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 H - BASIC CARE REQUIREMENTS FOR INFANTS › Section 746.2426 - May I allow infants to sleep in a restrictive device?

Current through Reg. 49, No. 28; July 12, 2024
(a) If you do not have
				  a Sleep Exception Form that includes a signed statement from a health-care
				  professional stating that the child sleeping in a restrictive device is
				  medically necessary:
(1) You may not allow an
				  infant to sleep in a restrictive device; and
(2) If an infant falls asleep in a
				  restrictive device, you must remove the infant from the device and place the
				  infant in a crib as soon as possible.
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 H - BASIC CARE REQUIREMENTS FOR INFANTS › Section 746.2427 - How must I position an infant for sleep?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must place an
				  infant in a face-up sleeping position in the infant's own crib, unless you have
				  a completed Sleep Exception Form that includes a signed statement from a
				  health-care professional stating that a different sleeping position for the
				  child is medically necessary.
(b)
				  An infant who is developmentally able to roll from back to stomach and stomach
				  to back may do so independently after you have placed the infant in a face-up
				  position for sleep.
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 H - BASIC CARE REQUIREMENTS FOR INFANTS › Section 746.2428 - May I swaddle an infant to help the infant sleep?

Current through Reg. 49, No. 28; July 12, 2024
You may not lay a swaddled infant down to sleep or rest on
					 any surface at any time unless you have a completed Sleep Exception Form that
					 includes a signed statement from a health-care professional stating that
					 swaddling the child for sleeping purposes is medically
					 necessary.
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 H - BASIC CARE REQUIREMENTS FOR INFANTS › Section 746.2429 - If an infant has difficulty falling asleep, may I cover the infant's head or crib?

Current through Reg. 49, No. 28; July 12, 2024
No. Infants must not have their heads, faces, or cribs
					 covered by items such as blankets, linens, or clothing at any
					 time.
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 H - BASIC CARE REQUIREMENTS FOR INFANTS › Section 746.2431 - Must I share a daily report with parents for each infant in my care?

Current through Reg. 49, No. 28; July 12, 2024
You must provide a daily written or electronic report to
					 the infant's parent when or by the time the infant is picked up from the
					 child-care center. The report must contain:
(1) Times the infant slept;
(2) Times and amount of food
				  consumed;
(3) Times of diaper
				  changes;
(4) Infant's general mood
				  for the day; and
(5) A brief
				  summary of the activities in which the infant participated.
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 I - BASIC CARE REQUIREMENTS FOR TODDLERS › Section 746.2501 - What are the basic care requirements for toddlers?

Current through Reg. 49, No. 28; July 12, 2024
Basic care for toddlers must include:
(1) Routines such as diapering, feeding,
				  sleeping, and indoor and outdoor activity times, maintained as closely as
				  possible;
(2) Care given by the
				  same caregiver on a regular basis, when possible;
(3) Individual attention given to each
				  toddler including playing, talking, and cuddling;
(4) Holding and comforting a toddler who is
				  upset; and
(5) Ensuring the
				  environment is free of objects that may cause choking in infants or
				  toddlers.
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 I - BASIC CARE REQUIREMENTS FOR TODDLERS › Section 746.2503 - How must I arrange the toddler care area?

Current through Reg. 49, No. 28; July 12, 2024
The toddler care area must include:
(1) Spaces in the room that allow both
				  individual and group time; and
(2)
				  A play environment that allows the caregiver to supervise all children as
				  defined in §
										746.1205 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter I - BASIC CARE REQUIREMENTS FOR TODDLERS › Section 746.2505 - What furnishings and equipment must I provide for toddlers?

