Statutes > Illinois Statutes > CHAPTER 210 HEALTH FACILITIES > 210 ILCS 135/ Community - Integrated Living Arrangements Licensure and Certification Act.

210 ILCS 135/ Community - Integrated Living Arrangements Licensure and Certification Act.

    (210 ILCS 135/1) (from Ch. 91 1/2, par. 1701)
    Sec. 1. This Act shall be known and may be cited as the Community‑Integrated Living Arrangements Licensure and Certification Act.
(Source: P.A. 85‑1250.)

    (210 ILCS 135/2) (from Ch. 91 1/2, par. 1702)
    Sec. 2. The purpose of this Act is to promote the operation of community‑integrated living arrangements for the supervision of persons with mental illness and persons with a developmental disability by licensing community mental health or developmental services agencies to provide an array of community‑integrated living arrangements for such individuals. These community‑integrated living arrangements are intended to promote independence in daily living and economic self‑sufficiency. The licensed community mental health or developmental services agencies in turn shall be required to certify to the Department that the programs and placements provided in the community‑integrated living arrangements comply with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations.
(Source: P.A. 88‑380.)

    (210 ILCS 135/3) (from Ch. 91 1/2, par. 1703)
    Sec. 3. As used in this Act, unless the context requires otherwise:
    (a) "Applicant" means a person, group of persons, association, partnership or corporation that applies for a license as a community mental health or developmental services agency under this Act.
    (b) "Community mental health or developmental services agency" or "agency" means a public or private agency, association, partnership, corporation or organization which, pursuant to this Act, certifies community‑integrated living arrangements for persons with mental illness or persons with a developmental disability.
    (c) "Department" means the Department of Human Services (as successor to the Department of Mental Health and Developmental Disabilities).
    (d) "Community‑integrated living arrangement" means a living arrangement certified by a community mental health or developmental services agency under this Act where 8 or fewer recipients with mental illness or recipients with a developmental disability who reside under the supervision of the agency. Examples of community integrated living arrangements include but are not limited to the following:
        (1) "Adult foster care", a living arrangement for
     recipients in residences of families unrelated to them, for the purpose of providing family care for the recipients on a full‑time basis;
        (2) "Assisted residential care", an independent
     living arrangement where recipients are intermittently supervised by off‑site staff;
        (3) "Crisis residential care", a non‑medical living
     arrangement where recipients in need of non‑medical, crisis services are supervised by on‑site staff 24 hours a day;
        (4) "Home individual programs", living arrangements
     for 2 unrelated adults outside the family home;
        (5) "Supported residential care", a living
     arrangement where recipients are supervised by on‑site staff and such supervision is provided less than 24 hours a day;
        (6) "Community residential alternatives", as defined
     in the Community Residential Alternatives Licensing Act; and
        (7) "Special needs trust‑supported residential
     care", a living arrangement where recipients are supervised by on‑site staff and that supervision is provided 24 hours per day or less, as dictated by the needs of the recipients, and determined by service providers. As used in this item (7), "special needs trust" means a trust for the benefit of a disabled beneficiary as described in Section 15.1 of the Trusts and Trustees Act.
    (e) "Recipient" means a person who has received, is receiving, or is in need of treatment or habilitation as those terms are defined in the Mental Health and Developmental Disabilities Code.
    (f) "Unrelated" means that persons residing together in programs or placements certified by a community mental health or developmental services agency under this Act do not have any of the following relationships by blood, marriage or adoption: parent, son, daughter, brother, sister, grandparent, uncle, aunt, nephew, niece, great grandparent, great uncle, great aunt, stepbrother, stepsister, stepson, stepdaughter, stepparent or first cousin.
(Source: P.A. 93‑274, eff. 1‑1‑04.)

