reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.161 - Requirements for Buildings in Which Existing Licensed Hospitals Are Located

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Compliance. All buildings in which existing hospitals licensed by the Texas
				  Health and Human Services Commission (HHSC) are located shall comply with this
				  subsection. This chapter shall not be applied retroactively to an operating
				  hospital holding an active HHSC facility license before the effective date of
				  this chapter that complies with the occupancy requirements in National Fire
				  Protection Association 101, Life Safety Code, (NFPA 101), the Hospital
				  Licensing Standards/Rules (1969, 1985, or 1998 editions as amended), and the
				  hospital licensing rules under which the buildings or sections of buildings
				  were constructed.
(1) Minimum fire safety and
				  construction requirements.
(A) Code
				  requirements. A limited services rural hospital (LSRH) shall meet the
				  requirements for health care occupancies contained in the 1967, 1973, 1981,
				  1985, 1991, 1997, 2000, 2003, or 2010 editions of the NFPA 101, Life Safety
				  Code, the Hospital Licensing Standards/Rules (1969, 1985, or 1998 editions as
				  amended), and the hospital licensing rules under which the buildings or
				  sections of buildings were constructed.
(B) Existing construction requirements.
				  Existing LSRHs or portions of existing LSRHs constructed before the adoption of
				  any of the editions of NFPA 101, the Hospital Licensing Standards, and the
				  hospital licensing rules listed in subparagraph (A) of this paragraph, shall
				  comply with this section and Chapter 19, NFPA 101, 2012
				  edition.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.162 - General Construction Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) Location. Any proposed limited services
				  rural hospital (LSRH) shall be easily accessible to the community and to
				  service vehicles such as delivery trucks, ambulances, and fire protection
				  apparatus. No building may be converted for use as an LSRH which, because of
				  its location, physical condition, state of repair, or arrangement of
				  facilities, would be hazardous to the health and safety of the patients.
(1) Hazardous locations.
(A) Underground and above ground hazards. New
				  LSRHs or additions to existing LSRHs shall not be constructed within 150 feet
				  of easement boundaries or setbacks of hazardous underground locations including
				  liquid butane or propane, liquid petroleum or natural gas transmission lines,
				  high pressure lines, and not within the easement of high voltage electrical
				  lines.
(B) Fire hazards. New LSRHs
				  and additions to existing LSRHs shall not be built within 300 feet of above
				  ground or underground storage tanks containing liquid petroleum or other
				  flammable liquids used in connection with a bulk plant, marine terminal,
				  aircraft refueling, bottling plant of a liquefied petroleum gas installation,
				  or near other hazardous or hazard producing plants.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.163 - Spatial Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Administration and public suite.
(1)
				  Architectural requirements. The following rooms or areas shall be provided.
(A) Primary entrance. An entrance at grade
				  level shall be accessible and protected from inclement weather with a drive
				  under canopy for loading and unloading passengers.
(B) Lobby. A main lobby shall be located at
				  the primary entrance and shall include a reception and information counter or
				  desk, waiting space, public toilet facilities, public telephones, drinking
				  fountain, and storage room or alcove for wheelchairs.
(C) Admissions area. An admissions area shall
				  include a waiting area, work counters or desk, private interview spaces, and
				  storage room or alcove for wheelchairs. The waiting area and wheelchair storage
				  may be shared with similar areas located in the main lobby.
(D) General or individual offices. Office
				  space shall be provided for business transactions, medical and financial
				  records, and administrative and professional staffs.
(E) Multipurpose rooms. A multipurpose room
				  or rooms shall be provided for conferences, meetings, and health education
				  purposes including provisions for showing visual aids.
(F) Storage. Storage for office equipment and
				  supplies shall be provided. The construction protection for the storage room or
				  area shall be in accordance with National Fire Protection Association 101, Life
				  Safety Code, 2012 edition (NFPA 101) §18.3.2.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.164 - Elevators, Escalators, and Conveyors

