reglab/statecodes huggingface dataset:
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 3 - NURSING AND STAFFING REQUIREMENTS › Section 550.418 - Criminal History Checks, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a)
					 The following words and terms, when used in this section, have the following
					 meanings, unless the context clearly indicates otherwise.
(1) Applicant means any individual applying
					 for a position in a center.
(2)
					 Employee means an individual directly employed by a center, a volunteer, or a
					 contractor.
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 3 - NURSING AND STAFFING REQUIREMENTS › Section 550.419 - Drug Testing Policy

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
					 adopt and enforce a written policy describing whether it will conduct drug
					 testing of its staff, volunteers, and contractors.
(b) If a center conducts drug testing, the
					 written policy must describe the method by which drug testing is
					 conducted.
(c) If a center does not
					 practice drug testing, the written policy must state that the center does not
					 conduct drug testing.
(d) A center
					 must provide a copy of the policy to anyone applying for services from the
					 center and any person who requests a copy of the policy.
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 4 - GENERAL SERVICES › Section 550.501 - Basic Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure the provision of all basic services based on the needs of a minor
					 and a minor's family in accordance with the plan of care.
(b) A minor's parent is not required to
					 accompany the minor when the minor receives services in the center, including
					 therapeutic services provided in the center but billed separately.
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 4 - GENERAL SERVICES › Section 550.502 - Medical Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure the provision of medical services based on the needs of a minor, in
					 accordance with a minor's plan of care and as ordered by a minor's prescribing
					 physician.
(b) A center must ensure
					 that a minor's prescribing physician maintains responsibility for the overall
					 medical therapeutic plan of a minor and consults and collaborates with the
					 staff providing services in a center.
(c) A center's nursing director or designee
					 must communicate with each minor's prescribing physician at least every 90 days
					 or more frequently when there is a health status or physical status change in a
					 minor's condition.
(d) A center
					 must adopt and enforce a written policy requiring that therapists who provide
					 services to a minor at the center consult with a minor's prescribing physician
					 directly or coordinate with the clinical staff at least every 180 days or more
					 frequently when there is a health status or physical status change in a minor's
					 condition.
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 4 - GENERAL SERVICES › Section 550.503 - Nursing Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure nursing services are provided based on the needs of a minor, in
					 accordance with a minor's plan of care and as ordered by a minor's prescribing
					 physician.
(b) A center's nursing
					 director or designee must participate in pre-admission planning along with
					 other appropriate nursing staff.
(c) The center's nursing director is
					 responsible for:
(1) ensuring the
					 implementation of the nursing care plan;
(2) monitoring and documenting the care and
					 treatment according to a minor's plan of care;
(3) ensuring that nurses providing services
					 at the center participate in interdisciplinary team meetings regarding a
					 minor's progress towards goals;
(4)
					 ensuring the maintenance of a minor's medical record in accordance with the
					 center's policies and procedures; and
(5) ensuring a minor's parent is instructed
					 on how to provide the necessary care and treatment in the home.
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 4 - GENERAL SERVICES › Section 550.504 - Psychosocial Treatment and Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must ensure the provision of
					 psychosocial treatment based on the needs of a minor, in accordance with a
					 minor's plan of care and as ordered by a minor's physician.
(b) If psychosocial treatment and services
					 are provided at the center, the center must ensure that the provision of
					 psychosocial treatment and services complies with the requirements of this
					 section, § 550.206 of this subchapter (relating to Person-Centered
					 Direction and Guidance) and § 550.207 of this subchapter (relating to
					 Restraints) as applicable to a minor's plan of care and physician's
					 order.
(c) The center must ensure
					 psychosocial treatments and services provided at a center are overseen by a
					 physician, RN or psychologist.
(d)
					 If psychosocial treatments and services are provided in a center, the center
					 must adopt and enforce written policies and procedures relating to the
					 provision of psychosocial treatments to a minor, including:
(1) ensuring the development of interventions
					 to foster normal development;
(2)
					 ensuring the development of interventions to foster psychosocial
					 adaptations;
(3) using
					 person-centered direction and guidance in accordance with § 550.206 of
					 this chapter; and
(4) using
					 restraints in accordance with § 550.207 of this
					 subchapter.
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 4 - GENERAL SERVICES › Section 550.505 - Social Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure the provision of social services based on the needs of a minor, in
					 accordance with a minor's plan of care and as ordered by a minor's prescribing
					 physician.
(b) If social services
					 are provided in a center, the services must be overseen by a social worker or
					 RN.
(c) The center must ensure that
					 an individual providing social services in a center:
(1) actively participates in the coordination
					 of a minor's care, in accordance with accepted standards of practice;
					 and
(2) participates in ongoing
					 interdisciplinary comprehensive assessments, developing and evaluating the plan
					 of care.
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 4 - GENERAL SERVICES › Section 550.506 - Rehabilitative Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure the provision of rehabilitative services based on the needs of a
					 minor, in accordance with a plan of care and as ordered by a minor's
					 prescribing physician.
(b) The
					 center must ensure rehabilitative services provided at a center are overseen by
					 a licensed or certified qualified professional staff as specified in §
					 550.411 of this subchapter (relating to Rehabilitative and Ancillary
					 Professional Staff and Qualifications).
(c) The center must ensure that an individual
					 providing rehabilitative services in a center:
(1) actively participates in the coordination
					 of a minor's care, in accordance with accepted standards of practice;
					 and
(2) participates in ongoing
					 interdisciplinary comprehensive assessments, developing and evaluating the plan
					 of care.
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 4 - GENERAL SERVICES › Section 550.507 - Functional Developmental Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must ensure the provision of
					 functional developmental services based on the needs of a minor, in accordance
					 with the minor's plan of care and as ordered by a minor's prescribing
					 physician.
(b) A center must refer
					 a minor to Early Childhood Intervention, within seven days after identification
					 of a developmental delay or risk of developmental delay in accordance with Code
					 of Federal Regulations, Title 34, § 303.303 (relating to Referral
					 Procedures).
(c) A center must
					 ensure that each minor has a functional assessment incorporated into the
					 comprehensive assessment to include developmentally appropriate
					 areas.
(d) A minor's functional
					 assessment must include:
(1) measurable goals
					 that enhance independent functioning in daily activities and to promote
					 socialization;
(2) a description of
					 a minor's strengths and present performance level with respect to each
					 goal;
(3) skills areas in priority
					 order; and
(4) planning for
					 specific areas identified as needing development.
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 4 - GENERAL SERVICES › Section 550.508 - Educational Developmental Services