    (210 ILCS 135/4)(from Ch. 91 1/2, par. 1704)
    (Text of Section before amendment by P.A. 96‑339)
    Sec. 4. (a) Any community mental health or developmental services agency who wishes to develop and support a variety of community‑integrated living arrangements may do so pursuant to a license issued by the Department under this Act. However, programs established under or otherwise subject to the Child Care Act of 1969 or the Nursing Home Care Act, as now or hereafter amended, shall remain subject thereto, and this Act shall not be construed to limit the application of those Acts.
    (b) The system of licensure established under this Act shall be for the purposes of:
        (1) Insuring that all recipients residing in
     community‑integrated living arrangements are receiving appropriate community‑based services, including treatment, training and habilitation or rehabilitation;
        (2) Insuring that recipients' rights are protected
     and that all programs provided to and placements arranged for recipients comply with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations;
        (3) Maintaining the integrity of communities by
     requiring regular monitoring and inspection of placements and other services provided in community‑integrated living arrangements.
    The licensure system shall be administered by a quality assurance unit within the Department which shall be administratively independent of units responsible for funding of agencies or community services.
    (c) As a condition of being licensed by the Department as a community mental health or developmental services agency under this Act, the agency shall certify to the Department that:
        (1) All recipients residing in community‑integrated
     living arrangements are receiving appropriate community‑based services, including treatment, training and habilitation or rehabilitation;
        (2) All programs provided to and placements arranged
     for recipients are supervised by the agency; and
        (3) All programs provided to and placements arranged
     for recipients comply with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations.
    (d) An applicant for licensure as a community mental health or developmental services agency under this Act shall submit an application pursuant to the application process established by the Department by rule and shall pay an application fee in an amount established by the Department, which amount shall not be more than $200.
    (e) If an applicant meets the requirements established by the Department to be licensed as a community mental health or developmental services agency under this Act, after payment of the licensing fee, the Department shall issue a license valid for 3 years from the date thereof unless suspended or revoked by the Department or voluntarily surrendered by the agency.
    (f) Upon application to the Department, the Department may issue a temporary permit to an applicant for a 6‑month period to allow the holder of such permit reasonable time to become eligible for a license under this Act.
    (g)(1) The Department may conduct site visits to an agency licensed under this Act, or to any program or placement certified by the agency, and inspect the records or premises, or both, of such agency, program or placement as it deems appropriate, for the purpose of determining compliance with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations.
    (2) If the Department determines that an agency licensed under this Act is not in compliance with this Act or the rules and regulations promulgated under this Act, the Department shall serve a notice of violation upon the licensee. Each notice of violation shall be prepared in writing and shall specify the nature of the violation, the statutory provision or rule alleged to have been violated, and that the licensee submit a plan of correction to the Department if required. The notice shall also inform the licensee of any other action which the Department might take pursuant to this Act and of the right to a hearing.
    (h) Upon the expiration of any license issued under this Act, a license renewal application shall be required of and a license renewal fee in an amount established by the Department shall be charged to a community mental health or developmental services agency, provided that such fee shall not be more than $200.
(Source: P.A. 86‑820.)
 
    (Text of Section after amendment by P.A. 96‑339)
    Sec. 4. (a) Any community mental health or developmental services agency who wishes to develop and support a variety of community‑integrated living arrangements may do so pursuant to a license issued by the Department under this Act. However, programs established under or otherwise subject to the Child Care Act of 1969, the Nursing Home Care Act, or the MR/DD Community Care Act, as now or hereafter amended, shall remain subject thereto, and this Act shall not be construed to limit the application of those Acts.
    (b) The system of licensure established under this Act shall be for the purposes of:
        (1) Insuring that all recipients residing in
     community‑integrated living arrangements are receiving appropriate community‑based services, including treatment, training and habilitation or rehabilitation;
        (2) Insuring that recipients' rights are protected
     and that all programs provided to and placements arranged for recipients comply with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations;
        (3) Maintaining the integrity of communities by
     requiring regular monitoring and inspection of placements and other services provided in community‑integrated living arrangements.
    The licensure system shall be administered by a quality assurance unit within the Department which shall be administratively independent of units responsible for funding of agencies or community services.
    (c) As a condition of being licensed by the Department as a community mental health or developmental services agency under this Act, the agency shall certify to the Department that:
        (1) All recipients residing in community‑integrated
     living arrangements are receiving appropriate community‑based services, including treatment, training and habilitation or rehabilitation;
        (2) All programs provided to and placements arranged
     for recipients are supervised by the agency; and
        (3) All programs provided to and placements arranged
     for recipients comply with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations.
    (d) An applicant for licensure as a community mental health or developmental services agency under this Act shall submit an application pursuant to the application process established by the Department by rule and shall pay an application fee in an amount established by the Department, which amount shall not be more than $200.
    (e) If an applicant meets the requirements established by the Department to be licensed as a community mental health or developmental services agency under this Act, after payment of the licensing fee, the Department shall issue a license valid for 3 years from the date thereof unless suspended or revoked by the Department or voluntarily surrendered by the agency.
    (f) Upon application to the Department, the Department may issue a temporary permit to an applicant for a 6‑month period to allow the holder of such permit reasonable time to become eligible for a license under this Act.
    (g)(1) The Department may conduct site visits to an agency licensed under this Act, or to any program or placement certified by the agency, and inspect the records or premises, or both, of such agency, program or placement as it deems appropriate, for the purpose of determining compliance with this Act, the Mental Health and Developmental Disabilities Code, and applicable Department rules and regulations.
    (2) If the Department determines that an agency licensed under this Act is not in compliance with this Act or the rules and regulations promulgated under this Act, the Department shall serve a notice of violation upon the licensee. Each notice of violation shall be prepared in writing and shall specify the nature of the violation, the statutory provision or rule alleged to have been violated, and that the licensee submit a plan of correction to the Department if required. The notice shall also inform the licensee of any other action which the Department might take pursuant to this Act and of the right to a hearing.
    (h) Upon the expiration of any license issued under this Act, a license renewal application shall be required of and a license renewal fee in an amount established by the Department shall be charged to a community mental health or developmental services agency, provided that such fee shall not be more than $200.
(Source: P.A. 96‑339, eff. 7‑1‑10.)