Current through Reg. 49, No. 28; July 12, 2024
(a) General. All limited services rural
				  hospitals (LSRHs) with two or more floor levels shall have at least one
				  electrical or electrical hydraulic elevator. Elevators shall also give access
				  to all building levels normally used by the public. Escalators and conveyors
				  are not required but, when provided, shall comply with these requirements and
				  the requirement of §18.3 of the National Fire Protection Association
				  (NFPA) 101, Life Safety Code, 2012 edition.
(b) Requirements for new elevators,
				  escalators, and conveyors. New elevators, escalators and conveyors shall be
				  installed in accordance with the requirements of A17.1 Safety Code for
				  Elevators and Escalators, 2012 edition, published by the American Society of
				  Mechanical Engineers (ASME) and the American National Standards Institute
				  (ANSI).
(1) Cars and doors.
(A) Cars of hospital type elevators for
				  patient transport shall not be less than five feet eight inches wide and not
				  less than eight feet six inches deep inside the cab.
(B) The car door opening shall not be less
				  than four feet wide and seven feet high.
(C) Elevator doors shall be B-labeled
				  one-hour fire protection rated doors in buildings less than four stories, and
				  one and one-half hour fire protection rated doors in buildings four or more
				  stories.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.165 - Building with Multiple Occupancies

Current through Reg. 49, No. 28; July 12, 2024
(a) Multiple hospitals located within one
				  building.
(1) Identifiable location. Each
				  hospital shall conform with all the requirements contained in Chapter 18 of the
				  National Fire Protection Association 101, Life Safety Code, 2012 edition (NFPA
				  101), relating to New Health Care Occupancies.
(A) The guest hospital shall be in one
				  separately contiguous location.
(B)
				  In no case may a person leave the guest hospital, traverse the host hospital,
				  and then reenter the guest hospital to access the remaining portion of the
				  guest hospital.
(C) A connecting
				  stair within the host hospital may be used to connect the vertical contiguous
				  areas of the guest hospital.
(D) A
				  guest hospital may not occupy two or more noncontiguous areas of a host
				  hospital that contain intervening space of the host hospital even if on the
				  same floor.
(E) Construction of the
				  host hospital building shall conform to the requirements of NFPA 101 Chapter
				  18, and the building shall be fully sprinklered.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.166 - Mobile, Transportable, and Relocatable Units

Current through Reg. 49, No. 28; July 12, 2024
(a) Definitions. The following words and
				  terms, when used in this Section, have the following meanings, unless the
				  context clearly indicates otherwise.
(1)
				  Mobile unit--Any pre-manufactured structure, trailer, or self-propelled unit
				  equipped with a chassis on wheels and intended to provide shared medical
				  services to the community on a temporary basis. Some of these units are
				  equipped with expanding walls and designed to be moved on a daily
				  basis.
(2) Relocatable unit--Any
				  structure, not on wheels, that is built to be relocated at any time and provide
				  medical services. These structures vary in size.
(3) Transportable unit--Any pre-manufactured
				  structure or trailer, equipped with a chassis on wheels, intended to provide
				  shared medical services to the community on an extended temporary basis. These
				  units are designed to be moved periodically, depending on
				  need.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.167 - Preparation, Submittal, Review, and Approval of Plans, and Retention of Records

