reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN › Section 747.2607 - What activities must I provide for a school-age child?

Current through Reg. 49, No. 28; July 12, 2024
Daily activities for a school-age child must include at
					 least the following:
(1) Study time
				  for those who choose to do homework;
(2) Opportunities for outdoor play, weather
				  permitting;
(3) Opportunities for
				  thinking skills and sensory development. Examples of age-appropriate equipment
				  or activities include sand and water play; construction materials and blocks;
				  puzzles with 50 or more pieces; pattern-making materials, such as wood, paper,
				  plastic, beads, ceramic tiles, cloth, or cardboard; games that contain rules
				  and require some skill or strategy; specific skill development materials such
				  as rulers, tape measures, telescopes, weather observation equipment, models of
				  the solar system, and microscopes; books; and magazines;
(4) Opportunities for small-muscle
				  development. Examples of age-appropriate equipment or activities include art
				  and craft materials, such as paints, markers, colored pencils, crayons, clay,
				  weaving, or braiding materials; music and musical instruments of all types; and
				  puzzles or interlocking building blocks;
(5) Opportunities for large-muscle
				  development. Examples of age-appropriate equipment or activities include balls
				  and sports equipment, such as kick balls, baseballs, soccer balls, basketballs,
				  skates, and horseshoes; riding equipment, such as kick scooters or skateboards,
				  with knee pads, elbow pads, and helmets; and outdoor and gym equipment, such as
				  slides, swings, climbing apparatus, and upper-body equipment;
(6) Opportunities for active play both
				  indoors and outdoors. Examples of age-appropriate active play include active
				  games such as tag and Simon Says, dancing and creative movement to music and
				  singing, simple games, and dramatic or imaginary play that encourages running,
				  stretching, climbing, and walking; and
(7) Opportunities for social and emotional
				  development. Examples of age-appropriate equipment or activities include dolls
				  with detailed, realistic accessories; role-play materials, including real
				  equipment for library, hospital, post office, costumes, makeup, and disguise
				  materials; puppets and puppet show equipment; transportation toys, such as
				  small vehicles or models; play and art materials; nature materials; and human
				  and animal figurines.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter L - DISCIPLINE › Section 747.2703 - What methods of discipline and guidance may I use?

Current through Reg. 49, No. 28; July 12, 2024
Discipline must be:
(1) Individualized and consistent for each
				  child;
(2) Appropriate to the
				  child's level of understanding;
(3)
				  Directed toward teaching the child acceptable behavior and self-control;
				  and
(4) A positive method of
				  discipline and guidance that encourages self-esteem, self-control, and
				  self-direction, including the following:
(A)
				  Using praise and encouragement of good behavior instead of focusing only upon
				  unacceptable behavior;
(B)
				  Reminding a child of behavior expectations daily by using clear, positive
				  statements;
(C) Redirecting
				  behavior using positive statements; and
(D) Using brief supervised separation or time
				  out from the group, when appropriate for the child's age and development, which
				  is limited to no more than one minute per year of the child's age.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter L - DISCIPLINE › Section 747.2705 - What types of discipline and guidance or punishment are prohibited?

Current through Reg. 49, No. 28; July 12, 2024
There must be no harsh, cruel, or unusual treatment of any
					 child. The following types of discipline and guidance are prohibited:
(1) Corporal punishment or threats of
				  corporal punishment;
(2) Punishment
				  associated with food, naps, or toilet training;
(3) Grabbing or pulling on a child;
(4) Putting anything in or on a child's
				  mouth;
(5) Humiliating, ridiculing,
				  rejecting, or yelling at a child;
(6) Subjecting a child to harsh, abusive, or
				  profane language;
(7) Placing a
				  child in a locked or dark room, bathroom, or closet;
(8) Placing a child in a restrictive device
				  for time out;
(9) Withholding
				  active play or keeping a child inside as a consequence for behavior, unless the
				  child is exhibiting behavior during active play that requires a brief
				  supervised separation or time out that is consistent with §
										747.2703(4)(D) of
				  this subchapter (relating to What methods of discipline and guidance may I
				  use?); and
(10) Requiring a child
				  to remain silent or inactive for inappropriately long periods of time for the
				  child's age.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter M - NAPTIME › Section 747.2801 - Must children have a naptime every day?

