 145, 150, and 155 as
11follows:
 
12    (210 ILCS 9/5)
13    Sec. 5. Legislative purpose. The purpose of this Act is to
14permit the development and availability of assisted living
15establishments and shared housing establishments based on a
16social model that promotes the dignity, individuality,
17privacy, independence, autonomy, and decision-making ability
18and the right to negotiated risk of those persons; to provide
19for the health, safety, and welfare of those residents residing
20in assisted living and shared housing establishments in this
21State; to promote continuous quality improvement in assisted
22living; and to encourage the development of innovative and
23affordable assisted living establishments and shared housing
24with service establishments for elderly persons of all income

 

 

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1levels. It is the public policy of this State that assisted
2living is an important part of the continuum of long term care.
3In support of the goal of aging in place within the parameters
4established by this Act, assisted living and shared housing
5establishments shall be operated as residential environments
6with supportive services designed to meet the individual
7resident's changing needs and preferences. The residential
8environment shall be designed to encourage family and community
9involvement. The services available to residents, either
10directly or through contracts or agreements, are intended to
11help residents remain as independent as possible. Assisted
12living, which promotes resident choice, autonomy, and decision
13making, should be based on a contract model designed to result
14in a negotiated agreement between the resident or the
15resident's representative and the provider, clearly
16identifying the services to be provided. This model assumes
17that residents are able to direct services provided for them
18and will designate a representative to direct these services if
19they themselves are unable to do so. This model supports the
20principle that there is an acceptable balance between consumer
21protection and resident willingness to accept risk and that
22most consumers are competent to make their own judgments about
23the services they are obtaining. Regulation of assisted living
24establishments and shared housing establishments must be
25sufficiently flexible to allow residents to age in place within
26the parameters of this Act. The administration of this Act and

 

 

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1services provided must therefore ensure that the residents have
2the rights and responsibilities to direct the scope of services
3they receive and to make individual choices based on their
4needs and preferences. These establishments shall be operated
5in a manner that provides the least restrictive and most
6homelike environment and that promotes independence, autonomy,
7individuality, privacy, dignity, and the right to negotiated
8risk in residential surroundings. It is not the intent of the
9State that certified establishments licensed under this Act be
10used as halfway houses for alcohol and substance abusers.
11(Source: P.A. 91-656, eff. 1-1-01.)
 
12    (210 ILCS 9/10)
13    Sec. 10. Definitions. For purposes of this Act:
14    "Activities of daily living" means eating, dressing,
15bathing, toileting, transferring, or personal hygiene.
16    "Assisted living establishment" or "establishment" means a
17home, building, residence, or any other place where sleeping
18accommodations are provided for at least 3 unrelated adults, at
19least 80% of whom are 55 years of age or older and where the
20following are provided consistent with the purposes of this
21Act:
22        (1) services consistent with a social model that is
23    based on the premise that the resident's unit in assisted
24    living and shared housing is his or her own home;
25        (2) community-based residential care for persons who

 

 

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1    need assistance with activities of daily living, including
2    personal, supportive, and intermittent health-related
3    services available 24 hours per day, if needed, to meet the
4    scheduled and unscheduled needs of a resident;
5        (3) mandatory services, whether provided directly by
6    the establishment or by another entity arranged for by the
7    establishment, with the consent of the resident or
8    resident's representative; and
9        (4) a physical environment that is a homelike setting
10    that includes the following and such other elements as
11    established by the Department: individual living units
12    each of which shall accommodate small kitchen appliances
13    and contain private bathing, washing, and toilet
14    facilities, or private washing and toilet facilities with a
15    common bathing room readily accessible to each resident.
16    Units shall be maintained for single occupancy except in
17    cases in which 2 residents choose to share a unit.
18    Sufficient common space shall exist to permit individual
19    and group activities.
20    "Assisted living establishment" or "establishment" does
21not mean any of the following:
22        (1) A home, institution, or similar place operated by
23    the federal government or the State of Illinois.
24        (2) A long term care facility licensed under the
25    Nursing Home Care Act or a facility licensed under the
26    MR/DD Community Care Act. However, a facility licensed

 

 

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1    under either of those Acts may convert distinct parts of
2    the facility to assisted living. If the facility elects to
3    do so, the facility shall retain the Certificate of Need
4    for its nursing and sheltered care beds that were
5    converted.
6        (3) A hospital, sanitarium, or other institution, the
7    principal activity or business of which is the diagnosis,
8    care, and treatment of human illness and that is required
9    to be licensed under the Hospital Licensing Act.
10        (4) A facility for child care as defined in the Child
11    Care Act of 1969.
12        (5) A community living facility as defined in the
13    Community Living Facilities Licensing Act.
14        (6) A nursing home or sanitarium operated solely by and
15    for persons who rely exclusively upon treatment by
16    spiritual means through prayer in accordance with the creed
17    or tenants of a well-recognized church or religious
18    denomination.
19        (7) A facility licensed by the Department of Human
20    Services as a community-integrated living arrangement as
21    defined in the Community-Integrated Living Arrangements
22    Licensure and Certification Act.
23        (8) A supportive residence licensed under the
24    Supportive Residences Licensing Act.
25        (9) The portion of a life care facility as defined in
26    the Life Care Facilities Act not licensed as an assisted

 

 

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1    living establishment under this Act; a life care facility
2    may apply under this Act to convert sections of the
3    community to assisted living.
4        (10) A free-standing hospice facility licensed under
5    the Hospice Program Licensing Act.
6        (11) A shared housing establishment.
7        (12) A supportive living facility as described in
8    Section 5-5.01a of the Illinois Public Aid Code.
9    "Department" means the Department of Public Health.
10    "Director" means the Director of Public Health.
11    "Emergency situation" means imminent danger of death or
12serious physical harm to a resident of an establishment.
13    "Certificate License" means any of the following types of
14certificates licenses issued to an applicant or licensee by the
15Department:
16        (1) "Probationary certificate license" means a
17    certificate license issued to an applicant or the holder of
18    a certificate licensee that has not held a certificate or
19    license under this Act prior to its application or pursuant
20    to a license transfer in accordance with Section 50 of this
21    Act.
22        (2) "Regular certification license" means a
23    certificate license issued by the Department to an
24    applicant or the holder of a certificate licensee that is
25    in substantial compliance with this Act and any rules
26    promulgated under this Act.