    (210 ILCS 135/5) (from Ch. 91 1/2, par. 1705)
    Sec. 5. (a) The Department may conduct an investigation upon receipt of a complaint to insure that the agency is in compliance with this Act. If, based upon the results of its investigation, the Department determines that the agency is not in compliance with this Act, it shall serve a notice of violation upon the agency as set forth in paragraph (2) of subsection (g) of Section 4 above. Upon request by a complainant, the Department shall notify the complainant of the results of any investigation of a complaint.
    (b) The complaint, a copy of the complaint, or a record published, released or otherwise disclosed to the agency shall not disclose the name of the complainant unless the complainant consents in writing to the disclosure or the investigation results in a judicial proceeding, or unless disclosure is essential to the investigation.
    (c) An agency licensed under this Act or its agents shall not transfer, harass, dismiss, or retaliate against a recipient who is the subject of a complaint under this Act.
(Source: P.A. 85‑1250.)

    (210 ILCS 135/6)(from Ch. 91 1/2, par. 1706)
    Sec. 6. (a) The Department shall deny an application for a license, or revoke or refuse to renew the license of a community mental health or developmental services agency, or refuse to issue a license to the holder of a temporary permit, if the Department determines that the applicant, agency or permit holder has not complied with a provision of this Act, the Mental Health and Developmental Disabilities Code, or applicable Department rules and regulations. Specific grounds for denial or revocation of a license, or refusal to renew a license or to issue a license to the holder of a temporary permit, shall include but not be limited to:
        (1) Submission of false information either on
     Department licensure forms or during an inspection;
        (2) Refusal to allow an inspection to occur;
        (3) Violation of this Act or rules and regulations
     promulgated under this Act;
        (4) Violation of the rights of a recipient;
        (5) Failure to submit or implement a plan of
     correction within the specified time period; or
        (6) Failure to submit a workplace violence
     prevention plan in compliance with the Health Care Workplace Violence Prevention Act.
    (b) If the Department determines that the operation of a community mental health or developmental services agency or one or more of the programs or placements certified by the agency under this Act jeopardizes the health, safety or welfare of the recipients served by the agency, the Department may immediately revoke the agency's license and may direct the agency to withdraw recipients from any such program or placement.
(Source: P.A. 94‑347, eff. 7‑28‑05.)

    (210 ILCS 135/7) (from Ch. 91 1/2, par. 1707)
    Sec. 7. (a) Except in emergency situations, no license may be denied or revoked unless the applicant or licensee is given written notice of the grounds for the Department's action. The applicant or licensee may appeal the Department's proposed action and shall do so within 15 days after receipt of the Department's written notice by making written request to the Department for a hearing. Notice of the time, place and nature of the hearing shall be given to the applicant or licensee not less than 2 weeks prior to the date of the hearing. The hearing shall proceed, and the notice shall be delivered, in accordance with The Illinois Administrative Procedure Act, as now or hereafter amended.
    (b) If the applicant or licensee does not submit a request for a hearing as provided for in this Section, or if after conducting the hearing the Department determines that the license should not be issued or renewed or that the license should be revoked or denied, the Department shall issue an order to that effect. If the order is to revoke the license, it shall specify that the order takes effect upon receipt by the licensee, and that the agency shall not operate during the pendency of any proceeding for judicial review of the Department's decision, except under court order.
    (c) Final administrative decisions shall be subject to judicial review exclusively as provided in the Administrative Review Law, as now or hereafter amended, except that any petition for judicial review of a Department action under this Act shall be filed within 15 days after receipt of notice of the Department's final determination. The term "administrative decision" has the meaning ascribed to it in Section 3‑101 of the Code of Civil Procedure.
(Source: P.A. 85‑1250.)