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  General.
(1) A limited services rural
				  hospital (LSRH) owner or operator may not begin construction of a new building,
				  additions to or renovations, or conversions of existing buildings until the
				  Texas Health and Human Services Commission (HHSC) approves final construction
				  documents.
(2) Plans and
				  specifications describing the construction of new buildings and additions or
				  renovations and conversions of existing buildings shall be prepared by a
				  registered architect, a licensed professional engineer, or both, and meet the
				  requirements of this subchapter.
(3) The names of spaces used in the LSRH's
				  functional program narrative, preliminary documents, final construction
				  documents, and specifications shall be consistent with the names of the spaces
				  used in this chapter.
(4) HHSC
				  shall notify the LSRH's owner or operator of the result of its review of each
				  type of submission discussed in this section.
(5) The LSRH owner or operator shall respond
				  to all HHSC requests for additional information, including providing a plan of
				  correction for deficiencies cited by HHSC.
(6) Once final construction documents are
				  approved, the LSRH owner or operator shall request inspections in accordance
				  with §
											511.168 of this subchapter
				  (relating to Construction, Inspections, and Approval of Project).
(7) When construction is delayed for longer
				  than one year from the plan approval or self-certification approval date, the
				  LSRH shall resubmit construction documents to HHSC for review and approval. The
				  plans shall be accompanied by a new Application for Plan Review, plan review
				  fee, and functional program narrative.
(8) The LSRH owner or operator shall provide
				  written notification to HHSC when a project has been placed on hold, canceled,
				  or abandoned.
(9) HHSC may close a
				  project file after one year of assigning an application number to a project if
				  the LSRH has placed the project on hold. Plan review fees are
				  nonrefundable.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.168 - Construction, Inspections, and Approval of Project

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Construction.
(1) Major construction. A
				  limited services rural hospital (LSRH) shall not commence construction, other
				  than minor alterations, until the LSRH has satisfactorily resolved final plan
				  review deficiencies and paid the appropriate plan review fee according to the
				  plan review schedule in §
											511.17 of this chapter (relating
				  to Fees), and the Texas Health and Human Services Commission (HHSC) has issued
				  a letter granting approval to begin construction. Such authorization does not
				  constitute release from the requirements contained in this chapter. If the
				  construction takes place in or near occupied areas, adequate provision shall be
				  made for the safety and comfort of occupants.
(2) Construction commencement notification.
				  The architect of record or the LSRH owner or operator shall provide written
				  notification to HHSC when construction will commence. HHSC shall be notified,
				  in writing, of any change in the completion schedules.
(3) Completion. Construction shall be
				  completed in compliance with the construction documents including all addenda
				  or modifications approved for the project.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 511.169 - Tables

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Table 1
Attached
					 Graphic
(b) Table
				  2.
Attached
					 Graphic
(c) Table
				  3.
Attached
					 Graphic
(d) Table
				  4.
Attached
					 Graphic
(e) Table
				  5.
Attached
					 Graphic
(f) Table
				  6.
Attached
					 Graphic
(g) Table
				  7.
Attached
					 Graphic
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter A - PURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS › Section 550.1 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose of
				  this chapter is to implement THSC Chapter 248A, which directs the executive
				  commissioner of the Texas Health and Human Services Commission to adopt minimum
				  standards that a person must meet to be licensed as a center.
(b) Except as provided by THSC §
				  248A.002, a person may not own or operate a center unless the person holds a
				  license issued by DADS under THSC Chapter 248A and this chapter.
(c) An applicant may not provide services
				  under a license for which an application has been filed until DADS issues the
				  license.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter A - PURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS › Section 550.2 - Scope

Current through Reg. 49, No. 28; July 12, 2024
(a) This chapter
				  establishes the minimum standards necessary to promote the health, safety, and
				  welfare of a minor served and to ensure that a center ensures the provision of
				  medical, nursing, psychosocial, therapeutic, and developmental services to a
				  minor, and meets the caregiver training needs of a minor's parent. The
				  standards are the basis for inspection activities for licensure.
(b) For purposes of this chapter, "at a
				  center" and "at the center" includes the premises of the center and vehicles
				  used for transportation, if transportation is provided by the center.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter A - PURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS › Section 550.3 - Limitations