 

 

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1    "Holder of a certificate Licensee" means a person, agency,
2association, corporation, partnership, or organization that
3has been issued a certificate license to operate an assisted
4living or shared housing establishment.
5    "Licensed health care professional" means a registered
6professional nurse, an advanced practice nurse, a physician
7assistant, and a licensed practical nurse.
8    "Mandatory services" include the following:
9        (1) 3 meals per day available to the residents prepared
10    by the establishment or an outside contractor;
11        (2) housekeeping services including, but not limited
12    to, vacuuming, dusting, and cleaning the resident's unit;
13        (3) personal laundry and linen services available to
14    the residents provided or arranged for by the
15    establishment;
16        (4) security provided 24 hours each day including, but
17    not limited to, locked entrances or building or contract
18    security personnel;
19        (5) an emergency communication response system, which
20    is a procedure in place 24 hours each day by which a
21    resident can notify building management, an emergency
22    response vendor, or others able to respond to his or her
23    need for assistance; and
24        (6) assistance with activities of daily living as
25    required by each resident.
26    "Negotiated risk" is the process by which a resident, or

 

 

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1his or her representative, may formally negotiate with
2providers what risks each are willing and unwilling to assume
3in service provision and the resident's living environment. The
4provider assures that the resident and the resident's
5representative, if any, are informed of the risks of these
6decisions and of the potential consequences of assuming these
7risks.
8    "Owner" means the individual, partnership, corporation,
9association, or other person who owns an assisted living or
10shared housing establishment. In the event an assisted living
11or shared housing establishment is operated by a person who
12leases or manages the physical plant, which is owned by another
13person, "owner" means the person who operates the assisted
14living or shared housing establishment, except that if the
15person who owns the physical plant is an affiliate of the
16person who operates the assisted living or shared housing
17establishment and has significant control over the day to day
18operations of the assisted living or shared housing
19establishment, the person who owns the physical plant shall
20incur jointly and severally with the owner all liabilities
21imposed on an owner under this Act.
22    "Physician" means a person licensed under the Medical
23Practice Act of 1987 to practice medicine in all of its
24branches.
25    "Resident" means a person residing in an assisted living or
26shared housing establishment.

 

 

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1    "Resident's representative" means a person, other than the
2owner, agent, or employee of an establishment or of the health
3care provider unless related to the resident, designated in
4writing by a resident to be his or her representative. This
5designation may be accomplished through the Illinois Power of
6Attorney Act, pursuant to the guardianship process under the
7Probate Act of 1975, or pursuant to an executed designation of
8representative form specified by the Department.
9    "Self" means the individual or the individual's designated
10representative.
11    "Shared housing establishment" or "establishment" means a
12publicly or privately operated free-standing residence for 16
13or fewer persons, at least 80% of whom are 55 years of age or
14older and who are unrelated to the owners and one manager of
15the residence, where the following are provided:
16        (1) services consistent with a social model that is
17    based on the premise that the resident's unit is his or her
18    own home;
19        (2) community-based residential care for persons who
20    need assistance with activities of daily living, including
21    housing and personal, supportive, and intermittent
22    health-related services available 24 hours per day, if
23    needed, to meet the scheduled and unscheduled needs of a
24    resident; and
25        (3) mandatory services, whether provided directly by
26    the establishment or by another entity arranged for by the

 

 

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1    establishment, with the consent of the resident or the
2    resident's representative.
3    "Shared housing establishment" or "establishment" does not
4mean any of the following:
5        (1) A home, institution, or similar place operated by
6    the federal government or the State of Illinois.
7        (2) A long term care facility licensed under the
8    Nursing Home Care Act or a facility licensed under the
9    MR/DD Community Care Act. A facility licensed under either
10    of those Acts may, however, convert sections of the
11    facility to assisted living. If the facility elects to do
12    so, the facility shall retain the Certificate of Need for
13    its nursing beds that were converted.
14        (3) A hospital, sanitarium, or other institution, the
15    principal activity or business of which is the diagnosis,
16    care, and treatment of human illness and that is required
17    to be licensed under the Hospital Licensing Act.
18        (4) A facility for child care as defined in the Child
19    Care Act of 1969.
20        (5) A community living facility as defined in the
21    Community Living Facilities Licensing Act.
22        (6) A nursing home or sanitarium operated solely by and
23    for persons who rely exclusively upon treatment by
24    spiritual means through prayer in accordance with the creed
25    or tenants of a well-recognized church or religious
26    denomination.

 

 

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1        (7) A facility licensed by the Department of Human
2    Services as a community-integrated living arrangement as
3    defined in the Community-Integrated Living Arrangements
4    Licensure and Certification Act.
5        (8) A supportive residence licensed under the
6    Supportive Residences Licensing Act.
7        (9) A life care facility as defined in the Life Care
8    Facilities Act; a life care facility may apply under this
9    Act to convert sections of the community to assisted
10    living.
11        (10) A free-standing hospice facility licensed under
12    the Hospice Program Licensing Act.
13        (11) An assisted living establishment.
14        (12) A supportive living facility as described in
15    Section 5-5.01a of the Illinois Public Aid Code.
16    "Total assistance" means that staff or another individual
17performs the entire activity of daily living without
18participation by the resident.
19(Source: P.A. 95-216, eff. 8-16-07; 96-339, eff. 7-1-10;
2096-975, eff. 7-2-10.)
 
21    (210 ILCS 9/20)
22    Sec. 20. Construction and operating standards. The
23Department shall prescribe minimum standards for
24establishments. These standards shall include:
25        (1) the location and construction of the

 

 

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1    establishment, including plumbing, heating, lighting,
2    ventilation, and other physical conditions which shall
3    ensure the health, safety, and comfort of residents and
4    their protection from fire hazards; these standards shall
5    include, at a minimum, compliance with the residential
6    board and care occupancies chapter of the National Fire
7    Protection Association's Life Safety Code, local and State
8    building codes for the building type, and accessibility
9    standards of the Americans with Disabilities Act;
10        (2) the number and qualifications of all personnel
11    having responsibility for any part of the services provided
12    for residents;
13        (3) all sanitary conditions within the establishment
14    and its surroundings, including water supply, sewage
15    disposal, food handling, infection control, and general
16    hygiene, which shall ensure the health and comfort of
17    residents;
18        (4) a program for adequate maintenance of physical
19    plant and equipment;
20        (5) adequate accommodations, staff, and services for
21    the number and types of residents for whom the
22    establishment is certified licensed;
23        (6) the development of evacuation and other
24    appropriate safety plans for use during weather, health,
25    fire, physical plant, environmental, and national defense
26    emergencies; and

 

 

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1        (7) the maintenance of minimum financial and other
2    resources necessary to meet the standards established
3    under this Section and to operate the establishment in
4    accordance with this Act.
5(Source: P.A. 96-975, eff. 7-2-10.)
 
