Home Services Agency (Non-Medical) - Illinois State Complete Licensure Package

Introducing our comprehensive Home Services Agency (Non-Medical) Licensure Document package designed specifically for Illinois State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of state-compliant documents is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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The Number of Documents

1. Initial Application
2. Copy of the current contract
3. Copy of your scope of services
4. Copy of the agency’s fee schedule
5. Copy of Job Description
6. Complaint resolution policy
7. Employee health and safety policy
8. Infection control policy
9. Health care worker background check process
10. Supervisory visit for client policy
11. Supervisory visit for home service worker policy
12. Client records management and release requirements
13. Employee training procedures
14. Acceptance of client policy
15. Sample Service Plan form
16. Proof of access to the IDPH Health Care Worker Registry
17. Policies and Procedures

Introduction
Vision
Mission
Core Values
Document Control
Statement of Policy
Organizational Chart
Staffing and Staff Responsibilities 
Job Descriptions
Qualifications and Requirements for Home Services Workers
Infection Control 
Use of Personal Protective Equipment (PPE)
Services – Home Services Agencies
Alzheimer's Disease and Related Dementias
Abuse, Neglect, and Financial Exploitation Prevention and Reporting 
Client Records Policy
Privacy and Confidentiality
Emergency Preparedness
Care Plans
Staff Qualifications and Training
Supervision and Performance Evaluation
Health and Safety
Complaint Resolution
Grievances and Complaints 
Health Care Worker Background Check Policy
Employee Health Reporting Policy 
Initial Health Evaluation Policy for Direct Care Workers
Forms
Home Services Worker Training Documentation Form
Incident Report Form
Client Satisfaction Survey
Service Plan Form 
Emergency Contact Form
Complaint/Grievance Form
Infection Control Report Form
Abuse, Neglect, and Financial Exploitation Report Form