reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 4 - SERVICE PLANS › Section 748.1341 - When must I inform the child's parent(s) of an initial service plan meeting?

Current through Reg. 49, No. 28; July 12, 2024
(a) The child's
					 parent(s) must have at least two weeks advance notice of the initial service
					 plan meeting.
(b) The child's
					 record must include documentation of the notice and any responses from the
					 parents.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 4 - SERVICE PLANS › Section 748.1343 - Must a professional level service provider or a professional who must participate in a child's service plan be an employee of my operation?

Current through Reg. 49, No. 28; July 12, 2024
No. You may employ or contract with a professional level
						service provider or any other professional who participates in a child's
						service plan.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 4 - SERVICE PLANS › Section 748.1345 - What roles do professional level service providers have in service planning?

Current through Reg. 49, No. 28; July 12, 2024
The roles of professional level service providers in
						service planning include:
Attached
						Graphic
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 4 - SERVICE PLANS › Section 748.1347 - What must I document regarding a professional level service provider's participation in the development of an initial service plan?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must document the professional level
					 service provider's:
(1) Name; and
(2) Date of participation.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 4 - SERVICE PLANS › Section 748.1349 - To whom do I provide a copy of the child's initial service plan?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must give a copy or summary of the
					 initial service plan to the:
(1) Child, when
					 appropriate. At a minimum, you must give a copy or summary of the plan to a
					 child 14 years of age or older, unless there is justification for not providing
					 the plan;
(2) Child's parents;
					 and
(3) Child's
					 caregivers.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 4 - SERVICE PLANS › Section 748.1351 - When must I implement a service plan?

Current through Reg. 49, No. 28; July 12, 2024
You must implement and follow an initial service plan as
						soon as all of the service planning team members have reviewed and signed the
						plan, but no later than 15 days after the date of the scheduled
						service-planning meeting involving the parents and the child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 5 - SERVICE PLAN REVIEWS AND UPDATES › Section 748.1381 - How often must I review and update a service plan?

Current through Reg. 49, No. 28; July 12, 2024
Except for when the child's placement within your
						operation changes because of a change in the child's needs, you must review and
						update the service plan as follows:
Attached
						Graphic
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 5 - SERVICE PLAN REVIEWS AND UPDATES › Section 748.1383 - How does a child's transfer affect the timing of the review of a child's service plan?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must review a
					 child's service plan whenever the child's placement changes because of a change
					 in the child's needs.
(b) If the
					 child's placement changes for another reason:
(1) The child's service planning team must
					 approve the decision not to review the plan; and
(2) You must document the decision not to
					 review the plan.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 5 - SERVICE PLAN REVIEWS AND UPDATES › Section 748.1385 - How do I review and update a service plan?

Current through Reg. 49, No. 28; July 12, 2024
To review and update a service plan, you must:
(1) Evaluate the child's progress and the
					 effectiveness of strategies and techniques used toward meeting identified
					 needs, including educational progress reports and medical
					 interventions;
(2) Identify any new
					 needs and strategies or techniques to meet these needs, including instructions
					 to appropriate employees;
(3)
					 Document any achieved or changed objectives;
(4) If the review shows no progress towards
					 meeting the identified needs of the child, document reasons for continued
					 placement;
(5) Evaluate the
					 possible effectiveness and side effects in the use of psychotropic medications
					 prescribed for the child, any change in psychotropic medications during the
					 period since the last review, and the behaviors and reactions of the child
					 observed by caregivers, professional level service providers, and parents, if
					 applicable;
(6) Document visitation
					 and contacts between the child and the child's parents, the child and the
					 child's siblings, and the child and the child's extended family;
(7) Update the estimated length-of-stay and
					 discharge plans, if changed;
(8)
					 Evaluate the use and effectiveness of emergency behavior intervention
					 techniques, if used, since the last service plan. If applicable, this
					 evaluation must focus on:
(A) The frequency,
					 patterns, and effectiveness of types of emergency behavior
					 interventions;
(B) Strategies to
					 reduce the need for emergency behavior interventions overall; and
(C) Specific strategies to reduce the need
					 for use of personal and mechanical restraints, emergency medication, and/or
					 seclusion, where applicable;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 5 - SERVICE PLAN REVIEWS AND UPDATES › Section 748.1386 - Can an operation continue to review and update a child's previous service plan without creating a new service plan?