Current through Reg. 49, No. 28; July 12, 2024
(a) The center must adopt and enforce written
					 policies and procedures to facilitate each minor's access to available early
					 intervention and educational services and programs delivered by an education
					 provider, including a local education agency, as defined in United States Code,
					 Title 20, § 1401(15), (LEA), early childhood intervention agency, or
					 private school, in the least restrictive environment in the community where a
					 minor resides and where the center is located. The center's educational policy
					 must:
(1) be person-centered and parent
					 driven;
(2) be collaborative with
					 the education provider;
(3) ensure
					 that the center does not act as the primary education provider for a minor or
					 accept a delegation of responsibility for the provision of a minor's education
					 from an education provider; and
(4)
					 support a minor's education program as agreed to by a parent and education
					 provider.
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 4 - GENERAL SERVICES › Section 550.509 - Parent Training

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must develop parent training for each minor's parent and family as identified
					 in a minor's plan of care.
(b) A
					 center must identify the minimum frequency for parent training appropriate to a
					 minor's plan of care to maintain high quality care at home and at the
					 center.
(c) A center must ensure
					 that parent training includes the importance of basic life support
					 certification and first aid training.
(d) A center must document parent training in
					 a minor's medical record, to include:
(1) the
					 title and a short summary of the training;
(2) the date and time the training was
					 conducted;
(3) the name and title
					 of the staff who provided the training; and
(4) a copy of the training sign-in sheet or
					 other attendance record.
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 4 - GENERAL SERVICES › Section 550.510 - Nutritional Counseling

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must ensure the provision of nutritional counseling as defined in § 550.5
					 of this chapter (relating to Definitions) based on the minor's needs and in
					 accordance with the minor's plan of care.
(b) Nutritional counseling must be overseen
					 by a qualified individual including a dietitian, nutritionist, or RN.
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 4 - GENERAL SERVICES › Section 550.511 - Dietary Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must adopt and enforce written policy and procedures to ensure that a minor,
					 while at the center, receives:
(1) a
					 nourishing, well-balanced diet as recommended by the American Academy of
					 Pediatrics or Food and Nutrition Board of the National Research Council,
					 National Academy of Sciences; or
(2) a diet ordered by a minor's prescribing
					 physician.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.601 - Admission Criteria

