Can't they get licenses on their own without adding counties to Chicago's
license? An entirely new license.
On Wed, Nov 20, 2024 at 3:33 PM Amanda Fults <amanda.fults@thekey.com>
wrote:
> Below is the message from the state so I don't believe they will approve
> our application if the counties are not contiguous.
>
> Please visit our website’s forms section for guidance in submitting a
> removal or request additional geographical areas and the required form. *Please
> note, if requesting additional counties, the requested counties must be
> contiguous to the currently approved counties in order to consider the
> request.*
>
>
> https://dph.illinois.gov/topics-services/health-care-regulation/health-care-facilities/home-services.html
>
>
>
> Please consider bookmarking the IDPH Website to your internet browser’s
> favorites for quick access in the future.
>
>
>
> Regards,
>
> Rani Harms, MSN, RN
>
> Home Services & Home Nursing Program Supervisor
>
> IDPH, Division of Health Care Facilities & Programs
>
> 525 West Jefferson St., 4th Floor
>
> Springfield, IL. 62761
>
>
> On Wed, Nov 20, 2024 at 3:30 PM Timothy Thomas <tt@thekey.com> wrote:
>
>> Can we still try? It doesn't make operational sense for an office in
>> Chicago to service the whole state.
>>
>> On Wed, Nov 20, 2024 at 3:21 PM Emily Swackhamer <
>> emily.swackhamer@thekey.com> wrote:
>>
>>> What a bummer. None are anywhere close. Thank you for all of the help.
>>>
>>> On Wed, Nov 20, 2024 at 2:03 PM Amanda Fults <amanda.fults@thekey.com>
>>> wrote:
>>>
>>>> Here are the current counties on our license:
>>>> Cook
>>>>
>>>> DuPage
>>>>
>>>> Will
>>>>
>>>> Kendall
>>>>
>>>> Grundy
>>>>
>>>> Lake
>>>>
>>>> Kane
>>>>
>>>> McHenry
>>>>
>>>> DeKalb
>>>>
>>>>
>>>> On Wed, Nov 20, 2024 at 2:02 PM Diane Mockenhaupt <
>>>> dmockenhaupt@thekey.com> wrote:
>>>>
>>>>> There are probably 300 or more miles in between my southernmost county
>>>>> and downstate counties.
>>>>>
>>>>> Diane
>>>>>
>>>>> On Wed, Nov 20, 2024 at 2:00 PM Emily Swackhamer <
>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>
>>>>>> I’m not sure what the furthest county south is that is currently
>>>>>> licensed for IL..but I highly doubt it. These are the southernmost counties
>>>>>> right on the boarder or IL and MO
>>>>>>
>>>>>> On Wed, Nov 20, 2024 at 1:44 PM Amanda Fults <amanda.fults@thekey.com>
>>>>>> wrote:
>>>>>>
>>>>>>> Ugh, none of them are? Hmm then I don't believe the state will
>>>>>>> approve the request. :(
>>>>>>>
>>>>>>> On Wed, Nov 20, 2024 at 1:42 PM Emily Swackhamer <
>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>
>>>>>>>> These counties are not contiguous unfortunately.
>>>>>>>>
>>>>>>>> On Wed, Nov 20, 2024 at 1:39 PM Amanda Fults <
>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>
>>>>>>>>> Additionally, please confirm that the requested additional
>>>>>>>>> counties are contiguous to our current approved counties, otherwise the
>>>>>>>>> state will not approve.
>>>>>>>>>
>>>>>>>>> On Wed, Nov 20, 2024 at 1:30 PM Emily Swackhamer <
>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>
>>>>>>>>>> Thank you Amanda!
>>>>>>>>>>
>>>>>>>>>> On Wed, Nov 20, 2024 at 1:29 PM Amanda Fults <
>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>
>>>>>>>>>>> Hi Team,
>>>>>>>>>>> Here is what I put together for 3-5. Let me know if it makes
>>>>>>>>>>> sense and aligns with our practices or if sections need to be revised.
