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1 | | AN ACT concerning civil law.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Juvenile Court Act of 1987 is amended by |
5 | | changing Section 2-10 as follows:
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6 | | (705 ILCS 405/2-10) (from Ch. 37, par. 802-10)
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7 | | Sec. 2-10. Temporary custody hearing. At the appearance of |
8 | | the
minor before the court at the temporary custody hearing, |
9 | | all
witnesses present shall be examined before the court in |
10 | | relation to any
matter connected with the allegations made in |
11 | | the petition.
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12 | | (1) If the court finds that there is not probable cause to |
13 | | believe
that the minor is abused, neglected or dependent it |
14 | | shall release
the minor and dismiss the petition.
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15 | | (2) If the court finds that there is probable cause to |
16 | | believe that
the minor is abused, neglected or dependent, the |
17 | | court shall state in writing
the factual basis supporting its |
18 | | finding and the minor, his or her parent,
guardian, custodian |
19 | | and other persons able to give relevant testimony
shall be |
20 | | examined before the court. The Department of Children and
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21 | | Family Services shall give testimony concerning indicated |
22 | | reports of abuse
and neglect, of which they are aware of |
23 | | through the central registry,
involving the minor's parent, |
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1 | | guardian or custodian. After such
testimony, the court may, |
2 | | consistent with
the health,
safety and best interests of the |
3 | | minor,
enter an order that the minor shall be released
upon the |
4 | | request of parent, guardian or custodian if the parent, |
5 | | guardian
or custodian appears to take custody. If it is |
6 | | determined that a parent's, guardian's, or custodian's |
7 | | compliance with critical services mitigates the necessity for |
8 | | removal of the minor from his or her home, the court may enter |
9 | | an Order of Protection setting forth reasonable conditions of |
10 | | behavior that a parent, guardian, or custodian must observe for |
11 | | a specified period of time, not to exceed 12 months, without a |
12 | | violation; provided, however, that the 12-month period shall |
13 | | begin anew after any violation. "Custodian" includes the |
14 | | Department of Children and Family Services, if it has been |
15 | | given custody of the child, or any other agency of the State |
16 | | which has been given custody or wardship of the child. If it is
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17 | | consistent with the health, safety and best interests of the
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18 | | minor, the
court may also prescribe shelter care and
order that |
19 | | the minor be kept in a suitable place designated by the court |
20 | | or in
a shelter care facility designated by the Department of |
21 | | Children and Family
Services or a licensed child welfare
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22 | | agency; however, on and after January 1, 2015 (the effective |
23 | | date of Public Act 98-803) and before January 1, 2017, a minor |
24 | | charged with a
criminal offense under the Criminal Code of 1961 |
25 | | or the Criminal Code of 2012 or adjudicated delinquent
shall |
26 | | not be placed in the custody of or committed to the Department |
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1 | | of
Children and Family Services by any court, except a minor |
2 | | less than 16
years of age and committed to the Department of |
3 | | Children and Family Services
under Section 5-710 of this Act or |
4 | | a minor for whom an independent
basis of
abuse, neglect, or |
5 | | dependency exists; and on and after January 1, 2017, a minor |
6 | | charged with a
criminal offense under the Criminal Code of 1961 |
7 | | or the Criminal Code of 2012 or adjudicated delinquent
shall |
8 | | not be placed in the custody of or committed to the Department |
9 | | of
Children and Family Services by any court, except a minor |
10 | | less than 15 years of age and committed to the Department of |
11 | | Children and Family Services
under Section 5-710 of this Act or |
12 | | a minor for whom an independent
basis of
abuse, neglect, or |
13 | | dependency exists.
An independent basis exists when the |
14 | | allegations or adjudication of abuse, neglect, or dependency do |
15 | | not arise from the same facts, incident, or circumstances which |
16 | | give rise to a charge or adjudication of delinquency.
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17 | | In placing the minor, the Department or other
agency shall, |
18 | | to the extent
compatible with the court's order, comply with |
19 | | Section 7 of the Children and
Family Services Act.
