5120:1-3-06 Administration
of licensed facilities.(A) The public or private
agencyentity operating a licensedfacilityagency shall be a legal entity or a part of a legal entity according to the provisions of Chapter 1702. of the Revised Code. The agency shall have a copy of the following items:(1) Articles of incorporation or constitution;
(2)
Bylaws;By-laws;(3) Federal tax identification number;
(4) Federal tax exemption number, and;
(5) A current list of the board of directors, their occupations and addresses.
(B) The licensed
facilityagencyand its programs shall be managed bya facility directoran executive officer or director who shall implement the policies and procedures established by the licensedfacility'sagency's governing authority.andThe executive officer or director shall control, manage, operate, and have general charge of thefacilityagency and program and shallhave themaintain custody of its property, files and records.(C) The licensed
facilityagency shall havean approveda policy and procedure/operations manual whichspecifically describesis accessible to all employees and volunteers, is reviewed annually and updated when necessary by the agency's governing authority. The policy and procedures/operations manual shall include a description of the agency's purpose, program, services offered and approved methods of implementation. The policy and procedure/operations manual shall also include an organizational chart that groups similar functions, services and activities in administrative subunits. Employees shall participate in the formulation of policies, procedures and programs.its purpose, program, and services offeredand includes an organizational chart which accurately reflects the structure ofauthority, responsibility, and accountability within the agency.(D)
The policy manual shall be reviewed annually and updated as needed by the agency'sgoverning authority or its designee.(E)
The licensed facility shall have an operations manual which summarizes in onedocument approved methods of implementing agency policies and provides detailsfor standard daily operations of the program. This manual shall be accessible tostaff and volunteers.(F)(D) The licensedfacilityagency shallhaveimplement awrittenpolicy which ensures that there will be no political use or abuse of offenders and thatitconforms to governmental statutes and regulations relating to campaigning, lobbying, and political practices.(G)(E) The licensedfacilityagency shall clarify its relationship to all funding and regulatory agencies and document its relationship through written contracts or mutual letters of agreement.(H)(F) The licensedfacility shall prepare a report of its activities, at least annually, andmake it available to appropriate persons, the licensing agency, and, upon request, tothe publicagency shall prepare an annual report of its activities to include both fiscal and programatic statistical information and activities. The agency shall make the annual report available to appropriate persons, the licensing agency, and upon request, to the public.(I)The licensed facility shall meet the legal requirements of the governmental jurisdictionin which the licensed facility is located. The documentation for this standard shallinclude copies of all local licensing and inspection certificates indicatingconformance to all local fire, health, building, and zoning regulations. It shall alsoinclude any other certification or licensing requirements not mentioned in thisdescription.(J)The licensed facility receiving public funds shall have the statutory authorityaccording to the provisions of Chapter 1702. of the Revised Code or administrativeauthority of the responsible governmental agency to establish and operate such afacility. The licensed facility shall have on file a copy of the law or regulationgranting it the authority to operate a community residential program.(K)The licensed facility shall have provisions for submitting an unusual incident reportto the licensing agency's coordinator of community residential programs whenevents occur that have serious internal or external ramifications or that may attractthe attention of the general public and/or news media. The licensed facility shallhave a written procedure regarding unusual incidents involving residents,instructing staff to also verbally notify the supervising officer or unit supervisor ofthe incident within one business day of the time the incident occurred, and to reportthe unusual incident in writing to the supervising officer or unit supervisor withintwo business days of the time the incident occurred. Both the verbal and writtenreports shall include the following information:(1)Name and institution/docket number of the resident involved in the incident.(2)The name and address (institution/docket number if a resident) of the victim(s)involved.(3)Time the incident occurred.(4)Circumstances surrounding the incident.(5)Copies of medical report or a letter from the attending physician stating theextent of any injuries sustained as a result of the incident.(L)The licensed facility shall have a policy of notifying all staff members of theprovisions of the Gun Control Act of 1968 (26 USC 5841-5842), the provisions ofsections 2923.16 to 2923.23 of the Revised Code and documentation of suchnotification shall be made in writing. There shall be a written notice signed by thestaff member and his/her supervisor in the staff member's personnel file explainingthe provisions of the Gun Control Act of 1968 (26 USC 5841-5842) and theprovisions of sections 2923.16 to 2923.23 of the Revised Code.