Current through Reg. 49, No. 28; July 12, 2024
(a) Requirements
				  established by private or public funding sources such as health maintenance
				  organizations or other private third-party insurance, Medicaid (Title XIX of
				  the Social Security Act), Medicare (Title XVIII of the Social Security Act), or
				  state-sponsored funding programs are separate and apart from the requirements
				  in this chapter for a center. Notwithstanding the funding source requirements
				  that apply, a center must comply with the applicable provisions of THSC Chapter
				  248A and this chapter. A center is responsible for researching the availability
				  of funding to pay for the services the center provides.
(b) Admission to a center is not intended to
				  supplant a minor's right to a Medicaid private duty nursing benefit when
				  private duty nursing is medically necessary for the minor.
(c) The services of a center must not
				  supplant services afforded to a minor by the Individuals with Disabilities
				  Education Act, United States Code, Title 20, § 1400 et seq., and Section
				  504 of the Rehabilitation Act of 1973, United States Code, Title 29, §
				  794. A center must not act as the primary education provider or accept a
				  delegation of responsibility for the provision of a minor's education from an
				  education provider, such as a local education agency.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter A - PURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS › Section 550.4 - Compliance

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
				  maintain satisfactory compliance with THSC Chapter 248A and this chapter to
				  maintain licensure.
(b) To the
				  extent of any conflict between the standards in this chapter and a standard
				  required in a local, county, or municipal ordinance, this chapter
				  controls.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter A - PURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS › Section 550.5 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this chapter,
					 have the following meanings unless the context clearly indicates
					 otherwise.
(1) Active Play--Any
				  physical activity from which a minor derives amusement, entertainment,
				  enjoyment, or satisfaction by taking a participatory rather than a passive
				  role. Active play includes various forms of activities, from the exploration of
				  objects and toys to the structured play of formal games, sports, and
				  hobbies.
(2) Actual census--The
				  number of minors at a center at any given time.
(3) Administration of medication--The direct
				  application of a medication to the body of a minor by any route. This includes
				  removing an individual or unit dose from a previously dispensed, correctly
				  labeled container, verifying it with the medication order, giving the correct
				  medication and the correct dose to the correct minor at the correct time by the
				  correct route, and accurately recording the time and dose given.
(4) Administrator--The person who is
				  responsible for implementing and supervising the administrative polices and
				  operations of a center and for administratively supervising the provision of
				  services to minors and their parents on a day-to-day basis.
(5) Adult minor--A minor who is 18 years of
				  age or older or is emancipated, and has not been adjudged
				  incompetent.
(6) Affiliate--With
				  respect to an applicant or license holder that is:
(A) a corporation--means an officer,
				  director, or stockholder with direct ownership or disclosable interest of at
				  least five percent, a subsidiary, or a parent company;
(B) a limited liability company--means an
				  officer, member, or parent company;
(C) an individual--means:
(i) the individual's spouse;
(ii) each partnership and each partner
				  thereof of which an individual or any affiliate of an individual is a partner;
				  and
(iii) each corporation in which
				  an individual is an officer, director, or stockholder with a direct ownership
				  of at least five percent;
(D) a partnership--means a partner or a
				  parent company of the partnership; and
(E) a group of co-owners under any other
				  business arrangement means an officer, director, or the equivalent under the
				  specific business arrangement or a parent company.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.101 - Criteria and Eligibility for a License

Current through Reg. 49, No. 28; July 12, 2024
(a) To obtain a license, a person must meet
				  the application requirements in this subchapter and meet the criteria for a
				  license.
(b) A center must be
				  located in Texas. The center must have a Texas mailing address.
(c) A person may not operate a center on the
				  same premises as:
(1) a child-care center
				  licensed in accordance with Texas Human Resource Code, Chapter 42; or
(2) any other facility licensed by DADS or
				  the Department of State Health Services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.102 - General Application Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant may apply for a license for
				  a center by submitting a sworn application from the DADS Licensing and
				  Credentialing Unit. An application may be obtained from the DADS
				  website.
(b) An applicant must
				  complete the application in accordance with the instructions provided on the
				  application and the DADS website.
(c) An applicant must provide accurate and
				  complete statements on the application and any attachments.
(d) If an applicant decides not to continue
				  the application process for a license after submitting an application and
				  license fee, the applicant must submit a written request to DADS to withdraw
				  the application. DADS does not refund the license fee for an application that
				  is withdrawn, except as provided in § 550.114 of this subchapter (relating
				  to Time Periods for Processing All Types of License Applications).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.103 - Building Approval