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 may admit a minor if:
(1) the minor's
					 prescribing physician, in consultation with the minor's parent and the minor,
					 recommends admission to a center, taking into consideration the medical,
					 nursing, psychosocial, therapeutic, nutritional, dietary, functional, education
					 and development needs of the minor in addition to the emotional, psychosocial,
					 and environmental factors;
(2) the
					 minor's prescribing physician issues a prescription ordering care at a
					 center;
(3) the minor is stable for
					 outpatient medical services and requires ongoing nursing care and other basic
					 services;
(4) the adult minor or
					 the minor's parent signs a written agreement and disclosure form consenting to
					 the minor's admission to a center; and
(5) the admission is voluntary.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.602 - Pre-admission Conference

Current through Reg. 49, No. 28; July 12, 2024
(a) If a minor
					 meets the criteria for admission into a center as described in § 550.601
					 of this division (relating to Admission Criteria), the medical or nursing
					 director must contact the minor's prescribing physician to schedule a
					 pre-admission conference before the minor receives services at the
					 center.
(b) If a minor is
					 hospitalized at the time of referral to a center, the pre-admission conference
					 must include the minor's parent, the minor, the minor's prescribing physician,
					 center staff, relevant hospital staff, including medical, nursing, social
					 services, and developmental staff, and any other individuals requested by the
					 adult minor or the minor's parent, to begin developing the plan of
					 care.
(c) If a minor is not
					 hospitalized at the time of referral to a center, the pre-admission conference
					 must include the minor's parent, the minor, the minor's prescribing physician,
					 center staff, and any other individuals requested by the adult minor or the
					 minor's parent to begin developing the plan of care.
(d) A center must schedule a pre-admission
					 conference no later than three days after receipt of the referral. The
					 pre-admission conference must address a minor's:
(1) medical history;
(2) diagnosis;
(3) mental and developmental
					 status;
(4) nutritional
					 status;
(5) dietary
					 requirements;
(6) functional
					 abilities and limitations;
(7)
					 activities permitted and prohibited;
(8) use of assistive devices;
(9) treatment procedures;
(10) use of restraints, if
					 applicable;
(11)
					 medication;
(12) safety measures to
					 protect against injury;
(13)
					 education level and participation in an education program, if
					 applicable;
(14) immunization
					 record;
(15) receipt of services
					 from other service providers; and
(16) other appropriate information.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.603 - Agreement and Disclosure

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must review a written agreement and disclosure form with a minor's parent or
					 with the adult minor before services are provided at the center.
(b) The agreement and disclosure form must
					 include evidence or attestation that the parent has the legal authority to
					 consent to a minor's medical care.
(c) The agreement and disclosure form must
					 document that a center obtained a minor's parent's or an adult minor's written
					 informed consent specifying the services that may be provided on behalf of a
					 center to a minor.
(d) The
					 agreement and disclosure form must document that the center provided the
					 following information orally and in writing to the minor's parent or the minor,
					 in a language or format he or she understands:
(1) the notice of rights and responsibilities
					 described in § 550.901 of this subchapter (relating to Rights and
					 Responsibilities);
(2) information
					 on the Advance Directives Act, THSC, Chapter 166;
(3) the extent to which payment for services
					 provided on behalf of the center may be expected from any third-party payment
					 source known to a center, the charges for services not covered by a third-party
					 payment source and charges that a minor's parent or adult minor may have to
					 pay;
(4) a list of the staff who
					 will provide services on behalf of the center;
(5) a list of expected outcomes and any
					 specific limitations or barriers to reaching the outcomes;
(6) the method of supervision and oversight
					 by a center of the services to be provided at the center;
(7) DADS toll-free telephone number and its
					 purpose;
(8) the process for
					 directing a grievance to the administrator about services provided at the
					 center and the time frame in which the center must review and resolve a
					 grievance;
(9) an adult minor's and
					 a parent's responsibilities;
(10)
					 an emergency plan for a minor; and
(11) notice of the center's policies
					 regarding:
(A) attendance
					 requirements;
(B) implementing an
					 advance directive in accordance with § 550.902 of this subchapter
					 (relating to Advance Directives);
(C) disclosure of the minor's medical
					 record;
(D) person-centered
					 direction and guidance;
(E)
					 restraints;
(F) reporting abuse,
					 neglect, or exploitation of a minor by an employee, volunteer, or
					 contractor;
(G) drug testing of
					 employees in direct contact with a minor in accordance with § 550.419 of
					 this subchapter (relating to Drug Testing Policy); and
(H) management and disposal of medications in
					 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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.604 - Admission Procedures