Current through Reg. 49, No. 28; July 12, 2024
Furnishings and equipment for toddlers must include at
					 least the following:
(1)
				  Age-appropriate seating, tables, and nap or rest equipment;
(2) Enough popular items available so that
				  toddlers are not forced to compete for them;
(3) Containers or low shelving that are
				  accessible to toddlers, so toddlers can safely obtain the items without adult
				  intervention; and
(4) Bottles and
				  training cups, if used, must be:
(A) Labeled
				  with the toddler's first name and initial of last name or otherwise
				  individually assigned to each toddler;
(B) Cleaned and sanitized between each use;
				  and
(C) Used for drinking and
				  feeding, and never allow toddlers to sleep with or walk around with a bottle or
				  training cup.
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 I - BASIC CARE REQUIREMENTS FOR TODDLERS › Section 746.2507 - What activities must I provide for a toddler?

Current through Reg. 49, No. 28; July 12, 2024
Daily activities for a toddler must include at least the
					 following:
(1) Opportunities for
				  outdoor play, weather permitting, as specified in § 746.2206 of this
				  chapter (relating to What specific activities must I include in a written
				  activity plan?) ;
(2) Opportunities
				  for thinking skills and sensory development. Examples of age-appropriate
				  equipment or activities include shape or item sorting toys, stacking or nesting
				  toys, puzzles with less than six pieces, washable board books, washable blocks,
				  and snapping and take-apart toys;
(3) Opportunities for small-muscle
				  development. Examples of age-appropriate equipment or activities include
				  large-size washable crayons and markers, variety of paper and art materials,
				  table or easel for art, large paintbrushes, non-toxic play-dough, large-sized
				  washable toy transportation vehicles, toy animals, and toy people;
(4) Opportunities for large-muscle
				  development. Examples of age-appropriate equipment or activities include
				  low-climbing structures, small riding toys, toys for pushing or pulling, a
				  variety of light-weight balls for indoor and outdoor play, and rhythm
				  instruments;
(5) Opportunities for
				  moderate to vigorous active play, both indoors and outdoors, as specified in
				  § 746.2206 of this chapter. Examples of age-appropriate equipment or
				  activities include music, songs, simple games and dramatic or imaginary play
				  that encourage movement such as dancing, running, climbing, stretching,
				  walking, and marching;
(6)
				  Opportunities for language development. Examples of age-appropriate equipment
				  or activities include washable soft animals or puppets, simple picture books,
				  and pictures of familiar items and places;
(7) Opportunities for social and emotional
				  development. Examples of age-appropriate equipment or activities include
				  dress-up clothes and accessories, housekeeping equipment, unbreakable mirrors,
				  washable dolls with accessories, items for practicing buttoning, zipping,
				  lacing, and snapping, and baskets, tubs, and tote bags (not plastic bags) for
				  carrying and toting; and
(8)
				  Opportunities to develop self-help skills such as toileting, hand washing, and
				  self-feeding.
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 I - BASIC CARE REQUIREMENTS FOR TODDLERS › Section 746.2509 - Must I share a daily report with parents for each toddler in my care?

Current through Reg. 49, No. 28; July 12, 2024
No, however you must have a plan for personal contact with
					 parents that provides for an exchange of information regarding observations,
					 comments, and concerns regarding their toddler.
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 J - BASIC CARE REQUIREMENTS FOR PRE-KINDERGARTEN AGE CHILDREN › Section 746.2601 - What are the basic requirements for pre-kindergarten age children?

Current through Reg. 49, No. 28; July 12, 2024
Basic care for pre-kindergarten age children must
					 include:
(1) Routines such as diapering
				  or toileting, eating, napping or resting, indoor activity times, and outdoor
				  activity times;
(2) Individual
				  attention given to each pre-kindergarten age child; and
(3) Interactions that encourage children to
				  communicate and express feelings in appropriate ways.
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 J - BASIC CARE REQUIREMENTS FOR PRE-KINDERGARTEN AGE CHILDREN › Section 746.2603 - What physical space requirements must I provide for pre-kindergarten age children?