Current through Reg. 49, No. 28; July 12, 2024
Yes, a single service plan that continues throughout the
						time a child is in residential child care is acceptable, as long as you:
(1) Complete a preliminary service plan as
					 required by § 748.1331 of Title 40 (relating to What are the requirements
					 for a preliminary service plan?) each time a child is admitted into your care;
					 and
(2) Continue to comply with the
					 service plan review and update requirements in this division of this subchapter
					 (relating to Service Plan Reviews and Updates).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 5 - SERVICE PLAN REVIEWS AND UPDATES › Section 748.1387 - Are the notification, participation, implementation, and documentation requirements for a service plan review and update the same as for an initial service plan?

Current through Reg. 49, No. 28; July 12, 2024
Yes, the same requirements found in Division 4 of this
						subchapter (relating to Service Plans) apply to a service plan review and
						update.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 5 - SERVICE PLAN REVIEWS AND UPDATES › Section 748.1389 - How often must I re-evaluate the intellectual functioning of a child receiving treatment services for intellectual disabilities?

Current through Reg. 49, No. 28; July 12, 2024
(a) Each child's intellectual functioning
					 must be re-evaluated at least every three years by a psychologist qualified to
					 provide psychological testing; or
(b) A psychologist must determine the need
					 and frequency for a specific child's intellectual functioning to be
					 re-evaluated, such as a young child who may require more frequent testing. This
					 determination, including justification for the time frame, must be documented
					 in the child's record annually by the service planning team.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 6 - DISCHARGE AND TRANSFER PLANNING › Section 748.1431 - What does a "transfer" of a child in care mean?

Current through Reg. 49, No. 28; July 12, 2024
A transfer refers to a child in care who is moved from
						one of your programs to another one of your programs that you operate under the
						same permit or at the same location. For example, you may transfer a child from
						your emergency care services program to your transitional living services
						program, if the programs are under the same permit or at the same location. You
						may also transfer a child from your general residential operation to your
						child-placing agency, if your child-placing agency office is located on the
						same property as your general residential operation.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 6 - DISCHARGE AND TRANSFER PLANNING › Section 748.1433 - Who must plan a child's non-emergency discharge or transfer?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must involve the following persons in
					 planning the child's non-emergency discharge or transfer:
(1) At least one of the child's current
					 caregivers; and
(2) At least one
					 professional level service provider involved in the child's service
					 planning.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 6 - DISCHARGE AND TRANSFER PLANNING › Section 748.1435 - How do I discharge or transfer a child who is an immediate danger to self or others?

Current through Reg. 49, No. 28; July 12, 2024
An employee of your operation must accompany the child to
						the receiving operation, agency, or person unless the child's parent or law
						enforcement transports the child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 6 - DISCHARGE AND TRANSFER PLANNING › Section 748.1437 - What must I document in the child's record at the time of a discharge or transfer?

Current through Reg. 49, No. 28; July 12, 2024
At the time of a discharge or transfer, you must document
						the following:
(1) The date and
					 circumstances of the discharge or transfer;
(2) Date and time the child was informed of
					 his discharge or transfer, if applicable;
(3) For discharge, the name, address,
					 telephone number, and relationship of the person to whom you discharge the
					 child, unless the child legally consents to a discharge. If the child legally
					 consents to a discharge and does not want to involve the child's parent(s), you
					 must document this in the child's record;
(4) The child's service plans while in your
					 care for the past 12 months;
(5) A
					 list of medications the child is taking, the dosage, frequency, and reason the
					 medication was prescribed;
(6) Any
					 treatment for a physical condition that is in progress and requires continuing
					 or follow-up medical care; and
(7)
					 For emergency discharge or transfer, the explanation given to the child
					 regarding the reason for the discharge or transfer and the child's reaction to
					 the discharge or transfer.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 6 - DISCHARGE AND TRANSFER PLANNING › Section 748.1439 - When I discharge a child, what information must I provide to the next placement or caregiver?