Current through Reg. 49, No. 28; July 12, 2024
(a) A center's
					 administrator, nursing director, or designee must conduct an interview with a
					 minor's parent or an adult minor before or at a minor's admission to the center
					 that addresses the following:
(1) the adult
					 minor's and parent's rights and responsibilities;
(2) the center's policies and
					 procedures;
(3) basic
					 services;
(4) the center's dietary
					 services;
(5) the center's
					 transportation services;
(6) the
					 center's operating hours and contact information;
(7) the center's infection prevention and
					 control program;
(8) the center's
					 emergency preparedness plan;
(9)
					 the center's attendance policy;
(10) services the minor is receiving at the
					 center, but not provided by the center;
(11) development of the minor's plan of
					 care;
(12) the minor's emergency
					 plan and needs; and
(13) the
					 minor's transfer and discharge planning.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.605 - Initial and Updated Comprehensive Assessment

Current through Reg. 49, No. 28; July 12, 2024
(a) A center's RN must conduct and document a
					 specific initial comprehensive assessment that identifies the minor's medical,
					 nursing, psychosocial, therapeutic, nutritional, dietary, functional abilities,
					 educational, and developmental needs and the adult minor's or minor's parent's
					 training needs.
(b) The initial
					 comprehensive assessment must include the minor's discharge planning, including
					 transition support, self-advocacy guidance, and coordination of services
					 required by the minor and the minor's parent.
(c) The initial comprehensive assessment must
					 be conducted in consultation with a minor's parent and the minor, if the minor
					 is an adult minor.
(d) An RN must
					 complete an initial comprehensive assessment no earlier than three business
					 days before the minor is admitted to the center.
(e) An RN must conduct, in consultation with
					 a minor's parent or the adult minor, a comprehensive assessment of the minor at
					 least once every 180 days after admitting the minor into the center. An RN must
					 conduct a new comprehensive assessment on the minor when the minor has a change
					 of condition or the minor's needs change.
(f) The updated comprehensive assessment
					 described in subsection (e) of this section must:
(1) identify a minor's ongoing medical,
					 nursing, psychosocial, therapeutic, nutritional, dietary, functional,
					 educational, and developmental needs and the adult minor's and a minor's
					 parent's training needs; and
(2)
					 include a minor's discharge planning, detailing transition support, if needed,
					 self-advocacy guidance, and coordination with the minor's parent or the adult
					 minor.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.606 - Interdisciplinary Team

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
					 designate an IDT.
(b) The IDT must
					 monitor the services provided to the minor at the center.
(c) A center must designate an RN to be a
					 member of the IDT to:
(1) provide coordination
					 of care for the minor;
(2) ensure
					 continuous assessment of the minor's and the minor's parent's needs;
					 and
(3) implement the minor's
					 interdisciplinary plan of care.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.607 - Initial and Updated Plan of Care

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 center must develop an individualized written plan of care for a minor. The
					 plan of care must include:
(1) the minor's and
					 the minor's parent's goals and interventions based on the issues identified in
					 the pre-admission conference and the initial and updated comprehensive
					 assessments; and
(2) measurable
					 goals with interventions based on the minor's care needs and means of achieving
					 each goal and must address, as appropriate, rehabilitative and restorative
					 measures, preventive intervention and training, and teaching of personal care
					 by the minor's parent.
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 5 - ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER › Section 550.608 - Discharge or Transfer Notification

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 center intending to transfer or discharge a minor must provide both oral and
					 written notification to a minor's parent and adult minor no later than 15 days
					 before the date the minor will be transferred or discharged, if the
					 notification is provided in person.
(b) If the center does not provide the notice
					 of transfer or discharge in person, the center must provide oral notification
					 to a minor's parent and adult minor by telephone no later than 15 days before
					 the date of transfer or discharge and mail the written notification no later
					 than 15 days before the date of transfer or discharge.
(c) A center that intends to transfer or
					 discharge a minor must also notify the minor's prescribing physician no later
					 than 15 days before the date the minor will be transferred or
					 discharged.
(d) A center may
					 transfer or discharge a minor without providing the oral and written
					 notification described in subsections (a) and (b) of this section:
(1) if the minor's parent or adult minor
					 requests the transfer or discharge;
(2) if the minor's medical needs require
					 transfer, including a medical emergency;
(3) if the minor's health and safety is at
					 risk due to an emergency and a transfer is made in accordance with §
					 550.209 of this subchapter (relating to Emergency Preparedness Planning and
					 Implementation);
(4) for the
					 protection of staff or a minor attending the center after the center makes a
					 documented, reasonable effort to notify the minor's parent, the minor's
					 prescribing physician, and appropriate state or local authorities of the
					 center's concerns for the safety of staff or the minor, and in accordance with
					 center policy;
(5) according to the
					 minor's prescribing physician's orders; or
(6) if the minor's parent or an adult minor
					 fails to pay for services, except as prohibited by state law.
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.701 - Physician Orders