>>>>>>>>>>>
>>>>>>>>>>> 1. How administration will manage the added service area for
>>>>>>>>>>> staff assignment and supervisionThe agency will implement a
>>>>>>>>>>> structured management system to ensure the efficient assignment and
>>>>>>>>>>> supervision of staff within the expanded service area:
>>>>>>>>>>>
>>>>>>>>>>> - Staffing Plan: The agency will assess the staff-to-client
>>>>>>>>>>> ratio in the added area and hire additional personnel if necessary to
>>>>>>>>>>> maintain quality service delivery.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> - Technology Integration: The agency will use its scheduling
>>>>>>>>>>> software to assign staff based on client needs, geographic proximity, and
>>>>>>>>>>> staff availability. This system ensures minimal travel time and optimal
>>>>>>>>>>> coverage.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> - Supervisory Framework: The agency will designate regional
>>>>>>>>>>> supervisors for the added service area, ensuring consistent oversight of
>>>>>>>>>>> caregivers and regular communication with the main office. These
>>>>>>>>>>> supervisors will monitor performance and adherence to policies.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> 2. The process for client onsite home supervisory visits per
>>>>>>>>>>> regulations going to be met
>>>>>>>>>>>
>>>>>>>>>>> The agency will ensure compliance with regulatory requirements
>>>>>>>>>>> for supervisory visits by:
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> -
>>>>>>>>>>>
>>>>>>>>>>> Supervisor Assignments: Each client will be assigned a
>>>>>>>>>>> qualified supervisor responsible for conducting onsite home visits within
>>>>>>>>>>> the required timeframe as outlined by IDPH regulations.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> -
>>>>>>>>>>>
>>>>>>>>>>> Visit Scheduling: Supervisory visits will be scheduled in
>>>>>>>>>>> advance, documented, and tracked in the agency's case management system.
>>>>>>>>>>> Unscheduled spot-checks will also be conducted as needed to ensure service
>>>>>>>>>>> quality.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> -
>>>>>>>>>>>
>>>>>>>>>>> Documentation and Follow-Up: During each visit, the
>>>>>>>>>>> supervisor will assess caregiver performance, review the client's care
>>>>>>>>>>> plan, and address any issues. A standardized checklist will be used to
>>>>>>>>>>> document observations, which will then be reviewed and maintained at the
>>>>>>>>>>> agency office.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> 3. How the client medical records will be sent to the agency
>>>>>>>>>>> office from the staff in the proposed areaThe agency will
>>>>>>>>>>> maintain secure and efficient processes for transferring client medical
>>>>>>>>>>> records to the main office:
>>>>>>>>>>>
>>>>>>>>>>> - Electronic Records System: All client documentation will
>>>>>>>>>>> be maintained in the agency’s electronic records system WellSky which
>>>>>>>>>>> allows caregivers and staff to upload documentation in real time.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> - Verification and Filing: Once received, the main office
>>>>>>>>>>> will verify the completeness of the records and integrate them into the
>>>>>>>>>>> client's primary file. The agency will establish a quality assurance
>>>>>>>>>>> process to verify that all client records from the expanded service area
>>>>>>>>>>> are received, reviewed, and filed appropriately in compliance with IDPH
>>>>>>>>>>> regulations.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> On Wed, Nov 20, 2024 at 9:27 AM Timothy Thomas <tt@thekey.com>
>>>>>>>>>>> wrote:
>>>>>>>>>>>
>>>>>>>>>>>> Amanda, would you have answers to question 4 & 5 based on
>>>>>>>>>>>> previous applications?
>>>>>>>>>>>>
>>>>>>>>>>>> In the meantime, Emily, can you take a stab at the first three
>>>>>>>>>>>> and let's come together for a quick meeting to review.
>>>>>>>>>>>>
>>>>>>>>>>>> Thanks!
>>>>>>>>>>>>
>>>>>>>>>>>> On Tue, Nov 19, 2024 at 2:04 PM Amanda Fults <
>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>
>>>>>>>>>>>>> Hi Team,
>>>>>>>>>>>>> We will need the following information in order to request new
>>>>>>>>>>>>> counties in our letter to the state for approval. Please provide the
>>>>>>>>>>>>> requested information as soon as possible.
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> -
>>>>>>>>>>>>>
>>>>>>>>>>>>> All the staff you employ with an asterisk (*) to identify
>>>>>>>>>>>>> the staff you have allocated to
>>>>>>>>>>>>>
>>>>>>>>>>>>> service the requested area upon approval.