Current through Reg. 49, No. 28; July 12, 2024
(a) Fire
				  authority. An applicant must receive approval from the local fire authority or,
				  if the jurisdiction does not have a local fire authority, the state fire
				  marshal, for an initial, renewal, change of ownership, relocation, or capacity
				  increase license application. An applicant may submit a license application to
				  DADS before receiving fire authority approval. An applicant must submit to DADS
				  a copy of a signed and dated written approval for occupancy by the local fire
				  authority or state fire marshal that describes the center by name and
				  address.
(b) Local health
				  authority. An applicant for an initial, change of ownership, relocation, or
				  capacity increase license must submit to DADS a copy of a dated written
				  notification to the local health authority that the applicant is submitting a
				  license application to DADS. DADS sends the local health authority a copy of
				  DADS license renewal notification specifying the expiration date of the
				  center's current license. A local health authority may provide an evaluation to
				  DADS regarding the status of the center's compliance with local codes,
				  ordinances or regulations. The local health authority may also recommend that
				  DADS issue or deny a license to the center, but DADS makes the final decision
				  regarding licensure of the center.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.104 - Applicant Disclosure Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) A person that submits an initial,
				  renewal, change of ownership, relocation, or increase in capacity license
				  application must:
(1) identify the location
				  of the place of business for which the license is sought;
(2) include documentation, signed by the
				  appropriate local government official, stating that the center's place of
				  business and the use of the center meet local zoning requirements;
(3) provide the name, address, and social
				  security number of, and background and criminal history check information for:
(A) the applicant;
(B) the administrator;
(C) the financial officer; and
(D) each controlling person of the
				  applicant;
(4) provide
				  the federal employer identification number or taxpayer identification number of
				  the applicant and of each controlling person, if an applicant or controlling
				  person is not an individual;
(5)
				  state the assumed name under which the center will be doing business;
(6) state the maximum capacity requested for
				  the center; and
(7) include a sworn
				  affidavit that the applicant has complied with this chapter.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.105 - Initial License Application Procedures and Issuance

Current through Reg. 49, No. 28; July 12, 2024
(a) The center's administrator must complete
				  pre-licensing program training before an applicant may submit an initial
				  application for a license.
(b) An
				  applicant for an initial license must submit:
(1) a complete and correct application
				  including all documents and information that HHSC requires as part of the
				  application process;
(2) the
				  correct license fee established in § 550.112 of this subchapter (relating
				  to Licensing Fees);
(3) a letter of
				  credit for $250,000 from a bank that is insured by the Federal Deposit
				  Insurance Corporation, or other documentation acceptable to HHSC, to
				  demonstrate an applicant's financial viability; and
(4) all other documents described in the
				  instructions provided on the application and on the HHSC website.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.106 - Renewal License Application Procedures and Issuance

Current through Reg. 49, No. 28; July 12, 2024
(a) A center license expires on the third
				  anniversary after the effective date. To renew a license, a license holder must
				  submit a renewal application to HHSC before the expiration date. HHSC sends
				  written notice of expiration of a license to the license holder at least 120
				  days before the expiration date of a license. The written notice includes
				  instructions for completing the renewal application.
(b) A license holder must comply with the
				  requirements in § 550.102 of this subchapter (relating to General
				  Application Requirements) and § 550.114 of this subchapter (relating to
				  Time Periods for Processing All Types of License Applications) to renew a
				  license.
(c) In accordance with
				  Texas Government Code, § 2001.054, HHSC considers that a license holder
				  meets the renewal application submission deadline if the license holder
				  submits:
(1) no later than 60 days before the
				  expiration date of the current license:
(A) a
				  complete application for renewal or an incomplete application for renewal with
				  a letter explaining the circumstances that prevented the inclusion of the
				  missing information; and
(B) the
				  correct license fee established in § 550.112 of this subchapter (relating
				  to Licensing Fees); or
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.108 - Change of Ownership License Application Procedures and Issuance and Notice of Changes