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
					 ensure that a minor admitted to the center is admitted under an order of the
					 minor's prescribing physician and remains under the care of the prescribing
					 physician for the duration of the minor's stay at the center. The minor's
					 medical record must contain the written prescribing physician order used for
					 admission as well as all subsequent prescribing physician orders.
(b) The prescribing physician orders must
					 include:
(1) approval of a minor's admission
					 to a center;
(2) nursing
					 services;
(3) medication
					 administration, if applicable;
(4)
					 dietary needs, if applicable;
(5)
					 permitted activities, if applicable;
(6) therapies treatments, if
					 applicable;
(7) transportation
					 authorization, if applicable; and
(8) other services, if applicable.
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.702 - Receiving Physician Orders

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 center must adopt and enforce a written policy describing protocols and
					 procedures the center must follow when receiving physician orders. A center's
					 written policy must comply with this section. The center's written policy must
					 ensure the center's compliance with THSC Chapter 248A, applicable rules in this
					 chapter, and applicable state and federal regulations relating to receiving
					 physician orders. If there is a conflict between this chapter and other
					 applicable state and federal laws and regulations, a center must comply with
					 the more stringent requirement.
(b)
					 A center's written policy describing protocols and procedures for receiving
					 physician orders must address:
(1) receipt of
					 a physician order before providing basic services;
(2) the licensed staff authorized to accept
					 physician verbal orders;
(3) the
					 recording and signing of verbal physician orders by licensed staff;
(4) the time frame for a physician to sign
					 and date verbal orders; and
(5)
					 whether the center accepts an electronically signed physician order or a
					 physician order submitted via a facsimile machine.
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.703 - Pharmacist Services

Current through Reg. 49, No. 28; July 12, 2024
(a) If a center
					 administers or stores medication, the center must have a pharmacist or a
					 qualified RN with education and training in drug management and on a full-time,
					 part-time, or on a consultant basis to provide consultation to the medical
					 director, administrator, nursing director, and other center staff.
(b) A center must consult with a pharmacist
					 or qualified RN as needed on the following:
(1) establishing written policies and
					 procedures for the storage and administration of medications as described in
					 § 550.704 of this division (relating to Storage of Medication) and §
					 550.705 of this division (relating to Administration of Medication);
(2) reviewing medical records to ensure that
					 the medication records are accurate, updated and reflect that medications are
					 administered in accordance with the orders of a minor's prescribing
					 physician;
(3) providing in-service
					 training to staff on the storage and administration of medications;
					 and
(4) ensuring pharmaceutical
					 compliance.
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.704 - Storage of Medication

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must adopt and enforce a written policy for the storage and administration of
					 medication at the center. The policy must include protocols and procedures for:
(1) labeling;
(2) storage;
(3) integrity;
(4) control; and
(5) accountability of all medications stored
					 by a 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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.705 - Administration of Medication

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 center must adopt and enforce written policies and procedures for the
					 administration of medication to a minor. The policies and procedures must
					 address:
(1) removing an individual dose from
					 a previously dispensed, properly labeled container;
(2) verifying the medication with the
					 prescriber's orders;
(3) verifying
					 the order with the correct minor;
(4) giving the correct medication dose to a
					 minor;
(5) giving the medication by
					 the correct route;
(6) observing
					 that the medication is taken;
(7)
					 recording the required information, including the method of administration;
					 and
(8) documenting any medication
					 not administered and the reason.
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.706 - Laboratory Services

Current through Reg. 49, No. 28; July 12, 2024
If a center provides laboratory services, then the center
						must adopt and enforce a written policy to ensure that the center meets the
						Clinical Laboratory Improvement Act, 42 United States Code Annotated, §
						263a (CLIA 1988).
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.707 - Disposal of Special or Medical Waste