Current through Reg. 49, No. 28; July 12, 2024
You must provide a supervised nap or rest period for all
					 children 18 months of age or older who are in care for five or more consecutive
					 hours or according to the child's individual physical needs. You may provide a
					 supervised nap or rest period for each child who attends the child-care home
					 for fewer than five hours and whose individual physical needs call for a nap or
					 rest period while the child is in care.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter M - NAPTIME › Section 747.2803 - How long may the nap or rest period last each day?

Current through Reg. 49, No. 28; July 12, 2024
The nap or rest period must not exceed three
					 hours.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter M - NAPTIME › Section 747.2805 - Are children required to sleep during this time?

Current through Reg. 49, No. 28; July 12, 2024
No. You must not:
(1) Force a child to sleep, or put anything
				  in or on a child's head or body to force the child to rest or sleep;
				  or
(2) Confine a child in a
				  restrictive device in an attempt to make the child rest or sleep.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter M - NAPTIME › Section 747.2807 - Must I provide an alternative activity for those children who cannot sleep?

Current through Reg. 49, No. 28; July 12, 2024
(a) Yes. You must allow
				  each child who is awake after napping or resting for one hour to participate in
				  an alternative, quiet activity until the nap/rest period is over for the other
				  children.
(b) You must take a
				  toddler who naps or rests in a crib out of the crib for other activities when
				  he awakens.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter M - NAPTIME › Section 747.2809 - Must I arrange the napping equipment in a specific manner?

Current through Reg. 49, No. 28; July 12, 2024
Napping equipment must:
(1) Not block entrances or exits to the
				  area;
(2) Not be set up during
				  other activities or left in place to interfere with children's useable activity
				  space;
(3) Be arranged to provide a
				  sufficient walk and work space for caregivers between each cot or mat;
				  and
(4) Be arranged so that each
				  child and caregiver has access to a walkway without having to walk on or over
				  the cots or mats of other children.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter M - NAPTIME › Section 747.2811 - May I lower the lighting in the room while children are sleeping?

Current through Reg. 49, No. 28; July 12, 2024
Yes, you may lower the lighting, provided there is adequate
					 lighting to allow visual supervision of all children in the group at all times.
					 Lighting in a room is adequate if a person's eyes do not need to adjust for the
					 person to be able to see upon entering the room.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter N - FIELD TRIPS › Section 747.2901 - May I take children away from my child-care home for field trips?

Current through Reg. 49, No. 28; July 12, 2024
(a) Yes. You must ensure the children's
				  safety on field trips and excursions and during any transportation provided by
				  the child-care home. Anytime you take a child on a field trip, you must comply
				  with each of the following requirements:
(1)
				  You must have signed permission from the parent to take a child away from your
				  child-care home, including permission to transport the child, if
				  applicable;
(2) You must carry
				  emergency medical consent forms and emergency contact information for each
				  child on the field trip;
(3) You
				  must have a written list of all children on the field trip and must check the
				  list frequently to account for the presence of all children on the field
				  trip;
(4) You must have a first-aid
				  kit immediately available on all field trips;
(5) You must have a copy of a child's food
				  allergy emergency plan and allergy medications, if applicable;
(6) Each child must wear a shirt, name tag,
				  or other identification listing the name and telephone number of the child-care
				  home;
(7) Each caregiver must be
				  easily identifiable by all children on the field trip, by wearing a hat,
				  specialized tee-shirt, brightly colored clothes, or other easily spotted
				  identification;
(8) Each caregiver
				  supervising a field trip must have transportation available, a communication
				  device such as a cellular phone or two-way radio available, or an alternate
				  plan for transportation at the field trip location in case of emergency;
				  and
(9) You must ensure that a
				  caregiver with current training in pediatric first aid and pediatric CPR is
				  present on the field trip.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter N - FIELD TRIPS › Section 747.2903 - Must I notify parents before I take a child away from my child-care home on a field trip?

