reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3317 - 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 must be
					 stored, prepared, distributed, and served under sanitary and safe conditions,
					 including but not limited to the following:
(1) You must sanitize food service equipment,
				  dishes, and utensils after each use;
(2) If your child-care center 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) Caregivers with open wounds and/or any
				  injury that inhibits hand washing, such as casts, bandages, or braces, must not
				  prepare food;
(6) 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;
(7) You
				  must not serve foods that present a risk of choking for infants and
				  toddlers;
(8) You must cover all
				  food stored in the refrigerator;
(9) When meals are prepared at the child-care
				  center, the food preparation area must be separated from the eating, play, and
				  bathroom areas. You must not use the food preparation area as a passageway
				  while food is being prepared; and
(10) 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3319 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3321 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3401 - Must my child-care center have an annual sanitation inspection?

Current through Reg. 49, No. 28; July 12, 2024
(a) Your child-care center must have a
					 sanitation inspection before we issue your initial permit and at least once
					 every 12 months, unless your child-care center is located in a public school
					 facility operated by the local independent school district.
(b) If an inspection is required, a local
					 sanitation official must conduct the inspection.
(c) If an inspection is not available from a
					 local sanitation official, you must:
(1)
					 Obtain documentation from a local sanitation official or county judge stating
					 that an inspection is not available; and
(2) Maintain this documentation at the center
					 and make it available to us upon request.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3403 - How do I document that a sanitation inspection has been completed?

Current through Reg. 49, No. 28; July 12, 2024
If required, you must keep a copy of the most recent
						sanitation report, letter, or checklist at the child-care center during hours
						of operation to verify the inspection date and findings. The report must
						include the name and telephone number of the inspector.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3405 - Do I have to make corrections called for in the report?

Current through Reg. 49, No. 28; July 12, 2024
Yes, you must comply with corrections, restrictions, or
						conditions specified by the inspector in the sanitation report, letter, or
						checklist.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3407 - What steps must I take to ensure a healthy environment for children at my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
You must clean, repair, and maintain the building,
						grounds, and equipment to protect the health of the children. This includes,
						but is not limited to:
(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 before handling by
					 another child;
(2) Machine washing
					 cloth toys, if used, at least weekly and when contaminated;
(3) Machine washing all linens at least
					 weekly, and when soiled or 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 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 center inside and outside, free
					 of insects, rodents, and offensive odors, and disposing of it according to
					 local and state requirements;
(9)
					 Keeping all floors, ceilings, and walls in good repair and clean. Paints used
					 at the child-care center must be lead-free;
(10) Keeping all parts of the child-care
					 center used by children well heated, lighted, and ventilated;
(11) Sanitizing table tops, furniture, and
					 other similar equipment used by children when soiled or contaminated with
					 matter such as food, body secretions, or excrement;
(12) Clearly marking cleaning supplies and
					 other toxic materials and keeping them separate from food and inaccessible to
					 children; and
(13) 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3413 - May I use a dishwasher or washing machine to sanitize items at my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
Items that may 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3415 - When must employees wash their hands?

Current through Reg. 49, No. 28; July 12, 2024
Employees must wash their hands:
(1) Before eating or handling food or
					 medication;
(2) Before feeding a
					 child;
(3) After arriving at the
					 child-care center;
(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 wiping noses, mouths, or bottoms, and tending sores;
(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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3417 - 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;
(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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3419 - How must children and employees wash their hands?

Current through Reg. 49, No. 28; July 12, 2024
Children 18 months of age and older and employees 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3420 - 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 classroom and soap and water
					 are not available for hand washing;
(3) You follow the labeling 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3421 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3423 - Must my child-care center 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3425 - 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 hands after using and disposing
					 of the gloves.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3427 - Must I use a licensed exterminator to treat my child-care center for insects, rodents, and other pests?

Current through Reg. 49, No. 28; July 12, 2024
You may treat your center for pests only if you are
						certified as a noncommercial applicator by the Texas Department of Agriculture.
						Otherwise, you must use a pest control operator licensed by the Texas
						Department of Agriculture to prevent, control, or eliminate pest infestations
						at your child-care center, including the use of over-the-counter products
						designed for controlling insects, rodents, and other pests.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3429 - Are there general precautions I must take when my child-care center is being treated for insects, rodents, and other pests?

Current through Reg. 49, No. 28; July 12, 2024
(a) Children must not be allowed in areas
					 where there is pesticide residue that may be harmful to them. Follow written
					 instructions from the licensed pest control operator or label directions in
					 order to determine whether the residue may be harmful to children.
(b) Areas where children are present may be
					 treated with chemicals only when permissible under the label
					 directions.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3431 - May I use water from a private water supply instead of a public water supply for my child-care center?