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> -
>>>>>>>>>>>>>
>>>>>>>>>>>>> The reason for the expansion request (i.e. currently
>>>>>>>>>>>>> receiving requests for service in
>>>>>>>>>>>>>
>>>>>>>>>>>>> that county).
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> -
>>>>>>>>>>>>>
>>>>>>>>>>>>> How administration will manage the added service area for
>>>>>>>>>>>>> staff assignment and
>>>>>>>>>>>>>
>>>>>>>>>>>>> supervision.
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> -
>>>>>>>>>>>>>
>>>>>>>>>>>>> The process for client onsite home supervisory visits per
>>>>>>>>>>>>> regulations going to be met.
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> -
>>>>>>>>>>>>>
>>>>>>>>>>>>> How the client medical records will be sent to the agency
>>>>>>>>>>>>> office from the staff in the
>>>>>>>>>>>>>
>>>>>>>>>>>>> proposed area.
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> On Tue, Nov 19, 2024 at 10:38 AM Sean Cygan <scygan@thekey.com>
>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>
>>>>>>>>>>>>>> I will start working on this. Sean
>>>>>>>>>>>>>>
>>>>>>>>>>>>>>
>>>>>>>>>>>>>> On Tue, Nov 19, 2024 at 8:28 AM Amanda Fults <
>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>
>>>>>>>>>>>>>>> Thanks Audra. @Sean Cygan <scygan@thekey.com> please
>>>>>>>>>>>>>>> complete the process for adding counties to our Illinois license and submit
>>>>>>>>>>>>>>> to the state for approval.
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>> On Mon, Nov 18, 2024 at 6:03 PM Audra Williams <
>>>>>>>>>>>>>>> audraw@thekey.com> wrote:
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> Hi Amanda!
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> We would like to be able to service clients in the below
>>>>>>>>>>>>>>>> Illinois counties. Would you be able to add these counties and submit to
>>>>>>>>>>>>>>>> the state for approval? Also, do you know how long the approval process
>>>>>>>>>>>>>>>> will take? We have 2 clients now that need service.
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> - Madison
>>>>>>>>>>>>>>>> - St. Claire
>>>>>>>>>>>>>>>> - Monroe
>>>>>>>>>>>>>>>> - Clinton
>>>>>>>>>>>>>>>> - Washington
>>>>>>>>>>>>>>>> - Bond
>>>>>>>>>>>>>>>> - Jersey
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> Thank you so much! Let us know if you need anything else.
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> Best,
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>> Audra Williams
>>>>>>>>>>>>>>>> Director, Divisional Operations
>>>>>>>>>>>>>>>> (425) 757-7027
>>>>>>>>>>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> [image: TheKey] <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>> Senior Regulatory, Compliance Manager
>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>>>>>>>>>> [image: TheKey] <https://homecareassistance.com/>
>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The information in the Email is
>>>>>>>>>>>>>>> confidential and may be privileged. This Email is intended solely for the
>>>>>>>>>>>>>>> named recipient or
>>>>>>>>>>>>>>> recipients. If you are not the intended recipient, any use,
>>>>>>>>>>>>>>> disclosure,
>>>>>>>>>>>>>>> copying or distribution of this Email is prohibited. If you
>>>>>>>>>>>>>>> are not the
>>>>>>>>>>>>>>> intended recipient, please inform us by replying with the
>>>>>>>>>>>>>>> subject line
>>>>>>>>>>>>>>> marked "Wrong Address" and then deleting this Email and any
>>>>>>>>>>>>>>> attachments.
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>>> --
>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>> Senior Regulatory, Compliance Manager
>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>>>>>>>> [image: TheKey] <https://homecareassistance.com/>
>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The information in the Email is
>>>>>>>>>>>>> confidential and may be privileged. This Email is intended solely for the
>>>>>>>>>>>>> named recipient or
>>>>>>>>>>>>> recipients. If you are not the intended recipient, any use,
>>>>>>>>>>>>> disclosure,
>>>>>>>>>>>>> copying or distribution of this Email is prohibited. If you
>>>>>>>>>>>>> are not the
>>>>>>>>>>>>> intended recipient, please inform us by replying with the
>>>>>>>>>>>>> subject line
>>>>>>>>>>>>> marked "Wrong Address" and then deleting this Email and any
>>>>>>>>>>>>> attachments.
