Section 115.200  Description


a)         A community-integrated living arrangement (CILA) is a living arrangement which promotes residential stability for an individual who resides in his or her own home, in a home shared with others, or in the natural family home and who is provided with an array of services to meet his or her needs.  The individual or guardian actively participates in choosing an array of services and in choosing a home from among those living arrangements available to the general public and/or housing owned or leased by an agency.  If, over time, less intensive services are needed, the service array shall be changed rather than requiring the individual to move to a different setting unless specific services as funded and provided are no longer needed.  If, over time, the individual needs more intensive services, the agency will make a reasonable effort to modify the service array rather than requiring the individual to move to a different setting.  The services must continue to be able to be provided within the scope and resources of the CILA program.  The individual may remain in his or her own home. Once accepted for service by an agency, termination of services may only occur by voluntary withdrawal of the individual or resulting from the recommendation of the interdisciplinary process and based on the criteria contained in Section 115.215.


b)         Licensed CILA agencies technically agree to a no-decline option; however, the agency may decline services to an individual because it does not have the capacity to accommodate the particular type or level of disability (e.g., an agency that serves only individuals with autism) and cannot, after documented efforts, locate a service provider which has the capacity to accommodate the particular type or level of disability.  No otherwise qualified persons shall be denied placement in a CILA solely on the basis of his or her physical disability.  The CILA agency or service provider associated with such agency must provide a reasonable accommodation for such persons, unless the accommodation can be documented to cause the agency or other service provider an undue hardship or overly burdensome expense.


c)         Services shall be oriented to the individual and shall be designed to meet the needs of the individual with input and participation of his or her family as appropriate.  Individuals are recognized as persons with basic human needs, aspirations, desires and feelings and are citizens of a community with all rights, privileges, opportunities and responsibilities accorded other citizens.  Only secondarily are they individuals who have a mental disability.


d)         Based on their needs, individuals shall receive supervision and supportive services which may range from continuous to intermittent.  CILAs shall be designed to promote optimal independence in daily living, economic self-sufficiency and integration into the community through the interdisciplinary process.


e)         The agency shall request in writing to the Department for approval to change the staffing model from the one funded and in use, e.g., from shift staff to foster family home, from foster family home to live-in support staff, in a CILA site.  The Department shall review and act upon the request within 15 working days.  The Department shall make its decision based on the needs of the individuals receiving services and the ability of the proposed staffing model to equally provide for their needs.


f)         The agency shall have a plan and arrangements for providing relief for employees and contractual workers who have responsibility more than eight consecutive hours or five consecutive days for individuals receiving services, and shall have evidence of implementation of the plan and arrangements.  Any such plan shall comply with federal and State labor laws and shall provide recognition of the need for respite in foster care model settings.


(Source:  Amended at 23 Ill. Reg. 9791, effective August 13, 1999)