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 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 1 - ENVIRONMENTAL HEALTH › Section 746.3433 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 2 - DIAPER CHANGING › Section 746.3501 - What steps must caregivers 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 a
					 child with individual cloths or disposable towels. You must discard any
					 disposable towels after use and launder any cloths before using them
					 again;
(3) Ensure that a child is
					 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 2 - DIAPER CHANGING › Section 746.3503 - 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 smooth, non-absorbent, and easy to clean.
(b) You must not use areas that children come
					 in close contact with during play or eating, such as dining tables, sofas, or
					 floor play areas, for diaper changing.
(c) If the diaper-changing table or surface
					 is above the floor level, then at all times when the child is on the
					 table/surface:
(1) There must be a safety
					 mechanism (such as raised sides) that is used;
(2) The caregiver's hand must remain on the
					 child; or
(3) The caregiver must be
					 facing the child and within an arm's length of the child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 2 - DIAPER CHANGING › Section 746.3505 - 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 as specified in §746.3419 of this title (relating to How must
					 children and employees wash their hands?).
(b) You must wash the infant's hands or see
					 that the child's hands are washed after each diaper change as specified in
					 §746.3421 of this title (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)
					 Caregivers with open wounds and/or any injury that inhibits hand washing, such
					 as casts, bandages, or braces, must not change diapers.
(e) You must sanitize the diaper-changing
					 surface after each use. However, if you are changing diapers on a number of
					 children consecutively, you may cover the surface with a non-absorbent paper
					 liner that is disposed of between each diaper change.
(f) You must cover containers used for soiled
					 diapers or keep them in a sanitary manner, such as placing soiled diapers in
					 individual sealed bags.
(g) You
					 must place soiled clothing in a sealed 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3601 - What type of illness would prohibit a child from attending the child-care center?

Current through Reg. 49, No. 28; July 12, 2024
Unless you are licensed to provide get-well care, you
						must not allow an ill child to attend your child-care center if one or more of
						the following exists:
(1) The illness
					 prevents the child from participating comfortably in child-care center
					 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 center's 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3603 - What communicable diseases would exclude a child from attending my child-care center?

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). You can access this information
						from DSHS or Licensing staff.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3605 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3606 - When may a child who was ill return to my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
A child who was ill may return to your child-care center
						when:
(1) The child is free of symptoms
					 of illness for 24 hours; or
(2) You
					 have obtained a health-care professional's 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3607 - 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 group);
(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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3609 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter R - HEALTH PRACTICES › Division 3 - ILLNESS AND INJURY › Section 746.3611 - What must a policy for protecting children from vaccine-preventable diseases include?

Current through Reg. 49, No. 28; July 12, 2024
A policy for protecting the children in your care from
						vaccine-preventable diseases 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 746.3701 - What safety precautions must I take to protect children in my child-care center?

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 childproof covers or safety
					 outlets;
(2) 220-volt electrical
					 connections within a 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 all 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;
(9) All bodies of water such as pools, hot
					 tubs, ponds, creeks, birdbaths, fountains, buckets, and rain barrels must be
					 inaccessible to all children; and
(10) All televisions must be anchored, so
					 they cannot tip over. A television may be anchored to a rolling cart, as long
					 as it is anchored in a way that the cart will not tip over.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 746.3703 - 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 center, 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 center,
					 during transportation, or on field trips.
(d) People must not smoke any e-cigarette,
					 vaporizer, or tobacco product or otherwise use any tobacco product at your
					 child-care center, on the premises, on the playground, in transportation
					 vehicles, or during field trips.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 746.3705 - Am I required to have a video or audio monitoring system?

Current through Reg. 49, No. 28; July 12, 2024
Although permissible, you are not required to have a
						video or audio monitoring system.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 746.3707 - Are firearms or other weapons allowed at my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
(a) Peace officers as listed in §
											2.12 of
					 the Code of Criminal Procedure and security officers commissioned by the Texas
					 Private Security Board who are trained and certified to carry a firearm on duty
					 may have firearms and ammunition on the premises of your child-care
					 center.
(b) For all other persons,
					 firearms, hunting knives, bows and arrows, and other weapons are prohibited on
					 the premises of the child-care center, unless the child-care center is also
					 your residence. This prohibition does not apply to personal vehicles.
(c) Firearms, hunting knives, bows and
					 arrows, and other weapons kept on the premises of a child-care center located
					 in your home must remain in a locked cabinet inaccessible to children during
					 all hours of operation.
(d)
					 Ammunition must be kept in a separate locked cabinet and inaccessible to
					 children during all hours of operation.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 1 - SAFETY PRECAUTIONS › Section 746.3709 - May I have toys or other types of equipment that explode or shoot things?