In |
20 | | determining
the health, safety and best interests of the minor |
21 | | to prescribe shelter
care, the court must
find that it is a |
22 | | matter of immediate and urgent necessity for the safety
and |
23 | | protection
of the minor or of the person or property of another |
24 | | that the minor be placed
in a shelter care facility or that he |
25 | | or she is likely to flee the jurisdiction
of the court, and |
26 | | must further find that reasonable efforts have been made or
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1 | | that, consistent with the health, safety and best interests of
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2 | | the minor, no efforts reasonably can be made to
prevent or |
3 | | eliminate the necessity of removal of the minor from his or her
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4 | | home. The court shall require documentation from the Department |
5 | | of Children and
Family Services as to the reasonable efforts |
6 | | that were made to prevent or
eliminate the necessity of removal |
7 | | of the minor from his or her home or the
reasons why no efforts |
8 | | reasonably could be made to prevent or eliminate the
necessity |
9 | | of removal. When a minor is placed in the home of a relative, |
10 | | the
Department of Children and Family Services shall complete a |
11 | | preliminary
background review of the members of the minor's |
12 | | custodian's household in
accordance with Section 4.3 of the |
13 | | Child Care Act of 1969 within 90 days of
that placement. If the |
14 | | minor is ordered placed in a shelter care facility of
the |
15 | | Department of Children and
Family Services or a licensed child |
16 | | welfare agency, the court shall, upon
request of the |
17 | | appropriate Department or other agency, appoint the
Department |
18 | | of Children and Family Services Guardianship Administrator or
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19 | | other appropriate agency executive temporary custodian of the |
20 | | minor and the
court may enter such other orders related to the |
21 | | temporary custody as it
deems fit and proper, including the |
22 | | provision of services to the minor or
his family to ameliorate |
23 | | the causes contributing to the finding of probable
cause or to |
24 | | the finding of the existence of immediate and urgent necessity. |
25 | | Where the Department of Children and Family Services |
26 | | Guardianship Administrator is appointed as the executive |
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1 | | temporary custodian, the Department of Children and Family |
2 | | Services shall file with the court and serve on the parties a |
3 | | parent-child visiting plan, within 10 days, excluding weekends |
4 | | and holidays, after the appointment. The parent-child visiting |
5 | | plan shall set out the time and place of visits, the frequency |
6 | | of visits, the length of visits, who shall be present at the |
7 | | visits, and where appropriate, the minor's opportunities to |
8 | | have telephone and mail communication with the parents. |
9 | | Where the Department of Children and Family Services |
10 | | Guardianship Administrator is
appointed as the executive |
11 | | temporary custodian, and when the child has siblings in care,
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12 | | the Department of Children and Family Services shall file with |
13 | | the court and serve on the
parties a sibling placement and |
14 | | contact plan within 10 days, excluding weekends and
holidays, |
15 | | after the appointment. The sibling placement and contact plan |
16 | | shall set forth
whether the siblings are placed together, and |
17 | | if they are not placed together, what, if any,
efforts are |
18 | | being made to place them together. If the Department has |
19 | | determined that it is
not in a child's best interest to be |
20 | | placed with a sibling, the Department shall document in
the |
21 | | sibling placement and contact plan the basis for its |
22 | | determination. For siblings placed
separately, the sibling |
23 | | placement and contact plan shall set the time and place for |
24 | | visits,
the frequency of the visits, the length of visits, who |
25 | | shall be present for the visits, and
where appropriate, the |
26 | | child's opportunities to have contact with their siblings in |
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1 | | addition to
in person contact. If the Department determines it |
2 | | is not in the best interest of a sibling to
have contact with a |
3 | | sibling, the Department shall document in the sibling placement |
4 | | and
contact plan the basis for its determination. The sibling |
5 | | placement and contact plan shall
specify a date for development |
6 | | of the Sibling Contact Support Plan, under subsection (f) of |
7 | | Section 7.4 of the Children and Family Services Act, and shall |
8 | | remain in effect until the Sibling Contact Support Plan is |
9 | | developed. |
10 | | For good cause, the court may waive the requirement to file |
11 | | the parent-child visiting plan or the sibling placement and |
12 | | contact plan, or extend the time for filing either plan. Any |
13 | | party may, by motion, request the court to review the |
14 | | parent-child visiting plan to determine whether it is |
15 | | reasonably calculated to expeditiously facilitate the |
16 | | achievement of the permanency goal. A party may, by motion, |
17 | | request the court to review the parent-child visiting plan or |
18 | | the sibling placement and contact plan to determine whether it |
19 | | is consistent with the minor's best interest. The court may |
20 | | refer the parties to mediation where available. The frequency, |
21 | | duration, and locations of visitation shall be measured by the |