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must adopt and enforce a written
					 policy for the safe handling and disposal of special or medical waste and
					 materials, including bio-hazardous waste and materials.
(b) A center that generates special or
					 medical waste while providing services must dispose of the waste according to
					 the requirements issued by the Department of State Health Services in 25 TAC
					 Chapter 1, Subchapter K (relating to Definition, Treatment, and Disposition of
					 Special Waste From Health Care-Related Facilities).
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 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES › Section 550.708 - Disposal and Destruction of Pharmaceuticals

Current through Reg. 49, No. 28; July 12, 2024
A center must adopt and enforce a written policy for the
						safe and legal disposal and destruction of pharmaceuticals in accordance with
						all state, federal, and local laws.
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 7 - CARE POLICIES, COORDINATION OF SERVICES, AND CENSUS › Section 550.801 - Care Policies

Current through Reg. 49, No. 28; July 12, 2024
A center must adopt and enforce written policies and
						procedures that specify the center's care practices. The written care policies
						and procedures must address the following topics, as applicable:
(1) initial and updated comprehensive
					 assessment;
(2) pre-admission,
					 admission, placing a minor on hold, transfer, and discharge;
(3) attendance requirements;
(4) active play of a minor;
(5) intravenous services;
(6) safety of center staff;
(7) safety of a minor;
(8) the prevention, detection, and reporting
					 of abuse, neglect, or exploitation;
(9) nursing procedures relating to the care
					 of a minor;
(10) psychiatric
					 nursing procedures;
(11)
					 person-centered direction and guidance;
(12) restraints;
(13) parent teaching;
(14) care planning;
(15) palliative care and management of a
					 terminal illness;
(16) performing
					 waived laboratory testing;
(17)
					 medication administration;
(18)
					 emergency plans of care; and
(19)
					 any other care policies relating to the services provided on behalf of a
					 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 7 - CARE POLICIES, COORDINATION OF SERVICES, AND CENSUS › Section 550.802 - Coordination of Services

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must adopt and enforce written policies and procedures regarding coordination
					 of services to ensure the effective exchange of information, reporting, and
					 coordination of a minor's services:
(1) among
					 all staff providing services on behalf of a center; and
(2) between the center and a provider of
					 services to the minor that is not providing services on behalf of the center,
					 if known 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 C - GENERAL PROVISIONS › Division 7 - CARE POLICIES, COORDINATION OF SERVICES, AND CENSUS › Section 550.803 - Census

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
					 adopt and enforce written policies and procedures for the development of the
					 center's actual, daily, and total census lists.
(b) A center's written policies and
					 procedures must address:
(1) developing and
					 maintaining the census lists;
(2)
					 the staff responsible for maintaining the census lists; and
(3) the retrieval of the census lists when
					 requested by DADS.
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 8 - RIGHTS AND RESPONSIBILITIES, ADVANCE DIRECTIVES, ABUSE, NEGLECT, AND EXPLOITATION, INVESTIGATIONS, DEATH REPORTING, AND INSPECTION RESULTS › Section 550.902 - Advance Directives

Current through Reg. 49, No. 28; July 12, 2024
(a) A center
					 must adopt and enforce a written policy regarding implementation of advance
					 directives. The policy must be in compliance with the Advance Directives Act,
					 THSC, Chapter 166. The policy must include a clear and precise statement of any
					 procedure the center is unwilling or unable to provide or withhold in
					 accordance with an advance directive.
(b) A center must provide written notice to a
					 minor's parent and the adult minor of the written policy required by subsection
					 (a) of this section. The notice must be provided at the earlier of:
(1) the time a minor is admitted to receive
					 services at the center; or
(2) the
					 time service provision begins for a minor.
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 8 - RIGHTS AND RESPONSIBILITIES, ADVANCE DIRECTIVES, ABUSE, NEGLECT, AND EXPLOITATION, INVESTIGATIONS, DEATH REPORTING, AND INSPECTION RESULTS › Section 550.903 - Abuse, Neglect, or Exploitation Reportable to DADS