Current through Reg. 49, No. 28; July 12, 2024
Yes. You must notify the parent of each child who will be
					 on the field trip, indicating when and where the child will be going, and when
					 the child is expected to return to your child-care home.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter P - NIGHTTIME CARE › Section 747.3001 - What is nighttime care?

Current through Reg. 49, No. 28; July 12, 2024
(a) Nighttime
				  care is care given on a regular or frequent basis to children who are starting
				  or continuing their night sleep, or to children who spend the night or part of
				  the night at the child-care home between the hours of 9:00 p.m. and 6:00
				  a.m.
(b) Nighttime care does not
				  include the occasional sleep-over program offered at infrequent
				  intervals.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter P - NIGHTTIME CARE › Section 747.3003 - May I provide nighttime care to children at my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
(a) You may care for children both during the
				  day and night if we approve it. Even then, a child may only be in care for:
(1) No more than 16 hours within a 24-hour
				  period on a daily basis; or
(2) No
				  more than three consecutive 24-hour periods with a maximum of six 24-hour
				  periods per month, as specified in § 745.383 of Title 40 (relating to Can
				  a licensed child day care operation offer 24-hour care?).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter P - NIGHTTIME CARE › Section 747.3005 - Must I stay awake while supervising children during nighttime care?

Current through Reg. 49, No. 28; July 12, 2024
No. Caregivers supervising children during nighttime care
					 in your child-care home do not have to be awake to supervise the children
					 if:
(1) The children are asleep before
				  the caregivers;
(2) The caregivers
				  are on the same floor as the sleeping children; and
(3) The caregivers are close enough to the
				  children to respond or intervene if a child awakens for feeding, becomes ill,
				  is afraid of the dark, or in the event of an emergency.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter P - NIGHTTIME CARE › Section 747.3007 - What are the building, furnishing, physical space, and equipment requirements for nighttime care?

Current through Reg. 49, No. 28; July 12, 2024
In addition to all other building, furnishing, physical
					 space, and equipment requirements specified in this chapter:
(1) All exits must be visible. This may be
				  provided by lighted exit signs or by lighted exits (such as a hall light or
				  lamp that lights the exit path and door);
(2) You cannot count a window as one of the
				  child-care home's required fire exits;
(3) Each child 18 months old or older must be
				  provided a cot, bed, or mattress that is waterproof or washable, and
				  developmentally appropriate;
(4)
				  Children younger than the age of 18 months must be provided with a crib for
				  nighttime sleeping; and
(5) Boys
				  and girls six years old or older must have separate sleeping and dressing
				  areas.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter P - NIGHTTIME CARE › Section 747.3009 - Must I provide activities for children in nighttime care?

Current through Reg. 49, No. 28; July 12, 2024
(a) Activities and routines must meet the
				  unique needs of children in nighttime care. These may include quiet activities,
				  such as homework, reading, puzzles, or board games; time for personal care
				  routines and preparation for sleep, such as brushing teeth, washing hands and
				  face, toileting, and changing clothes; and an evening meal, breakfast, and
				  snack as specified in Subchapter Q of this chapter (relating to Nutrition and
				  Food Service).
(b) Screen time
				  activities:
(1) Must meet the requirements in
				  §
											747.2105
				  of this chapter (relating to May I use a screen time activity with a child?);
				  and
(2) May not be used in a cot,
				  bed, or mattress, or one hour before bedtime.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3101 - What are the basic requirements for meal and snack times?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must serve all
				  children regular meals and morning and afternoon snacks as specified in this
				  subchapter.
(b) The meals and
				  snacks must follow the meal patterns established by the U.S. Department of
				  Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is
				  administered by the Texas Department of Agriculture. You must follow these
				  patterns regardless of whether you are participating in the program for
				  reimbursement.
(c) If you serve
				  breakfast, you do not have to serve a morning snack.
(d) A child must not go more than three hours
				  without a meal or snack being offered unless the child is sleeping.
(e) You must serve enough food to allow a
				  child to have second servings from the vegetable, fruit, grain, and milk
				  groups, if the child requests it.
(f) You must ensure a supply of clean,
				  sanitary drinking water:
(1) Is always
				  available to each child at every snack, mealtime, and during and after active
				  play; and
(2) Is served in a safe
				  and sanitary manner.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3103 - How often must I feed a child in my care?