6    (210 ILCS 9/25)
7    Sec. 25. Certification License requirement. No person may
8establish, operate, maintain, or offer an establishment as an
9assisted living establishment or shared housing establishment
10as defined by the Act within this State unless and until he or
11she obtains a valid certificate license, which remains
12unsuspended, unrevoked, and unexpired. No public official,
13agent, or employee may place any person in, or recommend that
14any person be placed in, or directly or indirectly cause any
15person to be placed in any establishment that meets the
16definition under this Act that is being operated without a
17valid certificate license. No public official, agent, or
18employee may place the name of an uncertified unlicensed
19establishment that is required to be certified licensed under
20this Act on a list of programs. An entity that operates as an
21assisted living or shared housing establishment as defined by
22this Act without being certified a license shall be subject to
23the provisions, including penalties, of the Nursing Home Care
24Act. No entity shall use in its name or advertise "assisted
25living" unless certified licensed as an assisted living

 

 

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1establishment under this Act or as a shelter care facility
2under the Nursing Home Care Act that also meets the definition
3of an assisted living establishment under this Act, except a
4shared housing establishment certified licensed under this Act
5may advertise assisted living services. A valid license issued
6pursuant to this Act prior to the effective date of this
7amendatory Act of the 97th General Assembly shall be deemed a
8valid certificate pursuant to this Act subject to all renewal,
9suspension, revocation, and disciplinary provisions of this
10Act until such time as the Department shall establish means for
11certification under this Act.
12(Source: P.A. 93-141, eff. 7-10-03.)
 
13    (210 ILCS 9/30)
14    Sec. 30. Certification Licensing.
15    (a) The Department shall establish by rule forms,
16procedures, and fees for the annual certification licensing of
17assisted living and shared housing establishments; shall
18establish and enforce sanctions and penalties for operating in
19violation of this Act, as provided in Section 135 of this Act
20and rules adopted under Section 110 of this Act. The Department
21shall conduct an annual on-site review for each establishment
22covered by this Act, which shall include, but not be limited
23to, compliance with this Act and rules adopted hereunder, focus
24on solving resident issues and concerns, and the quality
25improvement process implemented by the establishment to

 

 

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1address resident issues. The quality improvement process
2implemented by the establishment must benchmark performance,
3be customer centered, be data driven, and focus on resident
4satisfaction.
5    (b) An establishment shall provide the following
6information to the Department to be considered for
7certification licensure:
8        (1) the business name, street address, mailing
9    address, and telephone number of the establishment;
10        (2) the name and mailing address of the owner or owners
11    of the establishment and if the owner or owners are not
12    natural persons, identification of the type of business
13    entity of the owners, and the names and addresses of the
14    officers and members of the governing body, or comparable
15    persons for partnerships, limited liability companies, or
16    other types of business organizations;
17        (3) financial information, content and form to be
18    determined by rules which may provide different standards
19    for assisted living establishments and shared housing
20    establishments, establishing that the project is
21    financially feasible;
22        (4) the name and mailing address of the managing agent
23    of the establishment, whether hired under a management
24    agreement or lease agreement, if different from the owner
25    or owners, and the name of the full-time director;
26        (5) verification that the establishment has entered or

 

 

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1    will enter into a service delivery contract as provided in
2    Section 90, as required under this Act, with each resident
3    or resident's representative;
4        (6) the name and address of at least one natural person
5    who shall be responsible for dealing with the Department on
6    all matters provided for in this Act, on whom personal
7    service of all notices and orders shall be made, and who
8    shall be authorized to accept service on behalf of the
9    owner or owners and the managing agent. Notwithstanding a
10    contrary provision of the Code of Civil Procedure, personal
11    service on the person identified pursuant to this
12    subsection shall be considered service on the owner or
13    owners and the managing agent, and it shall not be a
14    defense to any action that personal service was not made on
15    each individual or entity;
16        (7) the signature of the authorized representative of
17    the owner or owners;
18        (8) proof of an ongoing quality improvement program in
19    accordance with rules adopted by the Department;
20        (9) information about the number and types of units,
21    the maximum census, and the services to be provided at the
22    establishment, proof of compliance with applicable State
23    and local residential standards, and a copy of the standard
24    contract offered to residents;
25        (10) documentation of adequate liability insurance;
26    and

 

 

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1        (11) other information necessary to determine the
2    identity and qualifications of an applicant or the holder
3    of a certificate licensee to operate an establishment in
4    accordance with this Act as required by the Department by
5    rule.
6    (c) The information in the statement of ownership shall be
7public information and shall be available from the Department.
8(Source: P.A. 96-975, eff. 7-2-10.)
 
9    (210 ILCS 9/32)
10    Sec. 32. Floating certification license. An establishment
11(i) in which 80% of the residents are at least 55 years of age
12or older, (ii) that is operated as housing for the elderly, and
13(iii) that meets the construction and operating standards
14contained in Section 20 of this Act may request a floating
15assisted living certificate license for any number of
16individual living units within the establishment up to, but not
17including, total capacity. An establishment requesting a
18floating assisted living certificate license must specify the
19number of individual living units within the establishment to
20be certified licensed. Living units designated by the
21establishment as a certified assisted licensed living unit
22shall, for the purposes of this Section, be referred to as a
23certified assisted licensed living unit. An establishment
24utilizing a floating assisted living certificate license must
25have staff adequate to meet the scheduled and unscheduled needs

 

 

