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Title 26 - Part 1 - HEALTH AND HUMAN SERVICES COMMISSION

Chapter 3 - MEMORANDUM OF UNDERSTANDING WITH OTHER STATE AGENCIES

Subchapter A - MEMORANDA OF UNDERSTANDING FOR LONG-TERM CARE

3.1 - Services in Hospitals and Long-term Care Institutions
3.3 - Assisted Living Facilities

Subchapter B - MEMORANDUM OF UNDERSTANDING CONCERNING COORDINATION OF SERVICES TO PERSONS WITH DISABILITIES

3.51 - Basis
3.53 - Texas Department of Human Services (DHS)
3.55 - Texas Department of Health (TDH)
3.57 - Texas Department of Mental Health and Mental Retardation (TXMHMR)
3.59 - Texas Rehabilitation Commission
3.61 - Texas Commission for the Blind
3.63 - Texas Commission for the Deaf and Hearing Impaired
3.65 - Texas Education Agency (TEA)
3.67 - Texas Department of Protective and Regulatory Services (PRS)
3.69 - The Texas Interagency Council on Early Childhood Intervention (ECI)
3.71 - Agreement
3.73 - Effective Date

Subchapter C - MEMORANDUM OF UNDERSTANDING FOR EXCHANGE AND DISTRIBUTION OF PUBLIC AWARENESS INFORMATION

3.101 - Authorization and Requirement To Exchange and Distribute Public Awareness Information

Subchapter D - MEMORANDUM OF UNDERSTANDING WITH THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE

3.151 - Memorandum of Understanding with the Texas Department of Criminal Justice

Subchapter E - MOU--COORDINATION OF SPECIAL EDUCATION SERVICES TO STUDENTS WITH DISABILITIES IN RESIDENTIAL FACILITIES

3.251 - Interagency Coordination of Special Education Services to Students with Disabilities in Residential Facilities

Chapter 8 - PEER ASSISTANCE PROGRAMS FOR IMPAIRED PROFESSIONALS

8.101 - Authority
8.103 - Applicability
8.105 - Definitions
8.107 - Peer Assistance Program Certification and Approval
8.109 - Organization
8.111 - Staffing
8.113 - Program Description
8.115 - Policies and Procedures
8.117 - Reports
8.119 - Referrals to Assessment and Treatment Resources
8.121 - Program Completion
8.123 - Confidentiality
8.125 - Provision of Services to Students

Chapter 52 - CONTRACTING FOR COMMUNITY SERVICES

Subchapter A - APPLICATION AND DEFINITIONS

52.1 - Application
52.3 - Definitions

Subchapter B - CONTRACTOR ENROLLMENT

52.25 - Contractors Not Subject to Certain Portions of Subchapter B
52.27 - Provisional Contract
52.29 - Provisional Contract Application Process
52.31 - Additional Provisional Contract Application Requirements
52.33 - License, Certification, Accreditation, and Other Requirements
52.35 - Ineligibility Due to Criminal History
52.37 - Provisional Contract Application Denial
52.39 - Provisional Contract Application Approval
52.41 - Standard Contract
52.43 - Contractor Change of Ownership or Legal Entity
52.45 - Religious Organization Applicants

Subchapter C - REQUIREMENTS OF A CONTRACTOR

52.101 - Contractors Not Subject to Certain Portions of Subchapter C
52.103 - General Requirements
52.105 - Confidentiality of Information
52.107 - Background Checks
52.109 - Records
52.111 - Electronic Visit Verification System
52.113 - Record Retention and Disposition
52.115 - Subcontracts
52.117 - Complaint Process
52.119 - Abuse, Neglect, and Exploitation Allegations
52.121 - Claims Payment
52.123 - Personal Attendants
52.125 - Day Habilitation Requirements in the HCS Program, the TxHmL Program, and the DBMD Program and Prevocational Services Requirements in the CLASS Program

Subchapter D - MONITORING AND INVESTIGATION OF A CONTRACTOR

52.201 - Contractors Not Subject to Subchapter D
52.211 - Contract and Fiscal Monitoring
52.213 - Investigation
52.215 - Financial Review

Subchapter E - ENFORCEMENT BY HHSC, TERMINATION BY CONTRACTOR, AND NO OFFER OF STANDARD CONTRACT BY HHSC

52.231 - Contractors Not Subject to Certain Portions of Subchapter E
52.251 - Immediate Protection and Immediate Protection Plan
52.271 - Action by HHSC
52.273 - Corrective Action Plan
52.275 - Referral Hold
52.301 - Sanction by HHSC
52.311 - Vendor Hold
52.313 - Recoupment
52.315 - Termination of Contract by HHSC
52.317 - Administrative Penalties in the HCS and TxHmL Programs
52.351 - Contractor's Right to Appeal
52.371 - Contractor Terminating Contract or Not Entering into a Standard Contract
52.391 - HHSC Does Not Offer a Standard Contract

Subchapter F - REVIEW BY HHSC OF EXPIRING OR TERMINATED CONTRACT

52.601 - HHSC Review and Contractor Requirements Related to Expiring or Terminated Contract

Subchapter G - APPLICATION DENIAL PERIOD

52.701 - Contractors Not Subject to Subchapter G
52.702 - Application Denial Period

Chapter 87 - OMBUDSMAN SERVICES

Subchapter A - PURPOSE, DEFINITIONS, AND ESTABLISHMENT OF OMBUDSMAN PROGRAMS

87.1 - Purpose
87.3 - Definitions
87.5 - Establishment of Ombudsman Programs and Appointment of Ombudsman
87.7 - Conflict of Interest

Subchapter B - PROVISIONS COMMON TO ALL OMBUDSMAN PROGRAMS

87.15 - Creation of the Office and Ombudsman Standards
87.17 - Data and Reports
87.19 - Duties and Statewide Procedures
87.21 - Investigation of Unreported Complaints
87.23 - Confidentiality and Communications Related to Complaints.
87.25 - Contact Information
87.27 - Referrals to Other HHS Offices or Other Entities
87.29 - Intake of Contacts
87.31 - Investigation of Complaints
87.33 - Substantiating and Closing Complaints
87.35 - Contact Follow-up

Subchapter C - PROVISIONS DIRECTING HHS AND DFPS

87.41 - Access to Information
87.43 - Retaliation Prohibited.

Subchapter D - OMBUDSMAN FOR MANAGED CARE ASSISTANCE

87.51 - Creation of the Program and Populations Served

Subchapter E - OMBUDSMAN FOR CHILDREN AND YOUTH IN FOSTER CARE

87.61 - Creation of Program and Population Served

Subchapter F - OMBUDSMAN FOR BEHAVIORAL HEALTH ACCESS TO CARE

87.71 - Creation of the Program and Populations Served
87.73 - Report

Subchapter G - OMBUDSMAN FOR INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY

87.81 - Creation of the Program and Populations Served

Chapter 88 - STATE LONG-TERM CARE OMBUDSMAN PROGRAM

Subchapter A - PURPOSE AND DEFINITIONS

88.1 - Purpose
88.2 - Definitions

Subchapter B - ESTABLISHMENT OF THE OFFICE

88.101 - Responsibilities of the State Ombudsman and the Office
88.102 - Certification of an Ombudsman
88.103 - Refusal, Suspension, and Termination of Certification of an Ombudsman
88.104 - Designation of a Local Ombudsman Entity
88.105 - Fiscal Management of a Local Ombudsman Entity
88.106 - Onsite Monitoring of a Local Ombudsman Entity and a Host Agency
88.107 - Desk Review Monitoring of a Local Ombudsman Entity

Subchapter C - ACCESS BY THE STATE OMBUDSMAN AND REPRESENTATIVES OF THE OFFICE

88.201 - Access to Facilities, Residents, and Resident Records
88.202 - Notification to LTC Facility of Authorization to Access Resident Records

Subchapter D - REQUIREMENTS OF A LOCAL OMBUDSMAN ENTITY

88.301 - Requirements to Recommend Certification as an Ombudsman
88.302 - Requirement to Ensure a Representative of the Office Performs Functions of the Ombudsman Program
88.303 - Individual Conflicts of Interest Regarding a Local Ombudsman Entity
88.304 - Disclosure of Confidential Information; Exclusion from Reporting Requirements Regarding Abuse, Neglect, or Exploitation; and Provision of Records to the Office
88.305 - Complaints
88.306 - Compliance with Documents of the Office
88.307 - Requirements Regarding LTC Facility Visits and Submitting Information to the Office
88.308 - Ombudsman Program Logo and Communications to the Public
88.310 - Prohibition of Interference and Retaliation by a Local Ombudsman Entity

Subchapter E - REQUIREMENTS OF A HOST AGENCY

88.401 - Coordination with the State Ombudsman in Hiring and Terminating a Staff Ombudsman
88.402 - Personnel Management of Representatives of the Office
88.403 - Conflicts of Interest Regarding a Host Agency
88.404 - Provision of Records to the Office, Disclosure of Confidential Information, and Allegations of Abuse, Neglect, or Exploitation
88.405 - Performance Measures
88.406 - Requirements Regarding Expenditures for the Ombudsman Program
88.407 - Requirement for Approval of Ombudsman Staffing Plan Form
88.408 - Prohibition of Interference and Retaliation by a Host Agency
88.409 - Noncompliance by a Host Agency

Subchapter F - REQUIREMENTS OF HHSC

88.501 - HHSC Responsibilities Regarding Individual Conflicts Of Interest
88.502 - HHSC Responsibilities Regarding Organizational Conflicts of Interest Between the Office and HHSC

Subchapter G - GRIEVANCES

88.601 - Grievances Regarding Performance of a Representative of the Office Who is an Employee, Independent Contractor, or Volunteer of a Host Agency, Including a Managing Local Ombudsman
88.602 - Grievances Regarding the Performance of the State Ombudsman or a Representative of the Office Who is an Employee or Volunteer of HHSC
88.603 - Grievances Regarding Certification Decisions by the State Ombudsman

Chapter 110 - HEARINGS UNDER THE ADMINISTRATIVE PROCEDURE ACT

110.1 - Purpose
110.3 - Definitions
110.5 - Contested Case Heard by SOAH
110.7 - Contested Case Heard by HHSC
110.9 - Review of SOAH Proposal for Decision
110.11 - Issuance and Finality of SOAH Decision
110.13 - Motion for Rehearing
110.15 - Judicial Review

Chapter 211 - DAY ACTIVITY AND HEALTH SERVICES (DAHS) CONTRACTUAL REQUIREMENTS

211.200 - Applicability
211.201 - Eligibility Requirements for Participation
211.202 - Program Overview
211.203 - Written Referrals for Services
211.204 - DAHS Facility-Initiated Referrals
211.205 - Initiation of Services
211.206 - Program Requirements
211.207 - Suspension of Day Activity and Health Services
211.208 - Notifications
211.209 - Record Maintenance
211.210 - Financial Errors
211.211 - Billing and Payment
211.212 - Sanctions

Chapter 213 - AREA AGENCIES ON AGING

Subchapter A - OPERATION OF THE AREA AGENCIES ON AGING

213.1 - Designation of Planning and Service Areas
213.3 - Designation of Area Agencies on Aging
213.5 - Compliance with Contractor Responsibilities, Rewards and Sanctions
213.7 - Appeal Procedures for Area Agency on Aging Contractors
213.9 - Grievance Procedures for Participants in Older Americans Act Programs
213.11 - Emergency Management Responsibilities of the Texas Department on Aging

Subchapter B - AREA AGENCY ON AGING ADMINISTRATION

213.51 - System of Access and Assistance
213.53 - Certification of Benefits Counselors Regarding the Preparation of Advanced Directives
213.55 - Direct Purchase of Service (DPS)

Subchapter C - IMPLEMENTATION OF THE OLDER AMERICANS ACT

213.101 - Definitions
213.151 - AAA Administrative Responsibilities
213.153 - AAA Fiscal Responsibilities
213.155 - Process for AAA to Request Approval to Directly Provide a Service
213.157 - Data Management
213.201 - Transportation Services
213.203 - Nutrition Services
213.205 - Participant Assessment Services
213.207 - Homemaker Services
213.209 - Personal Assistance Services
213.211 - Adult Day Services
213.213 - Emergency Response Services
213.215 - Residential Repair Services
213.217 - Senior Centers
213.219 - Respite Voucher Services
213.301 - AAA Funding Allocation Formula for Older Americans Act Programs
213.303 - Unspent Award Funds

Chapter 214 - NATIONAL SENIOR SERVICES CORPS PROGRAM

214.1 - Guidelines to Distribute Funds to Entities Operating a National Senior Services Corps Program

Chapter 259 - COMMUNITY LIVING ASSISTANCE AND SUPPORT SERVICES (CLASS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) SERVICES

Subchapter A - DEFINITIONS, DESCRIPTION OF SERVICES, AND EXCLUDED SERVICES

259.5 - Definitions
259.7 - Description of the CLASS Program and CFC Option
259.9 - Excluded Services

Subchapter B - ELIGIBILITY, ENROLLMENT, AND REVIEW

259.51 - Eligibility Criteria for CLASS Program Services and CFC Services
259.53 - CLASS Interest List
259.55 - Written Offer of CLASS Program Services
259.57 - Person-Centered Planning Process
259.59 - Requirements for Home and Community-Based Settings
259.61 - Process for Enrollment of an Individual
259.63 - Determination by HHSC of Whether an Individual Meets LOC VIII Criteria
259.65 - Development of an Enrollment IPC
259.67 - Development of IPPs
259.69 - HHSC's Review of a Proposed Enrollment IPC
259.71 - CDS Option
259.73 - Service Limits
259.75 - Annual Review by HHSC of Whether an Individual Meets LOC VIII Criteria
259.77 - Renewal IPC and Requirement for Authorization to Continue Services
259.79 - Renewal and Revision of an IPC
259.81 - Revised IPC and Revised IPP for Services Provided to Prevent Immediate Jeopardy
259.83 - Utilization Review of an IPC by HHSC
259.85 - Tracking Annual Renewal of an ID/RC Assessment by a DSA
259.87 - Tracking Annual Renewal of an IPC by a CMA
259.89 - Service Backup Plans

Subchapter C - RIGHTS AND RESPONSIBILITIES OF AN INDIVIDUAL

259.101 - Individual's Right to a Fair Hearing
259.103 - Mandatory Participation Requirements of an Individual

Subchapter D - TRANSFER, DENIAL, SUSPENSION, REDUCTION, AND TERMINATION OF SERVICES

259.151 - Coordination of Transfers
259.153 - Denial of a Request for Enrollment into the CLASS Program
259.155 - Denial of a CLASS Program Service or CFC Service
259.157 - Suspension of CLASS Program Services or CFC Services
259.159 - Reduction of a CLASS Program Service or CFC Service
259.161 - Termination of CLASS Program Services and CFC Services with Advance Notice for Reasons Other Than Non-compliance with Mandatory Participation Requirements
259.163 - Termination of CLASS Program Services and CFC Services with Advance Notice Because of Non-compliance with Mandatory Participation Requirements
259.165 - Termination of CLASS Program Services and CFC Services Without Advance Notice for Reasons Other Than Behavior Causing Immediate Jeopardy
259.167 - Termination of CLASS Program Services and CFC Services Without Advance Notice Because of Behavior Causing Immediate Jeopardy
259.169 - Information About Services After Termination
259.171 - Requirement to Submit a Fair Hearing Request Summary to HHSC

Subchapter E - SUPPORT FAMILY SERVICES AND CONTINUED FAMILY SERVICES

259.201 - General Requirements
259.203 - Eligibility
259.205 - Residential Agreements, Requirements for Provider-Controlled Residential Settings, and Support Family Agency and Continued Family Agency Functions
259.207 - Pre-Placement Activities
259.209 - Placement
259.211 - Ongoing Support
259.213 - Monthly Monitoring
259.215 - Support Family Requirements
259.217 - Support Family Duties

Subchapter F - ADAPTIVE AIDS, MINOR HOME MODIFICATIONS, AND CFC ERS

259.251 - Items and Services Purchasable as an Adaptive Aid
259.253 - Authorization Limit for Adaptive Aids and Amount for Repair and Maintenance
259.255 - Requirements for Authorization to Purchase an Adaptive Aid Costing Less Than $500
259.257 - Requirements for Authorization to Purchase an Adaptive Aid Costing $500 or More
259.259 - Requirements for Specifications for an Adaptive Aid
259.261 - Requirements for Bids of an Adaptive Aid
259.263 - Time Frames for Providing Adaptive Aids to Individuals
259.265 - Cost Effective Delivery of Adaptive Aid
259.267 - Requirements of DSA Following Provision of Adaptive Aid
259.271 - Items or Services Purchasable as a Minor Home Modification
259.273 - Authorization Limit for Minor Home Modifications and Amount for Repair and Maintenance
259.275 - Requirements for Authorization to Purchase a Minor Home Modification
259.277 - Requirements for Specifications for a Minor Home Modification
259.279 - Bid Requirements for a Minor Home Modification
259.281 - Inspection of a Minor Home Modification
259.283 - Time Frames for Completion of Minor Home Modification
259.285 - Repair or Replacement of Minor Home Modification
259.287 - Satisfaction of Minor Home Modification
259.289 - CFC ERS

Subchapter G - ADDITIONAL CMA REQUIREMENTS

259.301 - CMA: Compliance with Rules
259.303 - Protection of an Individual
259.305 - DSA Services Outside the Catchment Area
259.307 - Qualifications of CMA Staff Persons
259.309 - Training of CMA Staff Persons and Volunteers
259.311 - CMA Service Delivery
259.313 - CMA: Documentation of Services Delivered and Recordkeeping
259.315 - CMA: Quality Management Process
259.317 - CMA: Reporting Allegations of Abuse, Neglect, or Exploitation of an Individual
259.319 - CMA: Requirements Related to the Abuse, Neglect, and Exploitation of an Individual
259.321 - CMA: Requirement for Translation

Subchapter H - ADDITIONAL DSA REQUIREMENTS

259.351 - DSA: Compliance with Rules
259.355 - Qualifications of DSA Staff Persons
259.357 - Training of DSA Staff Persons, Service Providers, and Volunteers
259.359 - DSA: Service Delivery
259.360 - Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service
259.361 - Respite and Dental Treatment
259.363 - DSA: Documentation of Services Delivered and Recordkeeping
259.365 - Employment Assistance and Supported Employment
259.367 - Prohibition of Seclusion
259.369 - DSA: Reporting Allegations of Abuse, Neglect, or Exploitation of an Individual
259.371 - DSA: Requirements Related to the Abuse, Neglect, and Exploitation of an Individual
259.373 - DSA: Requirement for Translation

Subchapter I - FISCAL MONITORING

259.401 - Financial Errors

Subchapter J - DECLARATION OF DISASTER

259.451 - Exceptions to Certain Requirements During Declaration of Disaster
259.353 - DSA: Protection of an Individual

Chapter 260 - DEAF BLIND WITH MULTIPLE DISABILITIES (DBMD) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) SERVICES

Subchapter A - DEFINITIONS, DESCRIPTION OF SERVICES, AND EXCLUDED SERVICES

260.5 - Definitions
260.7 - Description of the DBMD Program and CFC
260.9 - Excluded Services

Subchapter B - ELIGIBILITY, ENROLLMENT, AND REVIEW

260.51 - Eligibility Criteria for DBMD Program Services and CFC Services
260.53 - DBMD Interest List
260.55 - Written Offer of Enrollment in the DBMD Program
260.57 - Person-Centered Planning Process
260.59 - Requirements for Home and Community-Based Settings
260.61 - Process for Enrollment of an Individual
260.63 - Program Provider Cannot Ensure Individual's Health and Welfare
260.65 - Development of an Enrollment IPP
260.67 - Development of a Proposed Enrollment IPC
260.69 - HHSC's Review of Request for Enrollment
260.71 - CDS Option
260.73 - Tracking Annual Renewal of an ID/RC Assessment and an IPC
260.75 - Utilization Review of an IPC by HHSC
260.77 - Renewal and Revision of an IPP and IPC
260.79 - Coordination of Transfers
260.81 - Personal Leave for Individual Receiving Licensed Assisted Living or Licensed Home Health Assisted Living
260.83 - Denial of Request for Enrollment in the DBMD Program or of a DBMD Program Service or a CFC Service
260.85 - Suspension of DBMD Program Services and CFC Services
260.87 - Reduction of a DBMD Program Service or a CFC Service
260.89 - Termination of DBMD Program Services and CFC Services With Advance Notice Due to Ineligibility or Leave from the State
260.101 - Termination of DBMD Program Services and CFC Services with Advance Notice Due to Non-compliance with Mandatory Participation Requirements
260.103 - Termination of DBMD Program Services and CFC Services without Advance Notice for Reasons Other Than Behavior Causing Immediate Jeopardy
260.105 - Termination of DBMD Program Services and CFC Services without Advance Notice Due to Behavior Causing Immediate Jeopardy
260.107 - Offering Access to Other Services
260.109 - Individual Whose DBMD Program Services are Terminated May Request Name be Added to DBMD Interest List
260.111 - Individual's Right to a Fair Hearing
260.113 - Mandatory Participation Requirements of an Individual

Subchapter C - COMPLIANCE WITH RULES

260.151 - Program Provider Compliance with Rules

Subchapter D - ADDITIONAL PROGRAM PROVIDER PROVISIONS

260.201 - Protection of Individual
260.203 - Qualifications of Program Provider Staff
260.205 - Training
260.207 - Service Delivery
260.209 - Documentation of Services Delivered and Recordkeeping
260.211 - Quality Assurance
260.213 - Service Backup Plans
260.215 - Protective Devices
260.217 - Restraints
260.219 - Reporting Allegations of Abuse, Neglect, or Exploitation of an Individual
260.221 - Requirements Related to the Reporting of Abuse, Neglect, and Exploitation of an Individual
260.223 - Requirement for Translation

Subchapter E - ASSISTANCE WITH PERSONAL FUNDS MANAGEMENT

260.251 - Request for Assistance with Personal Funds Management
260.253 - Establishing a Trust Fund Account
260.255 - Maintaining a Trust Fund Account
260.257 - Individual's Access to Personal Funds
260.259 - Petty Cash Fund
260.261 - Trust Fund Transactions
260.263 - Recurring Payments
260.265 - Receipt for Direct Payment to Vendor from Trust Fund Account
260.267 - Trust Fund Documentation
260.269 - Trust Fund Refund
260.271 - Trust Fund Procedures for Individual Transfer and Termination

Subchapter F - SERVICE DESCRIPTIONS AND REQUIREMENTS

260.301 - Authorization Amount and Other Limits for Adaptive Aids
260.303 - Requirements for Authorization to Purchase or Lease an Adaptive Aid
260.305 - Requirements for Bids for an Adaptive Aid
260.307 - Time Frames for Providing an Adaptive Aid
260.309 - Cost Effective Delivery of Adaptive Aid
260.311 - Requirements of Program Provider Following Provision of Adaptive Aid
260.313 - Items or Services Purchasable as a Minor Home Modification
260.315 - Authorization Limit for Minor Home Modifications and Amount for Repair and Maintenance
260.317 - Requesting Authorization to Purchase a Minor Home Modification that Costs Less than $1,000
260.319 - Requesting Authorization to Purchase a Minor Home Modification that Costs $1,000 or More
260.321 - Specifications for a Minor Home Modification
260.323 - Bid Requirements for a Minor Home Modification
260.325 - Time Frames for Completion of Minor Home Modification
260.327 - Inspection of a Minor Home Modification
260.329 - Repair or Replacement of a Minor Home Modification
260.331 - Individual's Satisfaction with Minor Home Modification
260.333 - Behavioral Support
260.335 - Chore Services
260.337 - Case Management
260.339 - Dental Treatment
260.341 - Employment Services
260.343 - Day Habilitation, Residential Habilitation, and CFC PAS/HAB
260.345 - Intervener
260.347 - Nursing
260.349 - Orientation and Mobility
260.351 - Residential Services
260.353 - Respite
260.355 - Therapies
260.357 - Non-Billable Time and Activities
260.359 - CFC ERS

Subchapter G - PROGRAM PROVIDER-OWNED RESIDENTIAL SETTINGS

260.401 - Residential Agreements
260.403 - Requirements for Program Provider-Owned Residential Settings

Subchapter H - DECLARATION OF DISASTER

260.451 - Exceptions to Certain Requirements During Declaration of Disaster

Subchapter I - INDIVIDUALIZED SKILLS AND SOCIALIZATION

260.501 - Definitions
260.503 - Description of Individualized Skills and Socialization
260.505 - Provision of Individualized Skills and Socialization
260.507 - Staffing Ratios
260.509 - Discontinuation of Day Habilitation
260.511 - Including Individualized Skills and Socialization on an IPC
260.513 - Service Provider Qualifications and Training
260.515 - Contracting to Provide Individualized Skills and Socialization
260.517 - Program Provider Reimbursement for Individualized Skills and Socialization

Chapter 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM--CONTRACTING

Subchapter A - GENERAL REQUIREMENTS

261.201 - Purpose
261.202 - Application
261.203 - Definitions

Subchapter B - PROVIDER ENROLLMENT

261.206 - Application Process
261.207 - Certification and Licensure
261.208 - Provider Agreement

Subchapter C - PROVIDER ADMINISTRATIVE REQUIREMENTS

261.211 - Compliance with State and Federal Laws
261.212 - Non-licensed Providers Meeting Licensure Standards
261.213 - Records
261.214 - Certified Capacity of a Facility
261.215 - Relocation of Facility
261.217 - Assignment of Provider Agreement
261.218 - Voluntary Facility Closure and Suspension of Certified Capacity
261.219 - Provider Reimbursement
261.220 - Medicaid Bed Reallocation

Subchapter D - PROVIDER SERVICE REQUIREMENTS

261.221 - Durable Medical Equipment
261.222 - Permanency Planning and LAR Participation for Individuals Under 22 Years of Age
261.223 - Review of Living Options
261.224 - Capacity Assessment
261.225 - Reporting Incidents to DADS
261.226 - Leaves
261.227 - Discharge From a Facility
261.228 - Augmentative Communication Device System
261.229 - Critical Incident Reporting
261.230 - Requirements for a Day Habilitation Center

Subchapter E - ELIGIBILITY, ENROLLMENT AND REVIEW

261.236 - Eligibility Criteria
261.237 - Level of Care
261.238 - ICF/MR Level of Care I Criteria
261.239 - ICF/MR Level of Care VIII Criteria
261.240 - Level of Need
261.241 - Level of Need Criteria
261.242 - Supporting Documentation for Level of Need
261.243 - Reconsideration of Level of Need
261.244 - Applicant Enrollment in the ICF/MR Program
261.245 - Renewal of Level of Care
261.246 - Renewal and Revision of Level of Need
261.247 - Re-administration of the ICAP
261.248 - Lapsed Level of Care
261.249 - Fair Hearing
261.250 - Permanency Planning Reviews

Subchapter F - PERSONAL FUNDS

261.251 - Protecting Individuals' Personal Funds
261.252 - Notice Regarding Personal Funds
261.253 - Determining Management of Personal Funds
261.254 - Items and Services Provided by the Program Provider
261.255 - Items and Services Purchased with Personal Funds
261.256 - Program Provider-Managed Personal Funds
261.257 - Requests for Personal Funds from Trust Fund Accounts
261.258 - Closing Trust Fund Accounts
261.259 - Refunds
261.260 - Applied Income
261.261 - Contributions
261.262 - Trust Fund Monitoring and Audits
261.263 - Informal Review and Administrative Hearing

Subchapter G - PROVIDER AGREEMENT SANCTIONS

261.266 - DADS Review of Inspection or Survey Findings
261.267 - Directed Plan of Correction and Vendor Hold Based on State Survey Agency Findings
261.268 - Termination of Provider Agreement
261.269 - Audits
261.270 - Suspension of Payments

Subchapter H - ADMINISTRATIVE HEARINGS

261.273 - Administrative Hearings

Subchapter I - HOSPICE SERVICES

261.274 - Hospice Services

Subchapter J - SURROGATE DECISION-MAKING

261.281 - Purpose
261.282 - Application
261.283 - Informed Decision Assessment
261.284 - Making Informed Decisions
261.285 - IDT Decisions
261.286 - Surrogate Decision-Maker
261.287 - Provider Responsibilities Regarding Surrogate Decision-Maker
261.288 - Surrogate Consent Committee Decisions
261.289 - Submission of Application Packet for Surrogate Consent Committee
261.290 - Appointment and Qualifications of a Surrogate Consent Committee
261.291 - Notice of Hearing and Documents Provided to Surrogate Consent Committee
261.292 - Review and Consultation Prior to Hearing
261.293 - Surrogate Consent Committee Hearing
261.294 - Notice of Guardianship Proceeding
261.295 - Liability for Treatment Decision

Chapter 262 - TEXAS HOME LIVING (TxHmL) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)

Subchapter A - GENERAL PROVISIONS

262.1 - Purpose
262.2 - Application
262.3 - Definitions
262.4 - Description of the TxHmL Program and CFC
262.5 - Description of TxHmL Program Services
262.6 - Description of CFC Services
262.7 - Requirement for Translation
262.8 - Comprehensive Nursing Assessment
262.9 - Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service

Subchapter B - ELIGIBILITY, ENROLLMENT, AND REVIEW

262.101 - Eligibility Criteria for TxHmL Program Services and CFC Services
262.102 - TxHmL Interest List
262.103 - Process for Enrollment of Applicants
262.104 - LOC Determination
262.105 - LON Assignment
262.106 - HHSC Review of LON
262.107 - Reconsideration of LON Assignment

Subchapter C - PERSON-CENTERED PLANNING AND SERVICE SETTINGS

262.201 - Person-Centered Planning Process
262.202 - Requirements for Home and Community-Based Settings

Subchapter D - DEVELOPMENT AND REVIEW OF AN IPC

262.301 - IPC Requirements
262.302 - Renewal and Revision of an Individual's IPC
262.303 - HHSC Review of an IPC
262.304 - Service Limits

Subchapter E - REIMBURSEMENT BY HHSC

262.401 - Program Provider Reimbursement

Subchapter F - TRANSFERS, DENIALS, SUSPENSIONS, REDUCTIONS, AND TERMINATIONS

262.501 - Process for Individual to Transfer to a Different Program Provider or FMSA
262.502 - Process for Individual to Receive a Service Through the CDS Option that the Individual is Receiving from a Program Provider
262.503 - Denial of a Request for Enrollment into the TxHmL Program
262.504 - Denial of TxHmL Program Services or CFC Services
262.505 - Suspension of TxHmL Program Services and CFC Services
262.506 - Reduction of TxHmL Program Services or CFC Services
262.507 - Termination of TxHmL Program Services and CFC Services with Advance Notice
262.508 - Termination of TxHmL Program Services and CFC Services without Advance Notice

Subchapter G - HEARINGS

262.601 - Fair Hearing
262.602 - Program Provider's Right to Administrative Hearing

Subchapter H - LIDDA REQUIREMENTS

262.701 - LIDDA Requirements for Providing Service Coordination in the TxHmL Program

Subchapter I - DECLARATION OF DISASTER

262.801 - Exceptions to Certain Requirements During Declaration of Disaster

Subchapter J - INDIVIDUALIZED SKILLS AND SOCIALIZATION

262.901 - Definitions
262.903 - Types of Individualized Skills and Socialization
262.905 - Description of On-Site and Off-Site Individualized Skills and Socialization
262.907 - Description of and Criteria for an Individual to Receive In-Home Individualized Skills and Socialization
262.909 - Exceptions to Certain Requirements During Declaration of Disaster
262.911 - Provision of On-Site and Off-Site Individualized Skills and Socialization
262.913 - Provision of In-Home Individualized Skills and Socialization
262.915 - Service Limit for On-Site, Off-Site, and In-Home Individualized Skills and Socialization
262.917 - Staffing Ratios for Off-Site Individualized Skills and Socialization
262.919 - Discontinuation of Day Habilitation
262.921 - Including On-Site, Off-Site, and In-Home Individualized Skills and Socialization on an IPC
262.923 - Service Provider Qualifications and Training for In-Home Individualized Skills and Socialization
262.925 - Program Provider Reimbursement for On-Site, Off-Site, and In-Home Individualized Skills and Socialization
262.927 - Enhanced Staffing Rate

Chapter 263 - HOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)

Subchapter A - GENERAL PROVISIONS

263.1 - Purpose
263.2 - Application
263.3 - Definitions
263.4 - Description of the HCS Program and CFC
263.5 - Description of HCS Program Services
263.6 - Description of CFC Services
263.7 - Requirement for Translation
263.8 - Comprehensive Nursing Assessment
263.9 - Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service

Subchapter B - ELIGIBILITY, ENROLLMENT, AND REVIEW

263.101 - Eligibility Criteria for HCS Program Services and CFC Services
263.102 - Calculation of Co-payment
263.103 - HCS Interest List
263.104 - Process for Enrollment of Applicants
263.105 - LOC Determination
263.106 - LON Assignment
263.107 - HHSC Review of LON
263.108 - Reconsideration of LON Assignment

Subchapter C - PERSON-CENTERED PLANNING

263.201 - Person-Centered Planning Process

Subchapter D - DEVELOPMENT AND REVIEW OF AN IPC

263.301 - IPC Requirements
263.302 - Renewal and Revision of an IPC
263.303 - HHSC Review of an IPC
263.304 - Service Limits

Subchapter E - CDS OPTION

263.401 - CDS Option

Subchapter F - REQUIREMENTS FOR SERVICE SETTINGS AND PROGRAM PROVIDER OWNED OR CONTROLLED RESIDENTIAL SETTINGS

263.501 - Requirements for Home and Community-Based Settings
263.502 - Requirements for Program Provider Owned or Controlled Residential Settings
263.503 - Residential Agreements

Subchapter G - REIMBURSEMENT BY HHSC

263.601 - Program Provider Reimbursement

Subchapter H - TRANSFER, DENIALS, SUSPENSION, REDUCTION, AND TERMINATION

263.701 - Process for Individual to Transfer to a Different Program Provider or FMSA
263.702 - Process for Individual to Receive a Service Through the CDS Option that the Individual is Receiving from a Program Provider
263.703 - Denial of a Request for Enrollment into the HCS Program
263.704 - Denial of HCS Program Services or CFC Services
263.705 - Suspension of HCS Program Services and CFC Services
263.706 - Reduction of HCS Program Services or CFC Services
263.707 - Termination of HCS Program Services and CFC Services with Advance Notice
263.708 - Termination of HCS Program Services and CFC Services Without Advance Notice

Subchapter I - HEARINGS

263.801 - Fair Hearing
263.802 - Program Provider's Right to Administrative Hearing

Subchapter J - LIDDA REQUIREMENTS

263.901 - LIDDA Requirements for Providing Service Coordination in the HCS Program
263.902 - Permanency Planning
263.903 - Referral from HHSC to DFPS

Subchapter K - DECLARATION OF DISASTER

263.1000 - Exceptions to Certain Requirements During Declaration of Disaster

Subchapter L - INDIVIDUALIZED SKILLS AND SOCIALIZATION

263.2001 - Definitions
263.2003 - Types of Individualized Skills and Socialization
263.2005 - Description of On-Site and Off-Site Individualized Skills and Socialization
263.2007 - Description of and Criteria for an Individual to Receive In-Home Individualized Skills and Socialization
263.2009 - Exceptions to Certain Requirements During Declaration of Disaster
263.2011 - Provision of On-Site and Off-Site Individualized Skills and Socialization
263.2013 - Provision of In-Home Individualized Skills and Socialization
263.2015 - Service Limit for On-Site, Off-Site, and In-Home Individualized Skills and Socialization
263.2017 - Staffing Ratios for Off-Site Individualized Skills and Socialization
263.2019 - Discontinuation of Day Habilitation
263.2021 - Including On-Site, Off-Site, and In-Home Individualized Skills and Socialization on an IPC
263.2023 - Service Provider Qualifications and Training for In-Home Individualized Skills and Socialization
263.2025 - Program Provider Reimbursement for On-Site, Off-Site, and In-Home Individualized Skills and Socialization
263.2027 - Enhanced Staffing Rate

Chapter 264 - CONSUMER DIRECTED SERVICES OPTION

Subchapter A - INTRODUCTION

264.101 - Introduction
264.103 - Definitions
264.105 - Application
264.107 - Overview of the CDS Option
264.108 - Services Available Through the CDS Option
264.109 - Enrollment in the CDS Option
264.111 - Service Planning in the CDS Option

Subchapter B - RESPONSIBILITIES OF EMPLOYERS AND DESIGNATED REPRESENTATIVES

264.205 - Employer Appointment of a Designated Representative
264.206 - Proof of Guardianship for the Employer
264.207 - Initial Orientation of an Employer
264.209 - Employer-Agent Registration
264.211 - Financial Management Services
264.213 - Employer Support Services
264.215 - Employer Role in the Service Planning Process
264.217 - Employer Responsibilities Regarding Service Backup Plan
264.219 - CDSA Reports
264.221 - Corrective Action Plans
264.223 - Liability Acknowledgment and Workers' Compensation
264.225 - Criminal History Check of an Applicant for Employment and an Employee
264.227 - Required Registry Checks
264.229 - Licensure and Certification Verification
264.231 - Verification of Eligibility of an Employee or Contractor
264.233 - Training and Management of Service Providers
264.235 - Verification of Eligibility for Vendors
264.237 - Service Provider Agreements
264.238 - Service Delivery Requirements
264.239 - Documentation of Services Delivered
264.241 - Payment of Services
264.243 - Record Retention

Subchapter C - ENROLLMENT AND RESPONSIBILITIES OF FINANCIAL MANAGEMENT SERVICES AGENCIES (FMSAS)

264.301 - Contracting as an FMSA
264.303 - Obtaining and Revoking Federal and State Approval to be a Vendor Fiscal/Employer Agent
264.305 - Appointment of a Designated Representative
264.306 - Proof of Guardianship for Financial Management Services Agencies
264.307 - Initial Orientation of an Employer
264.309 - Financial Management Services, CFC Support Management, and Vendor Fiscal/Employer Agent Responsibilities
264.311 - Employer Support Services and Support Consultation Services
264.313 - Individual Service Planning Process
264.315 - Service Back-up Plan
264.317 - CDSA Reports
264.319 - Corrective Action Plans
264.321 - Liability Acknowledgment and Workers' Compensation
264.323 - Criminal History Check of an Applicant for Employment and to be an Employee
264.325 - Required Registry Checks of an Applicant to be an Employee
264.327 - Verification of Applicants for Employees, Contractors, and Vendors
264.329 - Continued Eligibility of an Employee, Contractor, or Vendor
264.331 - Evaluation of Job Performance and Satisfaction
264.333 - Service Agreements
264.335 - Documentation of Services Delivered
264.337 - Payment of Services
264.339 - Records

Subchapter D - ENROLLMENT, TRANSFER, SUSPENSION, AND TERMINATION

264.401 - Enrollment Process
264.403 - Transfer Process
264.404 - Ensuring Development, Approval, and Review of Service Backup Plans
264.405 - Suspension of Participation in the CDS Option
264.407 - Termination of Participation in the CDS Option
264.409 - Re-enrollment for Participation in the CDS Option