Current through Reg. 49, No. 28; July 12, 2024
You must follow the guidelines in Figure 26 TAC §
					 747.3103when determining how often to feed a child in your care.
Attached Graphic
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3109 - May parents provide meals and snacks for their children instead of my child-care home providing them?

Current through Reg. 49, No. 28; July 12, 2024
(a) Yes.
				  However , your enrollment agreement, or an addendum to the agreement, signed by
				  the parent must include a statement that the parent:
(1) Is , choosing to provide the child's
				  meals and snacks from home; and
(2)
				  Understands the child-care home is not responsible for its nutritional value or
				  for meeting the child's daily food needs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3111 - What are the requirements for a child who requires a special diet or does not want to eat foods I serve?

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  To serve a child a therapeutic or special diet, you must:
(1) Have written approval from:
(A) A physician or health-care professional
				  with prescriptive authority if the diet relates to a disability that restricts
				  the child's diet; or
(B) A
				  health-care professional or a registered or licensed dietician if the diet does
				  not relate to a disability that restricts the child's diet;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3113 - Must I post and maintain daily menus?

Current through Reg. 49, No. 28; July 12, 2024
No, however you must:
(1) Maintain menus showing all meals and
				  snacks prepared and served at your child- care home for the previous three
				  months.
(2) Keep a record of any
				  substitutions made. Substitutions must be of comparable food value.
(3) Date the menus. If you rotate menus,
				  there must be a record of which menu was used for each date.
(4) Make menus available to Licensing and
				  parents for review upon request.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3117 - What general requirements apply to food service and preparation?

Current through Reg. 49, No. 28; July 12, 2024
All food and drinks must be of safe quality and stored,
					 prepared, distributed, and served under sanitary and safe conditions,
					 including:
(1) You must sanitize food
				  service equipment, dishes, and utensils after each use;
(2) If your child-care home lacks adequate
				  facilities for sanitizing dishes and utensils, you must use only disposable,
				  single-use items;
(3) You must wash
				  re-useable napkins, bibs, and tablecloths after each use;
(4) You must discard single-service napkins,
				  bibs, dishes, and utensils after use;
(5) You must serve children's food on plates,
				  napkins, or other sanitary holders, such as a high chair tray, and you must not
				  place food on a bare table or eating surface, which includes the
				  floor;
(6) You must not serve foods
				  that present a risk of choking for infants and toddlers;
(7) You must cover all food stored in the
				  refrigerator; and
(8) You must not
				  store poisonous or toxic materials and cleaning supplies with food.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3119 - Must I serve meals family style?

Current through Reg. 49, No. 28; July 12, 2024
(a) You do not have to use family style meal
				  service, although all meals and snack times must:
(1) Be unhurried;
(2) Allow children to feed themselves
				  according to their developmental level; and
(3) Include adult supervision of
				  children.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 747.3121 - Are children allowed to use toothbrushes after meal and snack times?

Current through Reg. 49, No. 28; July 12, 2024
(a) Yes, although toothbrushes and tooth
				  powders or pastes provided for each child's individual use must be:
(1) Labeled with the child's full
				  name;
(2) Stored out of children's
				  reach when not in use; and
(3)
				  Stored in a manner that prevents the toothbrushes from touching each other
				  during storage.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3201 - Must my child-care home have an annual sanitation inspection?