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1of the residents residing in certified assisted licensed living
2units within the establishment. All staff providing services to
3certified assisted licensed living units must meet the
4requirements of this Act and its rules. A living unit may only
5be designated as a certified assisted living licensed unit if
6the living unit and the living unit's resident meet the
7requirements of this Act and its rules. All mandatory services
8must be made available to residents of certified assisted
9licensed living units, and residents of certified assisted
10licensed living units may receive any optional services
11permitted under the establishment's assisted living
12certificate license. Establishments may only provide services
13under this Act in the individual living units designated as
14certified assisted living licensed units. Designation as a
15certified assisted living licensed unit may be temporary to
16accommodate a resident's changing needs without requiring the
17resident to move.
18    An establishment with a floating assisted living
19certification license must keep a current written list of those
20units designated under the floating assisted living
21certificate license. If a resident elects to receive services
22in a unit that is not certified licensed and the unit qualifies
23for assisted living certification licensure, the establishment
24must notify the resident that the unit must be certified as an
25assisting living unit licensed and the requirements of this Act
26must be met before services can be provided to residents in

 

 

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1that unit. Upon the initiation of an initial assisted living
2certification licensing inspection, annual inspection, or
3complaint investigation, the establishment shall provide to
4the Department a list of the units designated under the
5floating assisted living certification license in which
6residents are receiving services subject to this Act.
7(Source: P.A. 93-141, eff. 7-10-03.)
 
8    (210 ILCS 9/35)
9    Sec. 35. Issuance of certification license.
10    (a) Upon receipt and review of an application for a
11certificate license and review of the applicant establishment,
12the Director may issue a certificate license if he or she
13finds:
14        (1) that the individual applicant, or the corporation,
15    partnership, or other entity if the applicant is not an
16    individual, is a person responsible and suitable to operate
17    or to direct or participate in the operation of an
18    establishment by virtue of financial capacity, appropriate
19    business or professional experience, a record of lawful
20    compliance with lawful orders of the Department and lack of
21    revocation of a certificate or license issued under this
22    Act, the Nursing Home Care Act, or the MR/DD Community Care
23    Act during the previous 5 years;
24        (2) that the establishment is under the supervision of
25    a full-time director who is at least 21 years of age and

 

 

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1    has a high school diploma or equivalent plus either:
2            (A) 2 years of management experience or 2 years of
3        experience in positions of progressive responsibility
4        in health care, housing with services, or adult day
5        care or providing similar services to the elderly; or
6            (B) 2 years of management experience or 2 years of
7        experience in positions of progressive responsibility
8        in hospitality and training in health care and housing
9        with services management as defined by rule;
10        (3) that the establishment has staff sufficient in
11    number with qualifications, adequate skills, education,
12    and experience to meet the 24 hour scheduled and
13    unscheduled needs of residents and who participate in
14    ongoing training to serve the resident population;
15        (4) that all employees who are subject to the Health
16    Care Worker Background Check Act meet the requirements of
17    that Act;
18        (5) that the applicant is in substantial compliance
19    with this Act and such other requirements for a certificate
20    license as the Department by rule may establish under this
21    Act;
22        (6) that the applicant pays all required fees;
23        (7) that the applicant has provided to the Department
24    an accurate disclosure document in accordance with the
25    Alzheimer's Disease and Related Dementias Special Care
26    Disclosure Act and in substantial compliance with Section

 

 

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1    150 of this Act.
2    In addition to any other requirements set forth in this
3Act, as a condition of certification licensure under this Act,
4the director of an establishment must participate in at least
520 hours of training every 2 years to assist him or her in
6better meeting the needs of the residents of the establishment
7and managing the operation of the establishment.
8    Any certificate license issued by the Director shall state
9the physical location of the establishment, the date the
10certificate license was issued, and the expiration date. All
11certificates licenses shall be valid for one year, except as
12provided in Sections 40 and 45. Each certificate license shall
13be issued only for the premises and persons named in the
14application, and shall not be transferable or assignable.
15(Source: P.A. 95-79, eff. 8-13-07; 95-590, eff. 9-10-07;
1695-628, eff. 9-25-07; 95-876, eff. 8-21-08; 96-339, eff.
177-1-10; 96-990, eff. 7-2-10.)
 
18    (210 ILCS 9/40)
19    Sec. 40. Probationary certification licenses. If the
20applicant has not been previously certified or licensed under
21this Act or if the establishment is not in operation at the
22time the application is made and if the Department determines
23that the applicant meets the certification licensure
24requirements of this Act, the Department shall issue a
25probationary certificate license. A probationary certificate

 

 

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1license shall be valid for 120 days unless sooner suspended or
2revoked. Within 30 days prior to the termination of a
3probationary certificate license, the Department shall fully
4and completely review the establishment and, if the
5establishment meets the applicable requirements for
6certification licensure, shall issue a certificate license. If
7the Department finds that the establishment does not meet the
8requirements for certification licensure, but has made
9substantial progress toward meeting those requirements, the
10certificate license may be renewed once for a period not to
11exceed 120 days from the expiration date of the initial
12probationary certificate license.
13(Source: P.A. 93-1003, eff. 8-23-04.)
 
14    (210 ILCS 9/45)
15    Sec. 45. Renewal of certification licenses. At least 120
16days, but not more than 150 days prior to the license
17expiration of a certificate, the holder of a certificate
18licensee shall submit an application for renewal of the
19certificate license in such form and containing such
20information as the Department requires. If the application is
21approved, and if the holder of a certificate licensee (i) has
22not committed a Type 1 violation in the preceding 24 months,
23(ii) has not committed a Type 2 violation in the preceding 24
24months, (iii) has not had an inspection, review, or evaluation
25that resulted in a finding of 10 or more Type 3 violations in

 

 

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1the preceding 24 months, and (iv) has not admitted or retained
2a resident in violation of Section 75 of this Act in the
3preceding 24 months, the Department may renew the certificate
4license for an additional period of 2 years at the request of
5the holder of a certificate licensee. If a holder of a
6certificate licensee whose certificate license has been
7renewed for 2 years under this Section subsequently fails to
8meet any of the conditions set forth in items (i), (ii), and
9(iii), then, in addition to any other sanctions that the
10Department may impose under this Act, the Department shall
11revoke the 2-year certificate license and replace it with a
12one-year certificate license until the holder of a certificate
13licensee again meets all of the conditions set forth in items
14(i), (ii), and (iii). If appropriate, the renewal application
15shall not be approved unless the applicant has provided to the
16Department an accurate disclosure document in accordance with
17the Alzheimer's Disease and Related Dementias Special Care
18Disclosure Act. If the application for renewal is not timely
19filed, the Department shall so inform the holder of a
20certificate licensee.
21(Source: P.A. 95-590, eff. 9-10-07; 95-876, eff. 8-21-08;
2296-990, eff. 7-2-10; 96-1275, eff. 7-26-10; revised 9-2-10.)
 
