As part of the 2010 renewal of the Children's Residential Waiver with the federal Centers for Medicare and Medicaid Services (CMS), the State was required to enhance its monitoring of the use of restraint and seclusion with children and adolescents residing in Child Group Homes. As a result, the State entered into action plans with federal CMS that, among other things, require Child Group Home providers to report unusual incidents involving restraint and seclusion to the Division of Developmental Disabilities.
Rule 384 addresses restraint, seclusion (also referred to as confinement), and other restrictive intervention issues. Part 384.90 states:
Child care facilities shall report to the Department licensing authority [meaning the Department of Children and Family Services] unusual incidents regarding discipline and behavior management of children placed in the facility.
The Department of Children and Family Services has provided a form to all Child Group Home providers for use in reporting unusual incidents in order to comply with Part 384.90. That form is entitled Unusual Incident Reporting Form, CFS119 (Revised 12/07).
In order to quickly begin compiling and monitoring this information on a statewide basis for the Children's Residential Waiver participants, we are adopting the use of this form.
The Division's use of this form does not change current reporting requirements between Child Group Home providers and the Department of Children and Family Services. Providers should continue to follow that Department's reporting instructions. The Division's use of the form is in addition to current requirements; it is not in place of those requirements.
The forms must be submitted by facsimile or electronic mail to the Division of Developmental Disabilities by the end of the business day following the day of the incident. In the event the report is being submitted based on Item A.2. above, the report must be made by the end of the business day following the fifth, as well as any subsequent, incidents. For those providers not using the CFS119 but rather are submitting reports to the Department of Children and Family Services via its electronic reporting system, the Division of Developmental Disabilities will accept a "print screen", scan, or other submission of the electronic reports.
The specific addresses for use in submitting the forms are:
Special clarifications regarding the submissions are as follows:
The implementation date of the reporting requirement is February 1, 2011.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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