Current through Reg. 49, No. 28; July 12, 2024
No. We do not require you to have an annual sanitation
						inspection, although your local ordinances may require this.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3203 - What steps must I take to ensure a healthy environment for children at my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
You must clean, repair, and maintain your child-care
						home, grounds, and equipment to protect the health of the children,
						including:
(1) Setting aside toys and
					 equipment that are placed in children's mouths or are otherwise contaminated by
					 body secretion or excrement, to be sanitized daily or before handling by
					 another child;
(2) Machine washing
					 used cloth toys at least weekly and when contaminated;
(3) Machine washing used linens at least
					 weekly, and when soiled and before another child uses them;
(4) Sanitizing sleeping equipment before a
					 different child uses it and when soiled;
(5) Sanitizing potty chairs after each
					 child's use;
(6) Emptying water
					 play tables and toys used in water play tables daily, sanitizing, and ensuring
					 children and caregivers wash their hands before using the water
					 table;
(7) Maintaining sand boxes
					 and sand tables in a sanitary manner;
(8) Making all garbage inaccessible to
					 children, and managing it to keep the child-care home, inside and outside, free
					 of insects, rodents, and offensive odors;
(9) Keeping all floors, ceilings, and walls
					 in good repair and clean;
(10)
					 Ensuring paints used at the child-care home are lead-free;
(11) Keeping all parts of the child-care home
					 used by children well heated, lighted, and ventilated;
(12) Sanitizing table tops, furniture, and
					 other similar equipment used by children when soiled or contaminated with
					 matter such as food, body secretions, or excrement;
(13) Clearly marking cleaning supplies and
					 other toxic materials and keeping them separate from food and inaccessible to
					 children; and
(14) Using, storing,
					 and disposing of hazardous materials as recommended by the
					 manufacturer.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3209 - May I use a dishwasher or washing machine to sanitize items at my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
Items that can be washed in a dishwasher or hot cycle of
						a washing machine which runs at a temperature of 160 degrees Fahrenheit or
						higher for five or more minutes do not need additional disinfecting because
						these machines use water that is hot enough, for long enough, to kill most
						germs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3211 - When must caregivers wash their hands?

Current through Reg. 49, No. 28; July 12, 2024
Caregivers must wash their hands:
(1) Before eating or handling food or
					 medication;
(2) Before feeding a
					 child;
(3) After arriving at the
					 child-care home;
(4) After
					 diapering a child;
(5) After
					 assisting a child with toileting;
(6) After personal toileting;
(7) After handling or cleaning bodily fluids,
					 such as after tending sores and wiping noses, mouths, or bottoms;
(8) After handling or feeding
					 animals;
(9) After outdoor
					 activities;
(10) After handling raw
					 food products;
(11) After eating,
					 drinking, or smoking;
(12) After
					 using any cleaners or toxic chemicals; and
(13) After removing gloves.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3213 - When must children wash their hands?

Current through Reg. 49, No. 28; July 12, 2024
Children must wash their hands:
(1) Before eating;
(2) Before playing in a water play table or
					 other water activities;
(3) After
					 toileting or having a diaper changed;
(4) After outdoor activities;
(5) After playing in sand;
(6) After feeding or touching animals;
					 and
(7) Any other time that the
					 caregiver has reason to believe the child has come in contact with substances
					 that could be harmful to the child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3215 - How must children and caregivers wash their hands?

Current through Reg. 49, No. 28; July 12, 2024
Children 18 months and older and caregivers must wash
						their hands with soap and running water.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3216 - May I use hand sanitizer as a substitute for washing hands?

Current through Reg. 49, No. 28; July 12, 2024
You may use hand sanitizers as a substitute for washing
						hands if all of the following conditions are met:
(1) You only use hand sanitizers on children
					 24 months and older;
(2) You do not
					 use hand sanitizers to wash hands that are visibly dirty or greasy or have
					 chemicals on them, unless you are away from the activity space and soap and
					 water are not available for hand washing;
(3) You follow the labelling instructions for
					 the appropriate amount to be used and for how long the hand sanitizer needs to
					 remain on the skin surface to be effective;
(4) Children have adult supervision when
					 using hand sanitizers; and
(5) You
					 store hand sanitizers out of the reach of children when not in use.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3217 - How must I wash an infant's hands?