Current through Reg. 49, No. 28; July 12, 2024
A child may not use any type of toy or equipment that
						explodes or that shoots things, such as caps, BB guns, darts, or fireworks at
						the child-care center or on field trips. These types of toys and equipment are
						not allowed at your operation unless your operation is located in your home. If
						your child-care center is located in your home, you must keep any such toy or
						equipment in a locked cabinet inaccessible to any child during your hours of
						operation.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3801 - What does "medication" refer to in this division?

Current through Reg. 49, No. 28; July 12, 2024
In this division, medication means:
(1) A prescription medication; or
(2) A non-prescription medication, excluding
					 topical ointments such as diaper ointment, insect repellent, or
					 sunscreen.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3803 - What authorization must I obtain before administering a medication to a child in my care?

Current through Reg. 49, No. 28; July 12, 2024
(a) Authorization to
					 administer medication to a child in your care must be obtained from the child's
					 parent:
(1) In writing, signed and
					 dated;
(2) In an electronic format
					 that is capable of being viewed and saved; or
(3) By telephone to administer a single dose
					 of a medication.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3805 - How must I administer medication to a child in my care?

Current through Reg. 49, No. 28; July 12, 2024
(a) Medication must be given:
(1) As stated on the label directions;
					 or
(2) As amended in writing by the
					 child's health-care professional.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3807 - How must I store medication that I administer to a child?

Current through Reg. 49, No. 28; July 12, 2024
You must store medications as follows:
(1) Keep it out of the reach of children or
					 in locked storage;
(2) Store it in
					 a manner that does not contaminate food; and
(3) Refrigerate it, if refrigeration is
					 required, and keep it separate from food.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3809 - How long may I keep the medication that I administer to a child?

Current through Reg. 49, No. 28; July 12, 2024
You must dispose of the medication or return it to the
						parent when the child withdraws from the child-care center, or when the
						medication is out-of-date or is no longer required for the
						child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3811 - Do I have to notify parents if I do not want to administer medications?

Current through Reg. 49, No. 28; July 12, 2024
Yes. If you choose not to administer medication to
						children, you must inform the parents of this policy in writing before the
						child's enrollment.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3813 - What is specialized medical assistance?

Current through Reg. 49, No. 28; July 12, 2024
Specialized medical assistance is any medical assistance
						other than medication. Examples include, but are not limited to, assisting with
						an apnea monitor, protective helmet, or leg brace.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3815 - What are my requirements regarding specialized medical assistance?

Current through Reg. 49, No. 28; July 12, 2024
(a) If a child in your care requires
					 specialized medical assistance, then you are required to provide specialized
					 medical assistance as recommended or ordered by a health-care
					 professional.
(b) If you are
					 provided with a written copy of the health-care professional's recommendations
					 or orders, you must maintain this written information in the child's record for
					 at least three months after the health-care professional has indicated that the
					 specialized medical assistance is no longer needed.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3817 - What is a food allergy emergency plan?

Current through Reg. 49, No. 28; July 12, 2024
A food allergy emergency plan is an individualized plan
						prepared by the child's health care professional that includes:
(1) a list of each food the child is allergic
					 to;
(2) possible symptoms if
					 exposed to a food on the list; and
(3) the steps to take if the child has an
					 allergic reaction.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 2 - MEDICATIONS AND MEDICAL ASSISTANCE › Section 746.3819 - When must I have a food allergy emergency plan for a child?

Current through Reg. 49, No. 28; July 12, 2024
You must have a food allergy emergency plan for each
						child with a known food allergy that has been diagnosed by a health-care
						professional. The child's heath care professional and parent must sign and date
						the plan. You must keep a copy of the plan in the child's
						file.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 3 - ANIMALS AT THE CHILD-CARE CENTER › Section 746.3901 - What steps must I take to have animals at my child-care center and/or on field trips?

Current through Reg. 49, No. 28; July 12, 2024
If you choose to have animals on the premises of your
						child-care center and/or on field trips, you must:
(1) Notify parents in writing when animals
					 are or will be present;
(2) Ensure
					 the animals do not create unsafe or unsanitary conditions;
(3) Ensure that children do not handle any
					 animal that shows signs of illness, such as lethargy or diarrhea; and
(4) Ensure that caregivers and children
					 practice good hygiene and hand washing after handling or coming in to contact
					 with an animal and items used by an animal, such as water bowls, food bowls,
					 and cages.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 3 - ANIMALS AT THE CHILD-CARE CENTER › Section 746.3903 - Must I keep documentation of vaccinations on file for the animals?