Subchapter E - BUDGETS

264.501 - Budget Development
264.503 - Financial Management Services
264.505 - Payroll Budgeting
264.507 - Employer Support Services Budgeting
264.509 - Budget Approval
264.511 - Budget Revisions and Approval

Subchapter F - SUPPORT CONSULTATION SERVICES AND SUPPORT ADVISORY RESPONSIBILITIES

264.601 - Support Consultation Services
264.603 - Support Advisor Qualifications
264.605 - Support Advisor Responsibilities

Subchapter G - ALLEGATIONS OF ABUSE, NEGLECT, AND EXPLOITATION

264.701 - Reporting Allegations of Abuse, Neglect, or Exploitation of an Individual
264.702 - Requirements Related to HHSC Investigations When an Alleged Perpetrator is a Service Provider
264.703 - Requirements Related to HHSC Investigations When an Alleged Perpetrator is a Staff Person or a Controlling Person of an FMSA

Subchapter H - OVERSIGHT

264.801 - Oversight

Chapter 265 - SERVICE RESPONSIBILITY OPTION

Subchapter A - INTRODUCTION

265.1 - Introduction
265.2 - Application
265.3 - Overview of the SRO
265.4 - Definitions

Subchapter B - RESPONSIBILITIES OF INDIVIDUALS CHOOSING TO PARTICIPATE IN THE SRO

265.11 - Enrollment in the SRO
265.12 - Service Planning in the SRO
265.13 - SRO Orientation
265.14 - Service Back-up Plan
265.15 - Management Agreement
265.16 - Service Provider Selection
265.17 - Service Provider Orientation Training
265.18 - Individual Responsibilities in the SRO
265.19 - Supervision and Evaluation

Subchapter C - RESPONSIBILITIES OF AN SRO PROVIDER

265.21 - Contracting as an SRO Provider
265.22 - SRO Provider Responsibilities

Subchapter D - TERMINATION OF THE SRO

265.31 - Voluntary Termination of Participation in the SRO
265.32 - Involuntary Termination of Participation in the SRO
265.33 - Immediate Jeopardy and Involuntary Termination of Participation in the SRO

Subchapter E - SUPPORT CONSULTATION

265.41 - Support Consultation Services
265.42 - Support Advisor Responsibilities

Subchapter F - BUDGET

265.51 - Service Provider Payment in the SRO

Subchapter G - REPORTING ALLEGATIONS

265.61 - Reporting Allegations

Subchapter H - OVERSIGHT

265.71 - Oversight

Chapter 266 - MEDICAID HOSPICE PROGRAM

Subchapter A - INTRODUCTION

266.101 - Definitions
266.103 - Submitting Written Information to HHSC

Subchapter B - UTILIZATION REVIEW

266.201 - Duration of Hospice Care Coverage: Election Periods
266.203 - Certification of Terminal Illness
266.205 - Election of Hospice Care
266.207 - Revoking the Election of Hospice Care
266.209 - Requirements for Payments
266.211 - Continuous Home Care
266.213 - Extension of Continuous Home Care
266.215 - Respite Care
266.217 - Medicaid Hospice Payments and Limitations
266.219 - Utilization Review and Control Activities Performed by HHSC
266.221 - Hospice Documentation Requirements
266.223 - Recoupment
266.225 - Informal Review
266.227 - Review Decision and Notice

Subchapter C - CONTRACTING REQUIREMENTS

266.301 - Eligibility Requirements
266.303 - Change of the Designated Hospice
266.305 - General Contracting Requirements
266.307 - Voluntary Termination of Hospice Contract
266.309 - Condition of Participation--Physical Therapy, Occupational Therapy, and Speech-language Pathology
266.311 - Waiver Requirements for Nursing Services or Occupational, Physical, and Speech Therapies

Chapter 270 - CONTRACTING TO PROVIDE PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)

270.2 - Purpose
270.4 - Introduction
270.6 - Definitions
270.8 - Contracting Requirements
270.10 - Interest List
270.12 - Client Eligibility Criteria
270.14 - Living Arrangements
270.16 - Medical Necessity Assessments
270.18 - Program Benefits
270.20 - Right to Appeal
270.22 - Medicaid Capitation Payments
270.24 - Enrollment and Disenrollment
270.26 - Data Collection and Reporting

Chapter 271 - COMMUNITY CARE FOR AGED AND DISABLED

Subchapter A - DEFINITIONS

271.1 - Definitions of Program Terms

Subchapter B - INTEREST LISTS

271.3 - Definitions
271.5 - Community Care Interest Lists
271.7 - Enrollment

Subchapter C - ELIGIBILITY

271.51 - Eligibility for Services
271.53 - Income and Income Eligibles
271.55 - Determination of Countable Income
271.57 - Income from Excludable Sources
271.59 - Income from Exempt Sources
271.61 - Age
271.63 - Need
271.65 - Indian-related Exemptions
271.67 - Service Availability
271.69 - Family Care
271.71 - Home-Delivered Meals
271.73 - Adult Foster Care
271.75 - Special Services to Persons with Disabilities
271.77 - Day Activity and Health Services
271.79 - Case Management Services
271.81 - Primary Home Care or Community Attendant Services
271.83 - Time Allocation for Escort Services
271.85 - Residential Care
271.87 - Emergency Care
271.89 - Resource Limits
271.91 - Countable Resources
271.93 - Resource Exclusions
271.95 - Emergency Response Services
271.97 - Residential Care Services

Subchapter D - CASE MANAGEMENT

271.151 - Application for Services
271.153 - Recertification
271.155 - Denial, Reduction, and Termination of Benefits
271.157 - Special Casework Procedures for Adult Foster Care
271.159 - Adult Foster Care Client Rights and Responsibilities
271.161 - Adult Foster Care Personal Needs and Medical Expenses Allowance

Chapter 272 - TRANSITION ASSISTANCE SERVICES

Subchapter A - INTRODUCTION

272.1 - Purpose
272.3 - Definitions
272.5 - Service Description
272.7 - TAS in the HCS Program

Subchapter B - TAS PROVIDER REQUIREMENTS

272.11 - Contracting Requirements

Subchapter C - STAFF REQUIREMENTS

272.21 - Staff Requirements

Subchapter D - SERVICE DELIVERY REQUIREMENTS

272.33 - Service Delivery

Subchapter E - CLAIM PAYMENTS AND DOCUMENTATION

272.41 - Record Keeping

Chapter 275 - CONSUMER MANAGED PERSONAL ATTENDANT SERVICES (CMPAS) PROGRAM

Subchapter A - INTRODUCTION

275.1 - Purpose
275.3 - Definitions
275.5 - Description of the CMPAS Program

Subchapter B - ELIGIBILITY AND SERVICE PLANS

275.25 - Eligibility Criteria
275.27 - CMPAS Interest Lists
275.29 - Assessment and Eligibility Determination
275.31 - Reassessments
275.33 - Service Plan Changes
275.35 - Service Plan and Co-payment Disagreements

Subchapter C - SERVICE DELIVERY IN ALL CMPAS OPTIONS

275.51 - Initiation of Services
275.53 - Provider Qualifications and Responsibilities in All CMPAS Service Delivery Options
275.55 - Attendant Qualifications
275.57 - Allowable and Unallowable Tasks
275.59 - Location of Tasks
275.61 - Individual Training by a Provider
275.63 - Individual Responsibilities in All CMPAS Service Delivery Options
275.65 - Suspension of Services
275.67 - Termination of Services
275.69 - Prohibition of Restraint and Seclusion
275.71 - Provider Responsibilities Related to the Abuse, Neglect, and Exploitation of an Individual in All CMPAS Service Delivery Options

Subchapter D - SERVICE DELIVERY OPTIONS

275.101 - Description of the Traditional Service Option
275.103 - Provider Responsibilities in the Traditional Service Option
275.105 - Attendant Services Provided Outside the Provider Contracted Service Delivery Area in the Traditional Services Option
275.107 - Individual Responsibilities in the Traditional Service Option
275.125 - Description of the Block Grant Option
275.127 - Provider Responsibilities in the Block Grant Option
275.129 - Individual Responsibilities in the Block Grant Option
275.151 - Description of the Consumer Directed Services Option
275.153 - Provider Responsibilities in the CDS Option
275.155 - Individual Responsibilities in the CDS Option
275.157 - Provider and Individual Responsibilities in the CDS Option Related to HHSC Investigations When an Alleged Perpetrator is an Attendant or Substitute Attendant
275.159 - Provider and Individual Responsibilities in the CDS Option Related to HHSC Investigations When an Alleged Perpetrator is a Staff Person or a Controlling Person of a Provider

Subchapter E - ADDITIONAL PROGRAM REQUIREMENTS

275.201 - Determining an Individual's Co-payment
275.203 - Convening an IDT
275.205 - Fair Hearing
275.207 - Records
275.209 - Reimbursement

Chapter 276 - CONTRACTING TO PROVIDE ASSISTED LIVING AND RESIDENTIAL CARE SERVICES

Subchapter A - INTRODUCTION

276.1 - Purpose
276.3 - Definitions

Subchapter B - PROVIDER CONTRACTS

276.11 - Contracting Requirements
276.13 - Housing Options
276.15 - Additional Services and Fees
276.19 - Recordkeeping
276.21 - Reimbursement
276.23 - Financial Errors

Subchapter C - PROVIDER REQUIREMENTS

276.31 - Staff Requirements
276.33 - Staff Training
276.35 - Interdisciplinary Team
276.37 - Copayment and Room and Board
276.39 - Service Initiation
276.41 - Required Services
276.43 - Service Plan Changes
276.45 - Required Notifications
276.47 - Suspension of Services
276.49 - Institutional Leave
276.51 - Personal Leave
276.53 - Client Terminations

Subchapter D - TRUST FUNDS

276.61 - Trust Fund Management
276.63 - Trust Fund Bank Account
276.65 - Trust Fund Transactions
276.67 - Trust Fund Documentation
276.69 - Trust Fund Refunds
276.71 - Trust Fund Procedures for Client Discharge

Chapter 277 - PRIMARY HOME CARE, COMMUNITY ATTENDANT SERVICES, AND FAMILY CARE PROGRAMS

Subchapter A - INTRODUCTION

277.1 - Purpose
277.3 - Definitions

Subchapter B - PROVIDER CONTRACTS

277.11 - Contracting Requirements

Subchapter C - STAFF REQUIREMENTS

277.21 - Supervisor Training Requirements
277.23 - Attendant Qualifications
277.25 - Attendant Orientation

Subchapter D - SERVICE DELIVERY PLAN DEVELOPMENT

277.41 - Allowable Tasks
277.43 - Referrals and Authorizations
277.45 - Pre-Initiation Activities
277.47 - Determination of Medical Need
277.49 - Interdisciplinary Team

Subchapter E - SERVICE REQUIREMENTS

277.57 - Service Delivery Options
277.61 - Service Initiation
277.63 - Service Delivery
277.65 - Supervisory Visits
277.67 - Service Delivery Plan Changes
277.69 - Transfers
277.71 - Suspensions
277.73 - Annual Reauthorization for the CAS Program
277.74 - Prohibition of Restraint and Seclusion

Subchapter F - CLAIMS PAYMENT AND DOCUMENTATION

277.81 - Monitoring Medicaid Eligibility
277.83 - Monitoring Reviews
277.85 - Retroactive Payment Procedures
277.89 - Reimbursement

Subchapter G - UTILIZATION REVIEW

277.91 - Utilization Review

Subchapter H - ALLEGATIONS OF ABUSE, NEGLECT, AND EXPLOITATION

277.101 - Requirements for Providers Related to the Abuse, Neglect, or Exploitation of an Individual
277.103 - Requirements for Providers Related to the Abuse, Neglect, and Exploitation of an Individual Receiving Services in the PHC Program and CAS Program Through the Agency Option or the Service Responsibility Option

Chapter 278 - ADULT FOSTER CARE (AFC) PROGRAM

Subchapter A - IN-HOME AND FAMILY SUPPORT PROGRAM

278.1 - Definitions
278.3 - Eligibility Determination Process
278.5 - Income Eligibility
278.7 - Functional Eligibility
278.9 - Service Plan
278.11 - Allowable In-Home and Family Support Program (IH/FSP) Services
278.13 - Program Restrictions
278.15 - Service Subsidy and Capital Expenditure
278.17 - Payments
278.19 - Right To Appeal
278.21 - Recertification
278.23 - Definitions for the Transition to Life in the Community (TLC) Program
278.25 - Transition to Life in the Community (TLC) Client Eligibility Criteria
278.27 - Application for Transition to Life in the Community (TLC) Benefits
278.29 - Transition to Life in the Community (TLC) Program Benefits
278.31 - Transition to Life in the Community (TLC) Client Rights

Subchapter B - MINIMUM STANDARDS FOR ADULT FOSTER CARE

278.101 - Compliance with Rules
278.103 - Provider Qualifications
278.105 - Substitute Provider Qualifications
278.107 - Individuals Who May Not Provide Adult Foster Care Services
278.109 - Home Enrollment Requirements
278.111 - Enrollment and Licensure Requirements
278.113 - Provider Responsibilities

Chapter 279 - CONTRACTING TO PROVIDE EMERGENCY RESPONSE SERVICES

Subchapter A - INTRODUCTION

279.1 - Purpose
279.3 - Definitions

Subchapter B - CONTRACTING REQUIREMENTS

279.21 - General Contracting Requirements
279.23 - Written Notification

Subchapter C - STAFF REQUIREMENTS

279.51 - Provider Staff Requirements
279.53 - Responders

Subchapter D - SERVICE DELIVERY

279.71 - Referrals
279.73 - Service Initiation
279.75 - Equipment Installation
279.77 - System Checks
279.79 - Alarm Calls
279.81 - Equipment Maintenance
279.83 - Interdisciplinary Team
279.95 - Changes in an Individual's Surroundings
279.97 - Required Notification
279.99 - Suspension
279.101 - Termination

Subchapter E - CLAIMS PAYMENT AND DOCUMENTATION

279.151 - Record Keeping
279.153 - Payment

Chapter 280 - PEDIATRIC TELECONNECTIVITY RESOURCE PROGRAM FOR RURAL TEXAS

280.1 - Purpose
280.3 - Definitions
280.5 - Grant Program Administration

Chapter 281 - CONTRACTING TO PROVIDE HOME-DELIVERED MEALS

281.1 - Purpose
281.3 - Definitions
281.5 - Contracting Requirements for Provider Agencies
281.7 - Staff Requirements
281.9 - Training Requirements
281.11 - Nutrition Education
281.13 - Compliance with Laws and Regulations
281.15 - Menus
281.17 - Standard Recipes
281.19 - Modified Diets
281.21 - Frozen, Chilled, or Shelf-Stable Meals
281.23 - Meal Packaging
281.25 - Service Initiation
281.27 - Service Requirements
281.29 - Significant Changes
281.31 - Provider Agency Quality Control Measures
281.33 - Suspension of Services
281.35 - Service Plan Changes
281.37 - Termination of Services
281.39 - Recordkeeping
281.41 - Billing and Claims Payment
281.43 - Complaints

Chapter 282 - CONTRACTING TO PROVIDE SPECIAL SERVICES TO PERSONS WITH DISABILITIES

Subchapter A - INTRODUCTION

282.1 - What is the purpose of this chapter?
282.3 - What do certain words and terms in this chapter mean?

Subchapter B - PROVIDER AGENCY CONTRACTS

282.11 - What general contract requirements must the provider agency follow?
282.13 - What are the settings in which the provider agency may deliver services?
282.15 - How is written information sent to DHS?

Subchapter C - PLAN OF OPERATION

282.21 - Must the provider agency develop a plan of operation?
282.23 - What must the provider agency's plan of operation include?
282.25 - Who approves the provider agency's plan of operation?
282.27 - How must the provider agency request approval of the plan of operation?
282.29 - When must the provider agency request approval of the plan of operation?
282.31 - When must the provider agency notify the contract manager of a change made to the plan of operation?
282.33 - How must the provider agency notify the contract manager of a change to the plan of operation?
282.35 - How will the provider agency know that a change to the plan of operation has been approved?
282.37 - When must the provider agency implement a change to the plan of operation?

Subchapter D - STAFF DEVELOPMENT

282.41 - What are the provider agency's responsibilities for staff development?
282.43 - What must the provider agency's written plan for staff development include?
282.45 - What initial training must the provider agency give staff?
282.47 - Which training requirements may be waived?
282.49 - How must the provider agency request a waiver for the additional 21 hours of training?
282.51 - When must the provider agency request a waiver for the additional 21 hours of training?
282.53 - How will the provider agency know if the waiver request is approved?
282.55 - Can a staff member who requires a waiver provide any services before approval of the waiver?
282.57 - What information must the provider agency include in the request for a waiver?
282.59 - What ongoing training must the provider agency give staff?
282.61 - What must the provider agency include in the ongoing training?

Subchapter E - SERVICE DELIVERY

282.71 - What services must the provider agency deliver?
282.73 - What is the client's service plan?
282.75 - Who must develop the service plan?
282.77 - When must the provider agency develop the service plan?
282.79 - When must the provider agency initiate services?

Subchapter F - EMERGENCIES

282.91 - What is considered an emergency?
282.93 - Who must the provider agency notify of emergencies?
282.95 - When must the provider agency notify the required persons of emergencies?
282.97 - How must the provider agency notify the required persons of emergencies?
282.99 - What information must the provider agency give to the required persons in the notice of emergencies?
282.101 - Where must the provider agency maintain documentation of emergencies?
282.103 - What documentation of emergencies must the provider agency maintain?

Subchapter G - ADDITIONAL REQUIREMENTS FOR 24-HOUR SHARED ATTENDANT CARE

282.111 - What are the additional requirements for provider agencies delivering services in a 24-Hour Shared Attendant Care setting?
282.113 - What are the additional initial training requirements for provider agencies delivering services in a 24-Hour Shared Attendant Care setting?
282.115 - Which tasks in 24-Hour Shared Attendant Care require physician's orders?

Subchapter H - ADDITIONAL REQUIREMENTS FOR SERVICES PROVIDED IN AN ADULT DAY CARE FACILITY

282.121 - What are the additional requirements for provider agencies delivering services in an adult day care facility setting?
282.123 - What are the additional initial training requirements for provider agencies delivering services in an adult day care facility setting?

Subchapter I - CLAIMS PAYMENT AND DOCUMENTATION REQUIREMENTS

282.133 - What are the service delivery documentation requirements for the SSPD Program?
282.135 - How do persons delivering services certify that they delivered the documented services?

Chapter 283 - QUALITY ASSURANCE FEE

283.1 - Purpose of Chapter
283.3 - Definitions
283.5 - Quality Assurance Fee Determination Methodology
283.7 - Required Reports
283.9 - Payment and Collection of Quality Assurance Fee
283.11 - Enforcement
283.13 - Penalty
283.15 - Informal Review
283.17 - Appeal of an Informal Review Decision

Chapter 284 - COMPETITIVE AND INTEGRATED EMPLOYMENT INITIATIVE FOR CERTAIN MEDICAID RECIPIENTS

284.101 - Purpose
284.103 - Applicability
284.105 - Uniform Process
284.107 - Strategies to Increase Number of Individuals Receiving Employment Services
284.109 - Referrals to the Texas Workforce Commission
284.111 - Increasing the Number of Individuals Receiving Employment Services

Chapter 285 - USE OF GENERAL REVENUE FOR SERVICES EXCEEDING THE INDIVIDUAL COST LIMIT OF A WAIVER PROGRAM

285.1 - Use of General Revenue for Services Exceeding the Individual Cost Limit of a Waiver Program

Chapter 286 - ICF/ID PROGRAMS--CONTRACTING

286.1 - Causes for and Conditions of Debarment
286.3 - Causes for and Conditions of Suspension
286.5 - Proof Required for Debarment and Suspension
286.7 - Notice Requirements for Debarment and for Suspension

Chapter 300 - STATE AUTHORITY RESPONSIBILITIES

Subchapter A - COMMUNITY CENTERS

300.1 - Purpose
300.3 - Application
300.5 - Definitions
300.7 - Process to Establish a New Community Center
300.9 - Modifying a Community Center's Current Plan
300.11 - Dissolution and Merger of Community Centers
300.13 - Appointment of Manager or Management Team
300.15 - Standards of Administration for Boards of Trustees
300.17 - Civil Rights
300.19 - Fiscal Controls

Subchapter B - INTERAGENCY AGREEMENTS

300.101 - Interagency Coordination of Special Education Services to Students with Disabilities in Residential Facilities

Chapter 301 - LOCAL AUTHORITY RESPONSIBILITIES

Subchapter A - CONTRACTS MANAGEMENT FOR LOCAL AUTHORITIES

301.1 - Purpose
301.3 - Application
301.5 - Definitions
301.7 - Accountability
301.9 - Procurement
301.11 - Community Services Contracting Requirements
301.13 - Provisions for Community Services Contracts
301.15 - Competitive Procurement Methods for Community Services
301.17 - Non-competitive Procurement of Community Services
301.19 - Open Enrollment
301.21 - Consumer Access to Participating Community Services Contractors in Provider Network
301.23 - Monitoring and Enforcing Community Services Contracts

Subchapter B - CRIMINAL HISTORY AND REGISTRY CLEARANCES

301.51 - Purpose
301.53 - Application
301.55 - Definitions
301.57 - Pre-employment and Pre-assignment Clearance
301.59 - Obtaining or Requesting Criminal History Record Information and Checking Registry
301.61 - Criminal History Record Information and Registry Information
301.63 - Self-Reporting and Subsequent Criminal History and Registry Checks

Subchapter C - CHARGES FOR COMMUNITY SERVICES

301.101 - Purpose
301.103 - Application
301.105 - Definitions
301.107 - Principles
301.109 - Accountability
301.111 - Determination of Ability to Pay
301.113 - Standard Charges
301.115 - Billing Procedures
301.117 - Payments, Collections, and Non-payment
301.119 - Monthly Ability-to-Pay Fee Schedule
301.121 - Training
301.123 - Brochure for Persons (and Parents)
301.125 - Exhibit

Subchapter D - LIDDA, LMHA, AND LBHA NOTIFICATION AND APPEAL PROCESS

301.155 - Notification and Appeals Process

Subchapter F - PROVIDER NETWORK DEVELOPMENT

301.251 - Purpose
301.253 - Application
301.255 - Definitions
301.257 - Local Network Development
301.259 - Conditions Permitting LMHA Service Delivery
301.261 - Department Website
301.263 - Network Development Evaluation
301.265 - Content of the Plan
301.267 - Public Comment
301.269 - Plan Approval and Implementation
301.271 - Procurement
301.273 - Post Procurement Report
301.275 - Appeals
301.277 - Individual Selection of Providers

Subchapter G - MENTAL HEALTH COMMUNITY SERVICES STANDARDS

301.301 - Purpose and Application
301.303 - Definitions
301.305 - Responsibility for Compliance
301.321 - Leadership
301.323 - Environment of Care and Safety
301.325 - Rights and Protection
301.327 - Access to Mental Health Community Services
301.329 - Medical Records System
301.331 - Competency and Credentialing
301.333 - Quality Management
301.335 - Utilization Management
301.351 - Crisis Services
301.353 - Provider Responsibilities for Treatment Planning and Service Authorization
301.355 - Medication Services
301.357 - Additional Standards of Care Specific to Mental Health Community Services for Children and Adolescents
301.359 - Telemedicine Services
301.361 - Documentation of Service Provision
301.363 - Supervision

Subchapter H - DEATHS OF INDIVIDUALS SERVED BY COMMUNITY MENTAL HEALTH CENTERS

301.401 - Purpose
301.403 - Application
301.405 - Definitions
301.407 - Community Centers: Actions Taken upon the Death of an Individual Served
301.409 - Community Centers: General Guidelines upon Death of an Individual Served
301.411 - Community Centers: Administrative Death Review Determination
301.413 - Community Centers: Clinical Death Review Determination
301.415 - Community Centers: Clinical Death Review
301.417 - Community Centers: Administrative Death Review
301.419 - Reporting of Systemic Issues Emerging from Death Reviews

Subchapter J - CHARGES FOR COMMUNITY SERVICES

301.501 - Purpose
301.503 - Application
301.505 - Definitions
301.507 - Accountability
301.509 - Determination of Ability to Pay
301.511 - Standard Charges
301.513 - Billing Procedures
301.515 - Payments, Collections, and Non-payment
301.517 - Monthly Ability-to-Pay Fee Schedule
301.519 - Training
301.521 - Brochure for a Person (or Parent)

Subchapter L - CRIMINAL HISTORY AND REGISTRY CLEARANCES IN LOCAL INTELLECTUAL AND DEVELOPMENTAL DISABILITY AUTHORITIES

301.601 - Purpose
301.603 - Application
301.605 - Definitions
301.607 - Prohibition to Employment or Contractual or Volunteer Status
301.609 - Conducting Criminal History and Registry Checks
301.611 - Self-Reporting a Criminal Offense Charge or Conviction
301.613 - LIDDA and Community Center Policies Related to Criminal History and Registry Checks
301.615 - Contract Agency

Subchapter M - ABUSE, NEGLECT, AND EXPLOITATION IN LOCAL AUTHORITIES AND COMMUNITY CENTERS

301.651 - Purpose
301.653 - Application
301.655 - Definitions
301.657 - Responsibilities of Local Authorities, Community Centers, and Contractors
301.659 - Information To Be Provided to Victim or Alleged Victim and Others
301.661 - Investigations Conducted by the Texas Department of Family and Protective Services (DFPS)
301.663 - Disciplinary and Other Action
301.665 - Data Reporting Responsibilities
301.667 - Confidentiality of Investigative Process and Report
301.669 - Competency of Employees and Agents
301.671 - HHSC Oversight Responsibilities
301.673 - Exhibits
301.675 - References
301.677 - Distribution

Chapter 302 - IDD-BH TRAINING

Subchapter A - MENTAL HEALTH FIRST AID

302.1 - Purpose
302.3 - Application
302.5 - Definitions
302.7 - Mental Health First Aid Training Protocols
302.9 - Local Mental Health Authority and Local Behavioral Health Authority Responsibilities

Chapter 303 - PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR)

Subchapter A - GENERAL PROVISIONS

303.101 - Purpose
303.102 - Definitions
303.103 - Fair Hearing Process for PASRR Determination and Specialized Services

Subchapter B - PASRR SCREENING AND EVALUATION PROCESS

303.201 - Preadmission Process
303.202 - Expedited Admission Process
303.203 - Admission Process for Exempted Hospital Discharge
303.204 - Resident Review Process

Subchapter C - RESPONSIBILITIES

303.301 - Referring Entity Responsibilities Related to the PASRR Process
303.302 - LIDDA, LMHA, and LBHA Responsibilities Related to the PASRR Process
303.303 - Qualifications and Requirements for Staff Person Conducting a PE or Resident Review

Subchapter D - VENDOR PAYMENT

303.401 - Reimbursement for a PE or Resident Review

Subchapter E - HABILITATION COORDINATION

303.501 - Qualifications of a Habilitation Coordinator
303.502 - Required Training for a Habilitation Coordinator
303.503 - Documenting Habilitation Coordination Contacts
303.504 - Documentation Maintained by a LIDDA in a Designated Resident's Record

Subchapter F - HABILITATIVE SERVICE PLANNING FOR A DESIGNATED RESIDENT

303.601 - Habilitation Coordination for a Designated Resident
303.602 - Service Planning Team Responsibilities Related to Specialized Services
303.603 - Habilitation Coordination for a Designated Resident Receiving IHSS

Subchapter G - TRANSITION PLANNING

303.701 - Transition Planning for a Designated Resident
303.702 - Post-transition Responsibilities
303.703 - Requirements for Service Coordinators Conducting Transition Planning

Subchapter H - COMPLIANCE REVIEW

303.801 - Compliance Review

Subchapter I - MI SPECIALIZED SERVICES

303.901 - Description of MI Specialized Services
303.902 - Eligibility Criteria
303.903 - MI Specialized Services Team
303.904 - Qualifications for Conducting the Uniform Assessment
303.905 - Process for Service Initiation
303.906 - Person-Centered Recovery Plan
303.907 - Renewal and Revision of Person-Centered Recovery Plan
303.908 - Service Delivery
303.909 - Refusal of the Uniform Assessment or MI Specialized Services
303.910 - Suspension and Termination of MI Specialized Services
303.911 - Transition Planning for Residents with MI Only
303.912 - Documentation
303.913 - Quality Assurance
303.914 - Required Training for an LMHA or LBHA Staff Responsible for Coordinating MI Specialized Services

Subchapter J - DISASTER RULE FLEXIBILITIES

303.1000 - Flexibilities to Certain Requirements During Declaration of Disaster

Chapter 304 - DIAGNOSTIC ASSESSMENT

Subchapter A - GENERAL PROVISIONS

304.101 - Purpose
304.102 - Definitions

Subchapter B - PURPOSE OF THE DETERMINATION OF INTELLECTUAL DISABILITY

304.201 - Use of Information from a DID or Diagnostic Assessment
304.202 - Request for a Determination of Intellectual Disability
304.203 - Right to an Independent Determination of Intellectual Disability or Administrative Hearing

Subchapter C - AUTHORIZED PROVIDERS

304.301 - Qualifications and Requirements for an Authorized Provider
304.302 - Certified Authorized Provider

Subchapter D - DETERMINATION OF INTELLECTUAL DISABILITY

304.401 - Conducting a Determination of Intellectual Disability
304.402 - The Determination of Intellectual Disability Report
304.403 - Review and Endorsement of a Determination of Intellectual Disability Report
304.404 - Elements of a Transfer

Subchapter E - INTELLECTUAL DISABILITY AND RELATED CONDITIONS

304.502 - Related Condition
304.503 - Autism Spectrum Disorder

Chapter 306 - BEHAVIORAL HEALTH DELIVERY SYSTEM

Subchapter A - STANDARDS FOR SERVICES TO INDIVIDUALS WITH CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS (COPSD)

306.1 - Purpose
306.3 - Application
306.5 - Definitions
306.7 - Services to Individuals with COPSD
306.9 - Responsibility for Compliance
306.11 - DSHS Responsibilities
306.13 - Access to Services
306.15 - Specialty Competencies of Staff Providing Services to Individuals with COPSD
306.17 - Quality Management
306.19 - Screening, Assessment, and Treatment Planning

Subchapter B - STANDARDS OF CARE IN CRISIS STABILIZATION UNITS

306.41 - Purpose
306.43 - Application
306.45 - Definitions
306.47 - General Provisions
306.51 - Admission Criteria
306.53 - Pre-admission Screening and Assessment
306.55 - Voluntary Admission Criteria and Intake Process
306.57 - Involuntary Admission Criteria and Intake Process
306.59 - Voluntary Treatment Following Involuntary Admission
306.61 - Crisis Stabilization Unit Medical Services
306.63 - Crisis Stabilization Unit Nursing Services
306.65 - Crisis Stabilization Services and Recovery or Treatment Planning
306.67 - Additional Standards of Care for Children and Adolescents
306.71 - Discharge Planning
306.73 - Discharge Notices
306.75 - Discharge of a Voluntarily-Admitted Individual
306.77 - Maximum Length of Stay for a Voluntarily-Admitted Individual
306.79 - Discharge of an Involuntarily-Admitted Individual
306.81 - Medical Record
306.83 - Staff Training
306.85 - Minimum Staffing Requirements
306.87 - Protection of an Individual Receiving Crisis Stabilization Unit Services
306.89 - Crisis Stabilization Unit Response to an Emergency Medical Condition
306.91 - Transfers
306.95 - Response to External Reviews

Subchapter C - TEXAS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS

306.101 - Purpose
306.103 - Application
306.105 - Definitions
306.107 - Certification Eligibility
306.109 - Application Process
306.111 - Certification Standards

Subchapter D - MENTAL HEALTH SERVICES--ADMISSION, DISCHARGE, AND CONTINUITY OF CARE

306.151 - Purpose
306.152 - Application and Responsibility for Compliance
306.153 - Definitions
306.154 - Notification and Appeals Process for Local Mental Health Authority or Local Behavioral Health Authority Services
306.155 - Local Mental Health Authority, Local Behavioral Health Authority, and Continuity of Care Liaison Responsibilities
306.161 - Screening and Assessment
306.162 - Determining County of Residence
306.163 - Most Appropriate and Available Treatment Options
306.171 - General Admission Criteria for a State Hospital or a Facility with a Contracted Psychiatric Bed
306.172 - Admission Criteria for Maximum-Security Units
306.173 - Admission Criteria for an Adolescent Forensic Unit
306.174 - Admission Criteria for Waco Center for Youth
306.175 - Voluntary Admission Criteria for a State Hospital or a Facility with a Contracted Psychiatric Bed
306.176 - Admission Criteria for a State Hospital or a Facility with a Contracted Psychiatric Bed for Emergency Detention
306.177 - Admission Criteria Under Order of Protective Custody or Court-ordered Inpatient Mental Health Services
306.178 - Voluntary Treatment Following Involuntary Admission
306.191 - Transfers Between State Hospitals
306.192 - Transfers Between a State Hospital and a State Supported Living Center
306.193 - Transfers Between a State Hospital and an Out-of-State Facility
306.194 - Transfers Between a State Hospital and Another Facility in Texas
306.195 - Changing Local Mental Health Authorities or Local Behavioral Health Authorities
306.201 - Discharge Planning
306.202 - Special Considerations for Discharge Planning
306.203 - Discharge of an Individual Voluntarily Receiving Inpatient Treatment
306.204 - Discharge of an Individual Involuntarily Receiving Treatment
306.205 - Pass or Furlough from a State Hospital or a Facility with a Contracted Psychiatric Bed
306.207 - Post Discharge or Furlough: Contact and Implementation of the Recovery or Treatment Plan
306.221 - Screening and Intake Assessment Training Requirements at a State Hospital and a Facility with a Contracted Psychiatric Bed

Subchapter E - MENTAL HEALTH CASE MANAGEMENT

306.251 - Purpose
306.253 - Application
306.255 - Definitions
306.257 - Provider Requirements
306.259 - Eligibility for MH Case Management Services
306.261 - Authorization for MH Case Management Services
306.263 - MH Case Management Services Standards
306.265 - Making a Complaint
306.267 - Service Limitations
306.269 - Notification and Terminations
306.271 - MH Case Management Employee Qualifications
306.273 - MH Case Management Employee Competencies
306.275 - Documenting MH Case Management Services
306.277 - Medicaid Reimbursement
306.279 - Fair Hearings and Appeal Processes
306.281 - Guidelines

Subchapter F - MENTAL HEALTH REHABILITATIVE SERVICES

306.301 - Purpose
306.303 - Application
306.305 - Definitions
306.307 - General Requirements for Providers of MH Rehabilitative Services
306.309 - Eligibility
306.311 - Service Authorization and Recovery Plan
306.313 - Crisis Intervention Services
306.315 - Medication Training and Support Services
306.317 - Psychosocial Rehabilitative Services
306.319 - Skills Training and Development Services
306.321 - Day Programs for Acute Needs
306.323 - Documentation Requirements
306.325 - Staff Member Competency and Training
306.327 - Medicaid Reimbursement
306.329 - Medicaid Provider Participation Requirements
306.331 - Fair Hearings and Reviews
306.333 - Guidelines

Subchapter G - USE AND MAINTENANCE OF THE HEALTH AND HUMAN SERVICES COMMISSION PSYCHIATRIC DRUG FORMULARY

306.351 - Purpose
306.352 - Application
306.353 - Definitions
306.354 - General Requirements
306.355 - Organization of HHSC Psychiatric Drug Formulary
306.356 - Responsibilities of the Psychiatric Executive Formulary Committee
306.357 - Adding a Drug to the HHSC Psychiatric Drug Formulary
306.358 - Changing the HHSC Psychiatric Drug Formulary
306.359 - Prescribing Non-formulary Drugs
306.360 - Adverse Drug Reactions

Subchapter H - BEHAVIORAL HEALTH SERVICES--TELECOMMUNICATIONS

306.361 - Purpose.
306.363 - Definitions
306.365 - Definitions
306.367 - General Provisions
306.369 - Documentation Requirements

Subchapter X - DISASTER RULE FLEXIBILITIES FOR BEHAVIORAL HEALTH PROVIDERS

306.1251 - Disaster Flexibilities

Chapter 307 - BEHAVIORAL HEALTH PROGRAM

Subchapter A - YOUTH EMPOWERMENT SERVICES (YES)

307.1 - Purpose and Application
307.3 - Definitions
307.5 - Eligibility Criteria
307.7 - Co-payments
307.9 - Individual Plan of Care (IPC)
307.11 - Transition Planning
307.13 - Inquiry List
307.15 - Right to Fair Hearing

Subchapter B - HOME AND COMMUNITY-BASED SERVICES--ADULT MENTAL HEALTH PROGRAM

307.51 - Purpose and Application
307.52 - Definitions
307.53 - Eligibility Criteria and HCBS-AMH Assessment
307.54 - Individual Recovery Plan
307.55 - Co-payments
307.56 - Provider Qualifications and Contracting
307.57 - Fair Hearings Process

Subchapter C - JAIL-BASED COMPETENCY RESTORATION PROGRAM

307.101 - Purpose
307.103 - Application
307.105 - Definitions
307.107 - JBCR Program Eligibility Requirements
307.109 - Service Standards
307.111 - JBCR Program Staff Member Training
307.113 - Policies and Procedures
307.115 - Individual Eligibility
307.117 - Admission
307.119 - Rights of Individuals Receiving JBCR
307.121 - Treatment Planning
307.123 - Competency Restoration Education
307.125 - Procedures for Determining Competency Status in a JBCR Program
307.127 - Preparation for Discharge from a JBCR Program
307.129 - Outcome Measures
307.131 - Compliance with Statutes, Rules, and Other Documents

Subchapter D - OUTPATIENT COMPETENCY RESTORATION

307.151 - Purpose
307.153 - Application
307.155 - Definitions
307.157 - Recommendation Regarding Outpatient Competency Restoration Program Admission
307.159 - Admission to an Outpatient Competency Restoration Program
307.161 - General Service Requirements
307.163 - Assessment, Reassessment, Court Reporting, and Extension
307.165 - Discharge Requirements
307.167 - Data
307.169 - Written Policies and Procedures
307.171 - Staff Member Training
307.173 - Rights
307.175 - Compliance with Statutes and Rules

Subchapter E - CHILDREN'S MENTAL HEALTH--RESIDENTIAL TREATMENT CENTER PROJECT

307.201 - Purpose
307.203 - Application
307.205 - Definitions
307.207 - Eligibility Criteria to Participate in the RTC Project
307.209 - Referral Process
307.211 - Interest List Management
307.213 - Assessing Eligibility
307.215 - Notification and Appeal Process
307.217 - Application Packet
307.219 - Local Mental Health Authority and Local Behavioral Health Authority Requirements
307.221 - Residential Treatment Center Contractor Requirements
307.223 - Discharge Plan