Current through Reg. 49, No. 28; July 12, 2024
(a) For purposes
				  of this section, a temporary change of ownership license is a temporary license
				  issued to an applicant who proposes to become the new operator of a center that
				  exists on the date the application is submitted.
(b) A center license is not assignable or
				  transferable. The applicant (new license holder) must obtain a temporary change
				  of ownership license followed by an initial three-year license in accordance
				  with this section. When the Texas Health and Human Services Commission (HHSC)
				  approves the change of ownership by issuing a temporary change of ownership
				  license to the new license holder, the current license holder's license becomes
				  invalid as of the effective date of the change of ownership indicated in the
				  application. Between the effective date of the change of ownership and the
				  issuance of the temporary change of ownership license, the current license
				  holder remains responsible under its license; however, the applicant may
				  operate a center on behalf of the current license holder during such period of
				  time.
(c) An applicant must submit
				  to HHSC through the online portal:
(1) a
				  complete application for a license in accordance with HHSC instructions and
				  § 550.101 of this subchapter (relating to Criteria and Eligibility for a
				  License) or an incomplete application with a letter explaining the
				  circumstances that prevented the inclusion of the missing
				  information;
(2) the application
				  fee, in accordance with § 550.112 of this subchapter (relating to
				  Licensing Fees);
(3) a letter of
				  credit for $250,000 from a bank that is insured by the Federal Deposit
				  Insurance Corporation, or other documentation acceptable to HHSC, to
				  demonstrate the applicant's financial viability; and
(4) a signed and notarized Change of
				  Ownership Transfer Affidavit HHSC Form 1092 from the applicant and the center's
				  current license holder of intent to transfer operation of the center from the
				  current license holder to the applicant, beginning on the change of ownership
				  effective date specified on the change of ownership application.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.109 - Increase in Capacity

Current through Reg. 49, No. 28; July 12, 2024
(a) A license
				  holder must not increase a center's licensed capacity without approval from
				  DADS.
(b) The license holder must
				  submit an application for an increase in capacity in accordance with §
				  550.102 of this subchapter (relating to General Application Requirements) and
				  the correct fee required in § 550.112 of this subchapter (relating to
				  Licensing Fees).
(c) The license
				  holder must arrange for an inspection of the center by the local fire marshal
				  and provide written evidence of the fire marshal's approval to DADS.
(d) An applicant must send written notice to
				  DADS indicating that the center is ready for a Life Safety Code inspection.
(1) The written notice must be submitted:
(A) with the application; or
(B) no later than 120 days after DADS
				  Licensing and Credentialing Unit receives the application.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.110 - Decrease in Capacity

Current through Reg. 49, No. 28; July 12, 2024
(a) A license
				  holder who wishes to decrease the licensed capacity of the center must provide
				  written notification to DADS. The written notification must indicate the new
				  licensed capacity for the center.
(b) After DADS receives the written
				  notification, DADS issues a new license with the new licensed capacity as
				  indicated in the written notification.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.111 - Relocation

Current through Reg. 49, No. 28; July 12, 2024
(a) Relocation is
				  the closing of a center and the movement of its business operations to another
				  location.
(b) A license holder must
				  not relocate a center or provide services to a minor at a new location without
				  prior approval from DADS.
(c) The
				  license holder must continue to maintain the license at the current location
				  and must continue to meet all requirements for operation of the center until
				  DADS has approved the relocation.
(d) Before a relocation, the license holder
				  must submit an application for an initial license for the new location in
				  accordance with § 550.105 of this subchapter (relating to Initial License
				  Application Procedures and Issuance) and the correct fee for an initial license
				  required in § 550.112 of this subchapter (relating to Licensing
				  Fees).
(e) The license holder must
				  arrange for an inspection of the center by the local fire marshal and provide
				  written evidence of the fire marshal's approval to DADS.
(f) An applicant must send written notice to
				  DADS indicating that the center is ready for a Life Safety Code inspection.
(1) The written notice must be submitted:
(A) with the application; or
(B) no later than 120 days after DADS
				  Licensing and Credentialing Unit receives the application.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.112 - Licensing Fees

