Department of Human Services
Division of Developmental Disabilities
Information Bulletin
DD.25.xx
Purpose
This Information Bulletin outlines the Rule 115.440 process of applying an admissive hold to a provider by the Division of Developmental Disabilities when an agency receives a Level 4 or 5 rating by Bureau of Accreditation, Certification and Licensure (BALC).
Definition
- 59 Ill. Admin. Code 115: Administrative Rule that oversees the administration of CILAs and agency requirements.
- Sanction: A formal measure or consequence applied to encourage compliance with federal and state laws, regulations, Attachment A of the IMPACT agreement, contracts, policy, or rules. Sanctions have specific steps for removal and/or specific timeframes.
- Admissions Hold: Type of sanction that prohibits new admissions to a specific site or all sites operated by a provider.
Process
As outlined in Rule 115, CILA provider agencies, because of an on-site survey, shall be recognized according to levels of compliance with standards as set forth in Rule 115, as specifically defined in interpretive guidelines made available to CILA agencies. CILA agencies issued a Level 1 score are in full compliance with all CILA standards. CILA agencies with a Level 2 or Level 3 score will be in good standing with the Department once their plan of correction has been accepted. CILA agencies with scores ranging from Level 2 to Level 5 will result in a notice of deficiency, a plan of correction and defined sanctions.
CILA agencies receiving a Level 4 score are considered to be in minimal compliance with CILA standards, which necessitates immediate corrective action. The admission of new individuals shall be prohibited and if the safety or quality of care of the individuals are not in jeopardy they may remain in the home. A re-survey shall occur within 90 days. During the probationary period, the agency must make corrective changes sufficient to bring the agency back into good standing with the Department. DDD will reach out to offer technical assistance during this time to the agency. Failure to make corrective changes within that given time frame may result in a determination to initiate a higher-level sanction. The admission of new individuals shall be prohibited by the agency during the probationary period. The admission's hold will be released once the agency has submitted their corrective changes and they have been approved by BALC.
For agencies receiving a Level 5, which is unsatisfactory compliance, the admission of new individuals shall be prohibited during the restricted licensure period. Corrective action sufficient to bring the agency back into good standing with the Department must be taken within 60 days. A re-survey shall occur within 60 days. During the restricted licensure period, a DDD monitor will be assigned to oversee the progress of the agency in taking corrective action. Depending on the severity of the deficiencies, individuals may be moved to another CILA site supervised by the same agency or a site supervised by another agency. If individuals are moved to a site supervised by another agency, funding for the services will also be moved. If corrective actions are not taken, the agency will be subject to a higher-level sanction per Rule 115.440.
Please note, there are other reasons an agency can receive an admission's hold based on noncompliance with administrative rule, public act, IMPACT requirements and policy. These will be outlined in a separate information bulletin.
Contact
For questions on this DRAFT IB, please email DHS.DDDComments@illinois.gov. Include "Admissions Hold" in the subject line.
Effective Date
12/31/2025
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