Subchapter F - BEHAVIORAL HEALTH PARTNERSHIP PROGRAM

307.251 - Purpose
307.253 - Application
307.255 - Definitions
307.257 - Behavioral Health Partnership Program Liaison Qualifications
307.259 - Local Mental Health Authority or Local Behavioral Health Authority Responsibilities
307.261 - Determining which Local Mental Health Authority or Local Behavioral Health Authority Employs a Behavioral Health Partnership Program Liaison
307.263 - Responsibilities of a Behavioral Health Partnership Program Liaison
307.265 - Texas Health and Human Services Commission Waiver Process
307.267 - Texas Health and Human Services Commission Notification

Subchapter G - BEHAVIORAL HEALTH GRANT AND FUNDING PROGRAMS

307.301 - Purpose
307.303 - Definitions
307.305 - General Conditions of a Grant
307.307 - Eligible Applicants
307.309 - Eligible Projects
307.311 - Grant Proposals and Selection Process
307.313 - Contract Execution
307.315 - Project Review and Evaluation Report
307.351 - Purpose
307.353 - Definitions
307.355 - General Conditions of a Grant
307.357 - Eligible Applicants
307.359 - Eligible Projects
307.361 - Grant Proposals and Selection Process
307.363 - Selection Criteria
307.365 - Contract Execution
307.367 - Project Review and Evaluation Report

Subchapter I - ELECTROCONVULSIVE THERAPY (ECT)

307.501 - Purpose
307.503 - Application
307.505 - Definitions
307.507 - General Requirements
307.509 - Indications and Contraindications for the Use of Electroconvulsive Therapy (ECT)
307.511 - Medical Evaluation Required Prior to a Course of Electroconvulsive Therapy (ECT)
307.513 - Consultation Required
307.515 - Informed Consent to ECT
307.517 - Limitations on Use: Number per Year and Number per Series of Treatments
307.519 - Personnel and Equipment Procedures
307.521 - Prohibition of Induction of Seizure by Chemical or Gaseous Agent
307.523 - Report of ECT
307.525 - ECT on Outpatient Basis
307.527 - Registration of ECT Stimulus Apparatus
307.529 - Enforcement and Penalties
307.531 - Exhibits

Chapter 320 - RIGHTS OF INDIVIDUALS

Subchapter A - RIGHTS OF INDIVIDUALS RECEIVING MENTAL HEALTH SERVICES

320.1 - Purpose
320.3 - Application
320.5 - Definitions
320.7 - Rights of All Individuals Receiving Mental Health Services
320.9 - Rights of Individuals Receiving Residential Mental Health Services
320.11 - Additional Rights of Individuals Receiving Residential Mental Health Services at Health and Human Services Commission Facilities
320.13 - Rights of Individuals Voluntarily Admitted to Inpatient Services
320.15 - Rights of Individuals Apprehended for Emergency Detention for Inpatient Mental Health Services Other Than for Substance Use
320.17 - Rights of Individuals Apprehended for Emergency Detention for Inpatient Substance Use Services
320.19 - Special Rights of Minors Receiving Inpatient Mental Health Services
320.21 - Rights Handbooks for Individuals Receiving Mental Health Services at Health and Human Services Commission Facilities, Community Centers, and Psychiatric Hospitals Operated by Community Centers
320.23 - Bill of Rights for Individuals Receiving Mental Health Services at Psychiatric Hospitals Not Operated by a Community Center
320.25 - Communication of Rights to Individuals Receiving Mental Health Services
320.27 - Rights Protection Officer at Health and Human Services Commission Facilities and Community Centers
320.29 - Staff Training in Rights of Individuals Receiving Mental Health Services
320.31 - Restriction of Rights as Part of Non-Emergency Behavioral Interventions
320.33 - Restriction of Rights as Part of Emergency Behavioral Interventions: Restraint and Seclusion

Subchapter B - CONSENT TO TREATMENT WITH PSYCHOACTIVE MEDICATION

320.51 - Purpose
320.53 - Application
320.55 - Definitions
320.57 - Information Required To Be Given
320.59 - Documentation of Informed Consent
320.61 - Patients Admitted under Texas Statutes
320.63 - Patients Committed to Mental Health Facilities under Provisions of the Texas Health and Safety Code
320.65 - Patients Committed to Mental Health Facilities under Provisions Other than Those Found in the Texas Health and Safety Code (i.e., Code of Criminal Procedure, Family Code)
320.67 - Involuntary Administration of Medication to Patients Committed to Mental Health Facilities under the Texas Health and Safety Code or by Court Order
320.69 - Psychiatric Emergencies
320.71 - Order Authorizing Administration of Psychoactive Medication
320.73 - Designation of Medication Classes
320.75 - Monitoring Compliance with Policies and Procedures

Subchapter C - INTERVENTIONS IN MENTAL HEALTH SERVICES

320.101 - Purpose
320.103 - Application
320.105 - Definitions
320.107 - General Requirements for Use of Restraint or Seclusion
320.109 - Prohibited and Restricted Practices
320.111 - Mechanical Restraint Devices
320.113 - Staff Member Training
320.115 - Actions to be Taken to Release from Restraint or Seclusion for an Emergency Medical Condition or Evacuation Emergency
320.117 - Special Considerations, Responsibilities, and Alternative Strategies
320.119 - Initiation of Restraint or Seclusion in a Behavioral Emergency
320.121 - Time Limitation on an Order for Restraint or Seclusion Initiated in Response to a Behavioral Emergency
320.123 - Family Notification
320.125 - Safekeeping of Personal Possessions During Mechanical Restraint or Seclusion
320.127 - Restraint Off Facility Premises or for Transportation
320.129 - Communicating with the Individual During Restraint or Seclusion Initiated in Response to a Behavioral Emergency
320.131 - Observation, Monitoring, and Care of the Individual in Restraint or Seclusion Initiated in Response to a Behavioral Emergency
320.133 - Safe and Appropriate Techniques for Restraint or Seclusion
320.135 - Actions to be Taken when an Individual Falls Asleep in Restraint or Seclusion Initiated in Response to a Behavioral Emergency
320.137 - Transfer of Primary Responsibility for Individual in Restraint or Seclusion
320.139 - Release of an Individual From Restraint or Seclusion
320.141 - Actions to be Taken Following Release of an Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency
320.143 - Documenting, Reporting, and Analyzing Restraint or Seclusion
320.145 - Use of Restraint in Situations Involving Non-violent, Non-self-destructive Behavior
320.147 - Permitted Practices
320.149 - Clinical Timeout and Quiet Time
320.151 - Protective and Supportive Devices

Subchapter D - PRESCRIBING OF PSYCHOACTIVE MEDICATION

320.201 - Purpose
320.203 - Application
320.205 - Definitions
320.207 - General Principles
320.209 - Evaluation and Diagnosis
320.211 - Prescribing Parameters
320.213 - Emergency Use of Psychoactive Medication
320.217 - Medication Monitoring
320.219 - Special Populations
320.221 - Quality Improvement

Chapter 321 - SUBSTANCE USE SERVICES

Subchapter A - PREVENTION

321.1 - Purpose
321.3 - Application
321.5 - Definitions
321.7 - Program Description

Subchapter B - INTERVENTION

321.51 - Purpose
321.53 - Application
321.55 - Definitions

Subchapter C - TREATMENT

321.101 - Purpose
321.103 - Application
321.105 - Definitions

Chapter 330 - LIDDA ROLE AND RESPONSIBILITIES

330.1 - Purpose
330.3 - Application
330.5 - Definitions
330.7 - LIDDA's Role and Responsibilities
330.9 - Access, Intake, and Enrollment Related Responsibilities
330.11 - LIDDA Responsibilities for Institutional Residents
330.13 - Provision and Oversight of General Revenue Services
330.15 - Health, Safety, and Rights
330.17 - LIDDA Administrative Functions

Chapter 331 - LIDDA SERVICE COORDINATION

331.1 - Purpose
331.3 - Application
331.5 - Definitions
331.7 - Eligibility
331.9 - Funding Service Coordination
331.11 - LIDDA's Responsibilities
331.13 - Caseloads
331.15 - Termination of Service Coordination
331.17 - Minimum Qualifications
331.19 - Staff Person Training
331.21 - Documentation of Service Coordination
331.23 - Review Process

Chapter 334 - RIGHTS AND PROTECTION OF INDIVIDUALS WITH AN INTELLECTUAL DISABILITY

334.101 - Purpose
334.103 - Application
334.105 - Definitions
334.107 - Rights of an Individual
334.109 - Rights of an Individual Receiving Services and Supports and an LAR
334.111 - Penalties for a Violation of Rights of an Individual
334.113 - Rights Protection Officer at a State MR Facility or MRA
334.115 - DADS Consumer Rights and Services
334.117 - Rights Handbooks
334.119 - Communication of Rights to an Individual Receiving Services and Supports and to an LAR
334.121 - Staff Training in Rights

Chapter 338 - DISASTER RULE FLEXIBILITIES FOR LOCAL INTELLECTUAL AND DEVELOPMENTAL DISABILITY AUTHORITIES (LIDDAs)

338.1 - Disaster Flexibilities

Chapter 349 - PURCHASE OF GOODS AND SERVICES FOR REHABILITATION, INDEPENDENCE, AND EARLY CHILDHOOD INTERVENTION

Subchapter A - RATE DETERMINATION FOR PURCHASE OF REHABILITATION, INDEPENDENCE, AND EARLY CHILDHOOD INTERVENTION MEDICAL SERVICES

349.1 - Alternative Purchasing Methods - Rates for Medical Services

Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES

Subchapter A - GENERAL RULES

350.103 - Definitions
350.105 - Safety Regulations
350.107 - Health Standards for Early Childhood Intervention Services

Subchapter B - PROCEDURAL SAFEGUARDS AND DUE PROCESS PROCEDURES

350.202 - Procedural Safeguards
350.203 - Responsibilities
350.204 - Prior Written Notice
350.207 - Parental Consent
350.209 - Parent Rights in the Individualized Family Service Plan Process
350.211 - Parent
350.213 - Surrogate Parents
350.215 - Early Childhood Intervention (ECI) Procedures for Filing Complaints
350.217 - Procedures for Investigation and Resolution of Complaints
350.218 - Mediation
350.219 - Confidentiality Notice to Parents
350.221 - Access Rights
350.223 - Fees for Records
350.225 - Amendment of Records at Parent's Request
350.227 - Opportunity for a Hearing
350.229 - Minimum Requirements for Conducting a Hearing
350.231 - Results of Hearing
350.233 - Release of Personally Identifiable Information
350.235 - Safeguards
350.237 - Record Retention Period
350.239 - Destruction of Information
350.241 - Release of Records

Subchapter C - STAFF QUALIFICATIONS

350.303 - Definitions
350.305 - Employment Records
350.307 - Personnel Grievances
350.309 - Minimum Requirements for All Direct Service Staff
350.310 - Criminal Background Checks
350.311 - Licensed Professionals
350.312 - Licensed Practitioner of the Healing Arts
350.313 - Early Intervention Specialist
350.314 - EIS Code of Ethics
350.315 - Service Coordinator

Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES

350.403 - Definitions
350.404 - Eligibility for Early Childhood Intervention Case Management Services.
350.405 - Case Management Services
350.406 - Parent Refusal
350.407 - Medicaid Service Limitations
350.409 - Conditions for Case Management Provider Agency Participation
350.411 - Assignment of Service Coordinator
350.415 - Documentation
350.417 - Due Process

Subchapter E - SPECIALIZED REHABILITATIVE SERVICES

350.501 - Specialized Rehabilitative Services
350.503 - Recipient Eligibility
350.505 - Conditions for Provider Agency Participation
350.507 - Due Process

Subchapter F - PUBLIC OUTREACH

350.605 - Definitions
350.607 - Public Outreach
350.609 - Child Find
350.611 - Public Awareness
350.613 - Publications
350.615 - Interagency Coordination
350.617 - Public Outreach Contact, Planning, and Evaluation

Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING

350.704 - Referral Requirements
350.705 - Child Referred before Birth
350.706 - Referrals Received While the Child is in the Hospital
350.707 - Child Referred with an Out-of-State Individualized Family Service Plan
350.708 - Pre-Enrollment Activities
350.709 - Optional Developmental Screenings

Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT

350.805 - Definitions
350.807 - Eligibility
350.809 - Initial Eligibility Criteria
350.811 - Qualifying Medical Diagnosis
350.813 - Deaf or Hard of Hearing
350.815 - Visual Impairment
350.817 - Developmental Delay
350.819 - Age Adjustment for Children Born Prematurely
350.821 - Qualitative Determination of Developmental Delay
350.823 - Continuing Eligibility Criteria
350.825 - Eligibility Statement
350.828 - Medical Review for ECI Services
350.829 - Review of Nutrition Status
350.831 - Assistive Technology
350.833 - Autism Screening
350.835 - Subrecipient Oversight
350.837 - Needs Assessment

Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP)

350.1003 - Definitions
350.1004 - Individualized Family Service Plan Development
350.1007 - Interim Individualized Family Service Plan
350.1009 - Participants in Initial and Annual Individualized Family Service Plan Meetings
350.1015 - Content of the Individualized Family Service Plan
350.1016 - Planning for Services to be Delivered with the Routine Caregiver
350.1017 - Periodic Reviews
350.1019 - Annual Meeting to Evaluate the Individualized Family Service Plan

Subchapter K - SERVICE DELIVERY

350.1104 - Early Childhood Intervention Services Delivery
350.1105 - Capacity to Provide Early Childhood Intervention Services
350.1107 - Group Services for Children
350.1108 - State-Funded Respite Services
350.1111 - Service Delivery Documentation Requirements

Subchapter L - TRANSITION

350.1203 - Definitions
350.1205 - Transition Education and Information for the Family
350.1207 - Transition Planning
350.1209 - State Education Agency Notification
350.1211 - Local Education Agency Notification of Potential Eligibility for Early Childhood Special Education Services
350.1213 - The Family's Right to Opt Out of the Local Education Agency Notification
350.1215 - Reporting Late Local Education Agency Notifications
350.1217 - Local Education Agency Transition Conference
350.1219 - Transition to Local Education Agency Services
350.1221 - Transition Into Community Supports and Services

Subchapter M - CHILD AND FAMILY OUTCOMES

350.1307 - Child Outcomes
350.1309 - Family Outcomes

Subchapter N - FAMILY COST SHARE SYSTEM

350.1405 - Definitions
350.1407 - Family Cost Share System Administration
350.1409 - Parent Rights Related to the Family Cost Share System
350.1411 - Early Childhood Intervention Services Provided with No Out-of-Pocket Payment from the Parent
350.1413 - Individualized Family Service Plan Services Subject to Out-of-Pocket Payment
350.1417 - Family Cost Share Agreement
350.1419 - Private Insurance
350.1421 - Insurance Premiums
350.1423 - Co-pays, Co-Insurance, and Deductibles
350.1425 - Public Benefits and Insurance
350.1427 - Maximum Charge
350.1429 - Family Size and Adjusted Income
350.1431 - Texas Health and Human Services Commission Early Childhood Intervention Sliding Fee Scale
350.1433 - Billing Families for Individualized Family Service Plan Services
350.1435 - Suspension of Services for Nonpayment
350.1437 - Extraordinary Circumstances
350.1439 - Program Fiscal and Recordkeeping Policies

Chapter 351 - CHILDREN WITH SPECIAL HEALTH CARE NEEDS SERVICES PROGRAM

351.1 - Purpose and Common Name
351.2 - Definitions
351.3 - Eligibility for Services
351.4 - Covered Services
351.5 - Rights and Responsibilities of a Client's Parent(s), Foster Parent(s), Guardian, or Managing Conservator, or an Adult Client
351.6 - Providers
351.7 - Ambulatory Surgical Care Facilities
351.8 - Inpatient Rehabilitation Centers
351.9 - Cleft-Craniofacial Services
351.10 - Payment of Services
351.11 - Contracts, Written Agreements, and Donations
351.12 - Denial, Modification, Suspension, or Termination of Program Eligibility or Eligibility for Health Care Benefits
351.13 - Right of Appeal
351.14 - Development and Improvement of Standards and Services
351.15 - Third Party Recovery
351.16 - Procedures to Address Program Budget Alignment

Chapter 352 - COMPREHENSIVE REHABILITATION SERVICES

352.1 - Purpose
352.3 - Legal Authority
352.5 - Definitions
352.7 - Basic Requirements for Eligibility
352.9 - Service Arrays
352.11 - Service Types
352.13 - Limitations of Services
352.14 - Consumer (Client) Participation
352.15 - Complaint Resolution Process

Chapter 354 - HEMOPHILIA ASSISTANCE PROGRAM

354.1 - Purpose
354.3 - Definitions
354.5 - Program Eligibility
354.7 - Benefits and Limitations
354.9 - Providers
354.11 - Claims Payment
354.13 - Rights and Responsibilities
354.15 - Modifications, Suspensions, Denials and Terminations
354.17 - Right of Appeal

Chapter 355 - EPILEPSY PROGRAM

355.1 - General
355.3 - Recipient Requirements
355.5 - Residency and Residency Documentation Requirements
355.7 - Application and Eligibility Date
355.9 - Financial Criteria
355.11 - Limitations and Benefits Provided
355.13 - Notice of Intent to Take Action and Fair Hearings

Chapter 356 - FAMILY VIOLENCE PROGRAM

Subchapter A - DEFINITIONS

356.1 - Definitions

Subchapter B - SHELTER CENTERS

356.101 - Fiscal Oversight and Accountability
356.102 - Shelter Center's Board Handbook
356.103 - Board of Directors Training
356.104 - Confidentiality
356.201 - Special Nonresidential Project Contract
356.202 - Satellite Shelter Funding
356.203 - Satellite Shelter Requirements
356.204 - Internal Monitoring System
356.205 - Funding Waivers
356.206 - Requesting a Variance or Waiver
356.207 - More than One Funding Percentage Waiver
356.301 - Accounting System Requirements
356.302 - Cash/Non-Cash Documentation
356.401 - Personnel Policies
356.402 - Personnel Files
356.403 - Drug and Alcohol Policy
356.404 - New Employee Orientation and Training
356.405 - Staff Development
356.406 - Children's Advocate
356.407 - Legal Advocate
356.408 - Volunteer Coordinator
356.501 - Facility Requirements for the 24-Hour-a-Day Shelter Center
356.502 - Preparing, Providing, and Serving Food to Residents
356.503 - Security System
356.504 - Security Policies and Procedures
356.505 - Shelter Center and Satellite Shelter Staffing
356.506 - Providing Hygiene Items to Residents
356.507 - Types of Facilities Allowed by the Commission for a 24-hour-a-Day Shelter
356.508 - Exceptions to Allowable Types of Facilities for a 24-Hour-a-Day Shelter
356.509 - Additional Requirements if a Shelter Center Uses a Series of Safe Homes
356.510 - Using a Motel as a Type of Shelter
356.601 - Required Services
356.602 - Charging for Services
356.603 - Eligibility
356.604 - Federal and State Laws Regarding Eligibility
356.605 - Eligibility Criteria
356.606 - Denial of Services
356.607 - Eligibility of Previously Involuntarily Terminated Residents or Nonresidents
356.608 - Access to Services for People with Limited English Proficiency
356.609 - Services at Capacity
356.610 - Emergency Shelter or Care for an Unaccompanied Minor
356.611 - Nonresidential Services for a Person Under 18 Years of Age
356.612 - Termination of Services
356.613 - General Confidentiality Policy
356.614 - Confidentiality Information for Adult Residents and Nonresidents
356.615 - Confidentiality Agreements
356.616 - Confidentiality Training
356.617 - Information in Resident or Nonresident Files
356.618 - Policies and Procedures Regarding Entries in a Resident or Nonresident File
356.619 - Maintaining Control over Resident and Nonresident Files
356.620 - Release of Resident or Nonresident Information
356.621 - Release of Resident or Nonresident Information Document
356.622 - Court Orders
356.623 - Procedures Regarding Court Orders
356.624 - Notification of Court Orders
356.625 - Policies and Procedures for the Retention and Destruction of Documentation
356.626 - Disruption in Providing Services
356.627 - Maximum Length of Stay for Shelter Center Residents
356.628 - Resident and Nonresident Rights
356.629 - Resident's Belongings
356.630 - Cooperation with Criminal Justice Officials
356.631 - Community Education
356.632 - Volunteer Program
356.633 - Volunteer Recruitment
356.634 - Content of Training for Direct Service Volunteers
356.635 - Content of Training for Non-Direct Service Volunteers
356.701 - Shelter Center Services
356.702 - Data Collection
356.703 - Promoting Cooperative Living in the Shelter
356.704 - Crisis Call Hotline
356.705 - Subcontracting the Crisis Call Hotline
356.706 - Medical Care
356.707 - Residents' Medications
356.708 - Resident's Orientation
356.709 - Nonresident's Orientation
356.710 - Service Plan
356.711 - Group Intervention
356.712 - Religion and Intervention Services
356.713 - Delivery of Children's Direct Services
356.714 - Intervention Services for Children Residing in the Shelter
356.715 - Safety Policies and Procedures for Delivering Services to Children
356.716 - Texas Department of Family and Protective Services' (DFPS) Child Care Permit
356.717 - Legal Assistance Services
356.718 - Educational Services for Children of Adult Residents
356.719 - Training and Employment Services

Subchapter C - SPECIAL NONRESIDENTIAL PROJECTS

356.801 - Fiscal Oversight and Accountability
356.802 - Notification Regarding Special Nonresidential Projects
356.803 - Confidentiality
356.901 - Internal Monitoring System
356.902 - Requesting a Variance or Waiver
356.903 - Primary Services to an Unserved or Underserved Population
356.1001 - Accounting System Requirements
356.1002 - Cash/Non-cash Resources Documentation
356.1101 - Personnel Policies
356.1102 - Personnel Files
356.1103 - Drug and Alcohol Policy
356.1104 - New Employee Orientation and Training
356.1105 - Staff Development
356.1201 - Facility Requirements for the Special Nonresidential Project
356.1202 - Security System Policies and Procedures
356.1301 - Required Services
356.1302 - Charging for Services
356.1303 - Eligibility
356.1304 - Federal and State Laws Regarding Eligibility
356.1305 - Eligibility Criteria
356.1306 - Denial of Services
356.1307 - Access to Services for People with Limited English Proficiency
356.1308 - Nonresidential Services for a Person Under 18 Years of Age
356.1309 - Termination of Services
356.1310 - General Confidentiality Policy
356.1311 - Confidentiality Information for Program Participants
356.1312 - Confidentiality Agreements
356.1313 - Confidentiality Training
356.1314 - Provision of Health and Human Services Commission (HHSC)-funded Services by Attorneys or Other Licensed Professionals
356.1315 - Information in Program Participant Files
356.1316 - Policies and Procedures Regarding Entries in a Program Participant's File
356.1317 - Maintaining Control over Program Participant Files
356.1318 - Release of Program Participant Information
356.1319 - Release of Program Participant Information Document
356.1320 - Court Orders
356.1321 - Procedures Regarding Court Orders
356.1322 - Notification of Court Orders
356.1323 - Policies and Procedures for the Retention and Destruction of Documentation
356.1401 - Special Nonresidential Project Services
356.1402 - Data Collection
356.1403 - Crisis Call Hotline
356.1404 - Subcontracting the Crisis Call Hotline
356.1405 - Program Participant's Orientation
356.1406 - Religion and Intervention Services
356.1407 - Safety Policies and Procedures if Providing Services to Children
356.1408 - Texas Department of Family and Protective Services' (DFPS) Child Care Licensing Permit

Subchapter D - NONRESIDENTIAL CENTERS

356.1501 - Fiscal Oversight and Accountability
356.1502 - Nonresidential Center's Board Handbook
356.1503 - Board of Directors Training
356.1504 - Confidentiality
356.1601 - Primary Services to an Unserved or Underserved Population
356.1602 - Special Nonresidential Project Contract
356.1603 - Internal Monitoring System
356.1604 - Funding Waivers
356.1605 - Requesting a Variance or Waiver
356.1701 - Accounting System Requirements
356.1702 - Cash/Non-Cash Resources Documentation
356.1801 - Personnel Policies
356.1802 - Personnel Files
356.1803 - Drug and Alcohol Policy
356.1804 - New Employee Orientation and Training
356.1805 - Staff Development
356.1806 - Legal Advocate
356.1807 - Volunteer Coordinator
356.1901 - Facility Requirements for the Nonresidential Center
356.1902 - Security System
356.1903 - Security Policies and Procedures
356.2001 - Required Services
356.2002 - Charging for Services
356.2003 - Eligibility
356.2004 - Federal and State Laws Regarding Eligibility
356.2005 - Eligibility Criteria
356.2006 - Denial of Services
356.2007 - Eligibility of Previously Involuntarily Terminated Program Participants
356.2008 - Access to Services for People with Limited English Proficiency
356.2009 - Nonresidential Services for a Person Under 18 Years of Age
356.2010 - Termination of Services
356.2011 - General Confidentiality Policy
356.2012 - Confidentiality Information for Adult Program Participants
356.2013 - Confidentiality Agreements
356.2014 - Confidentiality Training
356.2015 - Information in Program Participant Files
356.2016 - Policies and Procedures Regarding Entries in Program Participant's Files
356.2017 - Maintaining Control over Program Participant Files
356.2018 - Release of Program Participant Information
356.2019 - Release of Program Participant Information Document
356.2020 - Court Orders
356.2021 - Procedures Regarding Court Orders
356.2022 - Notification of Court Orders
356.2023 - Policies and Procedures for the Retention and Destruction of Documentation
356.2024 - Minimum Hours for a Nonresidential Center
356.2025 - Requirements if a Victim of Family Violence Needs Shelter Services
356.2026 - Disruption in Providing Services
356.2027 - Program Participant Rights
356.2028 - Cooperation With Criminal Justice Officials
356.2029 - Community Education
356.2030 - Volunteer Program
356.2031 - Volunteer Recruitment
356.2032 - Content of Training for Direct Service Volunteers
356.2033 - CContent of Training for Non-Direct Service Volunteers
356.2101 - Nonresidential Center Services
356.2102 - Data Collection
356.2103 - Crisis Call Hotline
356.2104 - Subcontracting the Crisis Call Hotline
356.2105 - Medical Care
356.2106 - Program Participant's Orientation
356.2107 - Individual Service Plans
356.2108 - Group Intervention
356.2109 - Religion and Intervention Services
356.2110 - Delivery of Children's Direct Services
356.2111 - Safety Policies and Procedures for Delivering Services to Children
356.2112 - Texas Department of Family and Protective Services' (DFPS) Child Care Permit
356.2113 - Legal Assistance Services
356.2114 - Training and Employment Services

Chapter 357 - INDEPENDENT LIVING SERVICES

Subchapter A - GENERAL RULES

357.101 - Purpose
357.103 - Legal Authority
357.105 - Definitions

Subchapter B - ALLOCATION OF FUNDS

357.201 - Allocation of Funds

Subchapter C - INDEPENDENT LIVING SERVICES

357.301 - Purpose
357.305 - Eligibility
357.307 - Independent Living Plan
357.309 - Waiting List
357.311 - Scope of Services

Subchapter D - CONSUMER PARTICIPATION

357.401 - Consumer Participation System
357.403 - Fee Schedule Amount
357.405 - Insurance Payments

Subchapter E - CONSUMER RIGHTS

357.501 - Rights of Consumers
357.503 - Complaint Process

Subchapter F - TECHNICAL ASSISTANCE AND TRAINING

357.601 - Administering Agency's Role in Providing Technical Assistance

Subchapter G - REFERRALS

357.701 - Expectations of Administering Agency's Employees

Chapter 358 - CHILDREN'S AUTISM PROGRAM

Subchapter A - GENERAL RULES

358.101 - Purpose
358.103 - Legal Authority
358.105 - Definitions

Subchapter C - DARS FOCUSED ABA SERVICES

358.301 - Purpose
358.307 - Eligibility
358.309 - Enrollment
358.311 - Services Provided
358.313 - Length of Services
358.315 - Participation Requirements

Subchapter E - AUTISM PROGRAM RIGHTS

358.507 - Rights of Children and Parents
358.509 - Complaint Process
358.511 - Confidentiality of Information
358.515 - Staff Requirements

Subchapter F - COST SHARE

358.605 - Cost Share
358.607 - HHSC Fee Schedule Amount
358.608 - Insurance Payments
358.609 - Payer of Last Resort

Chapter 359 - DIVISION FOR BLIND SERVICES

Subchapter A - BLIND CHILDREN'S VOCATIONAL DISCOVERY AND DEVELOPMENT PROGRAM

359.1 - Purpose
359.3 - Legal Authority
359.5 - Definitions
359.7 - Public Access to Information, Forms, and Documents
359.9 - Comparable Services and Benefits
359.11 - Services Provided by Schools
359.13 - Confidentiality of Records
359.15 - Service Delivery
359.51 - Referral and Application
359.53 - Eligibility
359.55 - Prior Authorization of Services
359.57 - Assessment
359.59 - Family Service Plan
359.61 - Case Closure
359.63 - Reopening Closed Cases
359.101 - Scope of Services
359.103 - Assessment
359.105 - Physical Examinations and Other Medical Specialty Examinations
359.107 - Diagnostic Evaluations
359.109 - Restoration
359.111 - Travel
359.113 - Child Care
359.115 - Habilitation
359.117 - Case Management Services
359.119 - Eligibility for BCVDD Program Case Management Services
359.121 - Due Process
359.123 - Case Management Reimbursement Charges
359.151 - Determination of Economic Resources
359.201 - Purpose
359.203 - Application of an Order of Selection
359.251 - BCVDD Program Complaint Resolution Process

Subchapter B - BLINDNESS EDUCATION, SCREENING, AND TREATMENT PROGRAM

359.501 - Purpose
359.503 - Legal Authority
359.505 - Definitions
359.507 - Vision Screening Services
359.509 - Treatment Services

Chapter 360 - OFFICE OF DEAF AND HARD OF HEARING SERVICES

Subchapter A - GENERAL RULES

360.101 - Purpose
360.103 - Legal Authority
360.105 - Definitions
360.107 - Registry of Qualified Interpreters
360.109 - Guidelines Concerning Qualification of Interpreters

Subchapter B - BOARD FOR EVALUATION OF INTERPRETERS

360.201 - Purpose
360.203 - Legal Authority
360.205 - Definitions
360.207 - Board for Evaluation of Interpreters Board
360.209 - Fees, Prerequisites, and Qualifications for Certification
360.211 - Provisional Certificate
360.213 - Compensation of Raters
360.215 - Certification
360.217 - Qualifications and Requirements for a BEI Certificate
360.219 - Administration of Examination for BEI Interpreter Certificate
360.221 - Validity of Certificates and Recertification
360.223 - Certificate Renewal
360.225 - Continuing Education Programs
360.227 - Disciplinary Actions
360.229 - Examination Accommodations for Persons with Disabilities
360.231 - Schedule of Fees
360.301 - Purpose
360.303 - Legal Authority
360.305 - Definitions
360.307 - Administration of Examination for Court Interpreter Certificate
360.309 - Requirements for Interpreting Court Proceedings in Texas Courts
360.311 - Responsibilities of Certified Court Interpreters
360.313 - Qualifications of Certified Court Interpreters
360.315 - Qualifications and Requirements for Court Certificate
360.317 - Training Programs for Certified Court Interpreters Managed by DARS or by Public or Private Educational Institutions
360.319 - Instructions for the Compensation of a Certified Court Interpreter and Designation of the Party or Entity Responsible for Payment of Compensation
360.321 - Administrative Sanctions Enforceable by DARS
360.323 - Prohibited Acts
360.325 - Enforcement
360.327 - Criminal Offense
360.329 - Actions against Persons Not Certified as Court Interpreters
360.331 - Court Interpreter Qualifications in Civil Cases or Depositions under the Civil Practice and Remedies Code
360.401 - Purpose
360.403 - Legal Authority
360.405 - Qualifications and Requirements for a Trilingual Certificate
360.451 - Purpose
360.453 - Legal Authority
360.457 - Qualifications and Requirements for Medical Certificate

Subchapter C - SPECIALIZED TELECOMMUNICATIONS ASSISTANCE PROGRAM

360.501 - Purpose
360.503 - Legal Authority
360.505 - Definitions
360.507 - Determination of Basic Specialized Telecommunications Equipment or Service
360.509 - Preliminary and Comprehensive Assessment
360.511 - Voucher Recipient Eligibility
360.513 - Persons Authorized to Certify Disability
360.515 - Vouchers
360.517 - Determination of Voucher Category Value and Eligibility Criteria for a Voucher
360.519 - Consumer Confidentiality
360.521 - Determination of Approved Equipment or Services
360.523 - Equipment Values for Approved Equipment or Services
360.525 - STAP Vendor Eligibility Requirements
360.527 - STAP Vendor Duties and Responsibilities
360.529 - Voucher Reimbursement
360.533 - Reinstatement of STAP Vendors
360.535 - Vendor Required Approved Equipment or Service Inventory

Subchapter D - DEAF AND HARD OF HEARING DRIVER IDENTIFICATION PROGRAM

360.601 - Purpose
360.603 - Legal Authority
360.605 - Definitions
360.607 - Eligibility
360.609 - Deaf and Hard of Hearing Driver Visor Identification Card

Subchapter E - CERTIFICATE OF DEAFNESS FOR TUITION WAIVER PROGRAM

360.701 - Purpose
360.703 - Legal Authority
360.705 - Definitions
360.707 - Eligibility
360.709 - Certificate of Deafness for Tuition Waiver

Chapter 361 - GUARDIANSHIP SERVICES

Subchapter A - GENERAL PROVISIONS

361.1 - Introduction
361.3 - Definitions

Subchapter B - ELIGIBILITY AND ASSESSMENT OF INDIVIDUALS FOR GUARDIANSHIP SERVICES

361.21 - Eligibility for Services
361.23 - Assessment
361.25 - Annual Review of a Ward's Status

Subchapter C - CONTRACTOR REQUIREMENTS

361.51 - Guardianship Contracts
361.53 - Eligibility To Be a Guardianship Contractor
361.55 - Acceptance of Referrals from DADS
361.57 - Policies and Procedures Required of Contractors
361.59 - Qualifications and Training Requirements for Contractor Employees
361.61 - Qualifications and Training Requirements for Volunteers of Contractors
361.67 - Criminal Background Checks
361.69 - Quality Assurance Plan
361.71 - Fiscal Management
361.73 - Roles and Responsibilities of Case Managers
361.75 - Reporting of Abuse, Neglect, or Exploitation
361.77 - Compliance with Probate Court Local Rules in Service Area
361.79 - Responsibilities of the Guardian of the Person
361.81 - Responsibilities of Guardian of the Estate
361.83 - Service Plans for Wards

Subchapter D - RECORDS MANAGEMENT

361.151 - Confidentiality of Records
361.153 - Documentation Requirements
361.155 - Maintenance of Records

Subchapter E - CONTRACT MONITORING AND COMPLIANCE

361.201 - Monitoring Reviews
361.203 - Complaint Investigations
361.205 - Fiscal Monitoring
361.207 - Sanctions
361.209 - Administrative Review

Chapter 363 - COUNTY INDIGENT HEALTH CARE PROGRAM

Subchapter A - PROGRAM ADMINISTRATION

363.1 - State Assistance Fund
363.3 - Eligibility Dispute
363.5 - Eligibility of a County for State Assistance

Subchapter B - DETERMINING ELIGIBILITY

363.51 - Application Processing
363.53 - Residence
363.55 - Household
363.57 - Income
363.59 - Resources

Subchapter C - PROVIDING SERVICES

363.101 - Basic and Optional Services

Chapter 364 - PRIMARY HEALTH CARE SERVICES PROGRAM

Subchapter A - PRIMARY HEALTH CARE SERVICES PROGRAM

364.1 - Introduction
364.3 - Definitions
364.5 - General Program Requirements
364.7 - Provider Reimbursement for Primary Health Care Services
364.9 - Eligibility Requirements and Provision of Services to Recipients
364.11 - Maintaining Eligibility
364.13 - Coordination of Benefits
364.15 - Denial/Modification/Suspension/Termination of Services
364.17 - Appeals
364.19 - Program Review

Chapter 365 - KIDNEY HEALTH CARE

365.1 - General
365.2 - Definitions
365.3 - Client Eligibility Requirements
365.4 - Applications
365.5 - Benefits and Limitations
365.7 - Claims Submission and Payment Rates
365.8 - Claim Filing Deadlines
365.9 - Rights and Responsibilities
365.10 - Modifications, Suspensions, Denials, and Terminations
365.11 - Rights of Appeal

Chapter 366 - SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC)

366.1 - Definitions
366.3 - Recipient Eligibility Requirements
366.5 - Recipients of Supplemental Food Benefits
366.7 - Participant Certification Periods
366.9 - Notification to Applicants of Ineligibility
366.11 - Notification to Each Participant of Certification Expiration
366.13 - Notification to Each Participant of Termination of Certification
366.15 - Applicant and Participant Rights
366.17 - Participant Fraud and Abuse
366.19 - Selection of a Local Agency as a WIC Provider
366.21 - Selection of Allowable WIC Program Supplemental Foods

Chapter 368 - INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD) HABILITATIVE SPECIALIZED SERVICES

Subchapter A - GENERAL PROVISIONS

368.101 - Definitions
368.102 - Right to Administrative Hearing

Subchapter B - SERVICES DESCRIPTION AND INITIATION

368.201 - Description of IHSS
368.202 - Eligibility Criteria
368.203 - Process for Provider Selection
368.204 - Process for Service Initiation

Subchapter C - SERVICE AUTHORIZATIONS

368.301 - Plan of Care
368.302 - Renewal and Revision of a Plan of Care

Subchapter D - SERVICE PROVIDER AGENCY REQUIREMENTS

368.401 - Service Initiation and Delivery
368.402 - Service Provider Agency Responsibilities
368.403 - Rights of Designated Residents
368.404 - Ensuring the Safety of Designated Residents
368.405 - Abuse, Neglect, and Exploitation of a Designated Resident
368.406 - Provider Qualifications
368.407 - Quality Assurance

Subchapter E - TRANSFERS

368.501 - Transfer between Service Provider Agencies
368.502 - Transfer between Nursing Facilities in the Same Contract Area and Local Service Area
368.503 - Transfer between Nursing Facilities in Different Contract Areas and the Same Local Service Area
368.504 - Transfer between Nursing Facilities in the Same Contract Area and Different Local Service Areas
368.505 - Transfer between Nursing Facilities in Different Contract Areas and Local Service Areas

Subchapter F - SERVICE SUSPENSION, TERMINATION, OR DENIAL

368.601 - Suspension and Termination of IHSS
368.602 - Fair Hearings

Subchapter G - VENDOR PAYMENT

368.701 - Payment

Subchapter H - LIDDA REQUIREMENTS

368.801 - LIDDA Requirements for Providing Habilitation Coordination

Chapter 370 - HUMAN TRAFFICKING RESOURCE CENTER

370.1 - Human Trafficking Prevention Training Requirements

Chapter 371 - BREAST AND CERVICAL CANCER SERVICES

371.1 - Purpose
371.3 - Federal Authorization and Requirements
371.5 - Providers
371.7 - Client Eligibility Requirements
371.9 - Screening Requirements
371.11 - Follow-up and Case Management Requirements
371.13 - Payment for Services
371.15 - Client Fees