Current through Reg. 49, No. 28; July 12, 2024
(a) The schedule of
				  fees for licensure of a center is as follows:
(1) initial license fee (includes changes of
				  ownership and relocation)--$2625;
(2) renewal license fee--$2625; and
(3) increase in capacity--$1312.50.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.113 - Plan Review Fees

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
				  pay a fee to DADS for its review of plans for new buildings, additions,
				  conversion of buildings not licensed by DADS, or remodeling of existing
				  licensed facilities as described on the DADS website.
(b) The fee schedule follows:
(1) facilities--new construction:
(A) single-story facilities--$2,000;
				  and
(B) multiple-story
				  facilities--$2,500; and
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.116 - Display of License

Current through Reg. 49, No. 28; July 12, 2024
A center must display the center's license in a conspicuous
					 location readily visible to a person entering the center.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.117 - License Alteration Prohibited

Current through Reg. 49, No. 28; July 12, 2024
A center license may not be altered.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.118 - Reporting Changes in Application Information

Current through Reg. 49, No. 28; July 12, 2024
If certain information provided on an initial or renewal
					 application changes after DADS issues the license, a center must report the
					 change to DADS by following the instructions on the DADS website for reporting
					 a change. For requirements on reporting a change regarding:
(1) the administrator, chief financial
				  officer, and controlling person, a center must comply with § 550.119 of
				  this division (relating to Notification Procedures for a Change in
				  Administration and Management) and § 550.302 of this chapter (relating to
				  Organizational Structure and Lines of Authority);
(2) the center's contact information, a
				  center must comply with § 550.120 of this subchapter (relating to
				  Notification Procedures for a Change in Contact Information);
(3) the center's operating hours, a center
				  must comply with § 550.121 of this subchapter (relating to Notification
				  Procedures for a Change in Operating Hours);
(4) name (legal entity or doing business as),
				  a center must comply with § 550.122 of this subchapter (relating to
				  Notification Procedures for a Name Change).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.119 - Notification Procedures for a Change in Administration and Management

Current through Reg. 49, No. 28; July 12, 2024
(a) If a change
				  occurs in the following management staff, a center must submit written notice
				  to DADS no later than seven days after the date of a change in:
(1) administrator;
(2) chief financial officer; or
(3) controlling person, as defined in §
				  550.5 of this chapter (relating to Definitions), including:
(A) a change of five percent or more of the
				  controlling interest of a limited partner in a limited partnership or the
				  addition of a controlling person to the limited partnership; or
(B) a change of five percent or more of the
				  controlling interest in a for-profit corporation or limited liability
				  company.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.120 - Notification Procedures for a Change of Contact Information

Current through Reg. 49, No. 28; July 12, 2024
A center must submit written notice to DADS no later than
					 seven days after a change in the center's:
(1) telephone number; or
(2) mailing address, if different from the
				  physical location.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.121 - Notification Procedures for a Change in Operating Hours

Current through Reg. 49, No. 28; July 12, 2024
A center must submit written notice to DADS no later than
					 seven days after a change in the center's operating hours.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.122 - Notification Procedures for a Name Change

