Ill. Admin. Code tit. 89, § 403.21 - Staff Coverage
a) A group
home shall employ at least 2 full-time child care staff who shall meet the
requirements for child care staff enumerated in Section
403.18. The
ratio of child care staff to children may include other staff if they meet the
qualifications of child care staff as prescribed in Section 403.18. The group
home or supervising agency shall ensure that groupings and supervision of
children provides for individual attention and consideration of each child.
Child care staff shall provide supervision to children at all times. The group
home shall assign one or more child care workers for direct supervision of each
group to be on duty and readily available while the children are awake and on
the premises. Girls shall be under the direct supervision of adult female staff
while they are in their bedroom, bathroom, or other areas of the home where
privacy is expected. The following staffing patterns shall be followed:
1) At least one child care staff shall be on
duty when one or more children are present. At least 2 child care staff shall
be on duty when:
A) Six or more children
under age 16 are present, except that one child care staff person may care for
6 or more children when all of the children present are 16 years of age or
older; are not diagnosed moderately to severely developmentally or physically
disabled; can provide for their own personal needs; do not assault; and are not
security risks.
B) More than 4
children are present in the home who are under the age of 6 or are diagnosed as
developmentally or physically disabled to an extent requiring close supervision
or assistance with their own personal care needs or mobility.
C) When the group home or supervising agency
has determined that the number of staff on duty is not sufficient to carry out
the individual service plans and meet the individual needs of the children in
care, additional staff shall be on duty and actively working with the children
in care.
2) When an
emergency arises such as injury of a child that would necessitate taking the
child to the hospital, or an emergency in child care staff's personal life, or
any other emergency, the child welfare agency under whose auspices the group
home operates is responsible for assuring appropriate staff coverage. If staff
on call are used, they shall meet the requirements of child care staff and
shall be able to be in the group home within 20 minutes. Children shall never
be left in the care of other children.
3) In instances in which the group home
operates under a "shift" staffing pattern, at least one member of the night
duty staff shall be awake and alert to assure protection and supervision of the
children in care.
4) In instances
in which the group home operates under a live-in staffing pattern, the live-in
staff shall be provided with their own living quarters so located as to assure
that they are readily available and within hearing distance from the children.
A) The awake night staff requirement may be
waived in writing by the Director of the Department or designee.
B) A request for a waiver of the awake night
staff requirement shall be in writing and it shall be the responsibility of the
facility to demonstrate that the well-being of the children can be
protected.
b)
During the absence of regular child care personnel for time off, vacations,
sick leave or any other absence (such as attendance at conferences or meetings,
etc.), substitute child care personnel must be provided. These substitutes
shall meet the requirements of child care staff as specified in Section
403.18.
c) The group home shall
have present on site at least one child care staff person or administrator who,
with respect to any child placed at the group home, is designated to be the
caregiver who is authorized to apply the reasonable and prudent parent standard
to decisions involving the participation of the child in age or developmentally
appropriate activities, and who is provided with the training in how to use and
apply the reasonable and prudent parent standard in the same manner as foster
parents. This training will include a detailed explanation of the reasonable
and prudent parent standard and examples of how caregivers can apply this
standard in specific situations. (See
42 USC
671(10) and (24).)
d) The caregiver must seek consent in other
areas in which specific State or federal laws limit consent authorization. Some
examples of when normalcy parenting does not apply include consent to medical
and dental care and disclosure of mental health information.
Notes
Amended at 36 Ill. Reg. 13051, effective August 15, 2012
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