Chapter 374 - MENTAL HEALTH EARLY INTERVENTION AND TREATMENT GRANT

374.1 - Purpose and Objectives
374.2 - Definitions
374.3 - Eligibility Criteria for Applicants
374.4 - Application and Selection Process

Chapter 503 - BIRTHING CENTERS

Subchapter A - GENERAL PROVISIONS

503.1 - Purpose and Scope
503.2 - Definitions
503.3 - Licensing Fees
503.4 - General Provisions for Licensure

Subchapter B - LICENSING PROCEDURES

503.11 - Application Procedures and Issuance of Licenses
503.12 - Change of Ownership or Services and Closure
503.13 - Time Periods for Processing and Issuing a License

Subchapter C - SURVEY PROCEDURES AND ENFORCEMENT

503.21 - On-Site Surveys
503.22 - License Denial, Suspension, Probation, or Revocation
503.23 - Emergency Suspension
503.24 - Administrative Penalties
503.25 - Complaints
503.26 - Appointment and Qualifications of a Monitor

Subchapter D - OPERATIONAL AND CLINICAL STANDARDS FOR THE PROVISION AND COORDINATION OF TREATMENT AND SERVICES

503.31 - Operational and Clinical Policies
503.32 - Organizational Structure and Delegation of Authority
503.33 - Personnel Policies
503.34 - Qualifications and Duties of Staff
503.36 - Physical and Environmental Requirements for Centers
503.37 - Infection Control Standards
503.38 - Disposition of Medical Waste
503.39 - General Requirements for the Provision and Coordination of Treatment and Services
503.40 - Risk Assessments
503.41 - Emergency Services
503.42 - Disclosure Requirements
503.43 - Prenatal Care
503.44 - Parenting and Postpartum Counseling
503.46 - Physician Consultant Procedures
503.47 - Procedures for Drugs and Biologicals
503.48 - Labor and Birth Procedures
503.49 - Care of the Newborn
503.50 - Discharge Procedures
503.51 - Postpartum and Postnatal Care of the Mother and Newborn
503.52 - Quality Assurance
503.53 - Clinical Records
503.54 - Reporting and Filing Requirements
503.55 - Other State and Federal Compliance Requirements

Chapter 504 - ABORTION FACILITY REPORTING AND LICENSING

Subchapter A - GENERAL PROVISIONS

504.1 - Purpose and Scope
504.2 - Definitions
504.3 - Unlicensed Facility
504.4 - Monthly Reporting Requirements for All Abortions Performed or Induced
504.5 - Additional Reporting Requirements
504.6 - Public Information; Toll-Free Telephone Number
504.7 - Unique Identifying Number; Disclosure in Advertisement
504.8 - Quality Assurance
504.9 - Severability

Subchapter B - LICENSING PROCEDURES

504.21 - General Requirements for Licensure
504.22 - Fees
504.23 - Application Procedures and Issuance of Licenses
504.24 - Change of Ownership or Services, Change of Physical Location, and Closure of a Licensed Abortion Facility
504.25 - Time Periods for Processing and Issuing a License

Subchapter C - ENFORCEMENT

504.31 - On-site Inspections and Complaint Investigations of a Licensed Abortion Facility
504.32 - License Denial, Suspension, Probation, or Revocation
504.33 - Administrative Penalties, Injunction, Criminal Penalties, and Civil Penalties

Subchapter D - MINIMUM STANDARDS FOR LICENSED ABORTION FACILITIES

504.40 - Adoption by Reference of Ambulatory Surgical Centers Rules
504.41 - Policy Development and Review
504.42 - Delegation of Authority and Organizational Structure
504.43 - Personnel Policies
504.44 - Orientation, Training, and Demonstrated Competency
504.45 - Personnel Records
504.46 - Licensed Abortion Facility Staffing Requirements and Qualifications
504.47 - Licensed Abortion Facility Administration
504.48 - Physical and Environmental Requirements
504.49 - Infection Control Standards
504.50 - Disclosure Requirements
504.51 - Patient Rights at the Facility
504.52 - Patient Education/Information Services
504.53 - Medical and Clinical Services
504.54 - Health Care Services
504.55 - Clinical Records
504.56 - Emergency Services
504.57 - Discharge and Follow-up Referrals
504.58 - Reporting Requirements
504.59 - Anesthesia Services
504.60 - Other State and Federal Compliance Requirements

Chapter 505 - HOSPITAL LICENSING

Subchapter A - GENERAL PROVISIONS

505.1 - Purpose
505.2 - Definitions

Subchapter B - HOSPITAL LICENSE

505.21 - General
505.22 - Application and Issuance of Initial License
505.23 - Application and Issuance of Renewal License
505.24 - Change of Ownership
505.25 - Time Periods for Processing and Issuing Hospital Licenses
505.26 - Fees

Subchapter C - OPERATIONAL REQUIREMENTS

505.41 - Hospital Functions and Services
505.42 - Patient Rights
505.43 - Discrimination or Retaliation Standards
505.44 - Hospital Patient Transfer Policy
505.45 - Miscellaneous Policies and Protocols
505.46 - Billing Requirements
505.47 - Abuse and Neglect Issues
505.49 - Reporting Requirements
505.50 - Caregiver Designation
505.51 - In-Person Visitation During a Public Health Emergency or Disaster
505.52 - Hospital-Owned or Hospital-Operated Freestanding Emergency Medical Care Facilities
505.53 - Hospital Price Transparency Reporting and Enforcement
505.54 - Hospital at Home Program Application and Operational Requirements
505.55 - Workplace Violence Prevention

Subchapter D - VOLUNTARY AGREEMENTS

505.61 - Hospital Patient Transfer Agreements
505.62 - Cooperative Agreements

Subchapter E - WAIVER PROVISIONS

505.81 - Waiver Provisions

Subchapter F - INSPECTION AND INVESTIGATION PROCEDURES

505.101 - Integrity of Inspections and Investigations
505.102 - Inspections
505.103 - Complaint Investigations
505.104 - Notice
505.105 - Professional Conduct
505.106 - Complaint Against an HHSC Representative

Subchapter G - ENFORCEMENT

505.121 - Enforcement

Subchapter H - FIRE PREVENTION AND SAFETY REQUIREMENTS

505.141 - Fire Prevention and Protection
505.142 - General Safety
505.143 - Handling and Storage of Gases, Anesthetics, and Flammable Liquids

Subchapter I - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

505.161 - Requirements for Buildings in Which Existing Licensed Hospitals Are Located
505.162 - New Construction Requirements
505.163 - Spatial Requirements for New Construction
505.164 - Elevators, Escalators, and Conveyors
505.165 - Building with Multiple Occupancies
505.166 - Mobile, Transportable, and Relocatable Units
505.167 - Preparation, Submittal, Review and Approval of Plans, and Retention of Records
505.168 - Construction, Inspections, and Approval of Project
505.169 - Tables

Chapter 506 - SPECIAL CARE FACILITIES

Subchapter A - GENERAL PROVISIONS

506.1 - Purpose
506.2 - Definitions
506.3 - Occupancy Classification

Subchapter B - FACILITY LICENSING

506.11 - General Licensing Requirements
506.12 - Application and Issuance of Initial License
506.13 - Application and Issuance of Renewal License
506.14 - Time Periods for Processing and Issuing Licenses
506.15 - Fees

Subchapter C - OPERATIONAL REQUIREMENTS

506.31 - General Functions
506.32 - Resident Care and Services
506.33 - Resident Rights
506.34 - Resident Records
506.35 - Residential AIDS Hospice Designation
506.36 - Criminal History and Nurse Aide Registry Checks of Employees and Applicants for Employment
506.37 - Billing Requirements
506.38 - Miscellaneous Policies and Protocols
506.39 - In-Person Visitation During a Public Health Emergency or Disaster
506.40 - Advance Directives Reporting Requirements

Subchapter D - WAIVERS

506.51 - Waivers, Modifications, and Variations to Provisions

Subchapter E - INSPECTIONS AND INVESTIGATIONS

506.61 - Integrity of Inspections and Investigations
506.62 - Inspections
506.63 - Complaint Investigations
506.64 - Notice
506.65 - Professional Conduct
506.66 - Complaint Against an HHSC Representative

Subchapter F - ENFORCEMENT

506.71 - License Denial, Suspension, Revocation and Probation
506.72 - Civil and Criminal Penalties
506.73 - Administrative Penalties

Subchapter G - SAFETY REQUIREMENTS AND FIRE PROTECTION

506.81 - General Safety
506.82 - Emergency Preparedness
506.83 - Fire Safety Requirements

Subchapter H - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

506.91 - Construction Requirements
506.92 - Minimum Spatial Requirements for New Facilities
506.93 - Elevators
506.94 - Preparation, Submittal, Review and Approval of Plans
506.95 - Construction, Inspections, and Approval of Projects for New or Existing Facilities in the Absence of Local Codes and Regulations
506.96 - Tables

Chapter 507 - END STAGE RENAL DISEASE FACILITIES

Subchapter D - OPERATIONAL REQUIREMENTS FOR PATIENT CARE AND TREATMENT

507.50 - Billing Requirements

Chapter 508 - AMBULATORY SURGICAL CENTERS

Subchapter A - OPERATING REQUIREMENTS FOR AMBULATORY SURGICAL CENTERS

508.1 - Scope and Purpose
508.2 - Definitions
508.3 - Fees
508.4 - Ambulatory Surgical Center (ASC) Operation
508.5 - Patient Rights
508.6 - Administration
508.7 - Quality of Care
508.8 - Quality Assurance
508.9 - Medical Records
508.10 - Facilities and Environment
508.11 - Anesthesia and Surgical Services
508.12 - Pharmaceutical Services
508.13 - Pathology and Medical Laboratory Services
508.14 - Radiology Services
508.15 - Facility Staffing and Training
508.16 - Teaching and Publication
508.17 - Research Activities
508.18 - Unlicensed Ambulatory Surgical Center
508.19 - Exemptions
508.20 - Initial Application and Issuance of License
508.21 - Inspections
508.22 - Renewal of License
508.23 - Conditions of Licensure
508.24 - Enforcement
508.25 - Complaints
508.26 - Reporting Requirements
508.28 - Confidentiality
508.29 - Time Periods for Processing and Issuing a License
508.30 - Miscellaneous Policies and Protocols
508.31 - Workplace Violence Prevention

Subchapter B - FIRE PREVENTION AND SAFETY REQUIREMENTS

508.41 - Fire Prevention and Protection
508.42 - General Safety
508.43 - Handling and Storage of Gases, Anesthetics, and Flammable Liquids

Subchapter C - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

508.51 - Construction Requirements for an Existing Ambulatory Surgical Center
508.52 - Construction Requirements for a New Ambulatory Surgical Center
508.53 - Elevators, Escalators, and Conveyors
508.54 - Preparation, Submittal, Review and Approval of Plans, and Retention
508.55 - Construction, Inspections, and Approval of Project
508.56 - Construction Tables

Chapter 509 - FREESTANDING EMERGENCY MEDICAL CARE FACILITIES

Subchapter A - GENERAL PROVISIONS

509.1 - Purpose
509.2 - Definitions

Subchapter B - LICENSING REQUIREMENTS

509.21 - General
509.22 - Exemptions from Licensure
509.23 - Unlicensed Facilities
509.24 - Application and Issuance of Initial License
509.25 - Application and Issuance of Renewal License
509.26 - Inactive Status and Closure
509.27 - Change of Ownership
509.28 - Conditions of Licensure
509.29 - Time Periods for Processing and Issuing Licenses
509.30 - Fees

Subchapter C - OPERATIONAL REQUIREMENTS

509.41 - Operational Standards
509.42 - Governing Body Responsibilities
509.43 - Administration
509.44 - Medical Director
509.45 - Medical Staff
509.46 - Facility Staffing and Training
509.47 - Emergency Services
509.48 - Anesthesia
509.49 - Laboratory and Pathology Services
509.50 - Pharmaceutical Services
509.51 - Radiology
509.52 - Respiratory Services
509.53 - Surgical Services within the Scope of the Practice of Emergency Medicine
509.54 - Medical Records
509.55 - Infection Control
509.56 - Sanitary Conditions and Hygienic Practices
509.57 - Sterilization
509.58 - Linen and Laundry Services
509.59 - Waste and Waste Disposal
509.60 - Patient Rights
509.61 - Abuse and Neglect
509.62 - Reporting Requirements
509.63 - Quality Assessment and Performance Improvement
509.64 - Safety and Preparedness
509.65 - Patient Transfer Policy
509.66 - Patient Transfer Agreements
509.67 - Billing Requirements
509.68 - Miscellaneous Policies and Protocols
509.69 - Fees and Prices
509.70 - Workplace Violence Prevention

Subchapter D - INSPECTION AND INVESTIGATION PROCEDURES

509.81 - Integrity of Inspections and Investigations
509.82 - Inspections
509.83 - Complaint Investigations
509.84 - Notice
509.85 - Professional Conduct
509.86 - Complaint Against an HHSC Representative

Subchapter E - ENFORCEMENT

509.101 - Enforcement
509.102 - Denial of a License
509.103 - Suspension; Revocation
509.104 - Emergency Suspension
509.105 - Probation
509.106 - Injunction
509.107 - Administrative Penalty
509.108 - Payment of Administrative Penalty; Judicial Review

Subchapter F - FIRE PREVENTION AND SAFETY REQUIREMENTS

509.121 - Fire Prevention, Protection, and Emergency Contingency Plan
509.122 - General Safety
509.123 - Handling and Storage of Gases, Anesthetics, and Flammable Liquids

Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

509.141 - Construction Requirements for a Pre-Existing Facility
509.142 - Construction Requirements for an Existing Facility for Construction Completed after September 1, 2010
509.143 - Construction Requirements for a New Facility
509.144 - Elevators, Escalators, and Conveyors
509.145 - Mobile, Transportable, and Relocatable Units
509.146 - Preparation, Submittal, Review and Approval of Plans, and Retention of Records
509.147 - Construction, Inspection, and Approval of Project
509.148 - Tables

Chapter 510 - PRIVATE PSYCHIATRIC HOSPITALS AND CRISIS STABILIZATION UNITS

Subchapter A - GENERAL PROVISIONS

510.1 - Purpose
510.2 - Definitions

Subchapter B - APPLICATION AND ISSUANCE OF A LICENSE

510.21 - General
510.22 - Application and Issuance of Initial License
510.23 - Application and Issuance of Renewal License
510.24 - Change of Ownership
510.25 - Time Periods for Processing and Issuing Licenses
510.26 - Fees

Subchapter C - OPERATIONAL REQUIREMENTS

510.41 - Facility Functions and Services
510.42 - Discrimination or Retaliation Standards
510.43 - Patient Transfer Policy
510.44 - Miscellaneous Policies and Protocols
510.45 - Billing Requirements
510.46 - Abuse and Neglect Issues
510.47 - Workplace Violence Prevention

Subchapter D - VOLUNTARY AGREEMENTS

510.61 - Patient Transfer Agreements
510.62 - Cooperative Agreements

Subchapter E - ENFORCEMENT

510.81 - Integrity of Inspections and Investigations
510.82 - Inspections
510.83 - Complaint Investigations
510.84 - Notice
510.85 - Professional Conduct
510.86 - Complaint Against an HHSC Representative
510.87 - Enforcement

Subchapter F - FIRE PREVENTION AND SAFETY REQUIREMENTS

510.101 - Fire Prevention and Protection
510.102 - General Safety
510.103 - Handling and Storage of Gases and Flammable Liquids

Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

510.121 - Requirements for Buildings in which Existing Licensed Facilities are Located
510.122 - New Construction Requirements
510.123 - Spatial Requirements for New Construction
510.124 - Elevators, Escalators, and Conveyors
510.125 - Building with Multiple Occupancies
510.126 - Mobile, Transportable, and Relocatable Units
510.127 - Preparation, Submittal, Review and Approval of Plans
510.128 - Construction, Surveys, and Approval of Project
510.129 - Waiver Requests
510.130 - Record Drawings, Manuals and Design Data
510.131 - Tables

Chapter 511 - LIMITED SERVICES RURAL HOSPITALS

Subchapter A - GENERAL PROVISIONS

511.1 - Purpose
511.2 - Definitions
511.3 - Waiver Provisions

Subchapter B - LICENSING REQUIREMENTS

511.11 - General
511.12 - Application and Issuance of Initial License
511.13 - Application and Issuance of Renewal License
511.14 - Inactive Status and Closure
511.15 - Change of Ownership
511.16 - Time Periods for Processing and Issuing Limited Services Rural Hospital Licenses
511.17 - Fees

Subchapter C - OPERATIONAL REQUIREMENTS

511.41 - Governing Body Organization
511.42 - Governing Body Responsibilities
511.43 - Administration
511.44 - Emergency Services
511.45 - Laboratory Services
511.46 - Radiologic Services
511.47 - Pharmaceutical Services
511.48 - Abuse and Neglect Issues
511.49 - Medical Director
511.50 - Medical Staff
511.51 - Provision of Services
511.52 - Surgical Services within the Scope of the Practice of Emergency Medicine
511.53 - Dietary Services
511.54 - General Outpatient Requirements
511.55 - Surgical Services
511.56 - Anesthesia Services
511.57 - Therapy Services
511.58 - Renal Dialysis Services
511.59 - Infection Prevention and Control and Antibiotic Stewardship Programs
511.60 - Staffing and Staff Responsibilities
511.61 - Nursing Services
511.62 - Discharge Planning
511.63 - Patient's Rights
511.64 - Quality Assessment and Performance Improvement Program
511.65 - Patient Transfer Policy
511.66 - Patient Transfer Agreements
511.67 - Medical Records
511.68 - Emergency Preparedness
511.69 - Skilled Nursing Facility as a Distinct Unit
511.70 - Respiratory Care Services
511.71 - Waste and Waste Disposal
511.72 - Linen and Laundry Services
511.73 - Sterilization
511.74 - Sanitary Conditions and Hygienic Practices
511.75 - Billing Requirements
511.76 - Patient Visitation
511.77 - Hospital Price Transparency Reporting and Enforcement
511.78 - Restraint and Seclusion

Subchapter D - INSPECTIONS AND INVESTIGATIONS

511.111 - Integrity of Inspections and Investigations
511.112 - Inspections
511.113 - Complaint Investigations
511.114 - Notice
511.115 - Professional Conduct
511.116 - Complaint Against an HHSC Representative

Subchapter E - ENFORCEMENT

511.121 - Enforcement

Subchapter F - FIRE PREVENTION AND SAFETY

511.141 - Fire Prevention and Protection
511.142 - General Safety
511.143 - Handling and Storage of Gases, Anesthetics, and Flammable Liquids

Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

511.161 - Requirements for Buildings in Which Existing Licensed Hospitals Are Located
511.162 - General Construction Requirements
511.163 - Spatial Requirements
511.164 - Elevators, Escalators, and Conveyors
511.165 - Building with Multiple Occupancies
511.166 - Mobile, Transportable, and Relocatable Units
511.167 - Preparation, Submittal, Review, and Approval of Plans, and Retention of Records
511.168 - Construction, Inspections, and Approval of Project
511.169 - Tables

Chapter 512 - DISPOSITION OF EMBRYONIC AND FETAL TISSUE REMAINS

512.1 - Purpose
512.2 - Definitions
512.3 - Scope, Exemptions
512.4 - Application of this Chapter
512.5 - Approved Methods of Treatment and Disposition
512.6 - Storage, Handling, and Transport Authorization
512.7 - Storage, Handling, and Transport Requirements
512.8 - Burial or Cremation Assistance Registry

Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS

Subchapter A - PURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS

550.1 - Purpose
550.2 - Scope
550.3 - Limitations
550.4 - Compliance
550.5 - Definitions

Subchapter B - LICENSING APPLICATION, MAINTENANCE, AND FEES

550.101 - Criteria and Eligibility for a License
550.102 - General Application Requirements
550.103 - Building Approval
550.104 - Applicant Disclosure Requirements
550.105 - Initial License Application Procedures and Issuance
550.106 - Renewal License Application Procedures and Issuance
550.108 - Change of Ownership License Application Procedures and Issuance and Notice of Changes
550.109 - Increase in Capacity
550.110 - Decrease in Capacity
550.111 - Relocation
550.112 - Licensing Fees
550.113 - Plan Review Fees
550.114 - Time Periods for Processing All Types of License Applications
550.115 - Criteria for Denial of a License
550.116 - Display of License
550.117 - License Alteration Prohibited
550.118 - Reporting Changes in Application Information
550.119 - Notification Procedures for a Change in Administration and Management
550.120 - Notification Procedures for a Change of Contact Information
550.121 - Notification Procedures for a Change in Operating Hours
550.122 - Notification Procedures for a Name Change
550.123 - Request and Issuance of Temporary License

Subchapter C - GENERAL PROVISIONS

550.201 - Operating Hours
550.202 - Suspension of Operations
550.203 - Financial Solvency and Business Records
550.204 - Billing and Insurance Claims
550.205 - Safety Provisions
550.206 - Person-Centered Direction and Guidance
550.207 - Protective Devices and Restraints
550.208 - Equipment, Devices, and Supplies
550.209 - Emergency Preparedness Planning and Implementation
550.210 - Sanitation, Housekeeping, and Linens
550.211 - Infection Prevention and Control Program and Vaccinations Requirements
550.301 - License Holder's Responsibilities
550.302 - Organizational Structure and Lines of Authority
550.303 - Administrator and Alternate Administrator Qualifications and Conditions
550.304 - Administrator Responsibilities
550.305 - Initial Training in Administration
550.306 - Continuing Training in Administration
550.307 - Medical Director Qualifications and Conditions
550.308 - Medical Director Responsibilities
550.309 - Nursing Director and Alternate Nursing Director Qualifications and Conditions
550.310 - Nursing Director Responsibilities and Supervision Responsibilities
550.311 - Prohibition of Solicitation
550.401 - Nursing Staff
550.402 - Registered Nurse Qualifications
550.403 - Registered Nurse Responsibilities
550.404 - Licensed Vocational Nurse Qualifications
550.405 - Licensed Vocational Nurse Responsibilities
550.406 - Student Nurses
550.407 - Nursing Education, Licensure, and Practice
550.408 - Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel and Tasks Not Requiring Delegation
550.409 - Direct Care Staff Qualifications
550.410 - Nursing Services Staffing Ratio
550.411 - Rehabilitative and Ancillary Professional Staff and Qualifications
550.412 - Peer Review
550.413 - Contractors
550.414 - Volunteers
550.415 - Staffing Policies for Staff Orientation, Development, and Training
550.416 - Staff Development Program
550.417 - Personnel Records
550.418 - Criminal History Checks, Nurse Aide Registry, Medication Aide Registry, and Employee Misconduct Registry Requirements
550.419 - Drug Testing Policy
550.501 - Basic Services
550.502 - Medical Services
550.503 - Nursing Services
550.504 - Psychosocial Treatment and Services
550.505 - Social Services
550.506 - Rehabilitative Services
550.507 - Functional Developmental Services
550.508 - Educational Developmental Services
550.509 - Parent Training
550.510 - Nutritional Counseling
550.511 - Dietary Services
550.601 - Admission Criteria
550.602 - Pre-admission Conference
550.603 - Agreement and Disclosure
550.604 - Admission Procedures
550.605 - Initial and Updated Comprehensive Assessment
550.606 - Interdisciplinary Team
550.607 - Initial and Updated Plan of Care
550.608 - Discharge or Transfer Notification
550.701 - Physician Orders
550.702 - Receiving Physician Orders
550.703 - Pharmacist Services
550.704 - Storage of Medication
550.705 - Administration of Medication
550.706 - Laboratory Services
550.707 - Disposal of Special or Medical Waste
550.708 - Disposal and Destruction of Pharmaceuticals
550.801 - Care Policies
550.802 - Coordination of Services
550.803 - Census
550.901 - Rights and Responsibilities
550.902 - Advance Directives
550.903 - Abuse, Neglect, or Exploitation Reportable to HHSC
550.904 - Investigations of a Complaint and Grievance
550.905 - Reporting of a Minor's Death
550.906 - Examination of Inspection Results
550.1001 - Medical Records
550.1002 - Quality Assessment and Performance Improvement
550.1003 - Dissolution
550.1004 - Retention of Records

Subchapter D - TRANSPORTATION

550.1101 - Transportation Services
550.1102 - Transportation Safety Provisions

Subchapter E - BUILDING REQUIREMENTS

550.1201 - General Requirements
550.1202 - Plan Reviews
550.1203 - Design Criteria
550.1204 - Fire Safety
550.1205 - Distinct Part Facilities and Physical and Programmatic Separation
550.1206 - Exterior Spaces
550.1207 - Interior Spaces
550.1208 - Food Preparation
550.1209 - Toileting Facilities
550.1210 - Minor's Personal Belongings
550.1211 - Linen Storage
550.1212 - Janitorial Supplies
550.1213 - Locked Areas
550.1214 - File Storage
550.1215 - Garbage
550.1216 - Furnishings and Equipment
550.1217 - Laundry
550.1218 - Housekeeping
550.1219 - Maintenance
550.1220 - Heating, Ventilation, and Air Conditioning Systems
550.1221 - Water Supply
550.1222 - Sewage
550.1223 - Signage
550.1224 - Waivers

Subchapter F - INSPECTIONS AND VISITS

550.1301 - Inspections and Visits
550.1302 - Investigation of Complaints and Self-Reported Incidents
550.1303 - Cooperation with an Inspection and Visit
550.1304 - Staff Requirements for an Inspection
550.1305 - General Provisions

Subchapter G - ENFORCEMENT

550.1401 - Denial of License Application
550.1402 - License Suspension
550.1403 - Emergency License Suspension
550.1404 - License Revocation
550.1405 - Probation
550.1406 - Injunctive Relief or Civil Penalties
550.1407 - Opportunity to Show Compliance
550.1408 - Administrative Penalties
550.1409 - Operation of a Center without a License

Chapter 551 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS

Subchapter A - INTRODUCTION

551.2 - Scope
551.3 - Definitions

Subchapter B - APPLICATION PROCEDURES

551.11 - Criteria for Licensing
551.12 - Building Approval
551.13 - Applicant Disclosure Requirements
551.14 - Increase in Capacity
551.15 - Renewal Procedures and Qualifications
551.16 - Change of Ownership and Notice of Changes
551.17 - Criteria for Denying a License or Renewal of a License
551.18 - Informal Reconsideration
551.19 - License Fees
551.20 - Plan Review Fees
551.21 - Time Periods for Processing License Applications
551.22 - Relocation

Subchapter C - STANDARDS FOR LICENSURE

551.42 - Standards for a Facility
551.43 - Administration of Medication
551.44 - Trauma-Informed Care Training
551.45 - Wheelchair Self-Release Seat Belts
551.50 - Emergency Preparedness and Response

Subchapter D - GENERAL REQUIREMENTS FOR FACILITY CONSTRUCTION

551.60 - Construction and Initial Survey of Completed Construction
551.61 - Introduction, Application, and General Requirements for Facilities for Persons with an Intellectual Disability or Related Conditions
551.62 - Site and Grounds
551.63 - Fire Service
551.64 - Means of Egress
551.65 - Fire Alarms, Detection Systems, and Sprinkler Systems
551.66 - Portable Fire Extinguishers
551.67 - Accessibility Provisions
551.68 - Architectural Space Planning
551.69 - Storage Requirements (All Facilities)
551.70 - Electrical Systems and HVAC--All Facilities
551.71 - Plumbing (All Facilities)
551.72 - Maintenance (All Facilities)
551.73 - Environmental Services
551.74 - Safety Operations
551.75 - Plans, Approvals, and Construction Procedures

Subchapter F - INSPECTIONS, SURVEYS, AND VISITS

551.191 - Procedural Requirements
551.192 - Determinations and Actions Pursuant to Inspections, Surveys, or Investigations

Subchapter G - ABUSE, NEGLECT, AND EXPLOITATION; COMPLAINT AND INCIDENT REPORTS AND INVESTIGATIONS

551.212 - Reporting Abuse, Neglect, and Exploitation to DFPS
551.213 - Reporting Incidents to HHSC
551.214 - Protection of Residents After Report of Abuse, Neglect, and Exploitation
551.215 - Employee Statement

Subchapter H - ENFORCEMENT

551.231 - Warning Letter
551.232 - License Suspension
551.233 - Revocation
551.234 - Emergency License Suspension and Closing Order
551.235 - Referral to the Attorney General
551.236 - Administrative Penalties
551.237 - Appointment of a Trustee by Agreement
551.238 - Involuntary Appointment of a Trustee
551.239 - Notification of Closure
551.240 - Right to Correct
551.241 - Amelioration of Violation

Subchapter J - RESPITE CARE

551.281 - Generally
551.282 - Definitions
551.283 - Plan of Care
551.285 - Inspections
551.286 - Suspension
551.287 - Licensed Capacity

Subchapter L - PROVISIONS APPLICABLE TO FACILITIES GENERALLY

551.321 - Determination of Employability
551.323 - Procedures for Inspection of Public Records
551.324 - Emergency Medication Kit
551.325 - Controlled Substances
551.326 - Required Postings
551.327 - Notice of Changes in Key Personnel
551.328 - Retaliation Prohibited
551.329 - Vaccine Preventable Diseases

Chapter 552 - CERTIFICATION OF LONG-TERM CARE FACILITIES

552.1 - Purpose
552.3 - Scope
552.5 - Definitions
552.7 - The Texas Department of Human Services' General Responsibilities under the Title XVIII Medicare Program and the Title XIX Medical Assistance Program
552.9 - Survey Procedure and Practice
552.11 - Informal Review Process for Intermediate Care Facilities for Persons with Mental Retardation and Related Conditions
552.13 - Appeals
552.15 - Construction of This Chapter

Chapter 553 - LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES

Subchapter A - INTRODUCTION

553.1 - Purpose and Application
553.3 - Definitions
553.5 - Types of Assisted Living Facilities
553.7 - Assisted Living Facility Services
553.9 - General Characteristics of a Resident

Subchapter B - LICENSING

553.17 - Criteria for Licensing
553.19 - General Application Requirements
553.21 - Time Periods for Processing All Types of License Applications
553.23 - Initial License Application Procedures and Requirements
553.25 - Initial License for a Type A or Type B Facility for an Applicant in Good Standing
553.27 - Certification of a Type B Facility or Unit for Persons with Alzheimer's Disease and Related Disorders
553.29 - Alzheimer's Certification of a Type B Facility for an Initial License Applicant in Good Standing
553.31 - Provisional License
553.33 - Renewal Procedures and Qualifications
553.35 - Change of Ownership and Notice of Changes
553.37 - Relocation
553.39 - Increase in Capacity
553.41 - Decrease in Capacity
553.43 - Disclosure of Facility Identification Number
553.47 - License Fees

Subchapter D - FACILITY CONSTRUCTION

553.100 - General Requirements
553.101 - Definitions
553.103 - Site and Location for all Assisted Living Facilities
553.104 - Safety Operations
553.107 - Building Rehabilitation
553.110 - General Requirements for an Existing Small Type A Assisted Living Facility
553.111 - Construction Requirements for an Existing Small Type A Assisted Living Facility
553.112 - Space Planning and Utilization Requirements for an Existing Small Type A Assisted Living Facility
553.113 - Means of Escape Requirements for an Existing Small Type A Assisted Living Facility
553.115 - Fire Protection Systems Requirements for an Existing Small Type A Assisted Living Facility
553.116 - Hazardous Area Requirements for an Existing Small Type A Assisted Living Facility
553.117 - Mechanical Requirements for an Existing Small Type A Assisted Living Facility
553.118 - Electrical Requirements for an Existing Small Type A Assisted Living Facility
553.119 - Miscellaneous Requirements for an Existing Small Type A Assisted Living Facility
553.120 - General Requirements for an Existing Small Type B Assisted Living Facility
553.121 - Construction Requirements for an Existing Small Type B Assisted Living Facility
553.122 - Space Planning and Utilization Requirements for an Existing Small Type B Assisted Living Facility
553.123 - Means of Escape Requirements for an Existing Small Type B Assisted Living Facility
553.125 - Fire Protection Systems Requirements for an Existing Small Type B Assisted Living Facility
553.126 - Hazardous Area Requirements for an Existing Small Type B Assisted Living Facility
553.127 - Mechanical Requirements for an Existing Small Type B Assisted Living Facility
553.128 - Electrical Requirements for an Existing Small Type B Assisted Living Facility
553.129 - Miscellaneous Requirements for an Existing Small Type B Assisted Living Facility
553.130 - General Requirements for an Existing Large Type A Assisted Living Facility
553.131 - Construction Requirements for an Existing Large Type A Assisted Living Facility
553.132 - Space Planning and Utilization Requirements for an Existing Large Type A Assisted Living Facility
553.133 - Means of Egress Requirements for an Existing Large Type A Assisted Living Facility
553.134 - Smoke Compartmentation for an Existing Large Type A Assisted Living Facility
553.135 - Fire Protection Systems Requirements for an Existing Large Type A Assisted Living Facility
553.136 - Hazardous Area Requirements for an Existing Large Type A Assisted Living Facility
553.137 - Mechanical Requirements for an Existing Large Type A Assisted Living Facility
553.138 - Electrical Requirements for an Existing Large Type A Assisted Living Facility
553.139 - Miscellaneous Requirements for an Existing Large Type A Assisted Living Facility
553.140 - General Requirements for an Existing Large Type B Assisted Living Facility
553.141 - Construction Requirements for an Existing Large Type B Assisted Living Facility
553.142 - Space Planning and Utilization Requirements for an Existing Large Type B Assisted Living Facility
553.143 - Means of Egress Requirements for an Existing Large Type B Assisted Living Facility
553.144 - Smoke Compartmentation for an Existing Large Type B Assisted Living Facility
553.145 - Fire Protection Systems Requirements for an Existing Large Type B Assisted Living Facility
553.146 - Hazardous Area Requirements for an Existing Large Type B Assisted Living Facility
553.147 - Mechanical Requirements for an Existing Large Type B Assisted Living Facility
553.148 - Electrical Requirements for an Existing Large Type B Assisted Living Facility
553.149 - Miscellaneous Requirements for an Existing Large Type B Assisted Living Facility
553.210 - General Requirements for a New Small Type A Assisted Living Facility
553.211 - Construction Requirements for a New Small Type A Assisted Living Facility
553.212 - Space Planning and Utilization Requirements for a New Small Type A Assisted Living Facility
553.213 - Means of Escape Requirements for a New Small Type A Assisted Living Facility
553.215 - Fire Protection Systems Requirements for a New Small Type A Assisted Living Facility
553.216 - Hazardous Area Requirements for a New Small Type A Assisted Living Facility
553.217 - Mechanical Requirements for a New Small Type A Assisted Living Facility
553.218 - Electrical Requirements for a New Small Type A Assisted Living Facility
553.219 - Miscellaneous Requirements for a New Small Type A Assisted Living Facility
553.220 - General Requirements for a New Small Type B Assisted Living Facility
553.221 - Construction Requirements for a New Small Type B Assisted Living Facility
553.222 - Space Planning and Utilization Requirements for a New Small Type B Assisted Living Facility
553.223 - Means of Escape Requirements for a New Small Type B Assisted Living Facility
553.225 - Fire Protection Systems Requirements for a New Small Type B Assisted Living Facility
553.226 - Hazardous Area Requirements for a New Small Type B Assisted Living Facility
553.227 - Mechanical Requirements for a New Small Type B Assisted Living Facility
553.228 - Electrical Requirements for a New Small Type B Assisted Living Facility
553.229 - Miscellaneous Requirements for a New Small Type B Assisted Living Facility
553.230 - General Requirements for a New Large Type A Assisted Living Facility
553.231 - Construction Requirements for a New Large Type A Assisted Living Facility
553.232 - Space Planning and Utilization Requirements for a New Large Type A Assisted Living Facility
553.233 - Means of Egress Requirements for a New Large Type A Assisted Living Facility
553.234 - Smoke Compartmentation for a New Large Type A Assisted Living Facility
553.235 - Fire Protection Systems Requirements for a New Large Type A Assisted Living Facility
553.236 - Hazardous Area Requirements for a New Large Type A Assisted Living Facility
553.237 - Mechanical Requirements for a New Large Type A Assisted Living Facility
553.238 - Electrical Requirements for a New Large Type A Assisted Living Facility
553.239 - Miscellaneous Requirements for a New Large Type A Assisted Living Facility
553.240 - General Requirements for a New Large Type B Assisted Living Facility
553.241 - Construction Requirements for a New Large Type B Assisted Living Facility
553.242 - Space Planning and Utilization Requirements for a New Large Type B Assisted Living Facility
553.243 - Means of Egress Requirements for a New Large Type B Assisted Living Facility
553.244 - Smoke Compartmentation for a New Large Type B Assisted Living Facility
553.245 - Fire Protection Systems Requirements for a New Large Type B Assisted Living Facility
553.246 - Hazardous Area Requirements for a New Large Type B Assisted Living Facility
553.247 - Mechanical Requirements for a New Large Type B Assisted Living Facility
553.248 - Electrical Requirements for a New Large Type B Assisted Living Facility
553.249 - Miscellaneous Requirements for a New Large Type B Assisted Living Facility

Subchapter E - STANDARDS FOR LICENSURE

553.253 - Employee Qualifications and Training
553.254 - Training Requirements for Staff Providing Personal Care Services to a Resident With Alzheimer's Disease or a Related Disorder in a Facility that is Not an Alzheimer's Certified Facility
553.255 - All Staff Policy for Residents with Alzheimer's Disease or a Related Disorder
553.257 - Human Resources
553.259 - Admission Policies and Procedures
553.261 - Coordination of Care
553.263 - Health maintenance activities
553.265 - Resident Records and Retention
553.267 - Rights
553.269 - Access to Residents and Records by the State Long-Term Care Ombudsman Program
553.271 - Postings
553.272 - Advertisements, Solicitations, and Promotional Material
553.273 - Abuse, Neglect, or Exploitation Reportable to HHSC by Facilities
553.275 - Emergency Preparedness and Response

Subchapter F - ADDITIONAL LICENSING STANDARDS FOR CERTIFIED ALZHEIMER'S ASSISTED LIVING FACILITIES

553.301 - Manager Qualifications and Training
553.303 - Staff Training
553.305 - Staffing
553.307 - Admission Procedures, Assessment, and Service Plan
553.309 - Activities Program
553.311 - Physical Plant Requirements for Alzheimer's Units

Subchapter G - INSPECTIONS, INVESTIGATIONS, AND INFORMAL DISPUTE RESOLUTION

553.327 - Inspections, Investigations, and Other Visits
553.329 - HHSC Investigation of Allegations of Abuse, Neglect or Exploitation
553.331 - Determinations and Actions (Investigation Findings)
553.333 - Informal Dispute Resolution
553.335 - Confidentiality and Release of Information
553.337 - Retaliation