22 | | needs of the child and family, and not by the convenience of |
23 | | Department personnel. Child development principles shall be |
24 | | considered by the court in its analysis of how frequent |
25 | | visitation should be, how long it should last, where it should |
26 | | take place, and who should be present. If upon motion of the |
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1 | | party to review either plan and after receiving evidence, the |
2 | | court determines that the parent-child visiting plan is not |
3 | | reasonably calculated to expeditiously facilitate the |
4 | | achievement of the permanency goal or that the restrictions |
5 | | placed on parent-child contact or sibling placement or contact |
6 | | are contrary to the child's best interests, the court shall put |
7 | | in writing the factual basis supporting the determination and |
8 | | enter specific findings based on the evidence. The court shall |
9 | | enter an order for the Department to implement changes to the |
10 | | parent-child visiting plan or sibling placement or contact |
11 | | plan, consistent with the court's findings. At any stage of |
12 | | proceeding, any party may by motion request the court to enter |
13 | | any orders necessary to implement the parent-child visiting |
14 | | plan, sibling placement or contact plan or subsequently |
15 | | developed Sibling Contact Support Plan. Nothing under this |
16 | | subsection (2) shall restrict the court from granting |
17 | | discretionary authority to the Department to increase |
18 | | opportunities for additional parent-child contacts or sibling |
19 | | contacts, without further court orders. Nothing in this |
20 | | subsection (2) shall restrict the Department from immediately |
21 | | restricting or terminating parent-child contact or sibling |
22 | | contacts, without either amending the parent-child visiting |
23 | | plan or the sibling contact plan or obtaining a court order, |
24 | | where the Department or its assigns reasonably believe that |
25 | | continuation of the contact, as set out in the plan, would be |
26 | | contrary to the child's health, safety, and welfare. The |
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1 | | Department shall file with the court and serve on the parties |
2 | | any amendments to the plan within 10 days, excluding weekends |
3 | | and holidays, of the change of the visitation. |
4 | | Acceptance of services shall not be considered an admission |
5 | | of any
allegation in a petition made pursuant to this Act, nor |
6 | | may a referral of
services be considered as evidence in any |
7 | | proceeding pursuant to this Act,
except where the issue is |
8 | | whether the Department has made reasonable
efforts to reunite |
9 | | the family. In making its findings that it is
consistent with |
10 | | the health, safety and best
interests of the minor to prescribe |
11 | | shelter care, the court shall state in
writing (i) the factual |
12 | | basis supporting its findings concerning the
immediate and |
13 | | urgent necessity for the protection of the minor or of the |
14 | | person
or property of another and (ii) the factual basis |
15 | | supporting its findings that
reasonable efforts were made to |
16 | | prevent or eliminate the removal of the minor
from his or her |
17 | | home or that no efforts reasonably could be made to prevent or
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18 | | eliminate the removal of the minor from his or her home. The
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19 | | parents, guardian, custodian, temporary custodian and minor |
20 | | shall each be
furnished a copy of such written findings. The |
21 | | temporary custodian shall
maintain a copy of the court order |
22 | | and written findings in the case record
for the child. The |
23 | | order together with the court's findings of fact in
support |
24 | | thereof shall be entered of record in the court.
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25 | | Once the court finds that it is a matter of immediate and |
26 | | urgent necessity
for the protection of the minor that the minor |
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1 | | be placed in a shelter care
facility, the minor shall not be |
2 | | returned to the parent, custodian or guardian
until the court |
3 | | finds that such placement is no longer necessary for the
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4 | | protection of the minor.
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5 | | If the child is placed in the temporary custody of the |
6 | | Department of
Children
and Family
Services for his or her |
7 | | protection, the court shall admonish the parents,
guardian,
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8 | | custodian or responsible relative that the parents must |
9 | | cooperate with the
Department of Children and Family Services, |
10 | | comply
with the terms of the service plans, and correct the |
11 | | conditions which require
the child to be in care, or risk |
12 | | termination of their parental
rights. The court shall ensure, |
13 | | by inquiring in open court of each parent, guardian, custodian |
14 | | or responsible relative, that the parent, guardian, custodian |
15 | | or responsible relative has had the opportunity to provide the |
16 | | Department with all known names, addresses, and telephone |
17 | | numbers of each of the minor's living maternal and paternal |
18 | | adult relatives, including, but not limited to, grandparents, |
19 | | aunts, uncles, and siblings. The court shall advise the |
20 | | parents, guardian, custodian or responsible relative to inform |
21 | | the Department if additional information regarding the minor's |
22 | | adult relatives becomes available.