Current through Reg. 49, No. 28; July 12, 2024
(a)
					 Until the infant is old enough to be raised to the faucet and reach for the
					 water, you must wash the infant's hands using an individual cloth or disposable
					 towel with soap, followed by a cloth or disposable towel used to rinse with
					 clear water and dry.
(b) Use soap
					 and running water as specified in this division when infants are old enough to
					 be raised to the faucet and reach for the water and any other time that the
					 caregiver has reason to believe the infant has come in contact with substances
					 that could be harmful to the infant.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3219 - Must I have hot water for hand washing?

Current through Reg. 49, No. 28; July 12, 2024
No. We do not require you to have hot water for hand
						washing. However, if hot water is accessible to the children, a thermostat must
						control it so that the water temperature is no higher than 120 degrees
						Fahrenheit.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3221 - Must caregivers wear gloves when handling blood or bodily fluids containing blood?

Current through Reg. 49, No. 28; July 12, 2024
Yes, caregivers must follow universal precautions
						outlined by the Centers for Disease Control (CDC) when handling blood, vomit,
						or other bodily fluids that may contain blood including:
(1) Using disposable, nonporous
					 gloves;
(2) Placing gloves
					 contaminated with blood in a tied, sealed, or otherwise closed plastic bag and
					 discarding them immediately;
(3)
					 Discarding all other gloves immediately after one use; and
(4) Washing your hands with soap and running
					 water after using and disposing of the gloves.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3223 - Must I use a licensed exterminator to treat my child-care home for insects, rodents, or other pests?

Current through Reg. 49, No. 28; July 12, 2024
No, although you must keep your child-care home and yard
						free of insects, rodents, or pests.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3225 - Are there general precautions I must take when my child-care home is being treated for insects, rodents, or other pests?

Current through Reg. 49, No. 28; July 12, 2024
Yes. You must do the following when your child-care home
						is being treated for insects, rodents, or other pests:
(1) Ensure children are not present in an
					 area being treated with chemicals as required by label directions;
(2) Apply over-the counter products used for
					 insects, rodent, and pest control only by following label directions;
(3) Minimize children's exposure to chemical
					 residue that may be harmful to them, including odors;
(4) Store all pest control products according
					 to label directions;
(5)
					 Immediately dispose of dead insects and rodents in a safe and sanitary
					 manner.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3227 - May I use water from a private water supply instead of a public water supply for my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
Yes, you may use water from a private water supply,
						although you must:
(1) Maintain the
					 water supply in a safe and sanitary manner.
(2) Maintain written records indicating that
					 the private water supply meets the requirements of the Texas Commission on
					 Environmental Quality, if applicable.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 747.3229 - May I use a septic system for sewage disposal?

Current through Reg. 49, No. 28; July 12, 2024
Yes, if the septic system is sanitary and meets the
						standards of the Texas Commission on Environmental Quality, including any
						routine inspections required by law.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 2 - DIAPER CHANGING › Section 747.3301 - What steps must I follow for diaper changing?