Subchapter H - ENFORCEMENT

553.351 - When may HHSC take an enforcement action?
553.353 - What enforcement actions may HHSC take?
553.401 - When may HHSC suspend a facility's license?
553.403 - Does HHSC provide notice of a license suspension and the opportunity for a hearing to the applicant, license holder, or a controlling person?
553.405 - May HHSC suspend a license at the same time another enforcement action is occurring?
553.407 - How does HHSC notify a license holder of a proposed suspension?
553.409 - What information does HHSC provide the license holder concerning a proposed suspension?
553.411 - Does the license holder have an opportunity to show compliance with all requirements for keeping the license before HHSC begins proceedings to suspend a license?
553.413 - How does a license holder request an opportunity to show compliance?
553.415 - How much time does a license holder have to request an opportunity to show compliance?
553.417 - What must the request for an opportunity to show compliance contain?
553.419 - How does HHSC conduct the opportunity to show compliance?
553.421 - Does HHSC give the license holder a written affirmation or reversal of the proposed action?
553.423 - How does HHSC notify a license holder of its final decision to suspend a license?
553.425 - May the facility request a formal hearing?
553.427 - How long does a license holder have to request a formal hearing?
553.429 - If a license holder does not appeal, when does the suspension take effect?
553.431 - If a license holder appeals, when does the suspension take effect?
553.433 - May a facility operate during a suspension?
553.435 - How long is the suspension?
553.437 - How does HHSC decide to remove the suspension?
553.439 - Must the license be returned to HHSC during a license suspension?
553.451 - When may HHSC revoke a license?
553.453 - Does HHSC provide notice of a license revocation and opportunity for a hearing to the applicant, license holder, or controlling person?
553.455 - May HHSC take more than one enforcement action at a time against a license?
553.457 - How does HHSC notify a license holder of a proposed revocation?
553.459 - What information does HHSC provide the license holder concerning a proposed revocation?
553.461 - Does the license holder have an opportunity to show compliance with all requirements for keeping the license before HHSC begins proceedings to revoke a license?
553.463 - How does a license holder request an opportunity to show compliance?
553.465 - How much time does a license holder have to request an opportunity to show compliance?
553.467 - What must the request for the opportunity to show compliance contain?
553.469 - How does HHSC conduct the opportunity to show compliance?
553.471 - Does HHSC give the license holder a written affirmation or reversal of the proposed action?
553.473 - Does the license holder have an opportunity for a formal hearing?
553.475 - How long does a license holder have to request a formal hearing?
553.477 - When does the revocation take effect if the license holder does not appeal?
553.479 - When does the revocation take effect if the license holder appeals the revocation?
553.481 - May a facility operate during a revocation?
553.483 - What happens to a license if it is revoked?
553.501 - Why does HHSC refer a facility to the Office of the Attorney General or local prosecuting authority for a temporary restraining order or an injunction?
553.503 - To whom does HHSC refer a facility that is operating without a license?
553.551 - When may HHSC suspend a license or order an immediate closing of all or part of a facility?
553.553 - How does HHSC notify a facility of a license suspension or immediate closing of all or part of a facility?
553.555 - When does an order suspending a license or closing all or part of a facility go into effect?
553.557 - How long is an order suspending a license or closing all or part of a facility valid?
553.559 - May a license holder request a hearing?
553.561 - Where can a license holder find information about administrative hearings?
553.563 - Does a request for an administrative hearing suspend the effectiveness of the order?
553.565 - Does anything happen to a resident's rights or freedom of choice during an emergency relocation?
553.567 - Who does HHSC notify if all or part of a facility is closed?
553.569 - Who must a facility notify if all or part of the facility is closed?
553.571 - Who decides where to relocate a resident?
553.573 - Who arranges the relocation?
553.575 - Is a resident's preference considered?
553.577 - What requirements must the facility a resident chooses for relocation meet?
553.579 - Is a receiving facility allowed to temporarily exceed its licensed capacity?
553.581 - Under what conditions is a receiving facility allowed to temporarily exceed its licensed capacity?
553.583 - What requirements must a facility meet to obtain a temporary waiver?
553.585 - How long can a facility have a temporary waiver?
553.587 - Does HHSC monitor a facility with a temporary waiver?
553.589 - What records, reports, and supplies are sent to the receiving facility for transferred residents?
553.591 - May a resident return to the closed facility if it reopens within 90 calendar days?
553.593 - Do the relocated residents have any special admission rights at the closed facility?
553.595 - What options does a relocated resident have?
553.597 - Are relocated residents who return to the facility considered new admissions?
553.601 - When may HHSC refer a facility to the Office of the Attorney General for assessment of civil penalties?
553.603 - What is the amount of the civil penalty that can be assessed for operating without a license?
553.651 - When may HHSC petition a court for the involuntary appointment of a trustee to operate a facility?
553.653 - When may HHSC disburse emergency assistance funds?
553.655 - Must a facility reimburse HHSC for emergency assistance funds?
553.657 - When is reimbursement for emergency assistance funds due to HHSC?
553.659 - Who is responsible for reimbursement?
553.661 - What happens if a facility does not reimburse HHSC in one year?
553.701 - May a facility request the appointment of a trustee to assume operation of a facility?
553.703 - Who may make the request?
553.705 - What are the requirements for a trustee agreement?
553.707 - When does an agreement for a trustee terminate?
553.709 - What happens if the controlling person wants to terminate the agreement, but HHSC determines termination of the agreement is not in the best interest of the residents?
553.711 - When HHSC appoints a trustee, is the facility always required to pay assessed civil money penalties?
553.751 - Administrative Penalties
553.801 - Arbitration

Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION

Subchapter A - BASIS AND SCOPE

554.1 - Basis and Scope

Subchapter B - DEFINITIONS

554.101 - Definitions

Subchapter C - NURSING FACILITY LICENSURE APPLICATION PROCESS

554.201 - Criteria for Licensing
554.202 - Building Approval
554.204 - Application Requirements
554.205 - Probationary License
554.206 - Increase in Capacity
554.208 - Renewal Procedures and Qualifications
554.209 - Exclusion from Licensure
554.210 - Change of Ownership and Notice of Changes
554.211 - Relocation
554.212 - Time Periods for Processing License Applications
554.214 - Criteria for Denying a License or Renewal of a License
554.215 - Opportunity to Show Compliance
554.216 - License Fees
554.218 - Method of Payment
554.219 - Plan Review Fees
554.220 - Expedited Life Safety Code and Physical Plant Inspection Fees

Subchapter D - FACILITY CONSTRUCTION

554.300 - General Requirements
554.301 - Definitions
554.302 - Applicable Codes and Standards
554.303 - Emergency Power
554.304 - Space and Equipment
554.305 - Resident Rooms
554.306 - Toilet Facilities
554.307 - Resident Call System
554.308 - Dining and Resident Activities
554.309 - Other Environmental Conditions
554.310 - Site and Grounds
554.311 - Fire Service and Access
554.313 - Interior Finishes--Walls, Ceilings, and Floors
554.314 - Fire Alarms, Detection Systems, and Sprinkler Systems
554.315 - Portable Fire Extinguishers
554.316 - Subdivision of Building Spaces--Smoke Barriers
554.317 - Elevators and Escalators
554.318 - Other Rooms and Areas
554.319 - Provisions for Persons with Disabilities
554.320 - Lighting and Illumination
554.321 - Heating, Ventilating, and Air-conditioning Systems (HVAC)
554.322 - Plumbing
554.323 - Housekeeping Services
554.324 - Pest Control
554.325 - Linen
554.326 - Safety Operations
554.330 - Construction Procedures and Initial Survey of Completed Construction
554.331 - Construction Standards
554.332 - Location and Site
554.333 - General Considerations
554.334 - Architectural Space Planning and Utilization
554.335 - Exit Provisions
554.336 - Smoke Compartmentation (Subdivision of Building Spaces)
554.337 - Fire Protection Systems
554.338 - Hazardous Areas
554.339 - Structural Requirements
554.340 - Mechanical Requirements
554.341 - Electrical Requirements
554.342 - Miscellaneous Details
554.343 - Elevators
554.344 - Plan Review
554.345 - Small House and Household Facilities
554.350 - Building Rehabilitation
554.351 - Construction Standards for New Nursing Facilities
554.352 - Location and Site for New Facilities
554.353 - General Considerations for New Facilities
554.354 - Architectural Space Planning and Utilization for New Facilities
554.355 - Exit Provisions for New Facilities
554.356 - Smoke Compartments (Subdivision of Building Spaces) for New Facilities
554.357 - Fire Protection Systems for New Facilities
554.358 - Hazardous Areas for New Facilities
554.359 - Structural Requirements for New Facilities
554.360 - Mechanical Requirements for New Facilities
554.361 - Electrical Requirements for New Facilities
554.362 - Miscellaneous Details for New Facilities
554.363 - Elevators for New Facilities

Subchapter E - RESIDENT RIGHTS

554.401 - Introduction
554.402 - Exercise of Rights
554.403 - Notice of Rights and Services
554.404 - Protection of Resident Funds
554.405 - Additional Requirements for Trust Funds in Medicaid-certified Facilities
554.406 - Free Choice
554.407 - Privacy and Confidentiality
554.408 - Grievances
554.409 - Examination of Survey Results
554.410 - Refunds in Medicaid-certified Facilities
554.411 - Work
554.412 - Mail
554.413 - Access and Visitation Rights
554.414 - Telephone
554.415 - Postmortem Procedures
554.416 - Personal Property
554.417 - Married Couples
554.419 - Advance Directives
554.420 - Documentation for the Delegation of Long-Term Care Resident's Rights
554.421 - Refusal of Certain Transfers in Medicaid-certified Facilities
554.422 - Authorized Electronic Monitoring (AEM)
554.423 - Model Drug Testing Policy
554.424 - Wheelchair Self-Release Seat Belts

Subchapter F - ADMISSION, TRANSFER, AND DISCHARGE RIGHTS IN MEDICAID-CERTIFIED FACILITIES

554.501 - Admissions Policy for Medicaid-certified Facilities
554.502 - Transfer and Discharge in Medicaid-certified Facilities
554.503 - Notice of Bed-Hold Policy and Return To Medicaid-certified Facilities
554.504 - Equal Access to Quality Care in Medicaid-certified Facilities
554.505 - Discharge Planning in Medicaid-certified Facilities

Subchapter G - FREEDOM FROM ABUSE, NEGLECT, AND EXPLOITATION

554.601 - Freedom from Abuse, Neglect, and Exploitation
554.602 - Incidents of Abuse, Neglect, and Exploitation Reportable to the Texas Health and Human Services Commission and Law Enforcement Agencies by Facilities
554.604 - Complaint Investigation
554.606 - Reporting of Resident Death Information

Subchapter H - QUALITY OF LIFE

554.701 - Quality of Life
554.702 - Activities
554.703 - Social Services General Requirements
554.704 - Social Services Process
554.706 - Resident Group and Family Council

Subchapter I - RESIDENT ASSESSMENT

554.801 - Resident Assessment
554.802 - Comprehensive Person-Centered Care Planning
554.803 - Discharge Summary (Discharge Plan of Care)
554.804 - Capacity Assessment for Self Care and Financial Management
554.805 - Permanency Planning for a Resident Under 22 Years of Age

Subchapter J - QUALITY OF CARE

554.901 - Quality of Care
554.904 - Behavioral Health Services
554.910 - Quality Assurance Early Warning System
554.911 - Rapid Response Teams

Subchapter K - NURSING SERVICES

554.1001 - Nursing Services
554.1002 - Additional Nursing Services Staffing Requirements
554.1004 - Director of Nursing Services
554.1006 - Nursing Facility Restorative Nursing Care
554.1010 - Nursing Practices
554.1011 - Student Nurses
554.1012 - Special Nurses and Sitters

Subchapter L - FOOD AND NUTRITION SERVICES

554.1101 - Food and Nutrition Services
554.1102 - Staffing
554.1104 - Dietary Consultant Requirements
554.1107 - Menus, Nutritional Adequacy, and Meal Service
554.1108 - Food and Drink
554.1109 - Food Intake
554.1110 - Frequency of Meals
554.1111 - Food Safety Requirements
554.1113 - Paid Feeding Assistants
554.1115 - Requirements for Training of Paid Feeding Assistants
554.1116 - Therapeutic Diets

Subchapter M - PHYSICIAN SERVICES

554.1201 - Physician Services
554.1202 - Physician Visits
554.1203 - Frequency of Physician Visits
554.1204 - Availability of Physician for Emergency Care
554.1205 - Physician Delegation of Tasks
554.1206 - Physician Signatures
554.1207 - Prescription of Psychoactive Medication
554.1208 - Physicians' Reporting Communicable Diseases
554.1210 - Certification and Recertification Requirements in Medicaid-Certified Facilities

Subchapter N - REHABILITATIVE SERVICES

554.1300 - Purpose
554.1301 - Provision of Rehabilitative Services
554.1302 - Qualifications
554.1304 - Rehabilitative Services in Medicaid-certified Facilities
554.1306 - Fee-for-Service Payment for Rehabilitative Services

Subchapter O - DENTAL SERVICES

554.1401 - Dental Services
554.1402 - Medicaid-certified Nursing Facility Emergency Dental Services

Subchapter P - PHARMACY SERVICES

554.1501 - Pharmacy Services
554.1502 - Choice of Pharmacy Provider
554.1503 - Additional Supervision and Consultation Requirements
554.1504 - Drug Security
554.1506 - Drug Orders
554.1507 - Drug Release
554.1508 - Drug Administration
554.1509 - Controlled Substances
554.1510 - Emergency Medication Kits

Subchapter Q - INFECTION CONTROL

554.1601 - Infection Control
554.1602 - Universal Precautions

Subchapter R - PHYSICAL PLANT AND ENVIRONMENT

554.1701 - Physical Environment

Subchapter T - ADMINISTRATION

554.1901 - Administration
554.1902 - Governing Body
554.1905 - Staff Qualifications
554.1906 - Use of Outside Resources
554.1907 - Medical Director
554.1908 - Laboratory Services
554.1909 - Radiology and Other Diagnostic Services
554.1910 - Clinical Records
554.1911 - Contents of the Clinical Record
554.1912 - Additional Clinical Record Service Requirements
554.1914 - Emergency Preparedness and Response
554.1915 - Transfer Agreement
554.1916 - Respite Care
554.1917 - Quality Assessment and Assurance
554.1918 - Disclosure of Ownership
554.1919 - Right to Possession
554.1920 - Operating Policies and Procedures
554.1921 - General Requirements for a Nursing Facility
554.1922 - Resident Care Policies
554.1923 - Incident or Accident Reporting
554.1924 - Financial Records
554.1925 - Financial Condition
554.1926 - Medicaid Hospice Services
554.1928 - Volunteer Program
554.1929 - Staff Development
554.1930 - Blood and Blood Products
554.1931 - Facility Assessment
554.1934 - Educational Requirements for Persons under Age 22
554.1935 - Automated External Defibrillators
554.1936 - Guardianship Orders for a Nursing Facility Resident

Subchapter U - INSPECTIONS, SURVEYS, AND VISITS

554.2002 - Procedural Requirements--Licensure Inspections and Surveys
554.2004 - Determinations and Actions Pursuant to Inspections
554.2006 - Reporting Incidents and Complaints
554.2008 - Investigations of Incidents and Complaints
554.2009 - Hearings on Complaints of Resident Neglect and Abuse, and Misappropriation of Resident Property in Medicaid-Certified Facilities
554.2010 - General Provisions
554.2011 - Procedures for Inspection of Public Records

Subchapter V - ENFORCEMENT

554.2102 - Enforcement Generally
554.2103 - Warning Letter
554.2104 - Suspension of a License
554.2106 - Revocation of a License
554.2107 - Revocation of a License by the HHSC Executive Commissioner
554.2108 - Emergency Suspension and Closing Order
554.2110 - Referral to the Attorney General
554.2111 - Suspension of Admissions
554.2112 - Administrative Penalties
554.2113 - Criteria for the Executive Commissioner to Stay a License Revocation
554.2114 - Right To Correct
554.2115 - Amelioration of Violation
554.2116 - Involuntary Appointment of a Trustee
554.2118 - Appointment of a Trustee by Agreement
554.2119 - Open Hearing
554.2120 - Definitions Pertaining to Medicaid Remedies
554.2121 - General Provisions
554.2129 - Interest on Civil Money Penalties
554.2144 - Procedures Following Termination of the Provider Agreement
554.2146 - Termination of Provider Agreement on the Basis of the Imposition of Enforcement Actions Three Times Within an Accountability Period
554.2147 - Informal Dispute Resolution
554.2148 - Arbitration
554.2149 - Exclusions
554.2150 - Fraud Referral
554.2151 - Construction

Subchapter W - CERTIFICATION OF FACILITIES FOR CARE OF PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DISORDERS

554.2204 - Voluntary Certification of Facilities for Care of Persons with Alzheimer's Disease
554.2206 - General Requirements for a Certified Facility
554.2208 - Standards for Certified Alzheimer's Facilities

Subchapter X - REQUIREMENTS FOR MEDICAID-CERTIFIED FACILITIES

554.2301 - Conditions for Participation as a Medicaid-Certified Facility
554.2302 - Requirements for a Contracted Medicaid Facility
554.2304 - Contract Requirements
554.2306 - Effective Dates of Provider Contracts
554.2308 - Change of Ownership
554.2310 - Nursing Facility Ceases to Participate
554.2314 - Financial Audits
554.2316 - Collection of Applied Income
554.2318 - Computation of Daily Reimbursement Rate for Recipients with Applied Income
554.2320 - Medical Transportation
554.2322 - Medicaid Bed Allocation Requirements
554.2326 - Medicaid Swing Bed Program for Rural Hospitals

Subchapter Y - MEDICAL NECESSITY DETERMINATIONS

554.2401 - General Qualifications for Medical Necessity Determinations
554.2403 - Medical Necessity Determination
554.2405 - Physicians' Certifications and Recertifications
554.2407 - Denied Medical Necessity
554.2413 - Determination of Payment Rate Based on the MDS Assessment Submission
554.2601 - Vendor Payment (Items and Services Included)
554.2602 - Additional Charges (Items and Services Excluded from Vendor Payment)
554.2603 - Therapeutic Home Visits Away from the Facility
554.2604 - Vendor Payment Information
554.2605 - Effective Date of Vendor Coverage
554.2606 - Supplementation of Vendor Payments
554.2607 - Penalties for Supplementation
554.2608 - Limitations on Provider Charges
554.2609 - Payment of Claims
554.2610 - Medicare Part A Skilled Nursing Facility Deductible and Coinsurance Payment
554.2611 - Retroactive Vendor Payment
554.2612 - Quality Incentive Payment
554.2613 - Augmentative Communication Device Systems
554.2614 - Customized Power Wheelchairs
554.2615 - Resident Transaction Notices
554.2701 - Purpose
554.2702 - Limitation on Charges for Nursing Facility Services
554.2703 - Definitions
554.2704 - Nursing Facility Responsibilities Related to PASRR
554.2705 - Nursing Facility Responsibilities Related to the Fair Hearing Process
554.2706 - Nursing Facility Responsibilities Related to a Designated Resident
554.2707 - Transition Activities Related to Designated Residents
554.2708 - Educational and Informational Activities for Residents
554.2709 - Incident and Complaint Reporting
554.2750 - Nursing Facility Specialized Services for Designated Residents
554.2751 - Requesting Authorization to Provide Therapy Services
554.2752 - Qualifications of a Provider of Therapy Services
554.2753 - Payment for Therapy Services
554.2754 - Requesting Authorization to Provide Durable Medical Equipment and Customized Manual Wheelchairs
554.2755 - Payment for Durable Medical Equipment and Customized Manual Wheelchairs
554.2756 - Administrative Requirements for Durable Medical Equipment and Customized Manual Wheelchairs

Chapter 555 - NURSING FACILITY ADMINISTRATORS

Subchapter A - GENERAL INFORMATION

555.1 - Purpose
555.2 - Definitions
555.3 - Schedule of Fees

Subchapter B - REQUIREMENTS FOR LICENSURE

555.11 - Application Requirements
555.12 - Licensure Requirements
555.13 - Internship Requirements
555.14 - Preceptor Requirements
555.15 - Preceptor Certification
555.16 - Preceptor Certification Renewal
555.17 - Preceptor Denial of Certification Renewal
555.18 - Examinations and Requirements to Take the Examinations

Subchapter C - LICENSES

555.31 - Initial License
555.32 - Provisional License
555.33 - Duplicate License
555.34 - License Renewal
555.35 - Continuing Education Requirements for License Renewal
555.36 - Late Renewals
555.37 - Denial of License Renewal
555.38 - Inactive Status
555.39 - Voluntary Surrender of a License
555.40 - Reinstatement
555.41 - Licensure of Persons with Criminal Backgrounds
555.42 - Alternate Licensing Requirements for Military Service Personnel

Subchapter D - REFERRALS, COMPLAINT PROCEDURES, AND SANCTIONS

555.51 - Referral and Complaint Procedures
555.52 - Informal Reviews
555.53 - Formal Hearings
555.54 - Rule or Statutory Violations
555.55 - Violations of Standards of Conduct
555.56 - Violations by Unlicensed Persons
555.57 - Schedule of Sanctions

Chapter 556 - NURSE AIDES

556.1 - Basis
556.2 - Definitions
556.3 - NATCEP Requirements
556.4 - Filing and Processing an Application for a Nurse Aide Training and Competency Evaluation Program (NATCEP)
556.5 - Program Director, Program Instructor, Supplemental Trainers, and Skills Examiner Requirements
556.6 - Competency Evaluation Requirements
556.7 - Review and Reapproval of a Nurse Aide Training and Competency Evaluation Program (NATCEP)
556.8 - Withdrawal of Approval of a NATCEP
556.9 - Certificate of Registration, Nurse Aide Registry, and Renewal
556.10 - Certification of Individuals with Criminal Convictions in Their Backgrounds
556.11 - Expiration of the Certificate of Registration and Active Status
556.12 - Waiver, Reciprocity, and Exemption Requirements
556.13 - Findings and Inquiries
556.14 - Alternate Licensing Requirements for Military Service Personnel

Chapter 557 - MEDICATION AIDES--PROGRAM REQUIREMENTS

557.101 - Introduction
557.103 - Requirements for Administering Medications
557.105 - Allowable and Prohibited Practices of a Medication Aide
557.107 - Training Requirements; Nursing Graduates; Reciprocity
557.109 - Application Procedures
557.111 - Examination
557.113 - Determination of Eligibility
557.115 - Permit Renewal
557.117 - Changes
557.119 - Training Program Requirements
557.121 - Permitting of Persons with Criminal Backgrounds
557.123 - Violations, Complaints, and Disciplinary Actions
557.125 - Requirements for Corrections Medication Aides
557.127 - Application Processing
557.128 - Home Health Medication Aides
557.129 - Alternate Licensing Requirements for Military Service

Chapter 558 - LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES

Subchapter A - GENERAL PROVISIONS

558.1 - Purpose and Scope
558.2 - Definitions
558.3 - License Fees

Subchapter B - CRITERIA AND ELIGIBILITY, APPLICATION PROCEDURES, AND ISSUANCE OF A LICENSE

558.11 - Criteria and Eligibility for Licensing
558.12 - General Application
558.13 - Obtaining an Initial License
558.15 - Issuance of an Initial License
558.17 - Application Procedures for a Renewal License
558.19 - Issuance of a Renewal License
558.21 - Denial of an Application or a License
558.23 - Change of Ownership
558.25 - Requirements for Change of Ownership
558.27 - Application and Issuance of an Initial Branch Office License
558.29 - Application and Issuance of an Alternate Delivery Site License
558.30 - Operation of an Inpatient Unit at a Parent Agency
558.31 - Time Frames for Processing and Issuing a License

Subchapter C - MINIMUM STANDARDS FOR ALL HOME AND COMMUNITY SUPPORT SERVICES AGENCIES

558.201 - Applicability
558.202 - Habilitation
558.208 - Reporting Changes in Application Information and Fees
558.210 - Agency Operating Hours
558.211 - Display of License
558.212 - License Alteration Prohibited
558.213 - Agency Relocation
558.214 - Notification Procedures for a Change in Agency Contact Information and Operating Hours
558.215 - Notification Procedures for an Agency Name Change
558.216 - Change in Agency Certification Status
558.217 - Agency Closure Procedures and Voluntary Suspension of Operations
558.218 - Agency Organizational Changes
558.219 - Procedures for Adding or Deleting a Category to the License
558.220 - Service Areas
558.222 - Compliance
558.241 - Management
558.242 - Organizational Structure and Lines of Authority
558.243 - Administrative and Supervisory Responsibilities
558.244 - Administrator Qualifications and Conditions and Supervising Nurse Qualifications
558.245 - Staffing Policies
558.246 - Personnel Records
558.247 - Verification of Employability and Use of Unlicensed Persons
558.248 - Volunteers
558.249 - Self-Reported Incidents of Abuse, Neglect, and Exploitation
558.250 - Agency Investigations
558.251 - Peer Review
558.252 - Financial Solvency and Business Records
558.253 - Disclosure of Drug Testing Policy
558.254 - Billing and Insurance Claims
558.255 - Prohibition of Solicitation of Patients
558.256 - Emergency Preparedness Planning and Implementation
558.257 - Medicare Certification Optional
558.259 - Initial Educational Training in Administration of Agencies
558.260 - Continuing Education in Administration of Agencies
558.281 - Client Care Policies
558.282 - Client Conduct and Responsibility and Client Rights
558.283 - Advance Directives
558.284 - Laboratory Services
558.285 - Infection Control
558.286 - Disposal of Special or Medical Waste
558.287 - Quality Assessment and Performance Improvement
558.288 - Coordination of Services
558.289 - Independent Contractors and Arranged Services
558.290 - Backup Services and After-Hours Care
558.291 - Agency Dissolution
558.292 - Agency and Client Agreement and Disclosure
558.293 - Client List and Services
558.294 - Time Frame(s) for the Initiation of Care or Services
558.295 - Client Transfer or Discharge Notification Requirements
558.296 - Physician Delegation and Performance of Physician-Delegated Tasks
558.297 - Receipt of Physician Orders
558.298 - Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel and Tasks Not Requiring Delegation
558.299 - Nursing Education, Licensure and Practice
558.300 - Medication Administration
558.301 - Client Records
558.302 - Pronouncement of Death
558.303 - Standards for Possession of Sterile Water or Saline, Certain Vaccines or Tuberculin, and Certain Dangerous Drugs
558.321 - Standards for Branch Offices
558.322 - Standards for Alternate Delivery Sites

Subchapter D - ADDITIONAL STANDARDS SPECIFIC TO LICENSE CATEGORY AND SPECIFIC TO SPECIAL SERVICES

558.401 - Standards Specific to Licensed Home Health Services
558.402 - Standards Specific to Licensed and Certified Home Health Services
558.404 - Standards Specific to Agencies Licensed to Provide Personal Assistance Services
558.405 - Standards Specific to Agencies Licensed to Provide Home Dialysis Services
558.406 - Standards for Agencies Providing Psychoactive Services
558.407 - Standards for Agencies Providing Home Intravenous Therapy

Subchapter E - LICENSURE SURVEYS

558.501 - Survey and Investigation Frequency
558.503 - Exemption From a Survey
558.505 - Notice of a Survey
558.507 - Agency Cooperation with a Survey
558.509 - Survey of a Branch Office, Alternate Delivery Site, and Services Provided
558.521 - Requirements for an Initial Survey
558.523 - Personnel Requirements for a Survey
558.525 - Survey Procedures
558.527 - Post-Survey Procedures

Subchapter F - ENFORCEMENT

558.601 - Enforcement Actions
558.602 - Administrative Penalties
558.603 - Court Action
558.604 - Surrender or Expiration of a License

Subchapter G - HOME HEALTH AIDES

558.701 - Home Health Aides

Subchapter H - STANDARDS SPECIFIC TO AGENCIES LICENSED TO PROVIDE HOSPICE SERVICES

558.801 - Subchapter H Applicability
558.810 - Hospice Initial Assessment
558.811 - Hospice Comprehensive Assessment
558.812 - Update of the Hospice Comprehensive Assessment
558.813 - Hospice Client Outcome Measures
558.820 - Hospice Interdisciplinary Team
558.821 - Hospice Plan of Care
558.822 - Review of the Hospice Plan of Care
558.823 - Coordination of Services by the Hospice
558.830 - Provision of Hospice Core Services
558.831 - Hospice Physician Services
558.832 - Hospice Nursing Services
558.833 - Hospice Medical Social Services
558.834 - Hospice Counseling Services
558.840 - Provision of Hospice Non-Core Services
558.841 - Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services
558.842 - Hospice Aide Services
558.843 - Hospice Aide Qualifications
558.844 - Hospice Homemaker Services
558.845 - Hospice Homemaker Qualifications
558.846 - Services Provided Under a State Medicaid Personal Care Benefit
558.850 - Organization and Administration of Hospice Services
558.851 - Hospice Services Provided by a Licensed Person
558.852 - Hospice Governing Body and Administrator
558.853 - Hospice Infection Control Program
558.854 - Hospice Professional Management Responsibility
558.855 - Criminal Background Checks
558.856 - Hospice Alternate Delivery Sites
558.857 - Hospice Staff Training
558.858 - Hospice Medical Director
558.859 - Hospice Discharge or Transfer of Care
558.860 - Provision of Medical Supplies, and Durable Medical Equipment by a Hospice
558.861 - Management of Drugs and Biologicals and Disposal of Controlled Substance Prescription Drugs in a Client's Home or Community Setting
558.862 - Management of Drugs and Biologicals and Disposal of Controlled Substance Prescription Drugs in an Inpatient Hospice Unit
558.863 - Hospice Short-term Inpatient Care
558.870 - Staffing in a Hospice Inpatient Unit
558.871 - Physical Environment in a Hospice Inpatient Unit
558.880 - Providing Hospice Care to a Resident of a Skilled Nursing Facility, Nursing Facility, or Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions

Chapter 559 - DAY ACTIVITY AND HEALTH SERVICES REQUIREMENTS

Subchapter A - INTRODUCTION

559.1 - Purpose
559.3 - Definitions

Subchapter B - APPLICATION PROCEDURES

559.11 - Criteria for Licensing
559.13 - General Application Requirements
559.15 - Time Periods for Processing Licensing Applications
559.17 - Building Approval
559.19 - Applicant Disclosure Requirements
559.21 - Initial License Application Procedures and Requirements
559.23 - Renewal Procedures and Qualifications
559.25 - Change of Ownership and Notice of Changes
559.27 - Relocation
559.29 - Change of Staff
559.31 - Criteria for Denying a License or Renewal of a License
559.33 - Opportunity to Show Compliance
559.35 - Change in Capacity
559.37 - Fees
559.39 - Voluntary Closure

Subchapter C - FACILITY CONSTRUCTION PROCEDURES

559.41 - Construction and Initial Survey of Completed Construction
559.42 - Safety
559.43 - Sanitation
559.44 - Plans, Approvals, and Construction Procedures

Subchapter D - STANDARDS FOR LICENSURE

559.50 - Purpose
559.51 - Compliance
559.52 - Client Rights
559.53 - Maintenance of Policies and Procedures
559.55 - Reporting Incidents of Abuse or Neglect
559.57 - Postings
559.59 - Staff Qualifications
559.61 - Staffing Ratio and Hours
559.63 - Infection Prevention and Control
559.65 - Staff Responsibilities
559.67 - Training
559.69 - Medications
559.71 - Accident, Injury, or Acute Illness
559.73 - Menus
559.75 - Client Records
559.77 - Peer Review
559.79 - Emergency Preparedness and Response

Subchapter E - INSPECTIONS, SURVEYS, AND VISITS

559.81 - Procedural Requirements
559.83 - Determinations and Actions Pursuant to Inspections
559.85 - Referrals to the Attorney General
559.87 - Procedures for Inspection of Public Records

Subchapter F - ABUSE, NEGLECT, AND EXPLOITATION: COMPLAINT AND INCIDENT REPORTS AND INVESTIGATIONS

559.91 - Definitions of Abuse, Neglect, and Exploitation
559.93 - Abuse, Neglect, or Exploitation Reportable to HHSC by Facilities
559.95 - Complaint Investigation
559.97 - Investigations of Complaints
559.99 - Confidentiality

Subchapter G - ENFORCEMENT

559.101 - Nonemergency Suspension
559.103 - Revocation
559.105 - Emergency Suspension and Closing Order
559.107 - Administrative Penalties

Subchapter H - INDIVIDUALIZED SKILLS AND SOCIALIZATION PROVIDER REQUIREMENTS

559.201 - Purpose
559.203 - Definitions
559.205 - Criteria for Licensing
559.207 - Increase in Capacity
559.209 - Renewal Procedures and Qualifications
559.211 - Change of Ownership and Notice of Changes
559.213 - Time Periods for Processing Licensing Applications
559.215 - Criteria for Denying a License or Renewal of a License
559.217 - Opportunity to Show Compliance
559.219 - License Fees
559.221 - Relocation
559.223 - Voluntary Closure
559.225 - General Requirements
559.227 - Program Requirements
559.229 - Environment and Emergency Response Plan
559.231 - Surveys and Visits
559.233 - Determinations and Actions Pursuant to Surveys
559.235 - Referrals to the Attorney General
559.237 - Procedures for Inspection of Public Records
559.239 - Definitions of Abuse, Neglect, and Exploitation
559.241 - Reporting Abuse, Neglect, Exploitation, or Incidents to HHSC
559.243 - HHSC Complaint Investigation
559.245 - Confidentiality
559.247 - Nonemergency Suspension
559.249 - Revocation
559.251 - Emergency Suspension and Closing Order

Chapter 560 - DENIAL OR REFUSAL OF LICENSE

560.1 - Definitions
560.2 - Convictions Barring Licensure
560.3 - Adverse Licensing Record
560.4 - Registry Listings Barring Licensure

Chapter 561 - EMPLOYEE MISCONDUCT REGISTRY

561.1 - Purpose
561.2 - Definitions
561.3 - Employment and Registry Information
561.4 - Investigations
561.5 - Preliminary Results of Investigation and Notice to Employee
561.6 - Informal Review
561.7 - Reportable Conduct Finding and Notice and Opportunity for Administrative Hearing
561.8 - Entering Information in the EMR
561.9 - Removing Information from the EMR

Chapter 562 - LICENSED CHEMICAL DEPENDENCY COUNSELORS

562.1 - Definitions
562.2 - License Required
562.3 - Scope of Practice
562.4 - Fees
562.5 - LCDC Licensure Application Standards and Counselor Intern Registration
562.6 - Requirements for Counselor Intern Registration
562.7 - Standards for 270 Educational Hours
562.8 - Practicum Standards
562.9 - Requirements for LCDC Licensure
562.10 - Standards for Supervised Work Experience
562.11 - Clinical Training Institution (CTI) Registration
562.12 - Certified Clinical Supervisor (CCS) Certification Requirements
562.13 - LCDC Licensure Examination
562.14 - Counselor Intern Registration Expiration
562.15 - LCDC Licensure Through Reciprocity
562.16 - Issuing Licenses
562.17 - LCDC License Expiration, Renewal, and Continuing Education Requirements
562.18 - Continuing Education Standards
562.19 - Inactive Status
562.20 - Peer Assistance Programs
562.21 - Standards for the Training and Supervision of Counselor Interns
562.22 - Direct Supervision of Interns
562.23 - Professional and Ethical Standards for all License Holders
562.24 - Standards for Private Practice
562.25 - Complaint and Investigation Procedures
562.26 - Disciplinary Actions
562.27 - Administrative Penalties
562.28 - Informal Disposition
562.29 - Voluntary Surrender of License, Certification, or Registration
562.30 - Procedures for Contested Cases
562.31 - Criminal History Standards
562.32 - Request for Criminal History Evaluation Letter
562.33 - Licensing, Certification, or Registration of Military Service Members,
562.34 - Prohibition related to Child Custody and Adoption Evaluations
562.35 - Miscellaneous Policies and Protocols

Chapter 563 - MINIMUM STANDARDS FOR NARCOTIC TREATMENT PROGRAMS

563.141 - General Provisions
563.142 - Definitions
563.143 - Organization
563.144 - State and Federal Statutes and Regulations
563.145 - Applications, Fees, Permits
563.146 - Failure to Comply
563.147 - Denial of Application; Suspension or Revocation of a Narcotic Drug Permit
563.148 - State Operational Requirements
563.149 - Inspections and Monitoring
563.150 - Central Registry
563.151 - Approved Hospital Narcotic Drug Detoxification Treatment
563.152 - Federal Regulations
563.153 - Enforcement

Chapter 564 - CHEMICAL DEPENDENCY TREATMENT FACILITIES

Subchapter A - GENERAL PROVISIONS

564.1 - Definitions
564.2 - Purpose
564.3 - Scope of Rule

Subchapter B - STANDARD OF CARE APPLICABLE TO ALL PROVIDERS

564.4 - General Standard
564.5 - Scope of Practice
564.6 - Competence and Due Care
564.7 - Appropriate Services
564.8 - Accuracy
564.9 - Documentation
564.10 - Discrimination
564.11 - Access to Services
564.12 - Location
564.13 - Confidentiality
564.14 - Environment
564.15 - Communications
564.16 - Exploitation
564.17 - Duty to Report
564.18 - Impaired Providers
564.19 - Ethics
564.20 - Specific Acts Prohibited
564.21 - Standards of Conduct

Subchapter C - OPERATIONAL REQUIREMENTS

564.28 - Billing Requirements
564.39 - Dangers of Substance Misuse Educational Program Requirements

Subchapter D - FACILITY LICENSURE INFORMATION

564.401 - License Required
564.402 - Variances
564.403 - New Licensure Application
564.404 - Licensure Renewal
564.405 - Changes in Status
564.406 - Inactive Status and Closure
564.407 - Licensure Inspection
564.408 - Licensure Fees
564.409 - Action Against a License

Subchapter E - FACILITY REQUIREMENTS

564.501 - Facility Organization
564.502 - Operational Plan, Policies and Procedures
564.503 - Reporting Measures
564.504 - Quality Management
564.505 - General Environment
564.506 - Required Postings
564.507 - General Documentation Requirements
564.508 - Client Records
564.509 - Incident Reporting
564.510 - Client Transportation

Subchapter F - PERSONNEL PRACTICES AND DEVELOPMENT

564.601 - Hiring Practices
564.602 - Students and Volunteers
564.603 - Training

Subchapter G - CLIENT RIGHTS

564.701 - Client Bill of Rights
564.702 - Client Grievances
564.703 - Abuse, Neglect, and Exploitation
564.704 - Program Rules
564.705 - Client Labor and Interactions
564.706 - Restraint and Seclusion
564.707 - Responding to Emergencies
564.708 - Searches

Subchapter H - SCREENING AND ASSESSMENT

564.801 - Screening
564.802 - Admission Authorization and Consent to Treatment
564.803 - Assessment
564.804 - Treatment Planning, Implementation and Review
564.805 - Discharge

Subchapter I - TREATMENT PROGRAM SERVICES

564.901 - Requirements Applicable to All Treatment Services
564.902 - Requirements Applicable to Detoxification Services
564.903 - Requirements Applicable to Residential Services
564.904 - Requirements for Outpatient Treatment Programs
564.905 - Additional Requirements for Adolescent Programs
564.906 - Access to Services for Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Clients
564.907 - Additional Requirements for COPSD Programs
564.908 - Specialty Competencies of Staff Providing Services to Clients with COPSD
564.909 - Treatment Planning of Services to Clients with COPSD
564.910 - Treatment Services for Women and Children
564.911 - Treatment Services Provided by Electronic Means
564.912 - Miscellaneous Policies and Protocols