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23 | | (3) If prior to the shelter care hearing for a minor |
24 | | described in Sections
2-3, 2-4, 3-3 and 4-3 the moving party is |
25 | | unable to serve notice on the
party respondent, the shelter |
26 | | care hearing may proceed ex parte. A shelter
care order from an |
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1 | | ex parte hearing shall be endorsed with the date and
hour of |
2 | | issuance and shall be filed with the clerk's office and entered |
3 | | of
record. The order shall expire after 10 days from the time |
4 | | it is issued
unless before its expiration it is renewed, at a |
5 | | hearing upon appearance
of the party respondent, or upon an |
6 | | affidavit of the moving party as to all
diligent efforts to |
7 | | notify the party respondent by notice as herein
prescribed. The |
8 | | notice prescribed shall be in writing and shall be
personally |
9 | | delivered to the minor or the minor's attorney and to the last
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10 | | known address of the other person or persons entitled to |
11 | | notice. The
notice shall also state the nature of the |
12 | | allegations, the nature of the
order sought by the State, |
13 | | including whether temporary custody is sought,
and the |
14 | | consequences of failure to appear and shall contain a notice
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15 | | that the parties will not be entitled to further written |
16 | | notices or publication
notices of proceedings in this case, |
17 | | including the filing of an amended
petition or a motion to |
18 | | terminate parental rights, except as required by
Supreme Court |
19 | | Rule 11; and shall explain the
right of
the parties and the |
20 | | procedures to vacate or modify a shelter care order as
provided |
21 | | in this Section. The notice for a shelter care hearing shall be
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22 | | substantially as follows:
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23 | | NOTICE TO PARENTS AND CHILDREN
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24 | | OF SHELTER CARE HEARING
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25 | | On ................ at ........., before the Honorable |
26 | | ................,
(address:) ................., the State |
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1 | | of Illinois will present evidence
(1) that (name of child |
2 | | or children) ....................... are abused,
neglected |
3 | | or dependent for the following reasons:
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4 | | ..............................................
and (2) |
5 | | whether there is "immediate and urgent necessity" to remove |
6 | | the child
or children from the responsible relative.
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7 | | YOUR FAILURE TO APPEAR AT THE HEARING MAY RESULT IN |
8 | | PLACEMENT of the
child or children in foster care until a |
9 | | trial can be held. A trial may
not be held for up to 90 |
10 | | days. You will not be entitled to further notices
of |
11 | | proceedings in this case, including the filing of an |
12 | | amended petition or a
motion to terminate parental rights.
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13 | | At the shelter care hearing, parents have the following |
14 | | rights:
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15 | | 1. To ask the court to appoint a lawyer if they |
16 | | cannot afford one.
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17 | | 2. To ask the court to continue the hearing to |
18 | | allow them time to
prepare.
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19 | | 3. To present evidence concerning:
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20 | | a. Whether or not the child or children were |
21 | | abused, neglected
or dependent.
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22 | | b. Whether or not there is "immediate and |
23 | | urgent necessity" to remove
the child from home |
24 | | (including: their ability to care for the child,
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25 | | conditions in the home, alternative means of |
26 | | protecting the child other
than removal).
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1 | | c. The best interests of the child.
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2 | | 4. To cross examine the State's witnesses.
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3 | | The Notice for rehearings shall be substantially as |
4 | | follows:
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5 | | NOTICE OF PARENT'S AND CHILDREN'S RIGHTS
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6 | | TO REHEARING ON TEMPORARY CUSTODY
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7 | | If you were not present at and did not have adequate |
8 | | notice of the
Shelter Care Hearing at which temporary |
9 | | custody of ............... was
awarded to |
10 | | ................, you have the right to request a full |
11 | | rehearing
on whether the State should have temporary |
12 | | custody of ................. To
request this rehearing, |
13 | | you must file with the Clerk of the Juvenile Court
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14 | | (address): ........................, in person or by |
15 | | mailing a statement
(affidavit) setting forth the |
16 | | following:
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17 | | 1. That you were not present at the shelter care |
18 | | hearing.
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19 | | 2. That you did not get adequate notice (explaining |
20 | | how the notice
was inadequate).
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21 | | 3. Your signature.