Current through Reg. 49, No. 28; July 12, 2024
Caregivers must:
(1) Promptly change soiled or wet diapers or
					 clothing;
(2) Thoroughly cleanse
					 the child with individual cloths or disposable towels. You must discard the
					 disposable towels after use and launder any cloths before using them
					 again;
(3) Ensure that the children
					 are dry before placing a new diaper on the child. If the child must be dried,
					 you must use a clean, individual cloth or disposable towel to dry the child.
					 You must discard the disposable towel after use and launder any cloth before
					 using it again;
(4) Not apply
					 powders, creams, ointments, or lotions unless you obtain the parent's written
					 permission. If the parent supplies these items, permission is implicit and you
					 do not need to obtain permission for each use;
(5) Label powders, creams, ointments, or
					 lotions with the individual child's name; and
(6) Keep all diaper changing supplies out of
					 the reach of children.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 2 - DIAPER CHANGING › Section 747.3303 - What equipment must I have for diaper changing?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must have a
					 diaper changing table or surface that is:
(1)
					 Smooth, non-absorbent, and easy to clean; and
(2) Located so that the caregiver using the
					 diapering surface can supervise children at all times, as specified in §
												747.1503 of this chapter (relating
					 to What responsibilities does a caregiver have when supervising a child or
					 children?).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 2 - DIAPER CHANGING › Section 747.3307 - What must I do to prevent the spread of germs when diapering children?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must wash your hands after each
					 diaper change. Refer to § 747.3215 of Title 40 (relating to How must
					 children and caregivers wash their hands?).
(b) You must wash the infant's hands or see
					 that the child's hands are washed after each diaper change. Refer to §
					 747.3217 of Title 40 (relating to How must I wash an infant's
					 hands?).
(c) If you use disposable
					 gloves, you must discard them after each diaper change and wash your hands with
					 soap and running water.
(d) You
					 must sanitize the diapering-changing surface after each use, or use a clean,
					 disposable covering on the diapering surface that must be changed after each
					 use.
(e) You must cover containers
					 used for soiled diapers or keep them in a sanitary manner, such as placing
					 soiled diapers in a tied, sealed, or otherwise closed plastic bag.
(f) You must place soiled clothing in a tied,
					 sealed, or otherwise closed plastic bag to be sent home with the
					 child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3401 - What type of illness would prohibit a child from attending the child-care home?

Current through Reg. 49, No. 28; July 12, 2024
You must not allow an ill child to attend your child-care
						home if one or more of the following exists:
(1) The illness prevents the child from
					 participating comfortably in child-care activities, including outdoor
					 play;
(2) The illness results in a
					 greater need for care than caregivers can provide without compromising the
					 health, safety, and supervision of the other children in care;
(3) The child has one of the following
					 (unless a medical evaluation by a health-care professional indicates that you
					 can include the child in the child-care activities):
(A) An oral temperature above 101 degrees
					 that is accompanied by behavior changes or other signs or symptoms of
					 illness;
(B) A tympanic (ear)
					 temperature above 100 degrees that is accompanied by behavior changes or other
					 signs or symptoms of illness. Tympanic thermometers are not recommended for
					 children under six months old;
(C)
					 An axillary (armpit) temperature above 100 degrees that is accompanied by
					 behavior changes or other signs or symptoms of illness;
(D) An infrared temporal (forehead)
					 temperature above 100 degrees that is accompanied by behavior changes or other
					 signs or symptoms of illness; or
(E) Symptoms and signs of possible severe
					 illness, such as lethargy, abnormal breathing, uncontrolled diarrhea, two or
					 more vomiting episodes in 24 hours, rash with fever, mouth sores with drooling,
					 behavior changes, or other signs that the child may be severely ill;
					 or
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3403 - What communicable diseases would exclude a child from attending my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
You must follow the communicable disease exclusions
						required for schools as defined by the Texas Department of State Health
						Services (DSHS) in 25 TAC §
											97.7(relating
						to Diseases Requiring Exclusion from Schools).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3405 - How must caregivers respond when a child becomes ill?

Current through Reg. 49, No. 28; July 12, 2024
(a) If a child becomes ill while in your care
					 but does not require immediate treatment by a health-care professional or
					 hospitalization, you must:
(1) Contact the
					 parent to pick up the child;
(2)
					 Care for the child apart from other children;
(3) Give appropriate attention and
					 supervision until the parent picks the child up; and
(4) Give extra attention to hand washing and
					 sanitation if the child has diarrhea or vomiting.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3406 - When may a child who was ill return to my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
A child who was ill may return to your child-care home
						when:
(1) The child is free of
					 symptoms of illness for 24 hours; or
(2) You have obtained a health-care
					 professional's written statement that the child no longer has an excludable
					 disease or condition.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3407 - How must caregivers respond when a child is injured and requires immediate treatment by a health-care professional?