Current through Reg. 49, No. 28; July 12, 2024
Physical space requirements for pre-kindergarten age
					 children must include:
(1) Space for
				  furnishings and activities without limiting children's movement; and
(2) Space in which children are allowed to
				  find or create individual activities, but which still permits the caregiver to
				  easily supervise.
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 J - BASIC CARE REQUIREMENTS FOR PRE-KINDERGARTEN AGE CHILDREN › Section 746.2605 - What furnishings and equipment must I provide for pre-kindergarten age children?

Current through Reg. 49, No. 28; July 12, 2024
Furnishings and equipment for pre-kindergarten age children
					 must include at least the following:
(1) Interest centers, such as dramatic play,
				  block building, stories and books, science and nature activities, art and music
				  activities, sensory, and problem-solving activities that are:
(A) Clearly defined;
(B) Organized for independent use by
				  children; and
(C) Arranged so the
				  children's activities are visible to the caregiver;
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 J - BASIC CARE REQUIREMENTS FOR PRE-KINDERGARTEN AGE CHILDREN › Section 746.2607 - What activities must I provide for a pre-kindergarten age child ?

Current through Reg. 49, No. 28; July 12, 2024
Daily activities for a pre-kindergarten age child must
					 include at least the following:
(1)
				  Opportunities for outdoor play, weather permitting, as specified in §
				  746.2206 of this chapter (relating to What specific activities must I include
				  in a written activity plan?) ;
(2)
				  Opportunities for thinking skills and sensory development. Examples of
				  age-appropriate equipment or activities include sand and water play, blocks,
				  framed puzzles with up to 30 pieces, variety of large stringing beads, and
				  simple board games;
(3)
				  Opportunities for small-muscle development. Examples of age-appropriate
				  equipment or activities include large non-toxic crayons, markers, paint, water
				  colors and various size brushes, adjustable easels, collage materials,
				  chalkboard and chalk, clay or dough and tools, workbench and accessories, round
				  end scissors, glue and paste, different types of music and videos, rhythm
				  instruments, and fingerplays;
(4)
				  Opportunities for large-muscle development. Examples of age-appropriate
				  equipment or activities include small wagons, light-weight balls of all sizes,
				  small wheelbarrows, tricycles, push toys, swings, slides, climbing equipment,
				  balance beam, hanging bars, and outdoor building materials;
(5) Opportunities for moderate to vigorous
				  active play, both indoors and outdoors, as specified in § 746.2206 of this
				  chapter. Examples of age-appropriate equipment or activities include active
				  games such as tag and hot potato, dancing and creative movement to music and
				  singing, simple games and dramatic or imaginary play that encourages running,
				  stretching, climbing, walking and marching;
(6) Opportunities for language development.
				  Examples of age-appropriate equipment or activities include flannel board
				  stories, puppets, and variety of storybooks, writing materials, and stories on
				  tape;
(7) Opportunities for social
				  and emotional development. Examples of age-appropriate equipment or activities
				  include dress-up clothes and accessories, mirrors, dolls, simple props for
				  different themes, puppets, transportation toys, play animals, and table games;
				  and
(8) Opportunities to develop
				  self-help skills such as toileting, hand washing, returning equipment to
				  storage areas or containers, and serving and self-feeding .
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 K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN › Section 746.2701 - What are the basic care requirements for school-age children?

Current through Reg. 49, No. 28; July 12, 2024
Basic care requirements for school-age children must
					 include:
(1) Individual attention from
				  and conversation with adults;
(2)
				  Physical care routines appropriate to each child's developmental
				  needs;
(3) Flexible programming
				  according to ages, interests, and abilities of the children; and
(4) A caregiver who is aware of the arrival
				  and departure of each child, including dismissing children who ride the bus or
				  walk home.
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 K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN › Section 746.2703 - What physical space requirements must I provide for the school-age care area?