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22 | | 4. Signature must be notarized.
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23 | | The rehearing should be scheduled within 48 hours of |
24 | | your filing this
affidavit.
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25 | | At the rehearing, your rights are the same as at the |
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1 | | initial shelter care
hearing. The enclosed notice explains |
2 | | those rights.
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3 | | At the Shelter Care Hearing, children have the |
4 | | following rights:
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5 | | 1. To have a guardian ad litem appointed.
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6 | | 2. To be declared competent as a witness and to |
7 | | present testimony
concerning:
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8 | | a. Whether they are abused, neglected or |
9 | | dependent.
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10 | | b. Whether there is "immediate and urgent |
11 | | necessity" to be
removed from home.
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12 | | c. Their best interests.
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13 | | 3. To cross examine witnesses for other parties.
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14 | | 4. To obtain an explanation of any proceedings and |
15 | | orders of the
court.
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16 | | (4) If the parent, guardian, legal custodian, responsible |
17 | | relative,
minor age 8 or over, or counsel of the minor did not |
18 | | have actual notice of
or was not present at the shelter care |
19 | | hearing, he or she may file an
affidavit setting forth these |
20 | | facts, and the clerk shall set the matter for
rehearing not |
21 | | later than 48 hours, excluding Sundays and legal holidays,
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22 | | after the filing of the affidavit. At the rehearing, the court |
23 | | shall
proceed in the same manner as upon the original hearing.
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24 | | (5) Only when there is reasonable cause to believe that the |
25 | | minor
taken into custody is a person described in subsection |
26 | | (3) of Section
5-105 may the minor be
kept or detained in a |
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1 | | detention home or county or municipal jail. This
Section shall |
2 | | in no way be construed to limit subsection (6).
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3 | | (6) No minor under 16 years of age may be confined in a |
4 | | jail or place
ordinarily used for the confinement of prisoners |
5 | | in a police station. Minors
under 18 years of age must be kept |
6 | | separate from confined adults and may
not at any time be kept |
7 | | in the same cell, room, or yard with adults confined
pursuant |
8 | | to the criminal law.
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9 | | (7) If the minor is not brought before a judicial officer |
10 | | within the
time period as specified in Section 2-9, the minor |
11 | | must immediately be
released from custody.
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12 | | (8) If neither the parent, guardian or custodian appears |
13 | | within 24
hours to take custody of a minor released upon |
14 | | request pursuant to
subsection (2) of this Section, then the |
15 | | clerk of the court shall set the
matter for rehearing not later |
16 | | than 7 days after the original order and
shall issue a summons |
17 | | directed to the parent, guardian or custodian to
appear. At the |
18 | | same time the probation department shall prepare a report
on |
19 | | the minor. If a parent, guardian or custodian does not appear |
20 | | at such
rehearing, the judge may enter an order prescribing |
21 | | that the minor be kept
in a suitable place designated by the |
22 | | Department of Children and Family
Services or a licensed child |
23 | | welfare agency.
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24 | | (9) Notwithstanding any other provision of this
Section any |
25 | | interested party, including the State, the temporary
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26 | | custodian, an agency providing services to the minor or family |
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1 | | under a
service plan pursuant to Section 8.2 of the Abused and |
2 | | Neglected Child
Reporting Act, foster parent, or any of their |
3 | | representatives, on notice
to all parties entitled to notice, |
4 | | may file a motion that it is in the best
interests of the minor |
5 | | to modify or vacate a
temporary custody order on any of the |
6 | | following grounds:
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7 | | (a) It is no longer a matter of immediate and urgent |
8 | | necessity that the
minor remain in shelter care; or
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9 | | (b) There is a material change in the circumstances of |
10 | | the natural
family from which the minor was removed and the |
11 | | child can be cared for at
home without endangering the |
12 | | child's health or safety; or
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13 | | (c) A person not a party to the alleged abuse, neglect |
14 | | or dependency,
including a parent, relative or legal |
15 | | guardian, is capable of assuming
temporary custody of the |
16 | | minor; or
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17 | | (d) Services provided by the Department of Children and |
18 | | Family Services
or a child welfare agency or other service |
19 | | provider have been successful in
eliminating the need for |
20 | | temporary custody and the child can be cared for at
home |
21 | | without endangering the child's health or safety.
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22 | | In ruling on the motion, the court shall determine whether |
23 | | it is consistent
with the health, safety and best interests of |
24 | | the minor to modify
or vacate a temporary custody order.