Subchapter J - MEDICATION

564.1001 - General Provisions for Medication
564.1002 - Medication Storage
564.1003 - Medication Inventory and Disposal
564.1004 - Administration of Medication

Subchapter K - FOOD AND NUTRITION

564.1101 - Meals in Outpatient Programs
564.1102 - Meals in Residential Programs
564.1103 - Meals Prepared by Clients
564.1104 - Meals Provided by a Food Service

Subchapter L - RESIDENTIAL PHYSICAL PLANT REQUIREMENTS

564.1201 - General Physical Plant Provisions
564.1202 - Required Inspections
564.1203 - Emergency Evacuation
564.1204 - Exits
564.1205 - Space, Furniture and Supplies
564.1206 - Fire Systems
564.1207 - Other Physical Plant Requirements

Subchapter M - COURT COMMITMENT SERVICES

564.1301 - Court Commitment Services

Subchapter N - THERAPEUTIC COMMUNITIES

564.1401 - Therapeutic Communities

Subchapter O - FAITH BASED CHEMICAL DEPENDENCY PROGRAMS

564.1501 - Definitions
564.1502 - Exemption for Faith-Based Programs
564.1503 - Registration for Exempt Faith-Based Programs
564.1504 - Admission to Faith-Based Programs
564.1505 - Advertisement
564.1506 - Revocation of Exemption

Chapter 565 - HOME AND COMMUNITY-BASED (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) CERTIFICATION STANDARDS

Subchapter A - EMERGENCY RESPONSE SYSTEM

565.1 - Emergency Response System

Subchapter B - OVERVIEW

565.2 - Purpose
565.3 - Definitions

Subchapter C - CERTIFICATION STANDARDS: INDIVIDUAL'S RIGHTS

565.5 - Rights of Individuals

Subchapter D - CERTIFICATION STANDARDS: STAFF MEMBER AND SERVICE PROVIDER REQUIREMENTS

565.7 - Staff Member and Service Provider Requirements
565.9 - Program Provider Requirements

Subchapter E - CERTIFICATION STANDARDS: SERVICE DELIVERY

565.11 - Service Delivery
565.13 - Nursing
565.15 - Individuals under the Age of 22
565.17 - Pre-enrollment Minor Home Modification
565.19 - Community First Choice (CFC) Emergency Response Systems (ERS) Services
565.21 - Transitional Assistance Service (TAS)

Subchapter F - CERTIFICATION STANDARDS: QUALITY ASSURANCE

565.23 - Residential Requirements
565.25 - Programmatic Requirements
565.27 - Finances and Rent
565.29 - Behavior Support Plan
565.31 - Requirements Related to Abuse, Neglect, and Exploitation
565.33 - Restraints
565.35 - Enclosed Beds
565.37 - Protective Devices
565.39 - Prohibitions

Subchapter G - HHSC ACTIONS

565.41 - HHSC Surveys of a Program Provider
565.43 - HHSC Approval of Four Person Residences
565.45 - Administrative Penalties
565.47 - Amelioration
565.49 - Program Provider Compliance and Corrective Action

Chapter 566 - TEXAS HOME LIVING (TXHML) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) CERTIFICATION STANDARDS

566.1 - Emergency Response System
566.3 - Definitions
566.5 - Description of TxHmL Program Services
566.7 - Program Provider Certification Principles: Service Delivery
566.9 - Certification Principles: Staff Member and Service Provider Requirements
566.11 - Certification Principles: Quality Assurance
566.13 - Certification Principles: Prohibitions
566.15 - Certification Principles: Requirements Related to the Abuse, Neglect, and Exploitation of an Individual
566.17 - Other Program Provider Requirements
566.19 - HHSC Surveys of a Program Provider
566.21 - Program Provider Compliance and Corrective Action
566.23 - Administrative Penalties
566.25 - Amelioration

Chapter 567 - CERTIFICATE OF PUBLIC ADVANTAGE

Subchapter A - GENERAL PROVISIONS

567.1 - Purpose
567.2 - Definitions
567.3 - Applicability
567.4 - Certificate of Public Advantage Required
567.5 - Compliance
567.6 - Scope

Subchapter B - APPLICATION AND ISSUANCE

567.21 - Changes That May Affect the Certificate of Public Advantage Application
567.22 - Application
567.23 - Texas Health and Human Services Commission Review
567.24 - Attorney General Review
567.25 - Application Fees
567.26 - Conditions for Issuing a Certificate of Public Advantage

Subchapter C - OPERATIONAL REQUIREMENTS

567.31 - Terms
567.32 - Changes that May Affect the Certificate of Public Advantage
567.33 - Annual Public Hearing
567.34 - Annual Report
567.35 - Voluntary Termination
567.36 - Supervision Fees

Subchapter D - RATE REVIEW

567.41 - Rate Reviews for Hospitals Operating Under a Certificate of Public Advantage

Subchapter E - ENFORCEMENT

567.51 - Supervision
567.52 - Annual Review
567.53 - Investigation; Consequences
567.54 - Corrective Action Plan

Chapter 568 - STANDARDS OF CARE AND TREATMENT IN PSYCHIATRIC HOSPITALS

Subchapter A - GENERAL REQUIREMENTS

568.1 - Purpose
568.2 - Application
568.3 - Definitions
568.4 - General Provisions
568.5 - Individuals with a Sole Diagnosis of a Substance-related or Addictive Disorder

Subchapter B - ADMISSION

568.21 - Admission Criteria
568.22 - Voluntary Admission
568.23 - Emergency Detention
568.24 - Admission of an Individual under an Order of Protective Custody, for Court-ordered Inpatient Mental Health Services, or Under Order for Commitment or Order for Placement
568.25 - Monitoring Upon Admission
568.26 - Voluntary Treatment Following Involuntary Admission

Subchapter C - EMERGENCY TREATMENTS

568.41 - Responding to an Emergency Medical Condition
568.42 - Responding to a Psychiatric Emergency

Subchapter D - SERVICE REQUIREMENTS

568.61 - Inpatient Mental Health Treatment and Treatment Planning
568.62 - Medical Services
568.63 - Nursing Services
568.64 - Social Services
568.65 - Therapeutic Activities
568.66 - Psychological Services
568.67 - Protection of a Patient

Subchapter E - DISCHARGE

568.81 - Discharge Planning
568.82 - Discharge Notices and Release of Minors
568.83 - Discharge of a Voluntary Patient Requesting Discharge
568.84 - Discharge of an Involuntary Patient

Subchapter F - DOCUMENTATION

568.101 - Content of Medical Record

Subchapter G - STAFF DEVELOPMENT

568.121 - Staff Member Training

Subchapter H - PERFORMANCE IMPROVEMENT

568.141 - Quality Assessment and Performance Improvement Program
568.142 - Reporting and Investigating Sentinel Events
568.143 - Response to External Reviews
568.144 - Advisory Committee for Nurse Staffing

Chapter 570 - LONG-TERM CARE PROVIDER RULES DURING A PUBLIC HEALTH EMERGENCY OR DISASTER

Subchapter A - INTRODUCTION

570.2 - Definitions

Subchapter B - ASSISTED LIVING FACILITIES

570.111 - Visitation
570.113 - Essential Caregiver Visits

Subchapter D - HOME AND COMMUNITY SUPPORT SERVICES AGENCIES

570.325 - Visitation
570.327 - Essential Caregiver Visits

Subchapter F - NURSING FACILITIES

570.513 - Visitation
570.514 - Essential Caregiver Visits

Subchapter G - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS

570.611 - Visitation
570.613 - Essential Caregiver Visits

Subchapter H - HOME AND COMMUNITY-BASED SERVICES

570.711 - Visitation
570.713 - Essential Caregiver Visits

Chapter 571 - VOLUNTARY RECOVERY HOUSING ACCREDITATION

Subchapter A - GENERAL PROVISIONS

571.1 - Purpose
571.2 - Definitions
571.3 - Approved Accrediting Organizations
571.4 - Accreditation Not Required
571.5 - Places Ineligible for Accreditation as a Recovery House

Subchapter B - MINIMUM STANDARDS FOR ACCREDITATION

571.11 - Standards for Accreditation

Subchapter C - ACCREDITING ORGANIZATION REQUIREMENTS

571.21 - Accrediting Organization Requirements

Subchapter D - PROHIBITED ACTIONS

571.31 - Soliciting
571.32 - Advertising Restrictions

Subchapter E - ENFORCEMENT

571.41 - Accrediting Organization Enforcement Actions

Chapter 711 - INVESTIGATIONS OF INDIVIDUALS RECEIVING SERVICES FROM CERTAIN PROVIDERS

Subchapter A - INTRODUCTION

711.1 - What is the purpose of this chapter?
711.3 - How are the terms in this chapter defined?
711.5 - What does APS investigate under this chapter?
711.7 - What does APS not investigate under this chapter?
711.11 - How is physical abuse defined?
711.13 - How is sexual abuse defined?
711.17 - How is verbal/emotional abuse defined?
711.19 - How is neglect defined?
711.21 - How is exploitation defined?
711.23 - What is not considered abuse, neglect, or exploitation?

Subchapter C - DUTY TO REPORT

711.201 - What is your duty to report if you are a direct provider or service provider?

Subchapter E - CONDUCTING THE INVESTIGATION

711.401 - When does the Investigator notify law enforcement and OIG for allegations of abuse, neglect, or exploitation and when is the identity of the reporter revealed?
711.402 - What provider and Health and Human Services agency does the Investigator notify for allegations of abuse, neglect, or exploitation and when is the identity of the reporter revealed?
711.403 - Who and when does the investigator notify upon receiving an allegation that relates to a general complaint?
711.405 - What action does the investigator take if the alleged perpetrator is a licensed professional?
711.413 - How are investigations prioritized?
711.415 - What are the requirements for face-to-face contact with the alleged victim?
711.417 - When must the investigator complete the investigation?
711.419 - What if the investigator cannot complete the investigation on time?
711.421 - What are the possible findings of an investigation?
711.423 - Is the investigator required to designate a perpetrator or alleged perpetrator?

Subchapter F - PROVISION OF SERVICES

711.551 - What action does the investigator take if an individual enrolled in the HCS waiver program receiving services from an HCS waiver program provider needs emergency services?
711.553 - What action does the investigator take if an individual receiving services from a licensed ICF-IID needs emergency services?
711.555 - What action does the investigator take if an adult lives in a residence that is owned, operated, or controlled by an HCS waiver program provider but does not receive HCS waiver services and needs emergency services?
711.557 - What action does the investigator take if a child lives in a residence that is owned, operated, or controlled by an HCS waiver program provider but does not receive HCS waiver services and needs emergency services?

Subchapter G - RELEASE OF REPORT AND FINDINGS

711.601 - Are investigation documents confidential?
711.603 - What is included in the investigative report?
711.605 - Who receives the investigative report?
711.609 - Is the reporter notified of the finding and the method to appeal, and if so, how?
711.611 - Is the victim or alleged victim, guardian, or parent notified of the finding and the method to appeal, and if so, how?
711.613 - Can the investigative report be released by a service provider?

Subchapter J - APPEALING THE INVESTIGATION FINDING

711.901 - What is an appeal of the investigation?
711.903 - How is an appeal affected by a determination that the perpetrator's confirmed act of abuse, neglect, or exploitation may rise to the level of reportable conduct?
711.905 - Who may request an appeal of the investigation?
711.907 - How does a qualified party request an appeal?
711.909 - What is the timeline for requesting an appeal?
711.911 - How and when is the appeal conducted?
711.913 - What if the administrator of a state-operated facility disagrees with the second level appeal decision?
711.915 - Is a finding ever changed without an appeal?

Subchapter L - EMPLOYEE MISCONDUCT REGISTRY

711.1401 - What is the purpose of this subchapter?
711.1402 - How are the terms in this subchapter defined?
711.1403 - To which investigations does this subchapter apply?
711.1404 - How are the terms physical abuse, sexual abuse, verbal or emotional abuse, neglect, exploitation, and financial exploitation defined for the purpose of this subchapter?
711.1406 - How is the term agency defined for the purpose of this subchapter?
711.1407 - What is the Employee Misconduct Registry?
711.1408 - What is reportable conduct?
711.1413 - What notice must HHSC give to an employee before the employee's name is submitted to the EMR?
711.1414 - How will the Notice of Finding be provided to an employee and who is responsible for ensuring that HHSC has a valid mailing address for an employee?
711.1415 - How does an employee dispute a finding of reportable conduct and what happens if the "Request for EMR Hearing" is not filed or not filed properly?
711.1417 - What is the deadline for filing the Request for EMR Hearing?
711.1419 - Is a finding of reportable conduct ever reversed without conducting a hearing?
711.1421 - When and where will the EMR hearing take place and who conducts the hearing?
711.1423 - May an employee or HHSC request that the EMR hearing be rescheduled?
711.1425 - May an employee withdraw a Request for EMR Hearing after it is filed?
711.1426 - What happens if a party fails to appear at a pre-hearing conference or a hearing on the merits?
711.1427 - How is the EMR hearing conducted?
711.1429 - How and when is the decision made after the EMR hearing?
711.1431 - How is judicial review requested and what is the deadline?
711.1432 - What action does HHSC take when an employee has exhausted the employee's administrative remedies?
711.1434 - What special considerations apply to employees of state-operated facilities?

Chapter 742 - MINIMUM STANDARDS FOR LISTED FAMILY HOMES

Subchapter A - PURPOSE, SCOPE, AND DEFINITIONS

742.101 - What is the purpose of this chapter?
742.103 - What is a listed family home?
742.105 - Who is responsible for complying with these minimum standards?
742.107 - Is a listed family home that only provides care and supervision for children related to the primary caregiver required to comply with the minimum standards in this chapter?
742.109 - What do certain pronouns or titles mean when used in this chapter?
742.111 - What do certain words and terms mean when used in this chapter?

Subchapter B - CAREGIVERS

742.201 - Who is a primary caregiver?
742.203 - Must I be present at my home during all hours of operation?

Subchapter C - CAREGIVER QUALIFICATIONS AND RESPONSIBILITIES

742.301 - What types of minimum qualifications must caregivers have?
742.303 - What general responsibilities do caregivers have?
742.305 - What does "supervise children at all times" mean?
742.307 - What additional responsibilities do primary caregivers have?

Subchapter D - NOTIFICATIONS AND LIABILITY INSURANCE REQUIREMENTS

742.401 - What are the notification requirements?
742.403 - What are the liability insurance requirements?
742.405 - What are acceptable reasons not to have liability insurance?
742.407 - When must I notify parents that I do not carry liability insurance?

Subchapter E - BASIC CARE REQUIREMENTS

742.501 - What are the basic care requirements for an infant?
742.503 - What safety requirements must my cribs meet?
742.505 - What types of sleeping equipment am I prohibited from using with infants?
742.507 - What additional requirements apply when an infant is sleeping or resting?
742.508 - What are the requirements when an infant is engaged in tummy time?
742.509 - What are the basic care requirements for a toddler?
742.511 - What are the basic care requirements for a pre-kindergarten age child?
742.513 - What are the basic care requirements for a school-age child?

Subchapter F - DISCIPLINE AND GUIDANCE

742.601 - What methods of discipline and guidance may I use?
742.603 - What types of punishment, discipline, or guidance are prohibited?

Subchapter G - NUTRITION AND FOOD

742.701 - What are the basic food requirements?
742.703 - How should I care for a child with a food allergy?

Subchapter H - HEALTH AND SAFETY PRACTICES

742.801 - How do I ensure a healthy environment for children at my home?
742.803 - What are the medication requirements?
742.805 - How should I respond to an illness or injury that requires the immediate attention of a health-care professional?
742.806 - What are the requirements if my home chooses to maintain and administer unassigned epinephrine auto-injectors?
742.807 - What are the water activity and swimming requirements?
742.809 - What are the transportation requirements?
742.811 - What type of emergency preparedness plan must I have?
742.813 - What are the Fire Safety Requirements?

Chapter 743 - MINIMUM STANDARDS FOR SHELTER CARE

Subchapter A - DEFINITIONS AND SERVICES

743.1 - What do certain pronouns mean as used in this chapter?
743.3 - What do certain words and terms mean in this chapter?
743.5 - What child care is regulated under this chapter?
743.7 - What are my operational responsibilities?
743.9 - If residents provide care for other residents' children, is this subject to regulation?

Subchapter B - PERSONNEL AND TRAINING

743.101 - What are the minimum qualifications?
743.103 - What training is required?
743.105 - What are the background check requirements?
743.107 - What personnel records are required?
743.109 - How many caregivers are required?

Subchapter C - SERIOUS INCIDENT REPORTING

743.201 - When must I report a serious incident to Licensing?
743.203 - What are my responsibilities regarding the report of abuse, neglect, or exploitation?

Subchapter D - SAFETY PRACTICES

743.301 - What are the requirements if my operation chooses to maintain and administer unassigned epinephrine auto-injectors?

Chapter 744 - MINIMUM STANDARDS FOR SCHOOL-AGE AND BEFORE OR AFTER-SCHOOL PROGRAMS

Subchapter A - PURPOSE, SCOPE, AND DEFINITIONS

744.101 - What is the purpose of this chapter?
744.111 - What types of operations do these minimum standards apply to?
744.113 - Who is responsible for complying with these minimum standards?
744.121 - What do certain pronouns mean when used in this chapter?
744.123 - What do certain words and terms mean when used in this chapter?

Subchapter B - ADMINISTRATION AND COMMUNICATION

744.201 - What are my responsibilities as the permit holder?
744.203 - What are the liability insurance requirements?
744.205 - What are acceptable reasons not to have liability insurance?
744.207 - When must I notify parents that I do not carry liability insurance?
744.301 - What changes regarding my operation must I notify Licensing about before making the change?
744.303 - What changes must I notify Licensing of regarding the operation's designee, governing body, and directors?
744.305 - What other situations require notification to Licensing?
744.307 - What emergency or medical situations must I notify parents about?
744.309 - What are the notification requirements when Licensing finds my operation deficient in the standard related to the abuse, neglect, or exploitation of a child?
744.311 - How must I notify parents of an abuse, neglect, or exploitation deficiency?
744.401 - What items must I post at my operation at all times?
744.403 - When and where must these items be posted?
744.405 - What telephone numbers and other contact information must I post and where must I post this information?
744.501 - What written operational policies must I have?
744.503 - Must I provide parents with a copy of my operational policies?
744.505 - What must I do when I change an operational policy or an item in the child-care enrollment agreement?
744.521 - What rights does a parent of a child in care of my child-care operation have?

Subchapter C - RECORD KEEPING

744.601 - Who has the right to access children's records?
744.603 - What records must I have for children in my care and how long must I keep them?
744.605 - What admission information must I obtain for each child?
744.607 - Must the child's parent sign the admission information?
744.609 - Must I update the admission information?
744.611 - Must I have a health statement for children in my care?
744.613 - What immunizations must a child in my care have?
744.615 - What exemptions or exceptions are there concerning immunization requirements?
744.623 - What documentation is acceptable for an immunization record?
744.625 - Must children in my care have a tuberculosis (TB) examination?
744.627 - Must I have a system for signing children in and out of my care?
744.701 - What written records must I keep of accidents and incidents that occur at my operation?
744.705 - Must someone from my operation sign the Incident/Illness Report form?
744.707 - Must I share a copy of the Incident/Illness Report form with the child's parent?
744.709 - Where must I file the Incident/Illness Report form and how long must I keep it?
744.801 - What records must I keep at my operation?
744.803 - How long must I keep records at my operation?
744.805 - May I keep electronic records or a combination of paper and electronic records?
744.901 - What information must I maintain in my personnel records?
744.907 - How long and where must I keep the required personnel records?
744.909 - May Licensing access my personnel records?

Subchapter D - PERSONNEL

744.1001 - Am I required to have a director for my operation?
744.1003 - If I have multiple operations, must I designate a director for each operation?
744.1005 - What are the director's responsibilities?
744.1007 - May I be a director of my own operation?
744.1009 - May I have more than one operation director?
744.1011 - For how many hours must a director be at my operation?
744.1013 - Must someone else be designated to be in charge of my operation in the director's absence?
744.1015 - What qualifications must an operation director or a program director meet?
744.1017 - What qualifications must a site director meet?
744.1021 - What types of experience may count towards meeting director qualifications?
744.1023 - Can Licensing verify whether someone has sufficient experience?
744.1025 - What credit courses does Licensing recognize as child development?
744.1027 - What credit courses does Licensing recognize as management?
744.1029 - What documentation must I provide to show that my director meets the child development and management education qualifications?
744.1035 - May clock hours or CEUs (continuing education units) be substituted for any of the educational requirements in this division?
744.1037 - What additional documentation must I submit to Licensing to show my director is qualified and when must I submit it?
744.1043 - Does education received outside of the United States substitute for the education requirements for a child-care director?
744.1045 - Will Licensing keep the original training certificates and college transcripts I submit to obtain a Licensing director's certificate?
744.1047 - What happens if Licensing determines that a director for my operation does not meet minimum standard qualifications?
744.1049 - Will my director receive a certificate verifying that director qualifications have been met?
744.1051 - Will a director's certificate expire?
744.1053 - How often must an expiring certificate be renewed?
744.1055 - What happens if my operation director's or program director's credential expires?
744.1057 - If I hire someone who was qualified as a director at another licensed operation in Texas, must I resubmit all of the information to Licensing staff for review?
744.1059 - Does Licensing charge a fee for issuing the director's certificate?
744.1061 - Can my director get a replacement Director's Certificate?
744.1103 - What minimum qualifications must each of my employees meet?
744.1105 - What additional minimum qualifications must each of my caregivers meet?
744.1107 - When may I employ a person under the age of 18 or a person who does not have a high school diploma or equivalent as a caregiver?
744.1109 - Does education received outside of the United States count toward caregiver qualifications?
744.1201 - What general responsibilities do my employees have?
744.1203 - What additional responsibilities do my caregivers have?
744.1205 - What responsibilities does a caregiver have when supervising a child or children?
744.1301 - What are the training requirements for employees, caregivers, and directors?
744.1303 - What must orientation for employees at my operation include?
744.1305 - What areas of training must the pre-service training for caregivers cover?
744.1307 - Are any caregivers exempt from the pre-service training?
744.1309 - What areas of training must the annual training for caregivers and site directors cover?
744.1311 - What areas of training must the annual training for an operation director or a program director cover?
744.1313 - When must annual training for my caregivers and director be obtained?
744.1315 - Who must have pediatric first aid and pediatric CPR training?
744.1317 - What additional training must an employee and director have if the operation transports children?
744.1318 - What additional training must an employee and director have if the operation allows a child to access a swimming pool at or away from the operation?
744.1319 - Must the training for my caregivers and the director meet certain criteria?
744.1321 - Does Licensing approve training resources or trainers for training hours?
744.1323 - If I have a caregiver who attends college or a Child Development Associate/Certified Child-Care Professional credential program, may I count these clock hours toward the annual training requirement?
744.1325 - If I hire a caregiver or a director that received training at another operation, may these hours count towards the annual training requirement at my operation?
744.1331 - What documentation must I provide to Licensing to verify that employees have met training requirements?
744.1401 - What minimum standards must substitutes, volunteers, or contractors comply with?
744.1403 - What are the training requirements for substitutes, volunteers, and contractors?
744.1405 - When is a substitute, volunteer, or contractor exempt from the pre-service training?

Subchapter E - CHILD/CAREGIVER RATIOS AND GROUP SIZES

744.1501 - What is child/caregiver ratio?
744.1503 - What is considered a group?
744.1505 - May I place more than one group of children in a large room?
744.1507 - How do I determine the child/caregiver ratio?
744.1601 - How many children may one caregiver supervise?
744.1603 - How do I determine the specified age of the children in each group?
744.1605 - If I have two or more caregivers with each group, what is the maximum number of children each caregiver may supervise?
744.1607 - What is the maximum group size?
744.1609 - Are there times when I may mix groups of children and exceed the maximum group size?
744.1611 - May I reduce the number of caregivers supervising children during naptime?
744.1701 - Do I need additional caregivers when I take children away from the operation for field trips or walks?
744.1705 - If I provide transportation, how many caregivers must I have in the vehicle to supervise the children?
744.1801 - Must I have additional caregivers during nighttime care?
744.1901 - Must I have additional caregivers for wading activities?
744.1905 - What are the child/caregiver ratios for swimming activities?
744.1907 - Must a certified lifeguard be on duty when children are swimming in more than 18 inches of water?
744.1909 - May I count the certified lifeguard in the child/caregiver ratio?
744.1911 - Must persons who are counted in the child/caregiver ratio during swimming activities know how to swim?
744.1913 - May I include volunteers or child-care employees who do not meet minimum qualifications for caregivers in the child/caregiver ratio for water activities?
744.1915 - Must I have additional caregivers for sprinkler play?

Subchapter F - DEVELOPMENTAL ACTIVITIES AND EQUIPMENT

744.2001 - What planned activities must caregivers provide for children in their care?
744.2002 - What additional activities must caregivers provide when a child is in care for more than five consecutive hours in a day?
744.2003 - What are the additional requirements if my operation cares for a child under the age of five?
744.2005 - What written activity plans must caregivers follow?
744.2007 - May I use a screen time activity with a child?
744.2009 - What are my responsibilities when planning activities for a child in care with special care needs?
744.2051 - What physical space and equipment must I provide for children in my care?

Subchapter G - DISCIPLINE AND GUIDANCE

744.2103 - What methods of discipline and guidance may a caregiver use?
744.2105 - What types of discipline and guidance or punishment are prohibited?
744.2107 - May my employees discipline their own children who are in care at my operation?
744.2109 - May I use disciplinary measures that are fundamental to teaching a skill, talent, ability, expertise, or proficiency?

Subchapter H - NAPTIME

744.2201 - Must children have a naptime every day?
744.2203 - How long may the nap and rest time last each day?
744.2205 - Are children required to sleep during this time?
744.2207 - Must I provide an alternative activity for those children who cannot sleep?
744.2209 - Must I arrange the napping equipment in a specific manner?
744.2211 - May I lower the lighting in the room while children are sleeping?
744.2251 - May I provide nighttime care to children at my operation?

Subchapter I - FIELD TRIPS

744.2301 - May I take children away from my operation for field trips?
744.2303 - Must I notify parents before I take children away from the operation on a field trip?

Subchapter J - NUTRITION AND FOOD SERVICE

744.2401 - What are the basic requirements for meal and snack times?
744.2403 - How often must I feed a child in my care?
744.2409 - May parents provide meals and snacks for their child instead of my operation providing them?
744.2411 - What are the requirements for a child who requires a special diet or does not want to eat foods the operation serves?
744.2413 - Can I make substitutions and/or rotate the daily menus?
744.2419 - What general requirements apply to food service and preparation?
744.2421 - Must I serve meals family style?
744.2423 - Are children allowed to use toothbrushes after meal and snack times?

Subchapter K - HEALTH PRACTICES

744.2501 - Must my operation have an annual sanitation inspection?
744.2503 - How do I document that a sanitation inspection has been completed?
744.2505 - Do I have to make corrections called for in the report?
744.2507 - What steps must I take to ensure a healthy environment for children at my operation?
744.2513 - May I use a dishwasher or washing machine to sanitize items at my operation?
744.2515 - When must employees wash their hands?
744.2517 - When must children wash their hands?
744.2519 - How must children and employees wash their hands?
744.2520 - May I use hand sanitizer as a substitute for washing hands?
744.2521 - Must my operation have hot water for hand washing?
744.2523 - Must caregivers wear gloves when handling blood or bodily fluids containing blood?
744.2525 - Must I use a licensed exterminator to treat my operation for insects, rodents, and other pests?
744.2527 - Are there general precautions I must take when my operation is being treated for insects, rodents, and other pests?
744.2529 - May I use water from a private water supply instead of a public water supply for my operation?
744.2531 - May I use a septic system for sewage disposal?
744.2551 - What steps must caregivers follow for assisting children with toileting?
744.2571 - What type of illness would prohibit a child from attending the operation?
744.2573 - What communicable diseases would exclude a child from attending my operation?
744.2575 - How must caregivers respond when a child becomes ill?
744.2576 - When may a child who was ill return to my operation?
744.2577 - How must caregivers respond when a child is injured and requires immediate treatment by a health-care professional?
744.2579 - What is a vaccine-preventable disease for the purpose of this division?
744.2581 - What must a policy for protecting children from vaccine-preventable diseases include?

Subchapter L - SAFETY PRACTICES

744.2601 - What safety precautions must I take to protect children in my operation?
744.2603 - How can I ensure the safety of the children from other persons?
744.2605 - Am I required to have a video or audio monitoring system?
744.2607 - Are firearms or other weapons allowed at my operation?
744.2609 - May I have toys or other types of equipment that explode or shoot things?
744.2651 - What does "medication" refer to in this division?
744.2653 - What authorization must I obtain before administering a medication to a child in my care?
744.2655 - How must I administer medication to a child in my care?
744.2657 - How must I store medication that I administer to a child?
744.2659 - How long may I keep the medication that I administer to a child?
744.2661 - Do I have to notify parents if I do not want to administer medications?
744.2663 - What is specialized medical assistance?
744.2665 - What are my requirements regarding specialized medical assistance?
744.2667 - What is a food allergy emergency plan?
744.2669 - When must I have a food allergy emergency plan for a child?
744.2701 - What steps must I take to have animals at my operation and/or on a field trip?
744.2703 - Must I keep documentation of vaccinations on file for the animals?
744.2705 - Must I prevent children from having contact with certain animals while at my operation?
744.2751 - Must I have a first-aid kit at my operation?
744.2753 - What items must each first-aid kit contain?
744.2801 - To whom may I release children?
744.2803 - How do my employees verify the identity of a parent or a person a parent has designated to pick up the child?

Subchapter M - PHYSICAL FACILITIES

744.2901 - How many square feet of indoor activity space must I have for children?
744.2903 - Must I limit the number of children in each room based on the indoor activity space measurements for that room?
744.2905 - Do these indoor activity space requirements apply to my operation if it was licensed before September 1, 2010?
744.2907 - How does Licensing determine the indoor activity space?
744.2909 - May other programs use my indoor activity space at the same time I have children in care?
744.2911 - May I care for children above or below ground level?
744.2951 - How many square feet of outdoor activity space must I have?
744.2953 - Must I fence the outdoor activity space?
744.2955 - How many exits must I have from my fenced outdoor activity space?
744.2957 - May I keep the gates leading into my outdoor activity space locked while children are in care?
744.2959 - Must the outdoor activity space be connected to the operation?
744.2961 - Must I comply with additional requirements if my plan to use an outdoor activity space not connected to my operation is approved by Licensing?
744.2963 - May other programs use my outdoor activity space at the same time I have children in care?
744.3001 - How many hand-washing sinks must I have in my operation for children's use?
744.3003 - Where must I locate the hand-washing sinks for children's use?
744.3005 - How many toilets am I required to have in my operation?
744.3007 - Where must the toilets be located?
744.3009 - May I count urinals in the ratio of children to toilets?
744.3011 - Do I have to use toilets, sinks and fountains that are child sized?
744.3013 - May the doors to the restroom or toilets have locks on them?
744.3015 - May other programs use the toilets and hand washing sinks counted in my indoor activity space at the same time I have children in care?
744.3051 - Must I have a telephone at my operation?
744.3071 - May I have indoor lofts?

Subchapter N - INDOOR AND OUTDOOR ACTIVE PLAY SPACE AND EQUIPMENT

744.3101 - What minimum safety requirements must my active play equipment meet?
744.3103 - What additional safety requirements must my indoor equipment meet?
744.3105 - Are there some types of equipment that children must not use?
744.3107 - Are there additional equipment restrictions for children younger than five years of age?
744.3109 - What is the maximum height of the highest designated play surface allowed?
744.3111 - What is the maximum height allowed for the highest designated play surface if my operation was licensed before September 1, 2010?
744.3113 - What special maintenance procedures must I follow for my active play space and equipment?
744.3151 - What are the safety requirements for swings?
744.3153 - Are there additional safety requirements for tire swings or other multi-axis swings?
744.3201 - What does Licensing mean by the term "use zone"?
744.3203 - How do I measure the use zone for stationary equipment?
744.3205 - How do I measure the use zone for slides?
744.3207 - How do I measure the use zone for to-fro swings?
744.3209 - How do I measure the use zone for tire swings?
744.3211 - How do I measure the use zone for bucket swings?
744.3213 - How do I measure the use zone for rotating or rocking equipment?
744.3215 - Do the use zone requirements apply to my operation if it was licensed before September 1, 2003?
744.3251 - What type of surfacing must I have under my active play equipment?
744.3253 - What are acceptable loose-fill surfacing materials?
744.3255 - How should outdoor loose-fill surfacing materials be installed?
744.3259 - What are unitary surfacing materials?
744.3261 - How should unitary surfacing materials be installed?
744.3263 - What documentation must I keep at the operation if I use unitary surfacing materials?
744.3301 - What is soft contained play equipment?
744.3303 - Are there additional safety requirements for soft contained play equipment?
744.3305 - How do I measure the use zone for soft contained play equipment?
744.3351 - May I use inflatable active play equipment?

Subchapter O - SWIMMING POOLS, WADING/SPLASHING POOLS, AND SPRINKLER PLAY

744.3401 - What safety precautions must I follow when children in my care use a swimming pool?
744.3403 - How should the swimming pool be built and maintained?
744.3405 - Do the same safety precautions apply for above-ground pools?
744.3407 - Must I have a fence around a swimming pool at my operation?
744.3409 - What additional safety precautions must I take for a child in care who is unable to swim competently or who is at risk of injury or death when swimming?
744.3410 - Must I provide a personal flotation device (PFD) to a child in care who is unable to swim competently or who is at risk of injury or death when swimming when the child is participating in swim instruction or a competition?
744.3411 - What are the safety requirements for wading pools?
744.3413 - Are there specific safety requirements for sprinkler play?
744.3415 - Can a child in my care swim in a body of water other than a swimming pool?

Subchapter P - FIRE SAFETY AND EMERGENCY PRACTICES

744.3501 - Must my operation have an annual fire inspection?
744.3503 - How do I document that a fire inspection has been completed?
744.3505 - Must I make all corrections specified in the fire-inspection report?
744.3551 - What is an emergency preparedness plan?
744.3553 - What must my emergency preparedness plan include?
744.3557 - Who must coordinate the implementation of an emergency preparedness plan?
744.3559 - Must I practice my emergency preparedness plans?
744.3561 - Must I have an emergency evacuation and relocation diagram?
744.3563 - How many exits must my operation have?
744.3565 - Must I have emergency lighting in case of an emergency evacuation?
744.3601 - Must my operation have a fire-extinguishing system?
744.3603 - Who must approve my fire-extinguishing system?
744.3605 - Where must I mount fire extinguishers?
744.3607 - How often must I inspect and service the fire extinguisher(s)?
744.3609 - How often must I inspect a sprinkler system?
744.3611 - Must my operation have a smoke-detection system?
744.3613 - Who must approve my operation's smoke-detection system?
744.3615 - How often must I have an electronic smoke alarm system tested?
744.3617 - How must smoke detectors be installed at my operation?
744.3619 - How often must the smoke detectors at my operation be tested?
744.3651 - Must my operation be inspected for gas leaks?
744.3653 - Who must conduct the inspection for gas leaks?
744.3655 - How do I document that a gas leak inspection has been completed?
744.3657 - Must I make all corrections specified in the gas inspection report?
744.3701 - What steps must I take to ensure that heating devices do not present hazards to children?
744.3751 - Must my operation have a carbon monoxide detection system?
744.3753 - What type of carbon monoxide detection system must I install?
744.3755 - How many carbon monoxide detectors must be installed in my operation?
744.3757 - How often must I inspect and service the carbon monoxide detection system?

Subchapter Q - TRANSPORTATION

744.3801 - What types of transportation does Licensing regulate?
744.3803 - What type of vehicle may I use to transport children?
744.3805 - What safety precautions must I take when loading and unloading children from the vehicle?
744.3807 - What child passenger safety seat system must I use when I transport children?
744.3809 - Must caregivers and/or the driver wear a safety belt?
744.3811 - May parents provide the safety seat equipment required for their child?
744.3813 - May I place more than one person in each safety belt?
744.3815 - May a child ride in a safety belt with a shoulder harness?
744.3817 - Must I carry specific information and equipment in the vehicles used to transport children in my care?
744.3819 - What plan must I have for transportation emergencies?
744.3821 - What communication requirements are there for a vehicle used to transport children?

Chapter 745 - LICENSING

Subchapter A - PRECEDENCE AND DEFINITIONS

745.11 - General Definitions
745.21 - What do the following words and terms mean when used in this chapter?

Subchapter B - CHILD CARE AND OTHER OPERATIONS THAT ARE SUBJECT TO REGULATION

745.31 - What operations are subject to regulation under this chapter and corresponding minimum standards?
745.33 - What is child day care?
745.35 - What is residential child care?
745.37 - What specific types of operations are subject to regulation under this chapter and corresponding minimum standards?
745.39 - Does Licensing regulate state agencies that run child-care operations?
745.41 - How do I start a child day care or residential child-care operation, including a child-placing agency?
745.43 - What are the requirements for a relative-only listed family home?

Subchapter C - OPERATIONS THAT ARE EXEMPT FROM REGULATION

745.101 - What words must I know to understand this subchapter?
745.111 - What does "exempt from regulation" mean?
745.113 - What programs are exempt from regulation by Licensing?
745.115 - What programs regulated by other governmental entities are exempt from Licensing regulation?
745.117 - Programs of Limited Duration Exempt from Regulation by Child Care Regulation (CCR)
745.119 - What educational facilities are exempt from Licensing regulation?
745.121 - What if my educational facility meets every criterion for an education exemption, except some of the children in care are younger than the exemption allows?
745.123 - What if my educational facility meets every criterion for an education exemption, except some of the children in care stay in care longer than the number of hours the exemption allows?
745.125 - Are additional exemption criteria required for an educational facility that provides residential child care?
745.127 - What does an organization need to submit to Licensing to determine exemption from regulation for member educational facilities under §745.119(4) of this division (relating to What educational facilities are exempt from Licensing regulation?)?
745.129 - What miscellaneous programs are exempt from Licensing regulation?
745.131 - How does a person or entity request that Licensing determine whether a program is exempt?
745.133 - When will I know if my program is exempt?
745.135 - What if Licensing determines that my program does not meet the exemption criteria outlined in this subchapter?
745.137 - What if I disagree with Licensing's determination that my program is not exempt?
745.139 - What will Licensing do if I operate a combination of exempt and regulated programs?
745.141 - In what circumstances may I apply for a permit even though my program is exempt?
745.143 - If my program is exempt and does not need regulation for funding purposes, can I still obtain a permit from Licensing?