Current through Reg. 49, No. 28; July 12, 2024
The school-age care area must include:
(1) Space to set up interest centers or
				  focused play areas during the activity, such as arts and crafts; music and
				  movement; blocks and construction; drama and theater; math and reasoning
				  activities; science and nature; language and reading activities, such as books,
				  story tapes and language games, stories read or told on a weekly basis, and
				  cultural awareness, which are:
(A) Organized
				  for independent use by children; and
(B) Arranged so the caregiver can supervise
				  the children according to §
											746.1205 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN › Section 746.2705 - What furnishings and equipment must I provide for school-age children?

Current through Reg. 49, No. 28; July 12, 2024
Furnishings and equipment for school-age children must
					 include at least the following:
(1)
				  Age-appropriate seating, tables, or desks to meet children's needs, such as
				  workspace to do homework and table-top activities;
(2) Age-appropriate nap or rest equipment;
				  and
(3) Containers or shelving
				  available so that items children can safely use without direct supervision are
				  accessible to 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 K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN › Section 746.2707 - 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 children who choose to work on 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 kneepads, 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 equipment or activities
				  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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter L - DISCIPLINE AND GUIDANCE › Section 746.2803 - What methods of discipline and guidance may a caregiver 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter L - DISCIPLINE AND GUIDANCE › Section 746.2805 - 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 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 §
										746.2803(4)(D) of
				  this subchapter (relating to What methods of discipline and guidance may a
				  caregiver 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter L - DISCIPLINE AND GUIDANCE › Section 746.2807 - May my employees discipline their own children who are in care at my center?

Current through Reg. 49, No. 28; July 12, 2024
Yes, during operating hours an employee may discipline the
					 employee's own child as long as the employee does not violate the requirements
					 specified in this subchapter.
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 M - NAPTIME › Section 746.2901 - Must children have a naptime every day?

Current through Reg. 49, No. 28; July 12, 2024
You must provide a supervised sleep or rest period after
					 the noon meal for all children 18 months of age or older who are in care five
					 or more consecutive hours, or according to the child's individual physical
					 needs. You may provide sleep or rest for each child who attends the child-care
					 center for fewer than five hours and whose individual physical needs call for a
					 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter M - NAPTIME › Section 746.2903 - How long may the nap and rest time last each day?

Current through Reg. 49, No. 28; July 12, 2024
The sleep 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter M - NAPTIME › Section 746.2905 - 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
				  to make the child rest or sleep.
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 M - NAPTIME › Section 746.2907 - 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 resting or sleeping for one hour to participate
				  in an alternative, quiet activity until the nap/rest time is over for the other
				  children.
(b) You must take a
				  toddler who sleeps 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter M - NAPTIME › Section 746.2909 - 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 activity
				  space;
(3) Be arranged to provide a
				  sufficient walk and work space for caregivers between each cot and
				  mat;
(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; and
(5) Be arranged so the caregiver can
				  adequately supervise all children in the group, as specified in §
										746.1205 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter M - NAPTIME › Section 746.2911 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter N - FIELD TRIPS › Section 746.3001 - May I take children away from my child-care center for field trips?

Current through Reg. 49, No. 28; July 12, 2024
Yes. You must ensure the safety of all children on field
					 trips or excursions and during any transportation provided by the child-care
					 center. 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 on a field trip,
				  including permission to transport the child, if applicable;
(2) One or more caregivers must carry
				  emergency medical consent forms and emergency contact information for each
				  child on the field trip;
(3)
				  Caregivers 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;
(4) Caregivers must have
				  a first-aid kit immediately available on field trips;
(5) Caregivers must have a copy of a child's
				  food allergy emergency plan and allergy medications, if applicable;
(6) Each child must wear a shirt, nametag, or
				  other identification listing the name of the child-care center and the
				  child-care center's telephone number;
(7) Each caregiver must be easily
				  identifiable by all children on the field trip by wearing a hat, child-care
				  center 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) One or more caregivers per
				  group of children must have current training in pediatric first aid and
				  pediatric CPR.
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 N - FIELD TRIPS › Section 746.3003 - Must I notify parents before I take children away from the child-care center 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 the child-care center. The notice must be
					 posted at least 48 hours in advance of a field trip. You must post the field
					 trip notice in a prominent place where parents and others may view it. The
					 notice must remain posted until all children on the field trip have returned to
					 the child-care center.
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 O - GET-WELL CARE PROGRAMS › Section 746.3101 - May I care for children who are ill?

