Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 565 - HOME AND COMMUNITY-BASED (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) CERTIFICATION STANDARDS › Subchapter F - CERTIFICATION STANDARDS: QUALITY ASSURANCE › Section 565.23 - Residential Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) This applies to all
				  three-person and four-person residences and host home/companion care settings,
				  unless otherwise specified.
(b) A
				  program provider must ensure that:
(1) the
				  residence, neighborhood, and community meet the needs of the individual and
				  provide an environment that ensures the health, safety, and welfare of the
				  individual;
(2) the home is
				  modified to meet the specific adaptive needs of the individual;
(3) adaptive equipment is functional for the
				  individual or, if the equipment is not functional, the provider has documented:
(A) the broken equipment;
(B) the order date of new or replacement
				  equipment;
(C) the date of the new
				  or replacement equipment installment; and
(D) alternative strategies used during the
				  interim;
(4) mattresses
				  are off the floor and a mattress cover is utilized unless contraindicated and
				  documented by the service planning team;
(5) home furnishings are safe and fit for
				  use;
(6) the home is clean and
				  sanitary;
(7) the home is free of
				  infestations including bugs, rodents, and other pests;
(8) the walls, ceilings, floors, and windows
				  are in good condition and not hazardous to the individual;
(9) the bathrooms are functional and safe to
				  use;
(10) there is hot water
				  available at sinks and in bathing facilities;
(11) the temperature of the hot water at
				  sinks and bathing facilities does not exceed 120 degrees Fahrenheit unless the
				  program provider, in accordance with subsection (c) of this section, conducts a
				  competency-based skills assessment showing that all individuals in the
				  residence can independently regulate the temperature of the hot water from the
				  sinks and bathing facilities;
(12)
				  the major home appliances are in working order, including kitchen appliances
				  and heating and cooling systems;
(13) the individual's bedroom door has a lock
				  that:
(A) is operable by the
				  individual;
(B) only the
				  individual, a roommate of the individual if applicable, and staff designated by
				  the program provider have keys to the individual's bedroom door; and
(C) is not purchased and installed at the
				  individual's or LAR's expense;
(14) the individual does not require a lock
				  if:
(A) the individual lives in a host
				  home/companion care setting and the service provider is the LAR; or
(B) there is a documented modification in the
				  individual's person-directed plan;
(15) household cleaners and chemicals are
				  stored securely;
(16) perishable
				  foods are refrigerated or stored safely;
(17) animals and pets are kept free of
				  disease and vaccinated as required by Texas Health and Safety Code, Chapter
				  826; and
(18) the interior and
				  exterior of the home:
(A) is free of
				  accumulation of waste and trash;
(B) is accessible and free of hazards to an
				  individual; and
(C) does not
				  compromise the health or safety of an individual.