Current through Reg. 49, No. 28; July 12, 2024
(a) On or before
					 the child's discharge, you must attempt to obtain legal consent to release the
					 information in subsection (b) of this section. If consent is not obtained, your
					 attempt to obtain consent must be documented in the child's record. If consent
					 is obtained, the information must be provided to the receiving placement or
					 caregiver within 15 days of the date the child is discharged.
(b) If not already provided at the time of
					 discharge, copies of the following documentation must be provided to the next
					 placement or caregiver:
(1) A written
					 discharge summary, which must include:
(A)
					 Services provided to the child while in your care;
(B) Accomplishments of the child while in
					 your care;
(C) An assessment of the
					 child's remaining needs;
(D)
					 Recommendations about the services to meet the child's remaining
					 needs;
(E) Support resources for
					 the child, including telephone numbers and addresses; and
(F) Aftercare plans and recommendations for
					 the child, including medical, psychiatric, psychological, dental, educational,
					 and social appointments;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 6 - DISCHARGE AND TRANSFER PLANNING › Section 748.1443 - What constitutes an emergency discharge or transfer?

Current through Reg. 49, No. 28; July 12, 2024
An emergency discharge or transfer occurs when:
(1) The parent withdraws a child unexpectedly
					 from care;
(2) There is a medical
					 emergency requiring inpatient care;
(3) The child is absent from your operation
					 and cannot be located; or
(4) There
					 is an immediate danger to the child or others and you determine that you cannot
					 serve the child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE › Division 7 - RELEASE OF CHILD › Section 748.1481 - To whom may I release a child?

Current through Reg. 49, No. 28; July 12, 2024
(a) Except in
					 an emergency, you must only release a child to the child's parent, a person
					 designated by the parent, law enforcement authorities, or a person authorized
					 by law to take possession of the child.
(b) You must instruct all employees and
					 service providers to follow your policies for:
(1) Releasing a child;
(2) Verifying the identity of a person
					 authorized to pick up a child but whom the caregiver does not know;
(3) Recording the identity of the person in a
					 log or other designated location; and
(4) Retaining the identifying information at
					 the operation until the child returns.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 1 - DENTAL CARE › Section 748.1501 - What general dental requirements must my operation meet?

Current through Reg. 49, No. 28; July 12, 2024
(a) A child in your care must receive dental
					 care:
(1) Initially, according to the
					 requirements in § 748.1225 of Title 40 (relating to What are the dental
					 requirements when I admit a child into care?);
(2) At as early an age as
					 necessary;
(3) As needed for relief
					 of pain and infections; and
(4) As
					 needed for ongoing maintenance of dental health.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 1 - DENTAL CARE › Section 748.1503 - Who must determine the need and frequency of ongoing maintenance of dental health for a child?

Current through Reg. 49, No. 28; July 12, 2024
A licensed dentist must determine the need and frequency
						of ongoing maintenance of dental health. You must comply with dentist
						recommendations for examinations and treatment for each
						child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 1 - DENTAL CARE › Section 748.1505 - Who must perform dental examinations and provide dental treatment?

Current through Reg. 49, No. 28; July 12, 2024
A health-care professional licensed in the United States
						to practice dentistry must provide dental care.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1531 - What general medical requirements must my operation meet?

Current through Reg. 49, No. 28; July 12, 2024
(a) A child in your care must receive medical
					 care:
(1) Initially, according to the
					 requirements in § 748.1223 of Title 40 (relating to What are the medical
					 requirements when I admit a child into care?);
(2) As needed for injury, illness, and pain;
					 and
(3) As needed for ongoing
					 maintenance of medical health.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1533 - Who determines the need and frequency for ongoing maintenance of medical care and treatment for a child?

Current through Reg. 49, No. 28; July 12, 2024
A health-care professional determines the need and
						frequency for ongoing maintenance of medical care and treatment for a
						child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1535 - Who must perform medical examinations and provide medical treatment for a child?

Current through Reg. 49, No. 28; July 12, 2024
A health-care professional licensed in the United States
						to practice in an appropriate medical or health-care discipline must perform
						medical examinations and provide medical treatment for a
						child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1539 - What immunizations must a child in my care have?