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25 | | The clerk shall set the matter for hearing not later than |
26 | | 14 days after
such motion is filed. In the event that the court |
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1 | | modifies or vacates a
temporary custody order but does not |
2 | | vacate its finding of probable cause,
the court may order that |
3 | | appropriate services be continued or initiated in
behalf of the |
4 | | minor and his or her family.
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5 | | (10) When the court finds or has found that there is |
6 | | probable cause to
believe a minor is an abused minor as |
7 | | described in subsection (2) of Section
2-3
and that there is an |
8 | | immediate and urgent necessity for the abused minor to be
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9 | | placed in shelter care, immediate and urgent necessity shall be |
10 | | presumed for
any other minor residing in the same household as |
11 | | the abused minor provided:
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12 | | (a) Such other minor is the subject of an abuse or |
13 | | neglect petition
pending before the court; and
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14 | | (b) A party to the petition is seeking shelter care for |
15 | | such other minor.
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16 | | Once the presumption of immediate and urgent necessity has |
17 | | been raised, the
burden of demonstrating the lack of immediate |
18 | | and urgent necessity shall be on
any party that is opposing |
19 | | shelter care for the other minor.
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20 | | (11) The changes made to this Section by Public Act 98-61 |
21 | | apply to a minor who has been
arrested or taken into custody on |
22 | | or after January 1, 2014 (the effective date
of Public Act |
23 | | 98-61). |
24 | | (12) After the court has placed a minor in the care of a |
25 | | temporary custodian pursuant to this Section, any party may |
26 | | file a motion requesting the court to grant the temporary |
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1 | | custodian the authority to serve as a surrogate decision maker |
2 | | for the minor under the Health Care Surrogate Act for purposes |
3 | | of making decisions pursuant to paragraph (1) of subsection (b) |
4 | | of Section 20 of the Health Care Surrogate Act. The court may |
5 | | grant the motion if it determines by clear and convincing |
6 | | evidence that it is in the best interests of the minor to grant |
7 | | the temporary custodian such authority. In making its |
8 | | determination, the court shall weigh the following factors in |
9 | | addition to considering the best interests factors listed in |
10 | | subsection (4.05) of Section 1-3 of this Act: |
11 | | (a) the efforts to identify and locate the respondents |
12 | | and adult family members of the minor and the results of |
13 | | those efforts; |
14 | | (b) the efforts to engage the respondents and adult |
15 | | family members of the minor in decision making on behalf of |
16 | | the minor; |
17 | | (c) the length of time the efforts in paragraphs (a) |
18 | | and (b) have been ongoing; |
19 | | (d) the relationship between the respondents and adult |
20 | | family members and the minor; |
21 | | (e) medical testimony regarding the extent to which the |
22 | | minor is suffering and the impact of a delay in |
23 | | decision-making on the minor; and |
24 | | (f) any other factor the court deems relevant. |
25 | | If the Department of Children and Family Services is the |
26 | | temporary custodian of the minor, in addition to the |
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1 | | requirements of paragraph (1) of subsection (b) of Section 20 |
2 | | of the Health Care Surrogate Act, the Department shall follow |
3 | | its rules and procedures in exercising authority granted under |
4 | | this subsection. |
5 | | (Source: P.A. 99-625, eff. 1-1-17; 99-642, eff. 7-28-16; |
6 | | 100-159, eff. 8-18-17; revised 10-5-17.) |
7 | | Section 10. The Health Care Surrogate Act is amended by |
8 | | changing Section 25 as follows:
|
9 | | (755 ILCS 40/25) (from Ch. 110 1/2, par. 851-25)
|
10 | | Sec. 25. Surrogate decision making.
|
11 | | (a) When a patient lacks
decisional capacity, the health |
12 | | care provider must make a reasonable
inquiry as to the |
13 | | availability and authority of a health care agent under
the |
14 | | Powers of Attorney for Health Care Law. When no health care |
15 | | agent is
authorized and available, the health care provider |
16 | | must make a reasonable
inquiry as to the availability of |
17 | | possible surrogates listed in items (1)
through (4) of this
|
18 | | subsection. For purposes of this Section, a reasonable inquiry |
19 | | includes,
but is not
limited to, identifying a member of the |
20 | | patient's family or other health care
agent by
examining the |
21 | | patient's personal effects or medical records. If a family
|
22 | | member or other
health care agent is identified, an attempt to |
23 | | contact that person by telephone
must be
made within 24 hours |
24 | | after a determination by the provider that the patient
lacks
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1 | | decisional capacity.
