REVISED 9/8/23
IL Department of Human Services - Division of Developmental Disabilities - Bureau of Quality Management
Abuse, Neglect, Death, Incident Reporting, Sex Education and 24 hour -Policy/Procedure review
Agency/Provider
Program: _ CILA _ HBS _ CDS _ SDA _ CSW _ CRW _ ISC
Date of Review: _
Reviewer: _
It is not necessary that all reportable incidents be included in the same policy. If any issues are missing from policy reviewed, discuss with agency representative the missing components and offer an opportunity for the agency to provide supplemental policies/procedures.
Date on Policy:
REVIEW THE POLICY using the following checklist items. Attach copy of abuse/neglect reporting policy to this form.
| Yes |
No |
N/A |
Item |
Comments |
Remediated on or required by |
| - |
- |
- |
1. (CILA/CDS/ISC only) Does the Agency/Provider have an OIG Liaison?
Name of the OIG Liaison: |
- |
- |
| - |
- |
- |
2. (CILA/CDS/ISC only) Does the Agency/Provider have a Rule 50.30(f) trained staff member?
IDHS OneNet: Rule 50.30(f) (illinois.gov)
Section 50 (ilga.gov)
IDHS: Rule 50.30(f) Training (state.il.us)
Name of staff member: |
- |
- |
| - |
- |
- |
3. (CRW, CSW/SDA and ISC) Does the provider agency have a written policy and process to report allegations of abuse or neglect?
325 ILCS 5/ Abused and Neglected Child Reporting Act. (ilga.gov) |
- |
- |
| - |
- |
- |
4. (CILA, CDS, AHBS/SDA, and ISC) Does the provider agency have a written policy and process to address reportable incidents?
The policy must:
- Define and address each type of reportable event (abuse, neglect, financial/sexual exploitation, death, injury, and other significant events).
- Prohibit screening of abuse/neglect allegations.
- Include timeframes for reporting to all applicable agencies.
- Instruct on the preservation of evidence.
- Instruct on the notification of parents/guardians (if applicable).
DHS OIG (DHS Rule 59 IL Admin Code 50)
|
- |
- |
CIRAS (Critical Incident Reporting and Analysis System) and UIR (Unusual Incident Reporting)
| Yes |
No |
N/A |
Item |
Comments |
Remediated on or required by |
| - |
- |
- |
5. Is the ISC/provider agency properly enrolled in CIRAS? |
- |
- |
| - |
- |
- |
6. Have all designated reporters completed and signed the Certificate of Understanding and Acknowledgement for CIRAS? |
- |
- |
| - |
- |
- |
7. (Provider Agencies Only) Does the provider agency have a formalized systemic review process to evaluate CIRAS reports and other adverse events?
The review process should:
- Occur at least quarterly
- Evaluate all critical incidents to determine how and why the injury or incident occurred
- Identify risks and ways to improve supports to help minimize future incidents.
|
- |
- |
| - |
- |
- |
8. (CRW only) Does the provider have a formalized process/policy for Unusual Incident Reporting (UIR)?
Policy should comply with the UIR process and address:
- Injuries (including those not attributed to abuse or neglect, and specifically those resulting from discipline or behavior management)
- Deaths
- Adverse events (elopement, restraint, etc.)
- 5 or more restraints of a specific child within a 30-day period
- Any violation of 89 IL Admin Code 384 (unauthorized use of restraint, seclusion, or restrictive interventions)
|
- |
- |
| - |
- |
- |
9. (Provider Agencies who employ DSPs Only) Does the provider offer formalized staff training on alternative practices to restraint, such as de-escalation, positive interventions, etc.? (No findings associated with this question.)
(Training can be agency-developed or third-party, i.e. - CPI, Mandt, etc.)
Document the title/source of the training program curriculum used:
(supplement to PMG6)
|
- |
- |
Human Rights/HRC/BMC - (CILA, CDS, and CRW only - mark N/A for ISC and SDA/HBS)
| Yes |
No |
N/A |
Item |
Comments |
Remediated on or required by |
| - |
- |
- |
10. Does the provider agency have an established policy or procedure through which they can track and approve rights restrictions and Settings modifications? |
- |
- |
| - |
- |
- |
11. Does the provider agency have a Human Rights Committee? (HRC)
IDHS: Developmental Disabilities CSA Attachment A (state.il.us) |
- |
- |
| - |
- |
- |
12. If the provider agency does have a Human Rights Committee, does the HRC meet at least quarterly and maintain minutes?
IDHS: Human Rights Committee Chairperson Training Curriculum (state.il.us)
(Quarterly meetings and minutes required for FY24. HRC requirements provided in the noted link are for reference to advise all provider agencies of the expected requirements for FY25.) |
- |
- |
Sex Education Policies and Procedures (CILA and CDS only) per Public Act 101-0506 - Providing access to Sex Education.
| Yes |
No |
N/A |
Item |
Comments |
Remediated on or required by |
| - |
- |
- |
13. Does the provider agency have an established procedure to evaluate individuals for the capacity to consent to sexual activity and to determine a developmentally appropriate Sex Education curriculum for each individual? |
- |
- |
| - |
- |
- |
14. Are the chosen developmentally appropriate Sex Education curriculums noted above listed on the approved curriculum list from IDHS?
Sex Education Curriculum: |
|
|
24 Hour Availability Policy (ISS only)
| Yes |
No |
N/A |
Item |
Comments |
Remediated on or required by |
| - |
- |
- |
15. Does the ISC have a policy with guidelines to ensure 24 hour-per-day/365 days-per-year availability to address times of crisis or emergency for individuals they serve? |
- |
- |
| - |
- |
- |
16. Does the ISC follow their established policy of being available 24/7/365? (This is answered by calling the ISC after-hours to confirm ability to reach on-call staff.) |
- |
- |