23    (210 ILCS 9/55)
24    Sec. 55. Grounds for denial of a certificate license. An
25application for a certificate license may be denied for any of

 

 

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1the following reasons:
2        (1) failure to meet any of the standards set forth in
3    this Act or by rules adopted by the Department under this
4    Act;
5        (2) conviction of the applicant, or if the applicant is
6    a firm, partnership, or association, of any of its members,
7    or if a corporation, the conviction of the corporation or
8    any of its officers or stockholders, or of the person
9    designated to manage or supervise the establishment, of a
10    felony or of 2 or more misdemeanors involving moral
11    turpitude during the previous 5 years as shown by a
12    certified copy of the record of the court of conviction;
13        (3) personnel insufficient in number or unqualified by
14    training or experience to properly care for the residents;
15        (4) insufficient financial or other resources to
16    operate and conduct the establishment in accordance with
17    standards adopted by the Department under this Act;
18        (5) revocation of a certificate or license during the
19    previous 5 years, if such prior certificate or license was
20    issued to the individual applicant, a controlling owner or
21    controlling combination of owners of the applicant; or any
22    affiliate of the individual applicant or controlling owner
23    of the applicant and such individual applicant,
24    controlling owner of the applicant or affiliate of the
25    applicant was a controlling owner of the prior certificate
26    or license; provided, however, that the denial of an

 

 

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1    application for a certificate license pursuant to this
2    Section must be supported by evidence that the prior
3    revocation renders the applicant unqualified or incapable
4    of meeting or maintaining an establishment in accordance
5    with the standards and rules adopted by the Department
6    under this Act; or
7        (6) the establishment is not under the direct
8    supervision of a full-time director, as defined by rule.
9    The Department shall deny an application for a certificate
10license if 6 months after submitting its initial application
11the applicant has not provided the Department with all of the
12information required for review and approval or the applicant
13is not actively pursuing the processing of its application. In
14addition, the Department shall determine whether the applicant
15has violated any provision of the Nursing Home Care Act or the
16MR/DD Community Care Act.
17(Source: P.A. 96-339, eff. 7-1-10.)
 
18    (210 ILCS 9/60)
19    Sec. 60. Notice of denial; request for hearing; hearing.
20    (a) Immediately upon the denial of any application or
21reapplication for a certificate license under this Act, the
22Department shall notify the applicant in writing. Notice of
23denial shall include a clear and concise statement of the
24violations of this Act on which the denial is based and notice
25of the opportunity for a hearing. If the applicant or the

 

 

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1holder of a certificate licensee wishes to contest the denial
2of a certificate license, it shall provide written notice to
3the Department of a request for a hearing within 10 days after
4receipt of the notice of denial. The Department shall commence
5a hearing under this Section.
6    (b) A request for a hearing by aggrieved persons shall be
7taken to the Department as follows:
8        (1) Upon the receipt of a request in writing for a
9    hearing, the Director or a person designated in writing by
10    the Director to act as a hearing officer shall conduct a
11    hearing to review the decision.
12        (2) Before the hearing is held notice of the hearing
13    shall be sent by the Department to the person making the
14    request for the hearing and to the person making the
15    decision which is being reviewed. In the notice the
16    Department shall specify the date, time, and place of the
17    hearing, which shall be held not less than 10 days after
18    the notice is mailed or delivered. The notice shall
19    designate the decision being reviewed. The notice may be
20    served by delivering it personally to the parties or their
21    representatives or by mailing it by certified mail to the
22    parties' addresses.
23        (3) The Department shall commence the hearing within 30
24    days after the receipt of request for hearing. The hearing
25    shall proceed as expeditiously as practicable, but in all
26    cases shall conclude within 90 days after commencement.

 

 

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1    (c) The Director or hearing officer shall permit any party
2to appear in person and to be represented by counsel at the
3hearing, at which time the applicant or the holder of a
4certificate licensee shall be afforded an opportunity to
5present all relevant matter in support of his or her position.
6In the event of the inability of any party or the Department to
7procure the attendance of witnesses to give testimony or
8produce books and papers, any party or the Department may take
9the deposition of witnesses in accordance with the provisions
10of the laws of this State. All testimony shall be reduced to
11writing, and all testimony and other evidence introduced at the
12hearing shall be a part of the record of the hearing.
13    (d) The Director or hearing officer shall make findings of
14fact in the hearing, and the Director shall render his or her
15decision within 30 days after the termination of the hearing,
16unless additional time not to exceed 90 days is required by him
17or her for a proper disposition of the matter. When the hearing
18has been conducted by a hearing officer, the Director shall
19review the record and findings of fact before rendering a
20decision. All decisions rendered by the Director shall be
21binding upon and complied with by the Department, the
22establishment, or the persons involved in the hearing, as
23appropriate to each case.
24(Source: P.A. 91-656, eff. 1-1-01.)
 
25    (210 ILCS 9/65)

 

 

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1    Sec. 65. Revocation, suspension, or refusal to renew
2certificate license.
3    (a) The Department, after notice to the applicant or the
4holder of a certificate licensee, may suspend, revoke, or
5refuse to renew a certificate license in any case in which the
6Department finds any of the following:
7        (1) that there has been a substantial failure to comply
8    with this Act or the rules promulgated by the Department
9    under this Act;
10        (2) that there has been a conviction of the the holder
11    of a certificate licensee, or of the person designated to
12    manage or supervise the establishment, of a felony or of 2
13    or more misdemeanors involving moral turpitude during the
14    previous 5 years as shown by a certified copy of the record
15    of the court of conviction;
16        (3) that the personnel is insufficient in number or
17    unqualified by training or experience to properly care for
18    the number and type of residents served by the
19    establishment;
20        (4) that the financial or other resources are
21    insufficient to conduct and operate the establishment in
22    accordance with standards promulgated by the Department
23    under this Act; or
24        (5) that the establishment is not under the direct
25    supervision of a full-time director, as defined by rule.
26    (b) Notice under this Section shall include a clear and