Current through Reg. 49, No. 28; July 12, 2024
Yes, if you are licensed as a get-well care program to
					 provide care for children who are ill. The primary objective of this program is
					 to ensure that children in care receive the required attention necessary for
					 certain ill children, as specified in this subchapter.
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 O - GET-WELL CARE PROGRAMS › Section 746.3103 - Which children may be included in the get-well care program?

Current through Reg. 49, No. 28; July 12, 2024
Get-well care includes care for children who are too sick
					 to attend well-child day care according to the exclusions in Subchapter R,
					 Division 3 of this chapter (relating to Illness and Injury), but who do not
					 exhibit any of the excludable diseases 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter O - GET-WELL CARE PROGRAMS › Section 746.3105 - What must I do before I admit a child to my get-well care program?

Current through Reg. 49, No. 28; July 12, 2024
Before a child may enter your get-well care program, you
					 must determine the child's needs and that your program can meet those needs
					 without compromising the care of other children in the
					 program.
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 O - GET-WELL CARE PROGRAMS › Section 746.3107 - When must I remove a child from my get-well care program?

Current through Reg. 49, No. 28; July 12, 2024
You must remove a child from your get-well care program
					 immediately when the child's condition meets one of the excludable diseases or
					 symptoms specified by DSHS. The child may return to your regular child-care
					 program when you have obtained a doctor's statement that he no longer has the
					 excludable condition, or when the child is free of symptoms for 24
					 hours.
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 O - GET-WELL CARE PROGRAMS › Section 746.3109 - Are the parents of children in the get-well care program required to provide a doctor's statement before I may admit the child?

Current through Reg. 49, No. 28; July 12, 2024
No. Each parent must provide you with information on the
					 child's specific diagnosis from a health-care professional, including current
					 status of the illness, any dietary needs, activity level, and medication plan.
					 You must record this information and the name and telephone number of the
					 health-care professional on the get-well care program admission form or other
					 similar form that captures the same information. You must update this
					 information as the child's needs or diagnosis changes.
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 O - GET-WELL CARE PROGRAMS › Section 746.3111 - Must I care for children in the get-well care program in an area separate from the well children in care?

Current through Reg. 49, No. 28; July 12, 2024
If your get-well care program is located in the same
					 building as your other child-care programs:
(1) The get-well care program must have a
				  separate entrance and a separate ventilation system;
(2) Indoor hallways, bathrooms, and activity
				  areas utilized by the get-well care program must be separate from the other
				  child-care programs;
(3) A single
				  kitchen may be used if the cook has no child-care responsibility;
(4) Separate toileting facilities must be
				  available for the children in the get-well care program from the children in
				  the well child-care program at a ratio of one toilet for every ten children;
				  and
(5) Linens, furniture,
				  fixtures, equipment, and supplies designated for use by the get-well care
				  program must be sanitized before being used by the well 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 O - GET-WELL CARE PROGRAMS › Section 746.3113 - What extra safety features must I have in my get-well care program?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must care for children with
				  respiratory illnesses separately from children with gastrointestinal illnesses.
				  Curtains, partitions, or walls can define separate rooms.
(b) A hand-washing sink must be available in
				  every room in your get-well care program.
(c) If children in diapers are in care, the
				  diaper-changing surface must be adjacent to the hand-washing sink.
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 O - GET-WELL CARE PROGRAMS › Section 746.3115 - May caregivers working with the get-well care program also work with other children in the child-care center?

Current through Reg. 49, No. 28; July 12, 2024
No. Caregivers supervising and caring for children in your
					 get-well care program must not also care for well children in the child-care
					 center on the same day.
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 O - GET-WELL CARE PROGRAMS › Section 746.3117 - Do caregivers in my get-well care program require special training?