Current through Reg. 49, No. 28; July 12, 2024
For an injury that requires immediate treatment by a
						health-care professional, you must:
(1) Contact emergency medical services (or
					 take the child to the nearest emergency room after you have ensured the
					 supervision of other children in the home);
(2) Give the child first-aid treatment or CPR
					 when needed;
(3) Contact the
					 child's parent;
(4) Contact the
					 physician or other health-care professional identified in the child's record;
					 and
(5) Ensure supervision of other
					 children in the group.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3409 - What is a vaccine-preventable disease for the purpose of this division?

Current through Reg. 49, No. 28; July 12, 2024
A vaccine-preventable disease is a disease that is
						included in the most current recommendations of the Advisory Committee on
						Immunization Practices of the Centers for Disease Control and
						Prevention.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 747.3411 - What must a policy for protecting children from vaccine-preventable diseases include?

Current through Reg. 49, No. 28; July 12, 2024
A licensed child-care home that is not located in the
						primary caregiver's own residence must have a policy for protecting the
						children in your care from vaccine-preventable diseases. The policy
						must:
(1) Specify any vaccines that
					 you have determined an employee must have for vaccine-preventable diseases
					 based on the level of risk the employee presents to children by the employee's
					 routine and direct exposure to children;
(2) Require each employee to receive each
					 specified vaccine that the employee is not exempt from having;
(3) Include procedures for verifying whether
					 an employee has complied with your policy;
(4) Include procedures for an employee to be
					 exempt from having a required vaccine because of:
(A) Medical conditions identified as
					 contraindications or precautions by the Centers for Disease Control and
					 Prevention (CDC); or
(B) Reasons of
					 conscience, including a religious belief;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 747.3501 - What safety precautions must I take to protect children in my child-care home?

Current through Reg. 49, No. 28; July 12, 2024
All areas accessible to a child must be free from hazards
						including, but not limited to, the following:
(1) Electrical outlets accessible to a child
					 younger than five years must have child-proof covers or safety
					 outlets;
(2) 220-volt electrical
					 connections within any child's reach must be covered with a screen or
					 guard;
(3) Air conditioners,
					 electric fans, and heaters must be mounted out of all children's reach or have
					 safeguards that keep any child from being injured;
(4) Glass in sliding doors must be clearly
					 marked with decals or other materials placed at children's eye level;
(5) Play materials and equipment must be safe
					 and free from sharp or rough edges and toxic paints;
(6) Poisonous or potentially harmful plants
					 must be inaccessible to children;
(7) Bottle warmers must be inaccessible to
					 all children and used only according to manufacturer instructions;
(8) All storage chests, boxes, trunks, or
					 similar items with hinged lids must be equipped with a lid support designed to
					 hold the lid open in any position, be equipped with ventilation holes, and must
					 not have a latch that might close and trap a child inside; and
(9) All bodies of water, such as, pools, hot
					 tubs, ponds, creeks, birdbaths, fountains, buckets, and rain barrels, must be
					 inaccessible to children.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 747.3503 - How can I ensure the safety of the children from other persons?

Current through Reg. 49, No. 28; July 12, 2024
(a) People whose behavior and/or health
					 status poses an immediate threat or danger to the health or safety of the
					 children must not be present when children are in care.
(b) People must not consume alcohol or
					 controlled substances without a prescription in the child-care home, during
					 transportation, or on field trips.
(c) People must not be under the influence of
					 or impaired by alcohol or controlled substances in the child-care home, during
					 transportation, or on field trips.
(d) People must not smoke any e-cigarette,
					 vaporizer, or tobacco product or otherwise use any tobacco product during
					 operating hours in your child-care home, garage, on the playground, in
					 transportation vehicles, or during field trips.