 

 

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1concise statement of the violations on which the nonrenewal or
2revocation is based, the statute or rule violated, and notice
3of the opportunity for a hearing under Section 60.
4    (c) If an establishment desires to contest the nonrenewal
5or revocation of a certificate license, the establishment
6shall, within 10 days after receipt of notice under subsection
7(b) of this Section, notify the Department in writing of its
8request for a hearing under Section 60. Upon receipt of the
9request the Department shall send notice to the establishment
10and hold a hearing as provided under Section 60.
11    (d) The effective date of nonrenewal or revocation of a
12certificate license by the Department shall be any of the
13following:
14        (1) until otherwise ordered by the circuit court,
15    revocation is effective on the date set by the Department
16    in the notice of revocation, or upon final action after
17    hearing under Section 60, whichever is later;
18        (2) until otherwise ordered by the circuit court,
19    nonrenewal is effective on the date of expiration of any
20    existing certificate or license, or upon final action after
21    hearing under Section 60, whichever is later; however, a
22    certificate or license shall not be deemed to have expired
23    if the Department fails to timely respond to a timely
24    request for renewal under this Act or for a hearing to
25    contest nonrenewal; or
26        (3) the Department may extend the effective date of

 

 

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1    certificate license revocation or expiration in any case in
2    order to permit orderly removal and relocation of
3    residents.
4    (e) The Department may refuse to issue or may suspend the
5certificate license of any person who fails to file a return,
6or to pay the tax, penalty or interest shown in a filed return,
7or to pay any final assessment of tax, penalty or interest, as
8required by any tax Act administered by the Illinois Department
9of Revenue, until such time as the requirements of any such tax
10Act are satisfied.
11(Source: P.A. 91-656, eff. 1-1-01.)
 
12    (210 ILCS 9/75)
13    Sec. 75. Residency Requirements.
14    (a) No individual shall be accepted for residency or remain
15in residence if the establishment cannot provide or secure
16appropriate services, if the individual requires a level of
17service or type of service for which the establishment is not
18certificated licensed or which the establishment does not
19provide, or if the establishment does not have the staff
20appropriate in numbers and with appropriate skill to provide
21such services.
22    (b) Only adults may be accepted for residency.
23    (c) A person shall not be accepted for residency if:
24        (1) the person poses a serious threat to himself or
25    herself or to others;

 

 

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1        (2) the person is not able to communicate his or her
2    needs and no resident representative residing in the
3    establishment, and with a prior relationship to the person,
4    has been appointed to direct the provision of services;
5        (3) the person requires total assistance with 2 or more
6    activities of daily living;
7        (4) the person requires the assistance of more than one
8    paid caregiver at any given time with an activity of daily
9    living;
10        (5) the person requires more than minimal assistance in
11    moving to a safe area in an emergency;
12        (6) the person has a severe mental illness, which for
13    the purposes of this Section means a condition that is
14    characterized by the presence of a major mental disorder as
15    classified in the Diagnostic and Statistical Manual of
16    Mental Disorders, Fourth Edition (DSM-IV) (American
17    Psychiatric Association, 1994), where the individual is
18    substantially disabled due to mental illness in the areas
19    of self-maintenance, social functioning, activities of
20    community living and work skills, and the disability
21    specified is expected to be present for a period of not
22    less than one year, but does not mean Alzheimer's disease
23    and other forms of dementia based on organic or physical
24    disorders;
25        (7) the person requires intravenous therapy or
26    intravenous feedings unless self-administered or

 

 

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1    administered by a qualified, licensed health care
2    professional;
3        (8) the person requires gastrostomy feedings unless
4    self-administered or administered by a licensed health
5    care professional;
6        (9) the person requires insertion, sterile irrigation,
7    and replacement of catheter, except for routine
8    maintenance of urinary catheters, unless the catheter care
9    is self-administered or administered by a licensed health
10    care professional;
11        (10) the person requires sterile wound care unless care
12    is self-administered or administered by a licensed health
13    care professional;
14        (11) the person requires sliding scale insulin
15    administration unless self-performed or administered by a
16    licensed health care professional;
17        (12) the person is a diabetic requiring routine insulin
18    injections unless the injections are self-administered or
19    administered by a licensed health care professional;
20        (13) the person requires treatment of stage 3 or stage
21    4 decubitus ulcers or exfoliative dermatitis;
22        (14) the person requires 5 or more skilled nursing
23    visits per week for conditions other than those listed in
24    items (13) and (15) of this subsection for a period of 3
25    consecutive weeks or more except when the course of
26    treatment is expected to extend beyond a 3 week period for

 

 

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1    rehabilitative purposes and is certified as temporary by a
2    physician; or
3        (15) other reasons prescribed by the Department by
4    rule.
5    (d) A resident with a condition listed in items (1) through
6(15) of subsection (c) shall have his or her residency
7terminated.
8    (e) Residency shall be terminated when services available
9to the resident in the establishment are no longer adequate to
10meet the needs of the resident. This provision shall not be
11interpreted as limiting the authority of the Department to
12require the residency termination of individuals.
13    (f) Subsection (d) of this Section shall not apply to
14terminally ill residents who receive or would qualify for
15hospice care and such care is coordinated by a hospice program
16licensed under the Hospice Program Licensing Act or other
17licensed health care professional employed by a licensed home
18health agency and the establishment and all parties agree to
19the continued residency.
20    (g) Items (3), (4), (5), and (9) of subsection (c) shall
21not apply to a quadriplegic, paraplegic, or individual with
22neuro-muscular diseases, such as muscular dystrophy and
23multiple sclerosis, or other chronic diseases and conditions as
24defined by rule if the individual is able to communicate his or
25her needs and does not require assistance with complex medical
26problems, and the establishment is able to accommodate the

 

 

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1individual's needs. The Department shall prescribe rules
2pursuant to this Section that address special safety and
3service needs of these individuals.
4    (h) For the purposes of items (7) through (10) of
5subsection (c), a licensed health care professional may not be
6employed by the owner or operator of the establishment, its
7parent entity, or any other entity with ownership common to
8either the owner or operator of the establishment or parent
9entity, including but not limited to an affiliate of the owner
10or operator of the establishment. Nothing in this Section is
11meant to limit a resident's right to choose his or her health
12care provider.
13    (i) Subsection (h) is not applicable to residents admitted
14to an assisted living establishment under a life care contract
15as defined in the Life Care Facilities Act if the life care
16facility has both an assisted living establishment and a
17skilled nursing facility. A licensed health care professional
18providing health-related or supportive services at a life care
19assisted living or shared housing establishment must be
20employed by an entity licensed by the Department under the
21Nursing Home Care Act or the Home Health, Home Services, and
22Home Nursing Agency Licensing Act.
23(Source: P.A. 94-256, eff. 7-19-05; 94-570, eff. 8-12-05;
2495-216, eff. 8-16-07; 95-331, eff. 8-21-07.)
 