Current through Reg. 49, No. 28; July 12, 2024
Yes, in addition to the orientation, pre-service training,
					 pediatric first aid, pediatric CPR, and annual training required of caregivers
					 in this chapter, all get-well care program caregivers must have five additional
					 hours of annual training in prevention and control of communicable diseases and
					 care of ill children for a total of 29 hours per year.
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 O - GET-WELL CARE PROGRAMS › Section 746.3119 - May the director of my well child-care program also direct my get-well care program?

Current through Reg. 49, No. 28; July 12, 2024
Yes, although the director of your get-well care program
					 must:
(1) Meet all qualifications
				  specified in Subchapter D of this chapter (relating to Personnel);
(2) Not be counted in child/caregiver ratio
				  or be responsible for supervising or caring for any children in either
				  program;
(3) Have current
				  certification in CPR and first aid, including rescue breathing and choking;
				  and
(4) Have ten additional hours
				  of annual training in prevention and control of communicable diseases and care
				  of ill children for a total of 40 hours per year.
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 O - GET-WELL CARE PROGRAMS › Section 746.3121 - Must I provide activities for children in the get-well care program?

Current through Reg. 49, No. 28; July 12, 2024
You must:
(1)
				  Provide quiet activities appropriate to each child's developmental age and
				  needs; outdoor play is not required;
(2) Give children access to nap or rest areas
				  without distraction or disturbance from other activities when the child
				  demonstrates a need for rest or desires to rest; and
(3) Follow physician's 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 O - GET-WELL CARE PROGRAMS › Section 746.3123 - Must my get-well care program follow any special handling procedures?

Current through Reg. 49, No. 28; July 12, 2024
Yes. In addition to following the minimum standards noted
					 in this Chapter, including Subchapter R (relating to Health Practices), you
					 must follow these procedures when providing get-well care:
(1) Sanitize all laundry each day and when
				  soiled;
(2) Keep all garbage
				  containers covered and take them out of the building daily;
(3) Sanitize all toys and equipment after
				  every use and before a different child uses them;
(4) Use disposable, single-use cups, plates,
				  and utensils for food service and drinks; and
(5) Provide nutritious meals and snacks
				  according to the children's needs or the directions of a 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 P - NIGHTTIME CARE › Section 746.3201 - 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 center 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter P - NIGHTTIME CARE › Section 746.3203 - May I provide nighttime care to children at my child-care center?

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 this title (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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter P - NIGHTTIME CARE › Section 746.3205 - Must caregivers stay awake while supervising children during nighttime care?

Current through Reg. 49, No. 28; July 12, 2024
Yes. Caregivers supervising children during nighttime care
					 must be awake and supervising the children at all times, as specified in §
										746.1205 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter P - NIGHTTIME CARE › Section 746.3207 - What are the building, furnishings, 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, which lights the exit path and door);
(2) You cannot count a window as one of the
				  child-care center's required fire exits;
(3) Each child 18 months and older must be
				  provided a cot, bed, or mattress that is waterproof or washable and
				  developmentally appropriate;
(4)
				  Children under 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter P - NIGHTTIME CARE › Section 746.3209 - 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 of
				  §
											746.2207
				  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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3301 - 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3303 - 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 §
					 746.3303when 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3309 - May parents provide meals and snacks for their child instead of my child-care center 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 center 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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3311 - What are the requirements for a child who requires a special diet or does not want to eat foods that the center serves?

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 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS › Subchapter Q - NUTRITION AND FOOD SERVICE › Section 746.3313 - Can I make substitutions and/or rotate the daily menus?

Current through Reg. 49, No. 28; July 12, 2024
Yes:
(1)
				  Substitutions of comparable food value may be made to the daily menu, but you
				  must keep a record of any substitutions made; and
(2) You may rotate menus, but you must keep a
				  record of which menu was used for each date.