Current through Reg. 49, No. 28; July 12, 2024
(a) Each child that you admit must meet and
					 continue to meet the applicable immunization requirements as specified by the
					 Department of State Health Services.
(b) You must maintain current immunizations
					 records for each child in your care, including any immunization exemptions or
					 exceptions.
(c) Unless the child is
					 exempt from immunization requirements, all immunizations required for the
					 child's age must:
(1) Be completed by the date
					 of admission; or
(2) A child that
					 is homeless or a child in foster care shall be admitted temporarily for 30 days
					 if acceptable evidence of immunization is not available. You should immediately
					 refer the child to an appropriate health care professional to obtain the
					 required immunizations.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1541 - What exemptions or exceptions are there concerning immunization requirements?

Current through Reg. 49, No. 28; July 12, 2024
(a) A child
					 may be exempt from immunization requirements for a medical reason or reason of
					 conscience, including a religious belief. To claim an exemption, the person
					 applying for the child's admission must meet criteria specified by:
(1)
												§ 42.043(d) and (d-1) of the Human
					 Resources Code; or
(2) The
					 Department of State Health Services rule in 25 TAC §
												97.62(relating
					 to Exclusions from Compliance).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1543 - What documentation is acceptable for an immunization record?

Current through Reg. 49, No. 28; July 12, 2024
Acceptable documentation includes:
(1) An official immunization record generated
					 from a state or local health authority, including a record from another state.
					 Examples include a registry, a copy of the current immunization record that is
					 on file at the pre-kindergarten program or school, or the health passport for a
					 child in the conservatorship of DFPS, so long as the record includes:
(A) The child's name and date of
					 birth;
(B) The type of vaccine and
					 number of doses; and
(C) The month,
					 day, and year the child received each vaccination; or
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1545 - Must children in my care have a vision and hearing screening?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must ensure that each child you admit
					 is screened for possible vision and hearing problems that meet the requirements
					 of the Special Senses and Communication Disorders Act, Health and Safety Code,
					 Chapter 36. If problems are detected, the child must have a professional vision
					 and hearing examination.
(b) For
					 each child required to be screened, you must keep one of the following in each
					 child's record:
(1) The individual vision and
					 hearing screening results; however, results found in the child's health
					 passport if the child is in DFPS conservatorship are sufficient to meet this
					 requirement;
(2) A signed statement
					 from the child's parent that the child's screening records are current and on
					 file at the program or school the child attends away from the operation. The
					 statement must be dated and include the name, address, and telephone number of
					 the program or school; or
(3) An
					 affidavit from the child's parent stating that the vision or hearing screening
					 and/or examination conflicts with the tenets or practices of a church or
					 religious denomination of the parents.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1547 - What must I do if a child in my care is identified as needing a diagnostic vision or hearing examination?

Current through Reg. 49, No. 28; July 12, 2024
You must:
(1)
					 Schedule the child for a professional examination and needed health
					 services;
(2) Ensure the
					 professional and medical recommendations are carried out; and
(3) Convey the information concerning the
					 child's visual and/or hearing difficulty to the educational and operation
					 caregivers, so the recommended adjustments can be made in programs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1549 - What special equipment must I provide for a child with a physical disability?

Current through Reg. 49, No. 28; July 12, 2024
When recommended by a health-care professional, you must
						ensure that a child with a physical disability has any special equipment that
						can be reasonably obtained.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1551 - How often must the physician review a child with primary medical needs?

Current through Reg. 49, No. 28; July 12, 2024
(a) A licensed physician must review a
					 child's primary medical needs:
(1) At least
					 every 90 days or on a schedule recommended by the child's physician;
					 and
(2) Whenever a medical or
					 related problem occurs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 2 - MEDICAL CARE › Section 748.1553 - How must a caregiver respond when a child is injured or ill and requires immediate treatment by a health-care professional?