Current through Reg. 49, No. 28; July 12, 2024
(a) If a center intends to change the name of
				  its legal entity or assumed name, but does not undergo a change of ownership as
				  defined in § 550.107 of this subchapter (relating to Change of Ownership),
				  the center must report the name change to DADS no later than seven days after
				  the effective date of the name change.
(b) If a center changes its name but does not
				  undergo a change of ownership, the license holder must notify DADS and submit a
				  copy of a certificate of amendment from the Office of the Secretary of State.
				  After DADS receives the certificate of amendment, a license is issued in the
				  license holder's new name.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES › Section 550.123 - Request and Issuance of Temporary License

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant for an initial license under
				  § 550.105 of this subchapter (relating to Initial License Application
				  Procedures and Issuance) may request that DADS issue a temporary license
				  pending DADS review of the applicant's application for an initial
				  license.
(b) To request a temporary
				  license, the applicant must submit to DADS Provider Licensure and Certification
				  Unit a written request for a temporary license and a copy of the applicant's
				  policies, procedures and staffing plans that demonstrate compliance with the
				  licensing standards of this chapter.
(c) DADS issues a temporary license to an
				  applicant who has requested a temporary license if DADS:
(1) determines that the applicant has
				  submitted an application for an initial license in accordance with §
				  550.105 of this subchapter;
(2)
				  determines that the applicant meets the building requirements of Subchapter E
				  of this chapter; and
(3) approves
				  the applicant's policies, procedures and staffing plans submitted in accordance
				  with subsection (b) of this section.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter C - GENERAL PROVISIONS › Division 1 - OPERATIONS AND SAFETY PROVISIONS › Section 550.201 - Operating Hours

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
					 adopt and enforce a written policy identifying the center's operating hours. A
					 center may not:
(1) allow the provision of
					 services to a minor at a center for more than 12 hours in any 24-hour period;
					 or
(2) allow the provision of
					 services to a minor at a center overnight.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter C - GENERAL PROVISIONS › Division 1 - OPERATIONS AND SAFETY PROVISIONS › Section 550.202 - Suspension of Operations

Current through Reg. 49, No. 28; July 12, 2024
(a) Suspension
					 of operations occurs when a center suspends its normal business operations for
					 five or more consecutive days due to:
(1) a
					 scheduled closing of the center when a center has at least 45 days advance
					 notice of the need to close the center; or
(2) an unscheduled closing of the center when
					 a center has less than 45 days but more than 15 days advance notice of the need
					 to close the center.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter C - GENERAL PROVISIONS › Division 1 - OPERATIONS AND SAFETY PROVISIONS › Section 550.203 - Financial Solvency and Business Records

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must have the financial ability
					 to carry out its functions.
(b) A
					 center must make available to DADS, upon request, business records relating to
					 its ability to carry out its functions. DADS may conduct a more extensive
					 review of the records if there is a question relating to the accuracy of the
					 records or the center's financial ability to carry out its functions.
(c) A center must maintain business records
					 in their original state. Each entry must be accurate and include the date of
					 entry. Correction fluid or tape may not be used in the record. Corrections must
					 be made in accordance with standard accounting practices.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter C - GENERAL PROVISIONS › Division 1 - OPERATIONS AND SAFETY PROVISIONS › Section 550.204 - Billing and Insurance Claims

Current through Reg. 49, No. 28; July 12, 2024
A center must adopt and enforce a written policy that
						includes procedures:
(1) to ensure
					 that the center submits accurate billing and insurance claims; and
(2) to prevent, detect, and report fraud,
					 waste, and abuse.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS › Subchapter C - GENERAL PROVISIONS › Division 1 - OPERATIONS AND SAFETY PROVISIONS › Section 550.205 - Safety Provisions

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure that the local fire marshal's office inspects the center annually.
					 The center must keep a copy of the annual fire inspection report on file at the
					 center for two years after the date of inspection.
(b) A center must prepare a fire drill plan
					 and conduct a fire drill at least once every month.
(1) The center's administrator and nursing
					 director must participate in the monthly fire drill.
(2) The center must conduct fire drills at
					 various times of the day.
(3) The
					 center must document a drill on a DADS Fire Drill Report Form.