Subchapter D - APPLICATION PROCESS

745.201 - What words must I know to understand this subchapter?
745.211 - What are the different parts of the application process?
745.213 - What is the purpose of the pre-application interview?
745.215 - How does Licensing conduct the pre-application interview?
745.241 - Who must submit the application for a permit?
745.243 - What does a completed application for a permit include?
745.245 - How do I demonstrate that the governing body is not delinquent in paying the franchise tax?
745.247 - What happens if the governing body is delinquent in paying the tax after receiving a permit from Licensing?
745.249 - What are the liability insurance requirements for a licensed operation, registered child-care home, or listed family home?
745.251 - What are acceptable reasons not to have liability insurance?
745.253 - When must I notify parents that I do not carry liability insurance?
745.255 - What safe sleeping training must a person complete when applying to operate a listed family home?
745.273 - Which residential child-care operations must meet the public notice and hearing requirements?
745.275 - What are the specific requirements for a public notice and hearing?
745.277 - What will happen if I fail to comply with the public notice and hearing requirements?
745.301 - How long does Licensing have to review my application and notify me of my application status?
745.303 - How many chances do I have to submit all of the required information?
745.321 - How long does Licensing have to issue or deny a permit after accepting my application?
745.323 - What if Licensing exceeds its timeframes for processing my application?
745.325 - How do I file a complaint regarding timeframes for processing my application?
745.327 - When does Licensing have good cause for exceeding its timeframes for processing my application?
745.339 - What factors will we consider when evaluating an application for a permit or a request to amend a permit?
745.340 - For what reason may Licensing deny me a permit based on the results of a required public hearing?
745.341 - What type of permit does Licensing issue?
745.343 - What is the difference between an initial license and full license?
745.344 - How long is a full permit valid?
745.345 - When does Licensing issue an initial license?
745.347 - How long is an initial license valid?
745.349 - What if I am not able to care for children during the initial period?
745.351 - If I have an initial license, when will I be eligible for a full license?
745.353 - What can I do if Licensing denies me a permit?
745.355 - When may Licensing issue a full license in lieu of an initial license?
745.371 - Can Licensing issue more than one registration or listing for a single child-care home?
745.373 - May I have more than one licensed child-care home?
745.375 - May I offer child day care at my agency foster home or independent foster home?
745.379 - Can a single operation have more than one child day care license at the same location?
745.381 - Do I need Licensing's permission for my child day-care operation to provide occasional overnight care?
745.385 - Can a person or governing body operate multiple operations under the same permit?
745.401 - What fees must I pay when I reapply for a permit?
745.403 - When am I eligible to apply for another permit after Licensing denies, revokes, or refuses to renew my permit?
745.405 - Can I operate after I apply for a permit?
745.429 - What must I do if I relocate my operation after I receive my compliance certificate?
745.431 - What must I do if I relocate my listed family home?
745.433 - What must I do if I relocate my registered child-care home after I receive my registration?
745.435 - What must I do if I relocate my operation after I receive my license or certification?
745.436 - What is the result of a change in the ownership of an operation with a license?
745.437 - What is a change in the ownership of an operation?
745.439 - What must I do if the ownership of my employer-based child care operation or shelter care operation changes?
745.461 - Where must a child's parent be while the child is in care?
745.463 - What are the qualifications to be a caregiver at an employer-based child care?
745.464 - What are my responsibilities regarding criminal background check requirements?
745.465 - When must my employer-based child care report a serious incident to Licensing?
745.467 - What are my responsibilities regarding the report of abuse, neglect, or exploitation?
745.469 - What are the requirements if my operation chooses to maintain and administer unassigned epinephrine auto-injectors?
745.471 - What types of permits need to be renewed?
745.475 - What does a completed renewal application for a permit include?
745.477 - What happens after Licensing receives my renewal application?
745.478 - When does Licensing have good cause to exceed the timeframe for processing my renewal application?
745.479 - Will I need to post the written notice of my permit's renewal?
745.481 - When does my permit expire?
745.483 - What must I do if my permit expired?
745.485 - How does an enforcement action affect the renewal of my permit?
745.487 - When is a public hearing required for the renewal of a license?
745.489 - What is required for a public hearing for the renewal of a license?
745.491 - What do the following terms mean when used in this division?
745.493 - Who does this division apply to?
745.495 - What previous compliance history of a residential child-care operation must Licensing consider when evaluating an application for a license to operate a residential child-care operation?
745.497 - May Licensing issue a new license to a residential child-care operation that was previously on heightened monitoring?

Subchapter E - FEES

745.501 - What type of fees may Licensing charge me?
745.503 - Is anyone exempt from paying fees?
745.505 - What fees must I pay to list my family home and maintain the listing?
745.507 - What fees must I pay to register my child-care home and maintain the registration?
745.509 - What fees must I pay to apply for and maintain a license for an operation?
745.511 - Must I pay fees for more than one license if I have separate licenses for different types of operations?
745.513 - If my license allows for different capacities at different times of the day, how does Licensing determine my fees?
745.515 - Will I receive notice telling me when my non-expiring and annual fees are due?
745.517 - How do I submit a fee to Licensing?
745.519 - Are any fees refundable?
745.521 - What fees must I pay to apply for and to maintain a certificate of compliance?
745.523 - Who must I submit background checks on, and when must they be submitted?

Subchapter F - BACKGROUND CHECKS

745.601 - What words must I know to understand this subchapter?
745.605 - For whom must I submit requests for background checks?
745.607 - What are the different types of background checks?
745.609 - What types of background checks are required for persons at my operation?
745.611 - Which persons at my operation require either a fingerprint-based criminal history check or a name-based Texas criminal history check?
745.613 - Which persons at my operation must have an out-of-state criminal history check, an out-of-state child abuse and neglect registry check, and an out-of-state sex offender registry check?
745.615 - What types of background checks are required for persons at listed family homes that only provide care to related children?
745.617 - How do I submit a request for a background check?
745.619 - What information must I include with a request for a background check?
745.621 - When must I submit a request for an initial or renewal background check for a person?
745.623 - How does the subject of a background check submit fingerprints for a fingerprint-based criminal history check?
745.625 - Does the subject of a background check who has already undergone a fingerprint-based criminal history check have to submit new fingerprints?
745.627 - How soon will the CBCU notify the subject of a background check and me of the determination of the background check?
745.629 - What are the possible determinations for the subject of a background check?
745.631 - In what situations may the CBCU place conditions or restrictions on a subject's presence at an operation?
745.633 - What information will a notice letter that the CBCU sends to an operation include?
745.635 - What must I do after the CBCU notifies my operation of a subject's background check determination?
745.637 - What actions may Licensing take if I do not follow the conditions or restrictions on a subject's presence at an operation?
745.639 - What information will a notice letter that the CBCU sends to the subject of a background check include?
745.641 - How soon after I submit a request for a background check on a subject can that subject be present at an operation?
745.643 - How can the subject of a background check challenge the accuracy or completeness of the information contained in the results of the background check?
745.645 - How can the subject request that the CBCU review the background check determination?
745.647 - Must the CBCU complete the background checks before Licensing issues my permit?
745.649 - Can a child-placing agency (CPA) verify a foster family home or approve an adoptive home prior to receiving the background check determinations?
745.651 - Am I required to indicate when the subject of a background check is no longer associated with my operation?
745.653 - Can I do my own criminal history background checks?
745.661 - What types of criminal convictions may affect a subject's ability to be present at an operation?
745.663 - For the purpose of this subchapter, when do criminal convictions include deferred adjudication community supervision?
745.665 - What must I do if the subject of a background check at my operation has been arrested or charged with a crime?
745.667 - How will the CBCU determine whether a subject who has been arrested or charged with a crime may be present at an operation?
745.669 - Will a subject who is registered or required to register with the Texas Sex Offender Registry, an out-of-state sex offender registry, or the National Sex Offender Registry be allowed to be present at an operation?
745.671 - What types of findings from the Central Registry or out-of-state child abuse and neglect registries may affect a subject's ability to be present at an operation?
745.673 - What must I do if the subject of a background check at my operation is under investigation for child abuse or neglect?
745.681 - Who is responsible for requesting a risk evaluation?
745.683 - When may the subject of a background check request a risk evaluation?
745.685 - How long does the subject of a background check have to request a risk evaluation?
745.687 - How does the subject of a background check request a risk evaluation?
745.689 - What must a request for a risk evaluation based on criminal history include?
745.691 - What must a request for a risk evaluation based on a child abuse or neglect finding include?
745.693 - Who makes the final decision on a risk evaluation?
745.695 - What factors does the CBCU use when deciding whether the subject of a background check poses a risk to the health or safety of children in a particular operation?
745.697 - Does an approved risk evaluation expire?
745.699 - Can the subject of a background check request that the CBCU review a risk evaluation decision?
745.731 - Who are designated perpetrators and sustained perpetrators of child abuse or neglect?
745.751 - What factors does Licensing consider when determining if a person or an operation is an immediate threat to the health or safety of children?
745.775 - How may a criminal conviction or a child abuse or neglect finding affect my ability to receive or maintain an administrator's license?

Subchapter G - CONTROLLING PERSONS

745.901 - Who is a controlling person at a child-care operation?
745.903 - When and how must an operation submit controlling-person information to Licensing?
745.905 - When will Licensing designate someone at my child-care operation as a controlling person?
745.907 - What are the consequences of Licensing designating me as a controlling person?
745.909 - What due process rights do I have if Licensing designates me as a controlling person?
745.911 - In what other circumstances may a person not serve as a controlling person at my operation?
745.913 - When does Licensing check whether someone is ineligible to serve as a controlling person at my child-care operation?
745.915 - What happens after Licensing determines that someone is ineligible to serve as a controlling person at my child-care operation?

Subchapter H - RESIDENTIAL CHILD-CARE: DRUG TESTING AND LAW ENFORCEMENT ADMISSIONS

745.4151 - What drug testing policy must my residential child-care operation have?
745.4201 - May I take possession of a child from a law enforcement officer?
745.4203 - How does a child-placing agency become authorized to take possession of a child from a law enforcement officer?
745.4205 - What must I do when I take possession of a child from a law enforcement officer?

Subchapter I - NON-ENFORCEMENT VOLUNTARY ACTIONS

745.5001 - What are the different types of voluntary actions that an operation may take?
745.5003 - How does my taking a voluntary action affect Licensing's ability to impose an enforcement action against my operation?
745.5051 - What notice and approval are required for a voluntary action?
745.5101 - What must I do when I temporarily relocate my operation because of a renovation or damage that makes the operation temporarily unsuitable for child care?
745.5103 - What actions will Licensing take after receiving a notice that you are temporarily relocating?
745.5151 - For what reasons may I request a voluntary suspension of my permit?
745.5153 - How do I request a voluntary suspension?
745.5155 - What actions may Licensing take after receiving written notice that you are requesting a voluntary suspension?
745.5157 - What are my responsibilities during the voluntary suspension period?
745.5159 - What must occur before I may reopen and begin operating at the end of the voluntary suspension period?
745.5161 - What if I do not begin operating at the end of the voluntary suspension period?
745.5201 - How do I voluntarily close my operation?

Subchapter J - WAIVERS AND VARIANCES FOR MINIMUM STANDARDS

745.8301 - What words must I know to understand this subchapter?
745.8303 - What minimum standards are ineligible for a waiver or variance?
745.8305 - How do I request a waiver or variance?
745.8307 - How long does Licensing have to process a request for a waiver or variance?
745.8309 - When does a waiver or variance expire, and what must I do before it expires?
745.8311 - What conditions may Licensing place on an approved waiver or variance?
745.8313 - What factors do we consider when deciding whether to grant a waiver or variance?
745.8315 - What additional factors does Licensing consider when deciding whether to grant a waiver or variance for a foster home?
745.8317 - What factors do we consider when determining the expiration date and conditions for a waiver or variance?
745.8319 - Can Licensing amend or revoke a waiver or variance?
745.8321 - What can I do if I disagree with Licensing's decision related to a waiver or variance?

Subchapter K - INSPECTIONS, INVESTIGATIONS, AND CONFIDENTIALITY

745.8401 - Who is responsible for inspecting or investigating an operation under this division?
745.8403 - What actions may Licensing take during an inspection or investigation?
745.8405 - When does Licensing inspect or investigate an operation or program?
745.8407 - How often may Licensing inspect or investigate my operation?
745.8409 - Are inspections and investigations announced or unannounced?
745.8411 - What are an operation's responsibilities when an authorized representative inspects or investigates the operation?
745.8413 - What can Licensing inspect or investigate?
745.8415 - How does Licensing investigate an anonymous report?
745.8417 - What will Licensing post on its Search Texas Child Care website about findings from the investigation of an anonymous report?
745.8441 - When will we notify the operation of the purpose of an unannounced inspection or investigation?
745.8443 - Whom will Licensing notify of the outcome of an inspection or investigation?
745.8445 - What will the notification of the outcome of the inspection or investigation include?
745.8447 - What must I do if Licensing notifies me of a deficiency?
745.8449 - Who provides notices related to investigations of child abuse, neglect, and exploitation?
745.8481 - What types of child care records does Licensing maintain?
745.8483 - What portions of a child care record are confidential?
745.8485 - Can an operation record the inspection or investigation process?
745.8487 - Are there any exceptions that allow the portions of a child care record that are confidential to be released to the public or certain persons?
745.8489 - Who may get a copy of the portions of a child care record that are confidential?
745.8491 - Who can review or have a copy of a photograph, audio or visual recording, or documentation of a child that is in our records?
745.8493 - Will Licensing release any information related to a child abuse, neglect, or exploitation investigation conducted by the Texas Department of Family and Protective Services (DFPS)?
745.8497 - What confidentiality requirements apply to a person who is an applicant for a permit, a permit holder, or a former permit holder?
745.8581 - What is technical assistance?
745.8583 - When does Licensing provide technical assistance?
745.8585 - May I request an administrative review for technical assistance that Licensing provided?

Subchapter L - ENFORCEMENT ACTIONS

745.8600 - What is the general purpose of the rules in this subchapter?
745.8601 - What happens if I am deficient in a minimum standard, rule, statute, specific term of my permit, or condition of probation?
745.8603 - What enforcement actions may Licensing recommend or impose?
745.8605 - When can Licensing recommend or impose an enforcement action against my operation?
745.8607 - How will Licensing decide which type of enforcement action to recommend or impose?
745.8608 - How will Licensing implement the "reasonable and prudent parent standard" when determining whether to impose an enforcement action against a child-placing agency or general residential operation?
745.8609 - How will I know when Licensing is recommending or imposing an enforcement action against my operation?
745.8611 - How long do enforcement actions that cover a specific period of time last?
745.8613 - What rights do I have to challenge an enforcement action?
745.8631 - What types of voluntary or corrective actions may Licensing recommend or impose?
745.8633 - When may Licensing recommend a voluntary plan of action?
745.8635 - What requirements must I meet during a voluntary plan of action?
745.8637 - When may Licensing place my operation on probation?
745.8641 - What requirements must I meet during the probation period?
745.8643 - What may Licensing do if my operation's compliance with minimum standards, rules, or statutes does not improve as a result of the voluntary plan of action or corrective action plan?
745.8649 - What adverse actions may Licensing impose?
745.8650 - When may Licensing deny a permit?
745.8651 - When may Licensing impose an adverse amendment on my permit?
745.8652 - When will Licensing suspend my permit?
745.8653 - What happens when my suspension period ends?
745.8654 - When may Licensing revoke my permit?
745.8655 - When may Licensing refuse to renew my permit?
745.8656 - Are there any notice requirements when Licensing attempts to take adverse action against my operation?
745.8657 - Whom may Licensing inform when attempting to deny, suspend, revoke, or refuse to renew my permit?
745.8659 - Will there be any publication of the denial, suspension, revocation, or refusal to renew my permit?
745.8661 - What notice must I provide parents when the denial, suspension, or revocation of my permit is final?
745.8681 - What judicial actions may Licensing impose?
745.8683 - Whom may Licensing inform when taking a judicial action against my operation?
745.8685 - What steps must I take regarding children in my care when a court orders me to close my operation immediately?
745.8687 - Will there be any type of publication of the judicial action taken against me?
745.8711 - What monetary actions may Licensing impose?
745.8713 - When may Licensing impose an administrative penalty before a corrective action?
745.8714 - What penalty amounts must Licensing recommend for certain deficiencies?
745.8715 - When may Licensing impose an administrative penalty against a controlling person?

Subchapter M - ADMINISTRATIVE REVIEWS AND DUE PROCESS HEARINGS

745.8801 - What is an administrative review?
745.8803 - Who may request an administrative review?
745.8805 - How does a person request an administrative review?
745.8807 - How does a person waive the right to an administrative review?
745.8809 - Who conducts an administrative review?
745.8811 - How is an administrative review conducted?
745.8813 - What actions may the person conducting the administrative review take at the end of the review?
745.8815 - When will the person who conducts the administrative review issue a decision?
745.8831 - What is a due process hearing?
745.8833 - What does "Legal Enforcement Department" mean in this division?
745.8835 - Who may request a due process hearing?
745.8837 - How does a person request a due process hearing?
745.8839 - What is the process for scheduling a due process hearing and notifying the requestor?
745.8841 - What happens if a requestor's address changes after the initial request for a hearing?
745.8843 - When may the Legal Enforcement Department nullify a request for a due process hearing?
745.8845 - How is a due process hearing conducted?
745.8847 - What information can the parties discuss in a due process hearing?
745.8849 - Can an administrative law judge address multiple decisions and actions during a single due process hearing?
745.8851 - Who may appeal the final decision after a due process hearing?
745.8853 - What action must the Texas Health and Human Services Commission take after the final decision in a due process hearing?
745.8855 - Can a person waive the right to a due process hearing?
745.8871 - Does a request for an administrative review suspend the start date of probation?
745.8873 - If the Texas Health and Human Services Commission is imposing a suspension of, revocation of, or refusal to renew my permit, are the notice requirements postponed until the outcome of the administrative review and due process hearing?
745.8875 - May I operate during the appeal of an adverse action, including pending the outcome of an administrative review and due process hearing?
745.8877 - What if I disagree with Licensing's decision that my operation poses an immediate threat or danger to the health or safety of children?
745.8879 - If the Texas Health and Human Services Commission is imposing a revocation of or refusal to renew my permit, may I enroll new children pending the outcome of an administrative review and due process hearing?
745.8881 - What kinds of inspections and investigations will be conducted if I continue to operate pending the outcome of an administrative review and due process hearing?

Subchapter N - ADMINISTRATOR'S LICENSING

745.8905 - Definitions for Subchapter N
745.8906 - Types of Administrator's Licenses
745.8907 - Exceptions to Full Administrator's License Requirement
745.8911 - Exception for a General Residential Operation that Only Provides
745.8913 - Qualifying for an Administrator's License Through a License
745.8914 - Determining Whether Another State's Licensing Requirements
745.8915 - How do I qualify for a full Child-Care Administrator's License (CCAL)?
745.8917 - How do I qualify for a full Child-Placing Agency Administrator's License (CPAAL)?
745.8919 - What qualifies as one year of experience in management or supervision of personnel and programs required to qualify for a full Child-Care Administrator's License (CCAL) or a full Child-Placing Agency Administrator's License (CPAAL)?
745.8921 - Who are "child-placing personnel"?
745.8925 - Qualifying for a Provisional Child-Care Administrator's License
745.8927 - What qualifies as six months of experience in management or supervision of personnel required for a provisional Child-Care Administrator's License (CCAL)?
745.8929 - What conduct requirements must a licensed administrator or a person applying to become a licensed administrator follow in relation to the Texas Health and Human Services Commission (HHSC)?
745.8930 - What responsibilities does a licensed administrator have when employed as the administrator for an operation?
745.8931 - How do I apply to become a licensed administrator?
745.8933 - Application Requirements for an Administrator's License
745.8934 - What other actions must I take to become a licensed administrator?
745.8935 - How do I apply for both a full Child-Care Administrator's License (CCAL) and a full Child-Placing Agency Administrator's License (CPAAL)?
745.8951 - What happens after Licensing receives my application materials and fees?
745.8955 - What if I disagree with Licensing's determination that I do not meet the initial qualifications required to take the licensing examination?
745.8957 - What if I fail the licensing examination or do not take the examination?
745.8959 - Must I pay an examination fee each time I take a licensing examination?
745.8961 - What happens after I take a licensing examination?
745.8963 - What if my criminal history background check or central registry check results in a positive match?
745.8965 - Requesting Review of Timeframes for an Application
745.8967 - Review of Timeframes for an Application
745.8969 - When does Licensing have good cause for not processing my application within the established time period?
745.8973 - What information must I report to Licensing?
745.8975 - How long is a full Child-Care Administrator's License (CCAL) or a full Child-Placing Agency Administrator's License (CPAAL) valid?
745.8976 - Length of Time a Provisional Child-Care Administrator's License
745.8977 - If I have a provisional Child-Care Administrator's License (CCAL), when and how do I request to change the status of my administrator's license from a provisional CCAL to a full CCAL?
745.8979 - What if I am unable to meet the minimum management or supervisory requirements before my provisional Child-Care Administrator's License (CCAL) expires?
745.8981 - What happens if my provisional Child-Care Administrator's License (CCAL) expires?
745.8982 - May I continue to serve as a child-care administrator if my provisional Child-Care Administrator's License (CCAL) expires while Licensing processes my request to change the status to a full CCAL?
745.8983 - How many hours of continuing education must I complete to maintain my administrator's license?
745.8985 - What training qualifies as continuing education I need to maintain my administrator's license?
745.8986 - When may I request Licensing to place my full administrator's license on inactive status?
745.8987 - How do I change my full administrator's license status from inactive to active?
745.8989 - How do I get a replacement copy of my current administrator's license if the original is lost or destroyed?
745.8993 - Am I eligible to renew my administrator's license?
745.8995 - When do I request renewal of my administrator's license?
745.8997 - How do I request renewal of my administrator's license ?
745.9001 - Must I undergo a background check in order to renew my administrator's license as inactive?
745.9003 - How much is the renewal fee?
745.9005 - How much is the renewal fee if I am requesting inactive status?
745.9009 - What are the renewal requirements if I have both a CCAL and a CPAAL?
745.9011 - What happens if I do not renew my administrator's license?
745.9013 - How does a remedial action that is pending against my administrator's license affect renewal requirements for that license?
745.9017 - Will Licensing return my renewal fee if I am not eligible for renewal?
745.9023 - Definitions for Division 6
745.9024 - Alternative Licensing for a Military Member, Spouse, or Veteran
745.9025 - Substitute Methods for a Military Member, Spouse, or Veteran to Demonstrate Competency
745.9026 - Waiving Fees for a Military Member, Spouse, or Veteran
745.9027 - Application Requirements for an Administrator's License from a Military Member, Spouse, or Veteran
745.9028 - Expedited Application Process for a Military Member, Spouse, or Veteran
745.9029 - Special Considerations for Renewal of a Military Member's Administrator's License
745.9030 - Military Member or Spouse Acting as an Administrator Without a License
745.9031 - What remedial actions can Licensing take against my administrator's license?
745.9033 - What information does a letter of reprimand contain?
745.9035 - Can any authority besides Licensing suspend my administrator's license?
745.9037 - Under what circumstances may Licensing take remedial action against my administrator's license or administrator's license application?
745.9039 - What can I do if I disagree with a remedial action that Licensing takes against my administrator's license?

Subchapter O - PSYCHIATRIC RESIDENTIAL YOUTH TREATMENT FACILITY

745.9051 - What do the following terms mean when used in this subchapter?
745.9053 - What requirements must a general residential operation meet before applying for a psychiatric residential youth treatment facility (PRYTF) certificate?
745.9055 - What does a completed application for a psychiatric residential youth treatment facility (PRYTF) certificate include?
745.9057 - How do the public notice and hearing requirements apply to an application for a psychiatric residential youth treatment facility (PRYTF) certificate?
745.9059 - How long does Child Care Regulation (CCR) have to review an application for a psychiatric residential youth treatment facility (PRYTF) certificate?
745.9061 - How long does Child Care Regulation (CCR) have to determine whether to issue a psychiatric residential youth treatment facility (PRYTF) certificate after accepting the application?
745.9063 - What factors will Child Care Regulation (CCR) consider when evaluating an application for a psychiatric residential youth treatment facility (PRYTF) certificate?
745.9065 - For what reason may Child Care Regulation (CCR) deny a psychiatric residential youth treatment facility (PRYTF) certificate based on the results of a required public hearing?
745.9067 - When does a psychiatric residential youth treatment facility (PRYTF) need to apply to renew the PRYTF certificate?
745.9069 - What does a completed renewal application for a psychiatric residential youth treatment facility (PRYTF) certificate include?
745.9071 - What happens after Child Care Regulation (CCR) receives a psychiatric residential youth treatment facility (PRYTF)renewal application?
745.9073 - When does a psychiatric residential youth treatment facility (PRYTF) certificate expire?
745.9075 - What fees must a general residential operation (GRO) pay to apply for and maintain its psychiatric residential youth treatment facility (PRYTF) certificate?
745.9077 - How do the provisions in Subchapter K of this chapter apply to a psychiatric residential youth treatment facility (PRYTF)?
745.9085 - Overview of Enforcement Actions
745.9087 - Denial of certificate
745.9089 - Refusal To Renew
745.9091 - Administrative Review
745.9093 - Administrative Penalties
745.9095 - Civil Penalties
745.9097 - State Office of Administrative Hearings (SOAH)

Subchapter P - DAY CARE ADMINISTRATOR'S CREDENTIAL PROGRAM

745.9101 - How does this subchapter relate to other Licensing chapters?
745.9103 - What words must I know to understand this subchapter?
745.9105 - When will Licensing recognize my day care administrator's credential?
745.9107 - What criteria must my credential program meet before Licensing will recognize my day care administrator's credential?
745.9109 - What must I submit to Licensing to demonstrate how I will ensure the continuity of my credential program?
745.9111 - How do I demonstrate my method for assessing and selecting candidates for my credential program?
745.9113 - How do I demonstrate that someone must acquire competencies in administering a day care program to complete my credential program?
745.9115 - How do I demonstrate my criteria for assessing satisfactory completion of the program?
745.9117 - How do I demonstrate the way in which a participant must maintain his credential?
745.9119 - How do I demonstrate my criteria for revoking or denying a credential or otherwise reprimanding a credential holder?
745.9121 - How do I obtain Licensing's approval of my credential program?
745.9123 - What will Licensing do with my request for approval of my credential program?
745.9125 - What if my request does not score 95 points for the required criteria?
745.9127 - How will I prove that Licensing recognizes my credential program?
745.9129 - Can I begin my credential program before Licensing issues my certificate of recognition?
745.9131 - What learning objectives must my program's curriculum include?
745.9133 - What learning objectives must the child-development portion of my curriculum include?
745.9135 - What learning objectives must the business-management portion of my curriculum include?
745.9137 - What must I do to maintain the Licensing Certificate of Recognition?
745.9139 - What steps must I take to renew my Certificate of Recognition?
745.9141 - How long will my Certificate of Recognition be valid?
745.9143 - Will Licensing assess my credential program?
745.9145 - Will Licensing notify me before assessing my program?
745.9147 - Will I have an opportunity to correct any deficiencies that Licensing identifies?
745.9149 - What happens when my opportunity to correct deficiencies passes before I correct them?
745.9151 - What are my rights if I disagree with Licensing imposing probation on my organization?
745.9153 - What happens at the end of the probation period?
745.9155 - Does Licensing charge fees for the application, recognition approval, and renewal process?
745.9157 - If I currently hold a Certificate of Recognition, when will I have to meet the criteria specified in this subchapter?
745.9159 - What if my application materials do not comply within this period?
745.9161 - How many chances do I have to submit all of the required information?

Chapter 746 - MINIMUM STANDARDS FOR CHILD-CARE CENTERS

Subchapter A - PURPOSE, SCOPE, AND DEFINITIONS

746.101 - What is the purpose of this chapter?
746.111 - What types of operations do these minimum standards apply to?
746.113 - Who is responsible for complying with these minimum standards?
746.121 - What do certain pronouns mean when used in this chapter?
746.123 - What do certain words and terms mean when used in this chapter?

Subchapter B - ADMINISTRATION AND COMMUNICATION

746.201 - What are my responsibilities as the permit holder?
746.203 - What are the liability insurance requirements?
746.205 - What are acceptable reasons not to have liability insurance?
746.207 - When must I notify parents that I do not carry liability insurance?
746.301 - What changes regarding my child-care center must I notify Licensing about before making the change?
746.303 - What changes must I notify Licensing of regarding the child-care center's designee, governing body, director, and employees?
746.305 - What other situations require notification to Licensing?
746.307 - What emergency or medical situations must I notify parents about?
746.309 - What are the notification requirements when Licensing finds my center deficient in a standard related to safe sleeping or the abuse, neglect, or exploitation of a child?
746.311 - How must I notify parents of a safe sleeping deficiency or an abuse, neglect, or exploitation deficiency?
746.401 - What items must I post at my child-care center at all times?
746.403 - When and where must these items be posted?
746.405 - What telephone numbers and other contact information must I post and where must I post this information?
746.501 - What written operational policies must I have?
746.503 - Must I provide parents with a copy of my operational policies?
746.505 - What must I do when I change an operational policy or an item in the child-care enrollment agreement?
746.521 - What rights does a parent of a child in care of my child-care center have?

Subchapter C - RECORD KEEPING

746.601 - Who has the right to access children's records?
746.603 - What records must I have for children in my care and how long must I keep them?
746.605 - What admission information must I obtain for each child?
746.607 - Must the child's parent sign the admission information?
746.609 - Must I update the admission information?
746.611 - Must I have a health statement for children in my care?
746.613 - What immunizations must a child in my care have?
746.615 - What exemptions or exceptions are there concerning immunization requirements?
746.623 - What documentation is acceptable for an immunization record?
746.625 - If a child's immunization record is already on file at a pre-kindergarten program or school away from the child-care center, must I also have a copy of the child's immunization record in my files?
746.627 - Must children in my care have a tuberculosis (TB) examination?
746.629 - Must children in my care have vision and hearing screening?
746.631 - Must I have a system for signing children in and out of my care?
746.701 - What written records must I keep of accidents and incidents that occur at my child-care center?
746.705 - Must someone from my child-care center sign the Incident/Illness Report form?
746.707 - Must I share a copy of the Incident/Illness Report form with the child's parent?
746.709 - Where must I file the Incident/Illness Report form and how long must I keep it?
746.801 - What records must I keep at my child-care center?
746.803 - How long must I keep records at my child-care center?
746.805 - May I keep electronic records or a combination of paper and electronic records?
746.901 - What information must I maintain in my personnel records?
746.907 - How long and where must I keep the required personnel records?
746.909 - May Licensing access my personnel records?

Subchapter D - PERSONNEL

746.1001 - Who is the child-care center director?
746.1003 - What are the director's responsibilities while at the child-care center?
746.1005 - If I have multiple operations, must I designate a separate director for each operation?
746.1007 - May I be the director of my own child-care center?
746.1009 - May I have more than one director for my child-care center?
746.1011 - Must my director be at my child-care center during all hours of operation?
746.1013 - Must someone else be designated to be in charge of my child-care center in my director's absence?
746.1015 - What qualifications must the director of my child-care center licensed for 13 or more children meet?
746.1017 - What qualifications must the director of my child-care center licensed for 12 or fewer children meet?
746.1021 - What constitutes experience in a licensed child-care center, or in a licensed or registered child-care home?
746.1023 - May other types of experience be substituted for the required experience in a licensed child-care center, or in a licensed or registered child-care home?
746.1025 - Can Licensing verify whether someone has sufficient experience in a licensed child-care center, or in a licensed or registered child-care home?
746.1027 - What credit courses does Licensing recognize as child development?
746.1029 - What credit courses does Licensing recognize as management?
746.1031 - What documentation must I provide to show that my director meets the child development and management education qualifications?
746.1037 - May clock hours or CEUs (continuing education units) be substituted for any of the educational requirements in this division?
746.1039 - What additional documentation must I submit to Licensing to show my child-care center director is qualified and when must I submit it?
746.1045 - Does education received outside of the United States substitute for the education requirements for a child-care director?
746.1047 - Will Licensing keep the original training certificates and college transcripts I submit to obtain a Licensing director's certificate?
746.1049 - What happens if Licensing determines that my child-care center director does not meet minimum standard qualifications?
746.1051 - Will my director receive a certificate verifying that director qualifications have been met?
746.1053 - Will the director's certificate expire?
746.1055 - How often must an expiring certificate be renewed?
746.1057 - What happens if my Child-Care Center Director's Certificate expires?
746.1059 - If I hire someone who was qualified as a director at another licensed child-care center in Texas, must I resubmit all of the information to Licensing staff for review?
746.1061 - Does Licensing charge a fee for issuing the director's certificate?
746.1063 - Can my director get a replacement Child-Care Center Director's Certificate?
746.1065 - What is an interim director?
746.1067 - When may a child-care center designate someone as its interim director?
746.1069 - May someone serving as interim director of a child-care center continue to serve as director after the center receives a full license?
746.1105 - What minimum qualifications must each of my child-care center employees meet?
746.1107 - What additional minimum qualifications must each of my caregivers meet?
746.1109 - When may I employ a person under the age of 18 or a person who does not have a high school diploma or equivalent as a caregiver?
746.1111 - Does education received outside of the United States count toward caregiver qualifications?
746.1201 - What general responsibilities do my child-care center employees have?
746.1203 - What additional responsibilities do my caregivers have?
746.1205 - What responsibilities does a caregiver have when supervising a child or children?
746.1301 - What are the training requirements for employees, caregivers, and directors?
746.1303 - What must orientation for employees at my child-care center include?
746.1305 - What must be covered in pre-service training for caregivers?
746.1307 - Are any caregivers exempt from the pre-service training?
746.1309 - What areas of training must the annual training for caregivers cover?
746.1311 - What areas of training must the annual training for my child-care center director cover?
746.1313 - When must annual training for my caregivers and director be obtained?
746.1315 - Who must have pediatric first-aid and pediatric CPR training?
746.1316 - What additional training must an employee and director have if the operation transports children?
746.1317 - Must the training for my caregivers and the director meet certain criteria?
746.1319 - Does Licensing approve training resources or trainers for training hours?
746.1321 - If I have a caregiver who attends college or a Child Development Associate/Certified Child-Care Professional credential program, may I count these clock hours toward the annual training requirement?
746.1323 - If I hire a caregiver or a director that received training at another operation, may these hours count towards the annual training requirement at my center?
746.1325 - What additional training must an employee and director have if the child-care center allows a child to access a swimming pool at or away from the center?
746.1329 - What documentation must I provide to Licensing to verify that employees have met training requirements?
746.1401 - What minimum standards must substitutes, volunteers, or contractors comply with?
746.1403 - What are the training requirements for substitutes, volunteers, and contractors?
746.1405 - When is a substitute, volunteer, or contractor exempt from the pre-service training?

Subchapter E - CHILD/CAREGIVER RATIOS AND GROUP SIZES

746.1501 - What is child/caregiver ratio?
746.1503 - What is considered a group?
746.1505 - May I place more than one group of children in a large room?
746.1507 - How do I determine the child/caregiver ratio?
746.1601 - How many children may one caregiver supervise?
746.1603 - How do I determine the specified age of the children in each group?
746.1605 - When may I combine infants with children 18 months and older?
746.1607 - If I have two caregivers with each group, may I double the number of children one caregiver may supervise?
746.1609 - What is the maximum group size?
746.1611 - Are there times when I may mix groups of children and exceed the maximum group size?
746.1613 - If 13 or more children are in care, may I reduce the number of caregivers supervising children during naptime?
746.1615 - May I adjust the child/caregiver ratio when I am opening and closing my child-care center?
746.1701 - How many children may one caregiver supervise if 12 or fewer children are in care?
746.1703 - If I have 12 or fewer children in care, may I combine infants with children 18 months and older?
746.1705 - If I have two caregivers with each group, may I double the number of children one caregiver may supervise?
746.1707 - What is the maximum group size if I have more than two caregivers supervising the children?
746.1709 - May I adjust the child/caregiver ratio when I am opening and closing my child-care center?
746.1801 - Do I need additional caregivers when I take children away from the child-care center for field trips or walks?
746.1805 - If I provide transportation, how many caregivers must I have in the vehicle to supervise the children?
746.1901 - If I operate a get-well care program, must I use a different child/caregiver ratio?
746.1903 - What is the child/caregiver ratio if I have more than two caregivers supervising the children in the get-well care program?
746.1905 - May I combine infants with children 18 months and older in my get-well care program?
746.2001 - Must I have additional caregivers during nighttime care?
746.2101 - Must I have additional caregivers for wading activities?
746.2105 - What are the child/caregiver ratios for swimming activities?
746.2109 - Must a certified lifeguard be on duty when children are swimming in more than 18 inches of water?
746.2111 - May I count the certified lifeguard in the child/caregiver ratio?
746.2113 - Must persons who are counted in the child/caregiver ratio during swimming know how to swim?
746.2115 - May I include volunteers or child-care employees who do not meet minimum qualifications for caregivers in the child/caregiver ratio for water activities?
746.2117 - Must I have additional caregivers for sprinkler play?

Subchapter F - DEVELOPMENTAL ACTIVITIES AND ACTIVITY PLAN

746.2201 - What must caregivers consider when providing planned activities for the children in their care?
746.2202 - What are my responsibilities when planning activities for a child in care with special care needs?
746.2203 - What written activity plans must caregivers follow?
746.2205 - What must a written activity plan include?
746.2206 - What specific activities must I include in a written activity plan?
746.2207 - May I use a screen time activity with a child?
746.2209 - Must I post the activity plan?
746.2211 - How long must I keep the activity plan?

Subchapter H - BASIC CARE REQUIREMENTS FOR INFANTS

746.2401 - What are the basic care requirements for infants?
746.2403 - How must I arrange the infant care area?
746.2405 - What furnishings and equipment must I have in the infant care area?
746.2407 - Must the equipment I use for infants be equipped with safety straps?
746.2409 - What specific safety requirements must my cribs meet?
746.2411 - Are play yards allowed?
746.2413 - Are stacking wall cribs allowed?
746.2415 - What specific types of equipment am I prohibited from using with infants?
746.2417 - What activities must I provide for an infant?
746.2419 - Are there specific requirements for feeding infants?
746.2421 - What written feeding instructions must I obtain for an infant not ready for table food?
746.2423 - Must I provide a regularly scheduled naptime for infants?
746.2424 - Where must an infant sleep?
746.2425 - How long are infants allowed to remain in their cribs after awakening?
746.2426 - May I allow infants to sleep in a restrictive device?
746.2427 - How must I position an infant for sleep?
746.2428 - May I swaddle an infant to help the infant sleep?
746.2429 - If an infant has difficulty falling asleep, may I cover the infant's head or crib?
746.2431 - Must I share a daily report with parents for each infant in my care?

Subchapter I - BASIC CARE REQUIREMENTS FOR TODDLERS

746.2501 - What are the basic care requirements for toddlers?
746.2503 - How must I arrange the toddler care area?
746.2505 - What furnishings and equipment must I provide for toddlers?
746.2507 - What activities must I provide for a toddler?
746.2509 - Must I share a daily report with parents for each toddler in my care?

Subchapter J - BASIC CARE REQUIREMENTS FOR PRE-KINDERGARTEN AGE CHILDREN

746.2601 - What are the basic requirements for pre-kindergarten age children?
746.2603 - What physical space requirements must I provide for pre-kindergarten age children?
746.2605 - What furnishings and equipment must I provide for pre-kindergarten age children?
746.2607 - What activities must I provide for a pre-kindergarten age child?