Current through Reg. 49, No. 28; July 12, 2024
For an injury or illness that requires immediate
						treatment by a health-care professional, the caregiver must immediately have
						the child treated by a healthcare professional, contact emergency services, or
						take the child to the nearest emergency room after ensuring the supervision of
						any other children present. The caregiver must not be required to seek approval
						to contact emergency services or to take the child to the nearest emergency
						room.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 3 - COMMUNICABLE DISEASES › Section 748.1581 - What health precautions must I take if someone in my operation has a communicable disease?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must
					 notify the Department of State Health Services (DSHS) after you become aware
					 that a person in your care, a person who resides at your operation, an
					 employee, a contract service provider, or a volunteer has contracted a
					 communicable disease that the law requires you to report to the DSHS as
					 specified in 25 TAC 97, Subchapter A (relating to Control of Communicable
					 Diseases).
(b) If a person in your
					 care or a person who resides at your operation has symptoms of a communicable
					 disease that is reportable to the Department of State Health Services, you
					 must:
(1) Consult a health-care professional
					 about the person's treatment;
(2)
					 Follow the treating physician's orders, which may include separating the person
					 from others;
(3) Notify the
					 person's parent, if applicable; and
(4) Sanitize all items used by the sick
					 person before another person uses one of them.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 3 - COMMUNICABLE DISEASES › Section 748.1583 - Who must have a tuberculosis (TB) examination?

Current through Reg. 49, No. 28; July 12, 2024
(a) All persons over the age of one year old
					 must have a documented tuberculosis screening that was conducted as recommended
					 by the Center for Disease Control, within 30 days before or after beginning to
					 live, work, or volunteer at your operation unless the person:
(1) Has lived, worked, or volunteered at a
					 regulated residential child-care operation within the previous 12 months. For
					 example, an employee beginning employment in a regulated residential child-care
					 operation for the first time would need a baseline tuberculosis screening.
					 Employment in a different residential child-care operation would not require a
					 new screening, as long as documentation in paragraph (2) of this subsection is
					 also provided. If the employee left employment in regulated residential
					 child-care for more than 12 months and then returned, a new screening would be
					 required; and
(2) Provides
					 documentation of a tuberculosis screening.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 4 - PROTECTIVE DEVICES › Section 748.1611 - What is a protective device?

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 protective device:
(1) Protects a person from
					 involuntary self-injurious behavior or permits wounds to heal; and
(2) Does not prohibit a person's
					 mobility.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 4 - PROTECTIVE DEVICES › Section 748.1613 - What does "involuntary self-injurious behavior" mean when used in this division?

Current through Reg. 49, No. 28; July 12, 2024
Involuntary self-injurious behavior means a person's
						physical movements that are automatic and not subject to control of the
						person's will that may inflict injury to the person.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 4 - PROTECTIVE DEVICES › Section 748.1615 - May I use protective devices?

Current through Reg. 49, No. 28; July 12, 2024
(a) You
					 may use protective devices if a licensed physician orders their use for a
					 specific child. The orders must indicate the circumstances under which the
					 protective device is permitted.
(b)
					 You may not use protective devices as:
(1)
					 Punishment;
(2) Retribution or
					 retaliation;
(3) A means to get a
					 child to comply;
(4) A convenience
					 for caregivers or other persons; or
(5) A substitute for effective treatment or
					 habilitation.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 4 - PROTECTIVE DEVICES › Section 748.1617 - Who may use PRN orders with respect to protective devices?

Current through Reg. 49, No. 28; July 12, 2024
A licensed physician ordering protective devices may use
						PRN orders. The physician must review PRN orders for protective devices at
						least every 90 days.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 5 - SUPPORTIVE DEVICES › Section 748.1631 - What is a supportive device?

Current through Reg. 49, No. 28; July 12, 2024
(a) A
					 supportive device is used:
(1) To support a
					 person's posture;
(2) To assist a
					 person who cannot obtain and/or maintain normal physical functioning to improve
					 his mobility and independent functioning; or
(3) As an adjunct to proper care and
					 treatment, for example physical therapy.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 5 - SUPPORTIVE DEVICES › Section 748.1633 - May I use supportive devices?

Current through Reg. 49, No. 28; July 12, 2024
(a) You
					 may use supportive devices if a licensed physician orders their use for a
					 specific child. The orders must indicate the circumstances under which the
					 supportive device is permitted.
(b)
					 You may not use a supportive device as a substitute for appropriate nursing
					 care.
(c) You may not use
					 supportive devices that include tying or depriving or limiting the use of a
					 child's hands or feet.
(d) You may
					 not use supportive devices as:
(1)
					 Punishment;
(2) Retribution or
					 retaliation;
(3) Means to get a
					 child to comply;
(4) A convenience
					 for caregivers or other persons; or
(5) A substitute for effective treatment or
					 habilitation.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 5 - SUPPORTIVE DEVICES › Section 748.1635 - Who may use PRN orders with respect to supportive devices?