No person shall be liable for civil |
2 | | damages or subject to
professional discipline based on a claim |
3 | | of violating a patient's
right to confidentiality as a result |
4 | | of making a reasonable
inquiry as to the availability of a |
5 | | patient's family member
or health care agent, except for |
6 | | willful or wanton misconduct.
|
7 | | The surrogate decision makers, as
identified by the |
8 | | attending physician, are then authorized to make decisions
as |
9 | | follows: (i) for patients who lack decisional capacity and do |
10 | | not have a
qualifying condition, medical treatment decisions |
11 | | may be made in
accordance with subsection (b-5) of Section 20; |
12 | | and (ii) for patients who
lack decisional capacity and have a |
13 | | qualifying condition, medical treatment
decisions including
|
14 | | whether to forgo life-sustaining treatment on behalf of the
|
15 | | patient may be made without court order or judicial involvement |
16 | | in the
following order of
priority:
|
17 | | (1) the patient's guardian of the person;
|
18 | | (2) the patient's spouse;
|
19 | | (3) any adult son or daughter of the patient;
|
20 | | (4) either parent of the patient;
|
21 | | (5) any adult brother or sister of the patient;
|
22 | | (6) any adult grandchild of the patient;
|
23 | | (7) a close friend of the patient;
|
24 | | (8) the patient's guardian of the estate ; . |
25 | | (9) the patient's temporary custodian appointed under |
26 | | subsection (2) of Section 2-10 of the Juvenile Court Act of |
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1 | | 1987 if the court has entered an order granting such |
2 | | authority pursuant to subsection (12) of Section 2-10 of |
3 | | the Juvenile Court Act of 1987.
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4 | | The health care provider shall have the right to rely on |
5 | | any of the above
surrogates if the provider believes after |
6 | | reasonable inquiry that neither a
health care agent under the |
7 | | Powers of Attorney for Health Care Law nor a
surrogate of |
8 | | higher priority is available.
|
9 | | Where there are multiple surrogate decision makers at the |
10 | | same
priority level in the hierarchy, it shall be the |
11 | | responsibility of
those surrogates to make reasonable efforts |
12 | | to reach a consensus as
to their decision on behalf of the |
13 | | patient regarding the forgoing
of life-sustaining treatment. |
14 | | If 2 or more surrogates who are in
the same category and have |
15 | | equal priority indicate to the attending
physician that they |
16 | | disagree about the health care matter at issue,
a majority of |
17 | | the available persons in that category (or the parent
with |
18 | | custodial rights) shall control, unless the minority (or the
|
19 | | parent without custodial rights) initiates guardianship |
20 | | proceedings in
accordance with the Probate Act of 1975. No |
21 | | health care provider or other
person is required to seek |
22 | | appointment of a guardian.
|
23 | | (b) After a surrogate has been identified, the name, |
24 | | address,
telephone number, and relationship of that person to |
25 | | the patient
shall be recorded in the patient's medical record.
|
26 | | (c) Any surrogate who becomes unavailable for any reason |
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1 | | may be replaced
by applying the provisions of Section 25 in the |
2 | | same manner as for the
initial choice of surrogate.
|
3 | | (d) In the event an individual of a higher priority to an |
4 | | identified
surrogate becomes available and willing to be the |
5 | | surrogate, the individual
with higher priority may be |
6 | | identified as the surrogate. In the event
an individual in a |
7 | | higher, a lower, or the same priority level or a health
care |
8 | | provider seeks to challenge the priority of or the |
9 | | life-sustaining
treatment decision of the recognized surrogate |
10 | | decision maker, the
challenging party may initiate |
11 | | guardianship proceedings in accordance with
the Probate Act of |
12 | | 1975.
|
13 | | (e) The surrogate decision maker shall have the same right |
14 | | as
the patient to receive medical information and medical |
15 | | records and to
consent to disclosure.
|
16 | | (f) Any surrogate shall have the authority to make |
17 | | decisions for the patient until removed by the patient who no |
18 | | longer lacks decisional capacity, appointment of a guardian of |
19 | | the person, or the patient's death. |
20 | | (Source: P.A. 96-492, eff. 8-14-09.)
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