TITLE 59: MENTAL HEALTH
CHAPTER I: DEPARTMENT OF HUMAN SERVICES
PART 115 STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS
SECTION 115.300 ENVIRONMENTAL MANAGEMENT OF LIVING ARRANGEMENTS


 

Section 115.300  Environmental management of living arrangements

 

a)         For individuals who receive intermittent supervision and supports and choose to reside with their families or in living arrangements owned or leased by the individuals living there, the licensed agency shall assist individuals in selecting, obtaining and maintaining CILAs which afford safety and basic comfort. Such assistance shall include, but is not limited to:

 

1)         Performing visual inspections;

 

2)         Purchasing and maintaining in working order safety devices, i.e., smoke detectors, door locks, when needed; and

 

3)         Advocacy with the landlord to encourage compliance with applicable codes.

 

b)         For individuals who choose to reside in living arrangements owned or leased by an agency, the licensed agency shall insure that buildings containing owned or leased living arrangements shall comply with locally adopted building codes as enforced by local authorities and the applicable chapters of the editions of the NFPA 101, Life Safety Code (National Fire Protection Association, 1991), as cited in the rules of the Office of the State Fire Marshal at 41 Ill. Adm. Code 100 and any local fire codes that are more stringent than the NFPA as enforced by local authorities or the Office of the State Fire Marshal.  An agency shall make available the report of an inspection that has been made by the local authorities or the Office of the State Fire Marshal prior to providing services to any individual in any CILA site.  Non-compliance may be shown by evidence of administrative or judicial action taken against the owners of a building for violations of the applicable housing code within the previous two months, or a letter indicating non-compliance with NFPA requirements from the local authorities or the Office of the State Fire Marshal.

 

c)         Each living arrangement shall meet standards as identified in local life/safety and building codes.  Living arrangements specified in subsection (b) of this Section shall also meet the following additional standards:

 

1)         Each living arrangement shall have a smoke detection system which complies with the Smoke Detector Act [425 ILCS 65].

 

2)         No more than eight individuals shall be served in any site.

 

3)         There shall be documentation that living arrangements are inspected quarterly by the licensed CILA agency to insure safety, basic comfort and compliance with this Part.

 

4)         Bath and toilet rooms

 

A)        At least one bathroom shall be provided for each four individuals. A bathroom shall include a toilet, lavatory, and tub or shower.

 

B)        Bathrooms shall be located and equipped to facilitate independence. When needed by the individual, special assistance or devices shall be provided.

 

C)        Bathing and toilet facilities shall provide privacy.

 

5)         Bedrooms

 

A)        Each single individual bedroom shall have at least 75 square feet of net floor area, not including space for closets, wardrobes, bathrooms and clearly definable entryway areas.

 

B)        Each multiple bedroom shall accommodate no more than two individuals and each bedroom for two individuals shall have at least 55 square feet of net floor area per individual not including space for closets, wardrobes, bathrooms and clearly definable entryway areas.

 

C)        Storage space for clothing and other personal belongings shall be provided for each individual.

 

D)        Each bedroom shall have:

 

i)          Walls that extend from floor to ceiling;

 

ii)         A fire-graded mattress and box spring that is suitable to the size of the individual which provides support and comfort, if beds are provided by the agency;

 

iii)        At least one outside window; and

 

iv)        Electrical light sufficient for reading (a minimum of 40 footcandles).

 

E)        Bedrooms shall maintain a dry and comfortable environment.

 

F)         In living arrangements where more than one individual resides, traffic to and from any room shall not be through an individual's bedroom.

 

6)         The agency shall ensure that:

 

A)        Living arrangements shall be safe and clean within common areas and within apartments over which the agency has control.

 

B)        Living arrangements shall be free from vermin.

 

C)        Waste and garbage shall be stored, transferred and disposed of in a manner that does not permit the transmission of diseases.

 

D)        Private water systems shall comply with 77 Ill. Adm. Code 900 (Drinking Water Systems Code).

 

E)        Copies of inspections when performed by local and State inspectors in regard to health, sanitation and environment shall be maintained.

 

7)         The agency shall develop, implement and maintain a disaster preparedness plan which shall be reviewed annually, revised as necessary, and ensure that:

 

A)        Records and reports of fire and disaster training are maintained;

 

B)        A record of actions taken to correct noted deficiencies in disaster drills or inspections is maintained;

 

C)        Employees and any other person, compensated or in a volunteer capacity, with responsibility for individuals served know how to react to fire, severe weather, missing persons, psychiatric and medical emergencies, poison control and deaths;

 

D)        Individuals know how to react to situations identified in subsection (c)(7)(C) of this Section or are receiving training;

 

E)        Employees and any other person, compensated or in a volunteer capacity, with responsibility for individuals served are trained in the location of fire-fighting equipment, first aid kits, evacuation routes and procedures; and

 

F)         A telephone is available with a list stating the telephone numbers of the nearest poison control center, the police, the fire department and emergency medical personnel or an indication that 911 is the appropriate number to call.

 

8)         The agency shall implement procedures for evacuation which ensure that:

 

A)        Evacuation drills are conducted at a frequency determined by the agency to be appropriate based on the needs and abilities of individuals served by the particular living arrangement but no less than on each shift annually.

 

B)        Special provisions shall be made for those individuals who cannot evacuate the building without assistance, including those with physical disabilities and individuals who are deaf and/or blind.

 

C)        All employees are trained to carry out their assigned evacuation tasks.

 

D)        Inefficiency or problems identified during an evacuation drill shall result in specific corrective action.

 

E)        Evacuation drills shall include actual evacuation of individuals to safe areas.

 

9)         At least one approved fire extinguisher shall be available in the residence, inspected annually and recharged when necessary.

 

10)       First aid kits shall be available and monitored regularly by the agency.

 

d)         For individuals who receive continuous supervision and support and choose to reside with their families or in living arrangements owned or leased by the individuals living there, the licensed agency shall ensure that the living arrangements comply with all the requirements of subsection (c) of this Section except subsections (c)(4), (5), (6)(B), (6)(D), (7)(B), (7)(E) and (10).

 

e)         Prior to a new site owned or leased by the agency being occupied and prior to a foster care site accepting individuals receiving services, the site must be reviewed by OALC and determined to be in compliance with this Part. Site reviews will be completed within 10 working days after all necessary documentation has been received, e.g., current fire clearances.  All sites as described in this subsection will be reviewed at least once during the three year period of licensure to determine on-going compliance with this Part.

 

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