Current through Reg. 49, No. 28; July 12, 2024
A licensed physician ordering supportive devices may use
						PRN orders. The physician must review PRN orders for supportive devices at
						least every 90 days.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 6 - TOBACCO AND E-CIGARETTE USE › Section 748.1661 - What policies must I enforce regarding tobacco products and e-cigarettes?

Current through Reg. 49, No. 28; July 12, 2024
(a) A child may not use or possess tobacco
					 products, e-cigarettes, or any type of vaporizers.
(b) An adult may not smoke tobacco products,
					 e-cigarettes, or vaporizers in the children's living quarters or inside any
					 building on your premises where children are present.
(c) An adult may only smoke tobacco products,
					 e-cigarettes, or vaporizers on your premises at a safe distance from the
					 children's living quarters.
(d) No
					 one may smoke tobacco products, e-cigarettes, or vaporizers in motor vehicles
					 when transporting children in care.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1691 - How often must I feed children in care?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must feed an infant whenever the
					 infant is hungry.
(b) For a toddler
					 or school-age child:
(1) You must provide the
					 child with three meals and at least one snack a day; and
(2) No more than 14 hours may pass between
					 the last meal or snack of the day and the serving of the first meal of the
					 following day.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1693 - What type of food and water must I provide children?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must provide a child with food that
					 is:
(1) Of adequate variety, quality, and in
					 sufficient quantity to supply the nutrients needed for proper growth and
					 development according to the United States Department of Agriculture
					 guidelines; and
(2) Appropriate for
					 the child's age and activity level.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1695 - What are the specific requirements for feeding an infant?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must feed the infant:
(1) On demand following the infant's lead on
					 when to feed, how long to feed, and how much to feed; and
(2) Based on the recommendation of the
					 infant's health-care professional, who must approve you giving the infant any
					 milk other than fortified formula.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1697 - What are the specific requirements for feeding toddlers and older children?

Current through Reg. 49, No. 28; July 12, 2024
(a) A toddler or older child must eat meals
					 in the dining areas unless the service planning team's recommendations are to
					 the contrary.
(b) Food service
					 practices for children receiving treatment services for primary medical needs
					 or an intellectual disability, including non-mobile children, must encourage
					 self-help and development.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1699 - What must I do if a child refuses to or cannot eat a meal or snack that I offer?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must offer a
					 child a meal or snack according to this division, but you may not force the
					 child to eat. You are not required to offer other food to a child who:
(1) Refuses a meal or snack; or
(2) Chooses not to be present when a meal or
					 snack is scheduled.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1701 - What must I do if a child requires a therapeutic or special diet?

Current through Reg. 49, No. 28; July 12, 2024
(a) To serve a therapeutic or special diet to
					 a child, you must have written approval in the child's record from a licensed
					 physician or a registered or licensed dietitian.
(b) If a child requires a therapeutic or
					 special diet, you must give the following people information regarding the
					 diet:
(1) All employees who prepare and serve
					 food; and
(2) The child's
					 caregivers.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1703 - What are the requirements for daily menus?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must maintain daily menus showing all
					 meals and snacks that you prepare and serve.
(b) You must document food substitutions on
					 the menu. Food substitutions must be of comparable food value.
(c) You must date menus and keep copies for
					 90 days.
(d) This rule does not
					 apply to meals prepared and served in cottage homes.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1705 - What are the nutrition requirements for a child with primary medical needs?

Current through Reg. 49, No. 28; July 12, 2024
(a) You must feed a child with primary
					 medical needs according to his medical and developmental needs.
(b) A licensed physician must prescribe tube
					 feeding. A dietitian or physician must plan the diet that the physician
					 prescribes.
(c) Children must eat
					 in an upright position unless the service planning team recommendations are to
					 the contrary.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1707 - What are the requirements for tube-feeding formula?