    (210 ILCS 135/8) (from Ch. 91 1/2, par. 1708)
    Sec. 8. (a) Any community mental health or developmental services agency that continues to operate after its license is revoked under this Act, or after its license expires and the Department refuses to renew the license, is guilty of a business offense and shall be fined an amount in excess of $500 but not exceeding $2,000, and each day of violation is a separate offense. All fines shall be paid to the Mental Health Fund.
    (b) Whenever the Department is advised or has reason to believe that any person, group of persons, association, partnership or corporation is operating an agency without a license or permit in violation of this Act, the Department may investigate to ascertain the facts, may notify the person or other entity that he is in violation of this Act, and may make referrals to appropriate investigatory or law enforcement agencies. Any person, group of persons, association, partnership or corporation who continues to operate a community mental health or developmental services agency as defined in subsection (b) of Section 3 of this Act without a license or temporary permit issued by the Department, after receiving notice from the Department that such operation is in violation of this Act, shall be guilty of a business offense and shall be fined an amount in excess of $500 but not exceeding $2,000, and each day of operation after receiving such notice is a separate offense. All fines shall be paid to the Mental Health Fund.
(Source: P.A. 85‑1250.)

    (210 ILCS 135/9) (from Ch. 91 1/2, par. 1709)
    Sec. 9. By July 1, 1989, the Department shall adopt rules pursuant to the Illinois Administrative Procedure Act to establish minimum standards for licensing community‑integrated living arrangements under this Act. These rules shall govern the operation and conduct of community‑integrated living arrangements and shall provide for the license application process; agency standards and financial requirements; licensing, certification and license renewal procedures; revocation of licenses; notification to recipients of their rights and the ability to contact the Guardianship and Advocacy Commission; emergency actions which can be taken by the Department to protect recipients' rights, welfare, and safety; and any other rules deemed necessary to implement the provisions of this Act.
    By December 31, 1996, the Department shall adopt rules under the Illinois Administrative Procedure Act that specify the components of reimbursement for community‑integrated living arrangements and include costs as reported on the Interagency Statistical and Financial Report.
(Source: P.A. 89‑31, eff. 6‑23‑95.)

    (210 ILCS 135/10) (from Ch. 91 1/2, par. 1710)
    Sec. 10. State plan. (a) Community integrated living arrangements shall be located so as to enable residents to participate in and be integrated into their community or neighborhood. The location of such arrangements shall promote community integration of persons with mental disabilities. The Department shall adopt a plan ("State plan") for the distribution of community living arrangements throughout the State, considering the need for such arrangements in the various locations in which they are to be used. Each agency licensed under this Act must define the process of obtaining community acceptance of community living arrangements. The State plan shall include guidelines regarding the location of community integrated living arrangements within the geographic areas to be served by the agencies, and the availability of support services within those areas for residents under such arrangements. The Department shall promulgate such guidelines as rules pursuant to The Illinois Administrative Procedure Act.
    The Department shall require any agency licensed under this Act to establish procedures for assuring compliance with such criteria, including annual review and comment by representatives of local governmental authorities, community mental health and developmental disabilities planning and service agencies, and other interested civil organizations, regarding the impact on their community areas of any living arrangements, programs or services to be certified by such agency. The Department shall give consideration to the comments of such community representatives in determinations of compliance with the State plan under this Section, and the Department may modify, suspend or withhold funding of such programs and services subject to this Act until such times as assurance is achieved.
    (b) Beginning January 1, 1990, no Department of State government, as defined in The Civil Administrative Code of Illinois, shall place any person in or utilize any services of a community‑integrated living arrangement which is not certified by an agency under this Act.
(Source: P.A. 86‑922.)

    (210 ILCS 135/11)
    Sec. 11. All agencies previously licensed under the Community Residential Alternatives Licensing Act are subject to and shall be licensed under this Act.
(Source: P.A. 90‑423, eff. 8‑15‑97.)

    (210 ILCS 135/12)
    Sec. 12. Nursing services. Subject to appropriation, the Department shall adjust its rate methodology for community‑integrated living arrangements using as a guide the findings and recommendations of the CILA nursing services reimbursement working group established by Senate Resolution 514 of the 94th General Assembly in order to improve the efficient and effective utilization of nursing personnel, to increase the levels of nursing services, and to improve access and availability of nursing services for residents of community‑integrated living arrangements.
(Source: P.A. 95‑577, eff. 8‑31‑07.)