25    (210 ILCS 9/90)

 

 

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1    Sec. 90. Contents of service delivery contract. A contract
2between an establishment and a resident must be entitled
3"assisted living establishment contract" or "shared housing
4establishment contract" as applicable, shall be printed in no
5less than 12 point type, and shall include at least the
6following elements in the body or through supporting documents
7or attachments:
8        (1) the name, street address, and mailing address of
9    the establishment;
10        (2) the name and mailing address of the owner or owners
11    of the establishment and, if the owner or owners are not
12    natural persons, the type of business entity of the owner
13    or owners;
14        (3) the name and mailing address of the managing agent
15    of the establishment, whether hired under a management
16    agreement or lease agreement, if the managing agent is
17    different from the owner or owners;
18        (4) the name and address of at least one natural person
19    who is authorized to accept service on behalf of the owners
20    and managing agent;
21        (5) a statement describing the certificate license
22    status of the establishment and the license status of all
23    providers of health-related or supportive services to a
24    resident under arrangement with the establishment;
25        (6) the duration of the contract;
26        (7) the base rate to be paid by the resident and a

 

 

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1    description of the services to be provided as part of this
2    rate;
3        (8) a description of any additional services to be
4    provided for an additional fee by the establishment
5    directly or by a third party provider under arrangement
6    with the establishment;
7        (9) the fee schedules outlining the cost of any
8    additional services;
9        (10) a description of the process through which the
10    contract may be modified, amended, or terminated;
11        (11) a description of the establishment's complaint
12    resolution process available to residents and notice of the
13    availability of the Department on Aging's Senior Helpline
14    for complaints;
15        (12) the name of the resident's designated
16    representative, if any;
17        (13) the resident's obligations in order to maintain
18    residency and receive services including compliance with
19    all assessments required under Section 15;
20        (14) the billing and payment procedures and
21    requirements;
22        (15) a statement affirming the resident's freedom to
23    receive services from service providers with whom the
24    establishment does not have a contractual arrangement,
25    which may also disclaim liability on the part of the
26    establishment for those services;

 

 

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1        (16) a statement that medical assistance under Article
2    V or Article VI of the Illinois Public Aid Code is not
3    available for payment for services provided in an
4    establishment, excluding contracts executed with residents
5    residing in certified licensed establishments
6    participating in the Department on Aging's Comprehensive
7    Care in Residential Settings Demonstration Project;
8        (17) a statement detailing the admission, risk
9    management, and residency termination criteria and
10    procedures;
11        (18) a statement listing the rights specified in
12    Section 95 and acknowledging that, by contracting with the
13    assisted living or shared housing establishment, the
14    resident does not forfeit those rights;
15        (19) a statement detailing the Department's annual
16    on-site review process including what documents contained
17    in a resident's personal file shall be reviewed by the
18    on-site reviewer as defined by rule; and
19        (20) a statement outlining whether the establishment
20    charges a community fee and, if so, the amount of the fee
21    and whether it is refundable; if the fee is refundable, the
22    contract must describe the conditions under which it is
23    refundable and how the amount of the refund is determined.
24(Source: P.A. 93-775, eff. 1-1-05; 94-256, eff. 7-19-05.)
 
25    (210 ILCS 9/100)

 

 

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1    Sec. 100. Notice of closure. An owner of an establishment
2certified licensed under this Act shall give 90 days notice
3prior to voluntarily closing the establishment or prior to
4closing any part of the establishment if closing the part will
5require residency termination. The notice shall be given to the
6Department, to any resident who must have their residency
7terminated, the resident's representative, and to a member of
8the resident's family, where practicable. The notice shall
9state the proposed date of closing and the reason for closing.
10The establishment shall offer to assist the resident in
11securing an alternative placement and shall advise the resident
12on available alternatives. Where the resident is unable to
13choose an alternative placement and is not under guardianship,
14the Department shall be notified of the need for relocation
15assistance. The establishment shall comply with all applicable
16laws and rules until the date of closing, including those
17related to residency termination.
18(Source: P.A. 91-656, eff. 1-1-01.)
 
19    (210 ILCS 9/110)
20    Sec. 110. Powers and duties of the Department.
21    (a) The Department shall conduct an annual unannounced
22on-site visit at each assisted living and shared housing
23establishment to determine compliance with applicable
24certification licensure requirements and standards. Additional
25visits may be conducted without prior notice to the assisted

 

 

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1living or shared housing establishment.
2    (b) Upon receipt of information that may indicate the
3failure of the assisted living or shared housing establishment
4or a service provider to comply with a provision of this Act,
5the Department shall investigate the matter or make appropriate
6referrals to other government agencies and entities having
7jurisdiction over the subject matter of the possible violation.
8The Department may also make referrals to any public or private
9agency that the Department considers available for appropriate
10assistance to those involved. The Department may oversee and
11coordinate the enforcement of State consumer protection
12policies affecting residents residing in an establishment
13certified licensed under this Act.
14    (c) The Department shall establish by rule complaint
15receipt, investigation, resolution, and involuntary residency
16termination procedures. Resolution procedures shall provide
17for on-site review and evaluation of an assisted living or
18shared housing establishment found to be in violation of this
19Act within a specified period of time based on the gravity and
20severity of the violation and any pervasive pattern of
21occurrences of the same or similar violations.
22    (d) (Blank).
23    (e) The Department shall by rule establish penalties and
24sanctions, which shall include, but need not be limited to, the
25creation of a schedule of graduated penalties and sanctions to
26include closure.