Current through Reg. 49, No. 28; July 12, 2024
(a) A registered or licensed dietitian,
					 physician, or a registered nurse must ensure the caregiver that prepares the
					 formula is adequately trained and has demonstrated competency in preparing the
					 formula.
(b) Tube feeding formulas
					 must supply the recommended dietary allowance for each child.
(c) You must prepare and store the formula:
(1) According to directions; or
(2) As prescribed by a health-care
					 professional.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 7 - NUTRITION AND HYDRATION › Section 748.1709 - What are the requirements for using a nasogastric tube to feed a child?

Current through Reg. 49, No. 28; July 12, 2024
(a) Only the following may insert a
					 nasogastric tube:
(1) A physician;
					 or
(2) A registered nurse according
					 to a physician's written orders.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 8 - ADDITIONAL REQUIREMENTS FOR INFANT CARE › Section 748.1741 - What do certain words mean in this division?

Current through Reg. 49, No. 28; July 12, 2024
These terms have the following meaning in this
						division:
(1) Baby doorway jumper--A
					 bucket seat that is suspended from a doorway by an elastic bungee cord that
					 allows an infant to bounce while sitting in the seat.
(2) Baby walker--A baby walker allows an
					 infant to sit inside the walker equipped with rollers or wheels and move across
					 the floor.
(3) Bouncer seat--A
					 stationary seat designed to provide gentle rocking or bouncing motion by an
					 infant's movement, or by battery-operated movement. This type of equipment is
					 designed for an infant's use from birth until the child can sit up
					 unassisted.
(4) Restrictive
					 device--Equipment that places the body of an infant in a position that may
					 restrict airflow or cause strangulation; usually, the infant is placed in a
					 semi-seated position. Examples of restrictive devices are car seats, swings,
					 bouncy seats, and high chairs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 8 - ADDITIONAL REQUIREMENTS FOR INFANT CARE › Section 748.1743 - What are the basic care requirements for an infant?

Current through Reg. 49, No. 28; July 12, 2024
(a) Each infant must receive individual
					 attention, including playing, talking, cuddling, and holding.
(b) When an infant is upset, a caregiver must
					 hold and comfort the infant.
(c) A
					 caregiver must provide prompt attention to an infant's physical needs, such as
					 feeding and diapering.
(d) An
					 infant's caregiver must ensure that the environment is safe. For example, the
					 caregiver must free the area of objects that may choke or harm the infant, take
					 measures to prevent electric shock, free the area of furniture that is in
					 disrepair or unstable, and allow no unsupervised access to water to prevent the
					 risk of drowning.
(e) Items
					 necessary for diaper changing must be kept out of the reach of children, but do
					 not need to be in locked storage.
(f) An infant's caregiver must never leave
					 the infant unsupervised. A sleeping infant is considered supervised if the
					 caregiver is within eyesight or hearing range of the infant and can intervene
					 as needed, or if the caregiver uses a video camera or audio monitoring device
					 to monitor the infant and is close enough to the infant to intervene as
					 needed.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 8 - ADDITIONAL REQUIREMENTS FOR INFANT CARE › Section 748.1745 - What steps must a caregiver follow when changing a child's diaper?

Current through Reg. 49, No. 28; July 12, 2024
A caregiver must:
(1) Promptly change soiled or wet diapers or
					 clothing;
(2) Thoroughly cleanse
					 children with individual cloths or disposable towels;
(3) Use a clean, individual cloth or
					 disposable towel to dry the child;
(4) Ensure that the child is dry before
					 placing a new diaper on the child; and
(5) Keep all diaper-changing supplies out of
					 children's reach.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS › Subchapter J - CHILD CARE › Division 8 - ADDITIONAL REQUIREMENTS FOR INFANT CARE › Section 748.1747 - What must I do to prevent the spread of germs when diapering children?

Current through Reg. 49, No. 28; July 12, 2024
To prevent the spread of germs when diapering a child,
						you must:
(1) Wash your hands with soap
					 and running water before and after diapering a child;
(2) Cover a container used for soiled diapers
					 or keep it in a sanitary manner, such as placing soiled diapers in individual
					 sealed bags;
(3) Discard a
					 disposable towel after use; and
(4)
					 Launder any cloth before reusing it.