(M)Where the licensed facility permits or requires staff to possess a weapon in theperformance of his or her duty there shall be written policies controlling itspossession and use in compliance with federal, state, and local laws.(N)The licensed facility shall have a written policy and procedures to guard againstconflicts of interest. This policy shall be contained within a code of ethics to beadopted by the licensed facility. This code shall include, but not be limited to, thefollowing:(1)Licensed facility staff shall not display favoritism or preferential treatment ofone resident, or group of residents, over another.(2)No licensed facility employee may deal with any resident except in aprofessional manner that will support the approved goals of the centerprogram. Specifically, staff members must never accept for themselves, anymember of their family, or others, any personal (tangible or intangible) gift,favor or service from a resident or from a resident's family or close associate,no matter how trivial the gift or service may seem. All staff are required toreport to the center director any violation or attempted violation of theserestrictions. In addition, no staff shall give any gifts, favors, or services toresidents, their families or close associates.(3)No licensed facility employee shall enter into any business relationship withresidents or their families (e.g., selling, buying, or trading personal property).(4)No licensed facility employee shall have any outside contact (other thanincidental contact) with a resident, ex-resident under supervision, his familyor close associates, except for those activities which are an approved, integralpart of the center program and a part of the employee's job description.(5)Licensed facility employees may not engage in any conduct which is criminal innature or which would bring discredit upon the licensed facility. The licensedfacility shall ensure that the conduct of all employees is consistent with theterms, conditions, and spirit of the contract. All employees shall avoidmisconduct, and the appearance of misconduct.(6)Disciplinary action imposed by the licensed facility for any violation orattempted violation of the standards of employee conduct shall be reported,within two business days, telephonically and in writing to the coordinator ofcommunity residential programs. The coordinator of the communityresidential services will consult with supervisors and a determination will bemade, in cooperation with the licensed facility, if the employee may continueto work with eligible releasees. Any failure to report a violation or takeappropriate disciplinary action against the employee according to the licensedfacility's approved policy and procedure may subject the licensed facility toappropriate action, up to and including termination of the contract.(7)The licensed facility shall notify its employees of the standards of employeeconduct and document this notification.(O)The licensed facility shall maintain an organizational chart which accurately reflectsthe structure of authority, responsibility, and accountability within the organization.This chart shall be reviewed annually and updated as needed.(P)(G)The licensed facility shall have provisions for conducting monthly meetings withfacility administrators and supervisors and staff members who are directlyaccountable to themThe licensed agency administrator or designee shall conduct monthly meetings with supervisors and staff.(Q)(H)The licensed facility shall develop annual goals and objectives and submit thesegoals and objectives upon request to the coordinator of community residentialprogramsThe licensed agency shall establish measurable goals and objectives that are reviewed at least annually and updated as needed. There shall be an internal system for assessing achievement of goals and objectives and implementing changes in response to the assessment results.(R)(I)The licensed facility shall have provisions to monitor its program through aninternal inspection and review conducted, at a minimum, semi-annually, byadministrative or designated staff.The licensed agency shall monitor its operations through an internal quality assurance inspection. At a minimum, a semi-annual review shall be conducted by administrative or designated staff. The inspection shall include a review of compliance with licensing standards.(S)(J) The licensedfacilityagency shall display, in each unit, the original licensing certificate awarded by the department of rehabilitation and correction.Effective: 7/1/2002
R.C. 119.032 review dates: 3/22/2002 and 01/12/2006
CERTIFIED ELECTRONICALLY
Certification
06/14/2002 03:08 PM
Date
Promulgated Under: 119.03
Statutory Authority: 2967.14, 2967.26
Rule Amplifies: 2967.14, 2967.26 Prior Effective Dates: 4/1/82, 4/17/93.
Document Information
- Effective Date:
- 7/1/2002
- File Date:
- 2002-06-14
- Last Day in Effect:
- 2002-07-01
- Five Year Review:
- Yes
- Rule File:
- 5120$1-3-06_PH_FF_A_RU_20020614_1200.pdf
- Related Chapter/Rule NO.: (1)
- Ill. Adm. Code 5120:1-3-06. Halfway house licensing standards