Current through Reg. 49, No. 28; July 12, 2024
(a) The following words and terms, when used
					 in this section, have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Abuse, neglect, and
					 exploitation of a minor have the meanings assigned in THSC Chapter 260A;
					 and
(2) Employee means an
					 individual directly employed by a center, a contractor, or a
					 volunteer.
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 8 - RIGHTS AND RESPONSIBILITIES, ADVANCE DIRECTIVES, ABUSE, NEGLECT, AND EXPLOITATION, INVESTIGATIONS, DEATH REPORTING, AND INSPECTION RESULTS › Section 550.904 - Investigations of a Complaint and Grievance

Current through Reg. 49, No. 28; July 12, 2024
(a) DADS investigates a complaint of
					 non-compliance with THSC Chapter 248A or this chapter regarding:
(1) treatment or care that was furnished at a
					 center;
(2) treatment or care that
					 a center failed to furnish; or
(3)
					 a lack of respect for a minor's property by anyone furnishing services at 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 8 - RIGHTS AND RESPONSIBILITIES, ADVANCE DIRECTIVES, ABUSE, NEGLECT, AND EXPLOITATION, INVESTIGATIONS, DEATH REPORTING, AND INSPECTION RESULTS › Section 550.905 - Reporting of a Minor's Death

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 center must report to DADS the death of a minor at the center and those minors
					 transferred from the center to a hospital who expire within 24 hours after the
					 transfer.
(b) A center must submit
					 to the DADS Consumer Rights and Services section a DADS Provider Investigation
					 Incident Report form no later than 10 days after the date a minor dies. A
					 center must complete the DADS Provider Investigation Incident Report form and
					 include the following information:
(1) name of
					 a deceased minor;
(2) social
					 security number of a deceased minor;
(3) date, time, place of death; and
(4) name and address of a 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 8 - RIGHTS AND RESPONSIBILITIES, ADVANCE DIRECTIVES, ABUSE, NEGLECT, AND EXPLOITATION, INVESTIGATIONS, DEATH REPORTING, AND INSPECTION RESULTS › Section 550.906 - Examination of Inspection Results

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 center must make available to any person on request a copy of each DADS written
					 notification of the inspection results pertaining to the center.
(b) Before making the inspection results
					 available under this subsection, the center must redact from the report any
					 information that is confidential under other state or federal law.
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 9 - MEDICAL RECORDS, QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT, DISSOLUTION AND RETENTION OF RECORDS › Section 550.1002 - Quality Assessment and Performance Improvement

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must develop, implement, and
					 maintain a written quality assessment and performance improvement (QAPI)
					 program.
(b) A center must
					 designate in writing the group or individuals, by title, responsible for
					 ensuring that a center's written QAPI program is developed, implemented, and
					 maintained in accordance with this section.
(c) The center must implement the QAPI
					 program using a QAPI Committee. The QAPI committee must be composed of the
					 following persons based on the services provided at the center during the time
					 period under review by the QAPI:
(1) the
					 administrator;
(2) the medical
					 director;
(3) the nursing
					 director;
(4) a therapist from each
					 therapy that provided services during the review period (i.e., if physical
					 therapy was provided during the quarter being reviewed, a PT must be on the
					 QAPI committee);
(5) a social
					 worker that provided services during the review period; and
(6) a supervisor of the direct care
					 staff.
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 9 - MEDICAL RECORDS, QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT, DISSOLUTION AND RETENTION OF RECORDS › Section 550.1003 - Dissolution

Current through Reg. 49, No. 28; July 12, 2024
(a) A center must
					 adopt and enforce a written policy that describes the center's written
					 contingency plan for dissolution.
(b) A center must implement the dissolution
					 plan in the event of dissolution to ensure continuity of a minor's
					 care.
(c) The plan must include
					 procedures for a center to:
(1) notify minors
					 actively receiving services and a minor's parent of a center's dissolution;
					 and
(2) transfer or discharge
					 minors actively receiving services consistent with § 550.608 of this
					 subchapter (relating to Discharge or Transfer 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 C - GENERAL PROVISIONS › Division 9 - MEDICAL RECORDS, QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT, DISSOLUTION AND RETENTION OF RECORDS › Section 550.1004 - Retention of Records

Current through Reg. 49, No. 28; July 12, 2024
A center, including a center that permanently closes must
						adopt and enforce a written policy relating to the retention of records in
						accordance with this section.
(1) A
					 center must retain original medical records for a minor until a minor's
					 twenty-fourth birthday or five years from the date of service, whichever is
					 later.
(2) The center may not
					 destroy medical records that relate to any matter that is involved in
					 litigation if a center knows the litigation has not been finally
					 resolved.