 

 

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1    (f) The Department shall by rule establish procedures for
2disclosure of information to the public, which shall include,
3but not be limited to, ownership, certification licensure
4status, frequency of complaints, disposition of substantiated
5complaints, and disciplinary actions.
6    (g) (Blank).
7    (h) Beginning January 1, 2000, the Department shall begin
8drafting rules necessary for the administration of this Act.
9(Source: P.A. 96-975, eff. 7-2-10.)
 
10    (210 ILCS 9/120)
11    Sec. 120. Consent to review. A holder of a certificate
12licensee or applicant for a certificate license shall be deemed
13to have given consent to any authorized officer, employee, or
14agent of the Department to enter and review the establishment
15in accordance with this Act, except that entrance to individual
16rooms shall only be given with the consent of the resident or
17the resident's representative. Refusal to permit entry or
18review shall constitute grounds for denial, nonrenewal, or
19revocation of a certificate license.
20(Source: P.A. 91-656, eff. 1-1-01.)
 
21    (210 ILCS 9/140)
22    Sec. 140. State and private funding. Nothing in this Act
23shall:
24        (1) require or authorize the State agency responsible

 

 

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1    for the administration of the medical assistance program
2    established under Article V and Article VI of the Illinois
3    Public Aid Code to approve, supply, or cover services
4    provided in an assisted living or shared housing
5    establishment, with the exception of certified licensed
6    facilities that participate in the Department on Aging's
7    Comprehensive Care in Residential Settings Demonstration
8    Project, which may be covered under provisions of the
9    Illinois Public Aid Code;
10        (2) require an agency or a managed care organization to
11    approve, supply, or cover services provided in an assisted
12    living or shared housing establishment; or
13        (3) require any other third party payer to approve,
14    supply or cover medically necessary home care services
15    provided in an assisted living establishment.
16        (4) authorize a certified establishment, other than
17    one participating in the Department on Aging's
18    Comprehensive Care in Residential Settings Demonstration
19    Project, to participate in the federal food stamp program.
20(Source: P.A. 93-775, eff. 1-1-05.)
 
21    (210 ILCS 9/145)
22    Sec. 145. Conversion of facilities. Entities licensed as
23facilities under the Nursing Home Care Act or the MR/DD
24Community Care Act may elect to convert to a certificate
25license under this Act. Any facility that chooses to convert,

 

 

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1in whole or in part, shall follow the requirements in the
2Nursing Home Care Act or the MR/DD Community Care Act, as
3applicable, and rules promulgated under those Acts regarding
4voluntary closure and notice to residents. Any conversion of
5existing beds licensed under the Nursing Home Care Act or the
6MR/DD Community Care Act to certification licensure under this
7Act is exempt from review by the Health Facilities and Services
8Review Board.
9(Source: P.A. 96-31, eff. 6-30-09; 96-339, eff. 7-1-10;
1096-1000, eff. 7-2-10.)
 
11    (210 ILCS 9/150)
12    Sec. 150. Alzheimer and dementia programs.
13    (a) In addition to this Section, Alzheimer and dementia
14programs shall comply with all of the other provisions of this
15Act.
16    (b) No person shall be admitted or retained if the assisted
17living or shared housing establishment cannot provide or secure
18appropriate care, if the resident requires a level of service
19or type of service for which the establishment is not certified
20licensed or which the establishment does not provide, or if the
21establishment does not have the staff appropriate in numbers
22and with appropriate skill to provide such services.
23    (c) No person shall be accepted for residency or remain in
24residence if the person's mental or physical condition has so
25deteriorated to render residency in such a program to be

 

 

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1detrimental to the health, welfare or safety of the person or
2of other residents of the establishment. The Department by rule
3shall identify a validated dementia-specific standard with
4inter-rater reliability that will be used to assess individual
5residents. The assessment must be approved by the resident's
6physician and shall occur prior to acceptance for residency,
7annually, and at such time that a change in the resident's
8condition is identified by a family member, staff of the
9establishment, or the resident's physician.
10    (d) No person shall be accepted for residency or remain in
11residence if the person is dangerous to self or others and the
12establishment would be unable to eliminate the danger through
13the use of appropriate treatment modalities.
14    (e) No person shall be accepted for residency or remain in
15residence if the person meets the criteria provided in
16subsections (b) through (g) of Section 75 of this Act.
17    (f) An establishment that offers to provide a special
18program or unit for persons with Alzheimer's disease and
19related disorders shall:
20        (1) disclose to the Department and to a potential or
21    actual resident of the establishment information as
22    specified under the Alzheimer's Disease and Related
23    Dementias Special Care Disclosure Act;
24        (2) ensure that a resident's representative is
25    designated for the resident;
26        (3) develop and implement policies and procedures that

 

 

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1    ensure the continued safety of all residents in the
2    establishment including, but not limited to, those who:
3            (A) may wander; and
4            (B) may need supervision and assistance when
5        evacuating the building in an emergency;
6        (4) provide coordination of communications with each
7    resident, resident's representative, relatives and other
8    persons identified in the resident's service plan;
9        (5) provide cognitive stimulation and activities to
10    maximize functioning;
11        (6) provide an appropriate number of staff for its
12    resident population, as established by rule;
13        (7) require the director or administrator and direct
14    care staff to complete sufficient comprehensive and
15    ongoing dementia and cognitive deficit training, the
16    content of which shall be established by rule; and
17        (8) develop emergency procedures and staffing patterns
18    to respond to the needs of residents.
19(Source: P.A. 96-990, eff. 7-2-10.)
 
20    (210 ILCS 9/155)
21    Sec. 155. Application of Act. An establishment certified
22licensed under this Act shall obtain and maintain all other
23licenses, permits, certificates, and other governmental
24approvals required of it, except that a certified licensed
25assisted living or shared housing establishment is exempt from

 

 

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1the provisions of the Illinois Health Facilities Planning Act.
2An establishment certified licensed under this Act shall comply
3with the requirements of all local, State, federal, and other
4applicable laws, rules, and ordinances and the National Fire
5Protection Association's Life Safety Code.
6(Source: P.A. 91-656, eff. 1-1-01.)
 
7    Section 99. Effective date. This Act takes effect upon
8becoming law.".