Current through Reg. 49, No. 28; July 12, 2024
(a) Yes. You must have documentation at your
					 child-care center showing dogs and cats have been vaccinated as required by
					 Texas Health and Safety Code, Chapter 826.
(b) You must have a statement of health from
					 a local veterinarian at your child-care center for dogs, cats, ferrets, and
					 other animals other than small rodents, such as guinea pigs, mice, and
					 hamsters.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 3 - ANIMALS AT THE CHILD-CARE CENTER › Section 746.3905 - Must I prevent children from having contact with certain animals while at my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
(a) Yes.
					 Children must not have contact with chickens, ducks, and reptiles, such as
					 snakes, turtles, lizards, iguanas, and amphibians, such as frogs and
					 toads.
(b) You must keep the
					 child-care center and playground free of animals unfamiliar to you.
(c) You must not allow children to play with
					 animals unfamiliar to you or other animals that could be dangerous, including
					 exotic animals such as monkeys.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 4 - FIRST-AID KITS › Section 746.4001 - Must I have a first-aid kit at my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
Yes. You must have a complete first-aid kit available in
						each building at the child-care center, during all field trips, and while
						transporting children. Each first-aid kit must be:
(1) Clearly labeled;
(2) Kept in a clean and sanitary
					 condition;
(3) Easily accessible to
					 all employees;
(4) Stored in a
					 designated location known to all employees; and
(5) Kept out of the reach of
					 children.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 4 - FIRST-AID KITS › Section 746.4003 - What items must each first-aid kit contain?

Current through Reg. 49, No. 28; July 12, 2024
(a) Each first-aid kit
					 must contain the following supplies:
(1) A
					 guide to first aid and emergency care;
(2) Adhesive tape;
(3) Antiseptic solution or wipes;
(4) Adhesive bandages;
(5) Scissors;
(6) Sterile gauze pads;
(7) Thermometer, preferably
					 non-glass;
(8) Tweezers;
					 and
(9) Waterproof, disposable
					 gloves.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 5 - RELEASE OF CHILDREN › Section 746.4101 - Who may I release children to?

Current through Reg. 49, No. 28; July 12, 2024
You must release children only to a parent or a person
						designated by the parent.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 5 - RELEASE OF CHILDREN › Section 746.4103 - How do my employees verify the identity of a parent or a person a parent has designated to pick up the child?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must develop child-care center
					 policies for the release of children, including a plan to verify the identity
					 of a person authorized to pick up a child but whom the caregiver does not know.
					 If your child-care center transports children, the plan must include verifying
					 the identity of a person to whom you release a child from a child-care-center
					 transportation vehicle.
(b) Your
					 policies must include a reasonable means to record the identity of the
					 individual, such as a copy of a valid photo identification, an instant
					 photograph of the individual, or recording the driver's license number and car
					 tag numbers. You must retain this information in the child's records for at
					 least three months.
(c) You must
					 instruct all employees in the child-care center's policies for the release of
					 children, including the verification plan.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 6 - PRODUCT SAFETY › Section 746.4131 - What are "children's products?"

Current through Reg. 49, No. 28; July 12, 2024
Children's products are products that are designed or
						intended to be used by a child under 13 years of age or used by a caregiver
						during the care of a child under 13 years of age. The term does not
						include:
(1) An item that is not
					 designed or intended to be used solely or primarily by a child under 13 years
					 of age or for the care of a child under 13 years of age;
(2) A medication, drug, food, or other item
					 that is intended to be ingested; or
(3) Clothing.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 6 - PRODUCT SAFETY › Section 746.4133 - When is a children's product considered to be unsafe?

Current through Reg. 49, No. 28; July 12, 2024
A children's product is considered to be unsafe if after
						it has been recalled for any reason by the United States Consumer Product
						Safety Commission:
(1) The recall has
					 not been rescinded; and
(2) The
					 product has not been made safe through being remanufactured or
					 retrofitted.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter S - SAFETY PRACTICES › Division 6 - PRODUCT SAFETY › Section 746.4135 - What are my responsibilities regarding unsafe children's products in my child-care center?

Current through Reg. 49, No. 28; July 12, 2024
(a) You are responsible
					 for reviewing the United States Consumer Product Safety Commission (CPSC)
					 recall list. You may view all current and past recalls through the CPSC's
					 Internet website at: www.cpsc.gov. You must ensure that there are no unsafe
					 children's products in your child-care center unless one or more of the
					 following apply:
(1) The product is an
					 antique or collectible children's product and is not used by, or accessible to
					 any child; or
(2) The unsafe
					 children's product is being retrofitted to make it safe and the product is not
					 used by, or accessible to any child.