>>>>>>>>>>>>>
>>>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>>> --
>>>>>>>>>>> Amanda Fults
>>>>>>>>>>> Senior Regulatory, Compliance Manager
>>>>>>>>>>> 714-623-6918
>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>>>>>> [image: TheKey] <https://homecareassistance.com/>
>>>>>>>>>>> CONFIDENTIALITY NOTICE: The information in the Email is
>>>>>>>>>>> confidential and may be privileged. This Email is intended solely for the
>>>>>>>>>>> named recipient or
>>>>>>>>>>> recipients. If you are not the intended recipient, any use,
>>>>>>>>>>> disclosure,
>>>>>>>>>>> copying or distribution of this Email is prohibited. If you are
>>>>>>>>>>> not the
>>>>>>>>>>> intended recipient, please inform us by replying with the
>>>>>>>>>>> subject line
>>>>>>>>>>> marked "Wrong Address" and then deleting this Email and any
>>>>>>>>>>> attachments.
>>>>>>>>>>>
>>>>>>>>>>>
>>>>>>>>>
>>>>>>>>> --
>>>>>>>>> Amanda Fults
>>>>>>>>> Senior Regulatory, Compliance Manager
>>>>>>>>> 714-623-6918
>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>>>> [image: TheKey] <https://homecareassistance.com/>
>>>>>>>>> CONFIDENTIALITY NOTICE: The information in the Email is
>>>>>>>>> confidential and may be privileged. This Email is intended solely for the
>>>>>>>>> named recipient or
>>>>>>>>> recipients. If you are not the intended recipient, any use,
>>>>>>>>> disclosure,
>>>>>>>>> copying or distribution of this Email is prohibited. If you are
>>>>>>>>> not the
>>>>>>>>> intended recipient, please inform us by replying with the subject
>>>>>>>>> line
>>>>>>>>> marked "Wrong Address" and then deleting this Email and any
>>>>>>>>> attachments.
>>>>>>>>>
>>>>>>>>>
>>>>>>>
>>>>>>> --
>>>>>>> Amanda Fults
>>>>>>> Senior Regulatory, Compliance Manager
>>>>>>> 714-623-6918
>>>>>>> amanda.fults@thekey.com
>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>> [image: TheKey] <https://homecareassistance.com/>
>>>>>>> CONFIDENTIALITY NOTICE: The information in the Email is confidential
>>>>>>> and may be privileged. This Email is intended solely for the named
>>>>>>> recipient or
>>>>>>> recipients. If you are not the intended recipient, any use,
>>>>>>> disclosure,
>>>>>>> copying or distribution of this Email is prohibited. If you are not
>>>>>>> the
>>>>>>> intended recipient, please inform us by replying with the subject
>>>>>>> line
>>>>>>> marked "Wrong Address" and then deleting this Email and any
>>>>>>> attachments.
>>>>>>>
>>>>>>>
>>>>
>>>> --
>>>> Amanda Fults
>>>> Senior Regulatory, Compliance Manager
>>>> 714-623-6918
>>>> amanda.fults@thekey.com
>>>> TheKey.com <https://www.thekey.com/>
>>>> [image: TheKey] <https://homecareassistance.com/>
>>>> CONFIDENTIALITY NOTICE: The information in the Email is confidential
>>>> and may be privileged. This Email is intended solely for the named
>>>> recipient or
>>>> recipients. If you are not the intended recipient, any use, disclosure,
>>>> copying or distribution of this Email is prohibited. If you are not the
>>>> intended recipient, please inform us by replying with the subject line
>>>> marked "Wrong Address" and then deleting this Email and any attachments.
>>>>
>>>>
>
> --
> Amanda Fults
> Senior Regulatory, Compliance Manager
> 714-623-6918
> amanda.fults@thekey.com
> TheKey.com <https://www.thekey.com/>
> [image: TheKey] <https://homecareassistance.com/>
> CONFIDENTIALITY NOTICE: The information in the Email is confidential and
> may be privileged. This Email is intended solely for the named recipient or
> recipients. If you are not the intended recipient, any use, disclosure,
> copying or distribution of this Email is prohibited. If you are not the
> intended recipient, please inform us by replying with the subject line
> marked "Wrong Address" and then deleting this Email and any attachments.
>
>