Subchapter K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN

746.2701 - What are the basic care requirements for school-age children?
746.2703 - What physical space requirements must I provide for the school-age care area?
746.2705 - What furnishings and equipment must I provide for school-age children?
746.2707 - What activities must I provide for a school-age child?

Subchapter L - DISCIPLINE AND GUIDANCE

746.2803 - What methods of discipline and guidance may a caregiver use?
746.2805 - What types of discipline and guidance or punishment are prohibited?
746.2807 - May my employees discipline their own children who are in care at my center?

Subchapter M - NAPTIME

746.2901 - Must children have a naptime every day?
746.2903 - How long may the nap and rest time last each day?
746.2905 - Are children required to sleep during this time?
746.2907 - Must I provide an alternative activity for those children who cannot sleep?
746.2909 - Must I arrange the napping equipment in a specific manner?
746.2911 - May I lower the lighting in the room while children are sleeping?

Subchapter N - FIELD TRIPS

746.3001 - May I take children away from my child-care center for field trips?
746.3003 - Must I notify parents before I take children away from the child-care center on a field trip?

Subchapter O - GET-WELL CARE PROGRAMS

746.3101 - May I care for children who are ill?
746.3103 - Which children may be included in the get-well care program?
746.3105 - What must I do before I admit a child to my get-well care program?
746.3107 - When must I remove a child from my get-well care program?
746.3109 - Are the parents of children in the get-well care program required to provide a doctor's statement before I may admit the child?
746.3111 - Must I care for children in the get-well care program in an area separate from the well children in care?
746.3113 - What extra safety features must I have in my get-well care program?
746.3115 - May caregivers working with the get-well care program also work with other children in the child-care center?
746.3117 - Do caregivers in my get-well care program require special training?
746.3119 - May the director of my well child-care program also direct my get-well care program?
746.3121 - Must I provide activities for children in the get-well care program?
746.3123 - Must my get-well care program follow any special handling procedures?

Subchapter P - NIGHTTIME CARE

746.3201 - What is nighttime care?
746.3203 - May I provide nighttime care to children at my child-care center?
746.3205 - Must caregivers stay awake while supervising children during nighttime care?
746.3207 - What are the building, furnishings, physical space, and equipment requirements for nighttime care?
746.3209 - Must I provide activities for children in nighttime care?

Subchapter Q - NUTRITION AND FOOD SERVICE

746.3301 - What are the basic requirements for meal and snack times?
746.3303 - How often must I feed a child in my care?
746.3309 - May parents provide meals and snacks for their child instead of my child-care center providing them?
746.3311 - What are the requirements for a child who requires a special diet or does not want to eat foods that the center serves?
746.3313 - Can I make substitutions and/or rotate the daily menus?
746.3317 - What general requirements apply to food service and preparation?
746.3319 - Must I serve meals family style?
746.3321 - Are children allowed to use toothbrushes after meal and snack times?

Subchapter R - HEALTH PRACTICES

746.3401 - Must my child-care center have an annual sanitation inspection?
746.3403 - How do I document that a sanitation inspection has been completed?
746.3405 - Do I have to make corrections called for in the report?
746.3407 - What steps must I take to ensure a healthy environment for children at my child-care center?
746.3413 - May I use a dishwasher or washing machine to sanitize items at my child-care center?
746.3415 - When must employees wash their hands?
746.3417 - When must children wash their hands?
746.3419 - How must children and employees wash their hands?
746.3420 - May I use hand sanitizer as a substitute for washing hands?
746.3421 - How must I wash an infant's hands?
746.3423 - Must my child-care center have hot water for hand washing?
746.3425 - Must caregivers wear gloves when handling blood or bodily fluids containing blood?
746.3427 - Must I use a licensed exterminator to treat my child-care center for insects, rodents, and other pests?
746.3429 - Are there general precautions I must take when my child-care center is being treated for insects, rodents, and other pests?
746.3431 - May I use water from a private water supply instead of a public water supply for my child-care center?
746.3433 - May I use a septic system for sewage disposal?
746.3501 - What steps must caregivers follow for diaper changing?
746.3503 - What equipment must I have for diaper changing?
746.3505 - What must I do to prevent the spread of germs when diapering children?
746.3601 - What type of illness would prohibit a child from attending the child-care center?
746.3603 - What communicable diseases would exclude a child from attending my child-care center?
746.3605 - How must caregivers respond when a child becomes ill?
746.3606 - When may a child who was ill return to my child-care center?
746.3607 - How must caregivers respond when a child is injured and requires immediate treatment by a health-care professional?
746.3609 - What is a vaccine-preventable disease for the purpose of this division?
746.3611 - What must a policy for protecting children from vaccine-preventable diseases include?

Subchapter S - SAFETY PRACTICES

746.3701 - What safety precautions must I take to protect children in my child-care center?
746.3703 - How can I ensure the safety of the children from other persons?
746.3705 - Am I required to have a video or audio monitoring system?
746.3707 - Are firearms or other weapons allowed at my child-care center?
746.3709 - May I have toys or other types of equipment that explode or shoot things?
746.3801 - What does "medication" refer to in this division?
746.3803 - What authorization must I obtain before administering a medication to a child in my care?
746.3805 - How must I administer medication to a child in my care?
746.3807 - How must I store medication that I administer to a child?
746.3809 - How long may I keep the medication that I administer to a child?
746.3811 - Do I have to notify parents if I do not want to administer medications?
746.3813 - What is specialized medical assistance?
746.3815 - What are my requirements regarding specialized medical assistance?
746.3817 - What is a food allergy emergency plan?
746.3819 - When must I have a food allergy emergency plan for a child?
746.3901 - What steps must I take to have animals at my child-care center and/or on field trips?
746.3903 - Must I keep documentation of vaccinations on file for the animals?
746.3905 - Must I prevent children from having contact with certain animals while at my child-care center?
746.4001 - Must I have a first-aid kit at my child-care center?
746.4003 - What items must each first-aid kit contain?
746.4101 - To whom may I release a child?
746.4103 - How do my employees verify the identity of a parent or a person a parent has designated to pick up the child?
746.4131 - What are "children's products?"
746.4133 - When is a children's product considered to be unsafe?
746.4135 - What are my responsibilities regarding unsafe children's products in my child-care center?

Subchapter T - PHYSICAL FACILITIES

746.4201 - How many square feet of indoor activity space must I have for children?
746.4203 - Am I required to care for children younger than 18 months separately from older children?
746.4205 - Must I limit the number of children in each room based on the indoor activity space measurements for that room?
746.4207 - Do these indoor activity space requirements apply to my child-care center if it was licensed before September 1, 2003?
746.4213 - How does Licensing determine the indoor activity space?
746.4215 - May other programs use my indoor activity space at the same time I have children in care?
746.4217 - May I care for children above or below ground level?
746.4301 - How many square feet of outdoor activity space must I have?
746.4305 - Must I fence the outdoor activity space?
746.4307 - How many exits must I have from my fenced outdoor activity space?
746.4309 - May I keep the gates leading into my outdoor activity space locked while children are in care?
746.4311 - Must the outdoor activity space be connected to the child-care center?
746.4313 - Must I comply with additional requirements if my plan to use an outdoor activity space not connected to my child-care center is approved by Licensing?
746.4315 - May other programs use my outdoor activity space at the same time I have children in care?
746.4401 - How many hand-washing sinks must I have in my child-care center for children's use?
746.4403 - Must I have a hand-washing sink in the diaper-changing area?
746.4405 - Where must I locate the hand-washing sinks for children's use?
746.4407 - How many toilets am I required to have in my child-care center?
746.4409 - Where must the toilets be located?
746.4411 - May I count urinals in the ratio of children to toilets?
746.4417 - May potty-chairs be used?
746.4419 - Do I have to use toilets, sinks and fountains that are child sized?
746.4421 - May the doors to the restroom or toilets have locks on them?
746.4423 - May other programs use the toilets and hand washing sinks counted in my indoor activity space at the same time I have children in care?
746.4501 - What type of tables and chairs must I use for the children?
746.4503 - Must I provide a cot or mat for each child to sleep or rest on?
746.4505 - Must I have storage for each child's individual belongings?
746.4507 - Must I have a telephone at my child-care center?
746.4509 - May I have indoor lofts?

Subchapter U - INDOOR AND OUTDOOR ACTIVE PLAY SPACE AND EQUIPMENT

746.4601 - What minimum safety requirements must my active play equipment meet?
746.4603 - Are there some types of equipment that children must not use?
746.4605 - Are there additional equipment restrictions for children younger than five years of age?
746.4607 - What is the maximum height of the highest designated play surface allowed?
746.4609 - What is the maximum height allowed for the highest designated play surface, if my child-care center was licensed before September 1, 2010?
746.4701 - What are the safety requirements for swings?
746.4703 - Are there additional safety requirements for bucket swings designed for tots?
746.4705 - Are there additional safety requirements for tire swings or other multi-axis swings?
746.4751 - What special maintenance procedures must I follow for my active play space and equipment?
746.4801 - What does Licensing mean by the term "use zone"?
746.4803 - How do I measure the use zone for stationary equipment?
746.4805 - How do I measure the use zone for slides?
746.4807 - How do I measure the use zone for to-fro swings?
746.4809 - How do I measure the use zone for tire swings?
746.4811 - How do I measure the use zone for bucket swings?
746.4813 - How do I measure the use zone for rotating or rocking equipment?
746.4815 - Do the use zone requirements apply to my child-care center if it was licensed before September 1, 2003?
746.4901 - What type of surfacing must I have under my active play equipment?
746.4905 - What are acceptable loose-fill surfacing materials?
746.4907 - How should outdoor loose-fill surfacing materials be installed?
746.4909 - What are unitary surfacing materials?
746.4911 - How should unitary surfacing materials be installed?
746.4913 - What documentation must I keep at the child-care center if I use unitary surfacing materials?
746.4915 - What additional surfacing requirements must my indoor equipment meet?
746.4951 - What is soft contained play equipment?
746.4953 - Are there additional safety requirements for soft contained play equipment?
746.4955 - How do I measure the use zone for soft contained play equipment?
746.4971 - May I use inflatable active play equipment?

Subchapter V - SWIMMING POOLS, WADING/SPLASHING POOLS, AND SPRINKLER PLAY

746.5001 - What safety precautions must I follow when a child in my care uses a swimming pool?
746.5003 - How should the swimming pool be built and maintained?
746.5005 - Do the same safety precautions apply for above-ground pools?
746.5007 - Must I have a fence around a swimming pool at my child-care center?
746.5009 - What additional safety precautions must I take for a child in care who is unable to swim competently or who is at risk of injury or death when swimming?
746.5011 - Must I provide a personal flotation device (PFD) to a child in care who is unable to swim competently or who is at risk of injury or death when swimming when the child is participating in swim instruction or a competition?
746.5013 - What are the safety requirements for wading pools?
746.5015 - Are there specific safety requirements for sprinkler play?
746.5017 - Can a child in my care swim in a body of water other than a swimming pool?

Subchapter W - FIRE SAFETY AND EMERGENCY PRACTICES

746.5101 - Must my child-care center have an annual fire inspection?
746.5103 - How do I document that a fire inspection has been completed?
746.5105 - Must I make all corrections specified in the fire-inspection report?
746.5201 - What is an emergency preparedness plan?
746.5202 - What must my emergency preparedness plan include?
746.5204 - Who must coordinate the implementation of an emergency preparedness plan?
746.5205 - Must I practice my emergency preparedness plans?
746.5207 - Must I have an emergency evacuation and relocation diagram?
746.5209 - How many exits must my child-care center have?
746.5211 - Must I have emergency lighting in case of an emergency evacuation?
746.5301 - Must my child-care center have a fire-extinguishing system?
746.5303 - Who must approve my fire-extinguishing system?
746.5305 - Where must I mount fire extinguishers?
746.5307 - How often must I inspect and service the fire extinguisher(s)?
746.5309 - How often must I inspect a sprinkler system?
746.5311 - Must my child-care center have a smoke-detection system?
746.5313 - Who must approve my child-care center's smoke-detection system?
746.5315 - How often must I have an electronic smoke alarm system tested?
746.5317 - How must smoke detectors be installed at my child-care center?
746.5319 - How often must the smoke detectors at my child-care center be tested?
746.5401 - Must my child-care center be inspected for gas leaks?
746.5403 - Who must conduct the inspection for gas leaks?
746.5405 - How do I document that a gas leak inspection has been completed?
746.5407 - Must I make all corrections specified in the gas inspection report?
746.5501 - What steps must I take to ensure that heating devices do not present hazards to children?
746.5531 - Must my child-care center have a carbon monoxide detection system?
746.5533 - What type of carbon monoxide detection system must I install?
746.5535 - How many carbon monoxide detectors must be installed in my child-care center and how must they be installed?
746.5537 - How often must I inspect and service the carbon monoxide detection system?

Subchapter X - TRANSPORTATION

746.5601 - What types of transportation does Licensing regulate?
746.5603 - What type of vehicle may I use to transport children?
746.5605 - What safety precautions must I take when loading and unloading children from the vehicle?
746.5607 - What child passenger safety seat system must I use when I transport children?
746.5609 - Must caregivers and/or the driver wear a safety belt?
746.5611 - May parents provide the safety seat equipment required for their child?
746.5613 - May I place more than one person in each safety belt?
746.5615 - May a child ride in a safety belt with a shoulder harness?
746.5617 - Must I carry specific equipment in vehicles used to transport children in my care?
746.5619 - Must I have a plan to handle transportation emergencies?
746.5621 - What communication requirements are there for a vehicle used to transport children?
746.5623 - What is an electronic child safety alarm?
746.5625 - When and how must I install and use an electronic child safety alarm in a vehicle?
746.5627 - What documentation must I keep at the child-care center for each vehicle used to transport children in care?

Chapter 747 - MINIMUM STANDARDS FOR CHILD-CARE HOMES

Subchapter A - PURPOSE, SCOPE, AND DEFINITIONS

747.101 - What is the purpose of this chapter?
747.111 - What types of operations do these minimum standards apply to?
747.113 - What is a registered child-care home?
747.115 - What is a licensed child-care home?
747.117 - Who is responsible for complying with these minimum standards?
747.121 - What do certain pronouns mean when used in this chapter?
747.123 - What do certain words and terms mean when used in this chapter?

Subchapter B - ADMINISTRATION AND COMMUNICATION

747.201 - Who is a primary caregiver?
747.203 - As the primary caregiver, may I leave someone else in charge if I cannot be home during all hours of operation?
747.205 - Must I be present at my child-care home during all hours of operation?
747.207 - What are my responsibilities as the primary caregiver?
747.209 - What are the liability insurance requirements?
747.211 - What are acceptable reasons not to have liability insurance?
747.213 - When must I notify parents that I do not carry liability insurance?
747.301 - What changes regarding my child-care home must I notify Licensing about before making the change?
747.303 - What other situations require notification to Licensing?
747.305 - What emergency and medical situations must I notify parents about?
747.307 - What are the notification requirements when Licensing finds my child-care home deficient in a standard related to safe sleeping or the abuse, neglect, or exploitation of a child?
747.309 - How must I notify parents of a safe sleeping deficiency or an abuse, neglect, or exploitation deficiency?
747.401 - What records must I post at my child-care home during hours of operation?
747.403 - What telephone numbers and other contact information must I post and where must I post this information?
747.501 - What written operational policies must I have?
747.503 - Must I provide parents with a copy of my operational polices?
747.505 - What must I do when I change an operational policy or an item in the enrollment agreement?
747.521 - What rights does a parent of a child in care of my child-care home have?

Subchapter C - RECORD KEEPING

747.601 - Who has the right to access children's records?
747.603 - What records must I have for the children in my care and how long must I keep them?
747.605 - What admission information must I obtain for each child?
747.607 - Must the child's parent sign the admission information?
747.609 - Must I update the admission information?
747.611 - Must I have a health statement for children in my care?
747.613 - What immunizations must a child in my care have?
747.615 - What exemptions or exceptions are there concerning immunization requirements?
747.623 - What documentation is acceptable for an immunization record?
747.627 - Must I maintain immunization and health records on children in my care that are related to me?
747.629 - Must children in my care have a tuberculosis (TB) examination?
747.631 - Must children in my registered child-care home have vision and hearing screening?
747.633 - Must children in my licensed child-care home have vision and hearing screening?
747.635 - Must I keep attendance records or a sign-in and sign-out log for children in my care?
747.701 - What written records must I keep of accidents and injuries that occur at my child-care home?
747.705 - Must someone from my child-care home sign the Incident/Illness Report form?
747.707 - Must I share a copy of the Incident/Illness Report form with the child's parent?
747.709 - Where must I file the Incident/Illness Report form and how long must I keep it?
747.801 - What records must I keep at my child-care home?
747.803 - How long must I keep records at my child-care home?
747.901 - What information must I maintain in my personnel records?
747.903 - Must I keep records for my household members who are counted in the child/caregiver ratio?
747.905 - What records must I keep for my household members who are not counted in the child/caregiver ratio?
747.909 - What records must I maintain on myself?
747.911 - Must I maintain attendance records or time sheets on caregivers that assist me?
747.913 - How long must I keep the required records on caregivers and household members?
747.915 - May Licensing access my records?
747.917 - May I keep electronic records or a combination of paper and electronic records, and what procedures must I have for these records?

Subchapter D - PERSONNEL

747.1001 - Who is required to meet the qualifications specified in this division?
747.1003 - When must I meet qualifications to be a primary caregiver?
747.1005 - May I have more than one primary caregiver for my child-care home?
747.1007 - What qualifications must I meet to be the primary caregiver of a registered child-care home?
747.1013 - What if I am younger than 21 years old but I want to be registered?
747.1015 - Does education received outside of the United States count toward primary caregiver qualifications?
747.1101 - Who is required to meet the qualifications specified in this division?
747.1103 - When must I meet qualifications to be a primary caregiver?
747.1105 - May I have more than one primary caregiver for my licensed child-care home?
747.1107 - What qualifications must I meet to be the primary caregiver of a licensed child-care home?
747.1113 - What constitutes experience in a licensed child-care center, or in a licensed or registered child-care home?
747.1115 - May other types of experience be substituted for the required experience in a licensed child-care center, or in a licensed or registered child-care home?
747.1117 - Can Licensing verify whether someone has sufficient experience in a licensed child-care center, or in a licensed or registered child-care home?
747.1119 - What credit courses does Licensing recognize as child development?
747.1121 - What credit courses does Licensing recognize as management?
747.1123 - What documentation must I provide to show that I meet the child development and management education qualifications for a primary caregiver?
747.1129 - May I substitute clock hours or CEUs for any of the educational requirements in this division?
747.1131 - What additional documentation must I submit to show I am qualified to be a primary caregiver of a licensed child-care home?
747.1137 - Does education received outside of the United States substitute for primary caregiver qualifications?
747.1139 - Will Licensing keep the original training certificates and college transcripts I submit to obtain a Licensing Child-Care Director's Certificate?
747.1141 - What if Licensing determines I do not meet minimum standard qualifications?
747.1143 - Will I receive a certificate verifying that I meet qualifications?
747.1145 - Will the Child-Care Director's Certificate expire?
747.1147 - How often must an expiring Child-Care Director's Certificate be renewed?
747.1149 - What happens if my Child-Care Director's Certificate expires?
747.1151 - Does Licensing charge a fee for issuing the director's certificate?
747.1153 - Can I get a replacement Child-Care Director's Certificate?
747.1201 - What types of caregivers may I use in my child-care home?
747.1203 - What is the difference between an assistant caregiver and a substitute caregiver?
747.1207 - What minimum qualifications must an assistant caregiver meet?
747.1209 - What minimum qualifications must a substitute caregiver meet?
747.1211 - When may I employ a person under the age of 18 or a person who does not have a high school diploma or equivalent as a caregiver?
747.1213 - Does education received outside of the United States count toward caregiver qualifications?
747.1301 - What must orientation for caregivers at my child-care home include?
747.1303 - What training must I ensure that my caregivers have within certain timeframes?
747.1305 - What areas of training must the annual training for substitute and assistant caregivers cover?
747.1309 - What areas of training must the annual training for the primary caregiver cover?
747.1311 - When must the annual training be obtained?
747.1313 - Who must have pediatric first-aid and pediatric CPR training?
747.1314 - What additional training must an employee and caregiver have if the home transports children?
747.1315 - Must child-care training meet certain criteria?
747.1317 - Does Licensing approve training resources or trainers for training hours?
747.1319 - If I am attending, or I have a caregiver who is attending, a college or Child Development Associate/Certified Child-Care Professional credential program, may I count these clock hours toward the annual training requirement?
747.1321 - If I hire a caregiver that received training at another operation, may these hours count towards the annual training requirement at my child-care home?
747.1323 - What additional training must an employee and caregiver have if the child-care home allows a child to access a swimming pool at or away from the home?
747.1327 - What documentation must I provide to Licensing to verify that caregivers have met training requirements?
747.1401 - Must members of my household meet specific qualifications?
747.1403 - What must orientation for household members at my child-care home include?
747.1405 - What are the minimum qualifications and training requirements for volunteers or any other person under contract with the home?
747.1501 - What general responsibilities do caregivers have in my child-care home?
747.1503 - What responsibilities does a caregiver have when supervising a child or children?

Subchapter E - CHILD/CAREGIVER RATIOS AND GROUP SIZES

747.1601 - What is child/caregiver ratio?
747.1603 - How do I determine child/caregiver ratio?
747.1605 - May I ever care for more than 12 children in my registered or licensed child-care home?
747.1607 - May I reduce the number of caregivers supervising children during naptime?
747.1609 - May I adjust the child/caregiver ratio when I am opening and closing my child-care home?
747.1701 - How many children may I care for in my registered child-care home?
747.1703 - If I have an additional caregiver present to supervise children in my registered child-care home, may I care for more children?
747.1801 - How many children may I care for in my licensed child-care home?
747.1803 - If I have an additional caregiver present to supervise children in my licensed child-care home, may I care for more children?
747.1805 - Must I limit the ages of children in care if there are three or more caregivers present?
747.1901 - Do I need additional caregivers when I take children away from my licensed or registered child-care home for field trips or walks?
747.1903 - If I provide transportation, how many caregivers must I have in the vehicle to supervise the children?
747.2001 - Must I have additional caregivers for wading activities?
747.2005 - What are the child/caregiver ratios for swimming activities?
747.2009 - Must I have a certified lifeguard on duty when children are swimming in more than 18 inches of water?
747.2011 - May I count the certified lifeguard in the child/caregiver ratio?
747.2013 - Must persons who are counted in the child/caregiver ratio during swimming know how to swim?
747.2015 - May I include volunteers or household members who do not meet minimum qualifications for caregivers in the child/caregiver ratio for water activities?
747.2017 - Must I have additional caregivers for sprinkler play?

Subchapter F - DEVELOPMENTAL ACTIVITIES AND ACTIVITY PLAN

747.2101 - What must I consider when providing planned activities for the children in my child-care home?
747.2102 - What written activity plans must I follow?
747.2103 - What must a written activity plan include?
747.2104 - What specific activities must I include in a written activity plan?
747.2105 - May I use a screen time activity with a child?
747.2107 - What are my responsibilities when planning activities for a child in care with special care needs?

Subchapter H - BASIC CARE REQUIREMENTS FOR INFANTS

747.2301 - What are the basic care requirements for infants?
747.2303 - How must I arrange the space where I care for infants?
747.2305 - What furnishings and equipment must I have available for infants?
747.2307 - Must the equipment I use for infants be equipped with safety straps?
747.2309 - What specific safety requirements must my cribs meet?
747.2311 - Are play yards allowed?
747.2313 - Are stacking wall cribs allowed?
747.2315 - What specific types of equipment am I prohibited from using with infants?
747.2317 - What activities must I provide for an infant?
747.2318 - What are the requirements when an infant is engaged in tummy time?
747.2319 - Are there specific requirements for feeding infants?
747.2321 - What written, feeding instructions must I obtain for an infant not ready for table food?
747.2323 - What are the requirements regarding a regularly scheduled naptime for infants?
747.2324 - Where must an infant sleep?
747.2325 - How long are infants allowed to remain in their cribs after awakening?
747.2326 - May I allow infants to sleep in a restrictive device?
747.2327 - How must I position an infant for sleep?
747.2328 - May I swaddle an infant to help the infant sleep?
747.2329 - If an infant has difficulty falling asleep, may I cover the infant's head or crib?
747.2331 - Must I share a daily report with parents for each infant in my care?

Subchapter I - BASIC CARE REQUIREMENTS FOR TODDLERS

747.2401 - What are the basic care requirements for toddlers?
747.2403 - How must I arrange the space where I care for toddlers?
747.2405 - What furnishings and equipment must I provide for toddlers?
747.2407 - What activities must I provide for a toddler?

Subchapter J - BASIC CARE REQUIREMENTS FOR PRE-KINDERGARTEN AGE CHILDREN

747.2501 - What are the basic care requirements for pre-kindergarten age children?
747.2503 - How must I arrange the space used by pre-kindergarten age children?
747.2505 - What furnishings and equipment must I provide for pre-kindergarten age children?
747.2507 - What activities must I provide for a pre-kindergarten age child?

Subchapter K - BASIC CARE REQUIREMENTS FOR SCHOOL-AGE CHILDREN

747.2601 - What basic care requirements must I provide for school-age children?
747.2603 - How must I arrange the space used by school-age children?
747.2605 - What furnishings and equipment must I provide for school-age children?
747.2607 - What activities must I provide for a school-age child?

Subchapter L - DISCIPLINE

747.2703 - What methods of discipline and guidance may I use?
747.2705 - What types of discipline and guidance or punishment are prohibited?

Subchapter M - NAPTIME

747.2801 - Must children have a naptime every day?
747.2803 - How long may the nap or rest period last each day?
747.2805 - Are children required to sleep during this time?
747.2807 - Must I provide an alternative activity for those children who cannot sleep?
747.2809 - Must I arrange the napping equipment in a specific manner?
747.2811 - May I lower the lighting in the room while children are sleeping?

Subchapter N - FIELD TRIPS

747.2901 - May I take children away from my child-care home for field trips?
747.2903 - Must I notify parents before I take a child away from my child-care home on a field trip?

Subchapter P - NIGHTTIME CARE

747.3001 - What is nighttime care?
747.3003 - May I provide nighttime care to children at my child-care home?
747.3005 - Must I stay awake while supervising children during nighttime care?
747.3007 - What are the building, furnishing, physical space, and equipment requirements for nighttime care?
747.3009 - Must I provide activities for children in nighttime care?

Subchapter Q - NUTRITION AND FOOD SERVICE

747.3101 - What are the basic requirements for meal and snack times?
747.3103 - How often must I feed a child in my care?
747.3109 - May parents provide meals and/or snacks for their children instead of my child-care home providing them?
747.3111 - What are the requirements for a child who requires a special diet or does not want to eat foods I serve?
747.3113 - Must I post and maintain daily menus?
747.3117 - What general requirements apply to food service and preparation?
747.3119 - Must I serve meals family style?
747.3121 - Are children allowed to use toothbrushes after meal and snack times?

Subchapter R - HEALTH PRACTICES

747.3201 - Must my child-care home have an annual sanitation inspection?
747.3203 - What steps must I take to ensure a healthy environment for children at my child-care home?
747.3209 - May I use a dishwasher or washing machine to sanitize items at my child-care home?
747.3211 - When must caregivers wash their hands?
747.3213 - When must children wash their hands?
747.3215 - How must children and caregivers wash their hands?
747.3216 - May I use hand sanitizer as a substitute for washing hands?
747.3217 - How must I wash an infant's hands?
747.3219 - Must I have hot water for hand washing?
747.3221 - Must caregivers wear gloves when handling blood or bodily fluids containing blood?
747.3223 - Must I use a licensed exterminator to treat my child-care home for insects, rodents, or other pests?
747.3225 - Are there general precautions I must take when my child-care home is being treated for insects, rodents, or other pests?
747.3227 - May I use water from a private water supply instead of a public water supply for my child-care home?
747.3229 - May I use a septic system for sewage disposal?
747.3301 - What steps must I follow for diaper changing?
747.3303 - What equipment must I have for diaper changing?
747.3307 - What must I do to prevent the spread of germs when diapering children?
747.3401 - What type of illness would prohibit a child from attending the child-care home?
747.3403 - What communicable diseases would exclude a child from attending my child-care home?
747.3405 - How must caregivers respond when a child becomes ill?
747.3406 - When may a child who was ill return to my child-care home?
747.3407 - How must caregivers respond when a child is injured and requires immediate treatment by a health-care professional?
747.3409 - What is a vaccine-preventable disease for the purpose of this division?
747.3411 - What must a policy for protecting children from vaccine-preventable diseases include?

Subchapter S - SAFETY PRACTICES

747.3501 - What safety precautions must I take to protect children in my child-care home?
747.3503 - How can I ensure the safety of the children from other persons?
747.3505 - Are firearms or other weapons allowed at my child-care home?
747.3507 - May I have toys or other types of equipment that explode or shoot things?
747.3601 - What does "medication" refer to in this division?
747.3603 - What authorization must I obtain before administering a medication to a child in my care?
747.3605 - How must I administer medication to a child in my care?
747.3607 - How must I store medication that I administer to a child?
747.3609 - How long may I keep the medication that I administer to a child?
747.3611 - Do I have to notify parents if I do not want to administer medications?
747.3613 - What is specialized medical assistance?
747.3615 - What are my requirements regarding specialized medical assistance?
747.3617 - What is a food allergy emergency plan?
747.3619 - When must I have a food allergy plan for a child?
747.3701 - What steps must I take to have animals at my child-care home or on field trips?
747.3703 - Must I keep documentation of vaccinations for the animals?
747.3705 - Must I prevent children from having contact with certain animals while at my child-care home?
747.3801 - Must I have a first-aid kit at my child-care home?
747.3803 - What items must each first-aid kit contain?
747.3901 - To whom may I release a child?
747.3903 - How does a caregiver verify the identity of a parent or a person a parent has designated to pick up the child?
747.3931 - What are "children's products?"
747.3933 - When is a children's product considered to be unsafe?
747.3935 - What are my responsibilities regarding unsafe children's products in my child-care home?

Subchapter T - PHYSICAL FACILITIES

747.4001 - How many square feet of indoor useable activity space must I have for each child?
747.4003 - May I care for 12 children if I do not have 30 square feet of indoor useable activity space?
747.4005 - What does Licensing mean by "indoor useable activity space"?
747.4007 - Am I required to care for children younger than 18 months separately from older children?
747.4009 - Do the indoor useable activity space requirements in §747.4001 of this title (relating to How many square feet of indoor useable activity space must I have for each child?) apply to my home if it was registered or licensed before September 1, 2003?
747.4011 - How does Licensing determine the indoor useable activity space?
747.4013 - May other programs use my indoor useable activity space at the same time I have children in care?
747.4015 - May I care for children above or below ground level?
747.4101 - How many square feet of outdoor activity space must I have?
747.4103 - Do the outdoor activity space requirements apply to my home if it was registered or licensed before September 1, 2003?
747.4105 - Must I fence the outdoor activity space area?
747.4109 - How many exits must I have from my fenced outdoor activity space area?
747.4111 - May I keep the gates leading into my outdoor activity area locked while children are in care?
747.4113 - Must the outdoor activity space area be connected to the child-care home?
747.4115 - Must I comply with additional requirements if my plan to use an outdoor activity area not connected to my child-care home is approved by Licensing?
747.4117 - May other programs use the outdoor activity space at my child-care home at the same time I have children in care?
747.4201 - How many sinks and toilets must I have for children's use?
747.4203 - Where must the sink and toilet be located for children's use?
747.4205 - Must I supply soap and disposable towels for children's use?
747.4207 - May potty-chairs be used?
747.4209 - Do I have to use toilets and sinks that are sized for children?
747.4211 - May the doors to the restrooms have locks on them?
747.4301 - Must I use child-sized tables and chairs for children?
747.4303 - Must I provide a cot or mat for each child to sleep or rest on?
747.4305 - Must I have storage for each child's individual belongings?
747.4307 - Must I have a telephone at my child-care home?
747.4309 - May I have indoor lofts?

Subchapter U - INDOOR AND OUTDOOR ACTIVE PLAY SPACE AND EQUIPMENT

747.4401 - What minimum safety requirements must my active play equipment meet?
747.4403 - Are there some types of equipment that children must not use?
747.4405 - Are there additional equipment restrictions for children younger than five years of age?
747.4407 - What special maintenance procedures must I follow for my active play space and equipment?
747.4501 - What are the safety requirements for swings?
747.4503 - Are there additional safety requirements for bucket swings designed for tots?
747.4505 - Are there additional safety requirements for tire swings (multi-axis swings)?
747.4601 - What does Licensing mean by the term "use zone"?
747.4603 - How do I measure the use zone for stationary equipment?
747.4605 - How do I measure the use zone for slides?
747.4607 - How do I measure the use zone for to-fro swings?
747.4609 - How do I measure the use zone for tire swings?
747.4611 - How do I measure the use zone for bucket swings?
747.4613 - How do I measure the use zone for rotating or rocking equipment?
747.4615 - Do these use zone requirements apply to my child-care home if it was registered or licensed before September 1, 2003?
747.4707 - What are unitary surfacing materials?
747.4709 - How should unitary surfacing materials be installed?
747.4711 - What documentation must I keep at my child-care home if I use unitary surfacing materials?
747.4751 - May I use inflatable active play equipment?

Subchapter V - SWIMMING POOLS, WADING/SPLASHING POOLS, AND SPRINKLER PLAY

747.4801 - What safety precautions must I follow when a child in my care uses a swimming pool?
747.4803 - How should the swimming pool be maintained?
747.4805 - Do the same safety precautions apply for above-ground pools?
747.4807 - Must I have a fence around a swimming pool at my child-care home?
747.4809 - Does having a fence affect my duty to supervise children's access to the pool?
747.4811 - What additional safety precautions must I take for a child in care who is unable to swim competently or who is at risk of injury or death when swimming?
747.4812 - Must I provide a personal flotation device (PFD) to a child in care who is unable to swim competently or who is at risk of injury or death when swimming when the child is participating in swim instruction or a competition?
747.4813 - What are the safety requirements for wading pools?
747.4815 - Are there specific safety requirements for sprinkler play?
747.4817 - Can a child in my care swim in a body of water other than a swimming pool?

Subchapter W - FIRE SAFETY AND EMERGENCY PRACTICES

747.4901 - Must I have a fire inspection of my child-care home?
747.5001 - What is an emergency preparedness plan?
747.5003 - What must my emergency preparedness plan include?
747.5005 - Must I practice my emergency preparedness plan?
747.5007 - Must I have an emergency evacuation and relocation diagram?
747.5009 - Must I post an emergency evacuation and relocation diagram?
747.5011 - How many exits must my child-care home have?
747.5013 - May a window count as one of the designated exits for my child-care home?
747.5015 - Must I have emergency lighting in case of an emergency evacuation?
747.5101 - Must my child-care home have a fire-extinguishing system?
747.5103 - Am I required to have a fire extinguisher?
747.5105 - Where must I mount fire extinguishers?
747.5107 - How often must I inspect and service fire extinguishers?
747.5109 - How often must I inspect my sprinkler system?
747.5111 - Must my child-care home have a smoke-detection system?
747.5113 - How must smoke detectors be installed at my child-care home?
747.5115 - How often must the smoke detectors at my child-care home be tested?
747.5117 - How often must I have an electronic smoke alarm system tested?
747.5201 - Must I have my child-care home inspected for gas leaks?
747.5301 - What steps must I take to ensure that heating devices used at my child-care home do not present hazards to children?
747.5331 - Must my child-care home have a carbon monoxide detection system?
747.5333 - What type of carbon monoxide detection system must I install?
747.5335 - How many carbon monoxide detectors must be installed in my child-care home and how must they be installed?
747.5337 - How often must I inspect and service the carbon monoxide detection system?

Subchapter X - TRANSPORTATION

747.5401 - What types of transportation does Licensing regulate?
747.5403 - What type of vehicle may I use to transport children?
747.5405 - What safety precautions must I take when loading and unloading children from the vehicle?
747.5407 - What child passenger safety seat system must I use when I transport children?
747.5409 - Must caregivers and/or the driver wear a safety belt?
747.5411 - May parents provide the child passenger safety seat equipment required for their child?
747.5413 - May I place more than one person in each safety belt?
747.5415 - May a child ride in a safety belt with a shoulder harness?
747.5417 - Must I carry specific information in the vehicles used to transport children in my care?
747.5419 - What plan must I have to handle transportation emergencies?
747.5421 - Must I have a communications device in a transportation vehicle?

Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS

Subchapter A - PURPOSE AND SCOPE

748.1 - What is the purpose of this chapter?
748.3 - Who is responsible for complying with these minimum standards?
748.5 - How do Residential Treatment Centers comply with the rules of this chapter?
748.7 - How are these regulations applied to family residential centers?

Subchapter B - DEFINITIONS AND SERVICES

748.41 - What do certain pronouns mean in this chapter?
748.43 - What do certain words and terms mean in this chapter?
748.61 - What types of services are subject to regulation under this chapter?
748.63 - Can I provide each type of service that Licensing regulates?
748.65 - What children are eligible to participate in a transitional living program?
748.67 - What are the requirements for a transitional living program?
748.69 - What is an "independent living program"?
748.71 - May I have an independent living program?
748.73 - What are respite child-care services?
748.75 - May I use or provide respite child-care services?
748.81 - What do certain terms mean in this division?
748.83 - May I provide care to or shelter an unlawfully present individual?
748.85 - What are the requirements if I operate my general residential operation while an exempt program separately provides care for an unlawfully present individual?

Subchapter C - ORGANIZATION AND ADMINISTRATION

748.101 - What plans must I submit for Licensing's approval as part of the application process?
748.103 - What policies and procedures must I submit for Licensing's approval as part of the application process?
748.105 - What are the requirements for my personnel policies and procedures?
748.107 - What must my conflict of interest policies include?
748.109 - What must my admission policies include?
748.111 - What child-care policies must I develop?
748.113 - What emergency behavior intervention policies must I develop if my operation is permitted to use emergency behavior intervention?
748.115 - What are the requirements for my discipline policies for children in care?
748.117 - What policies for a transitional living program must I develop?
748.119 - What policies must I develop if I use volunteers?
748.121 - What abuse and neglect policies must I develop?
748.123 - What must an employee policy for protecting children from vaccine-preventable diseases include?
748.124 - What suicide prevention, intervention, and postvention policy must I have?
748.125 - What is the model suicide prevention, intervention, and postvention policy?
748.126 - What are the general requirements for an operation's policies and procedures?
748.127 - What requirements must I follow when adopting my operation's plans, policies, and procedures?
748.129 - Can Licensing cite my operation for a deficiency if I fail to operate according to my approved plans, policies, and procedures?
748.151 - What are my operational responsibilities?
748.153 - What changes must I notify Licensing about regarding my operation?
748.154 - What is my timeframe for filling my child-care administrator position if it becomes vacant while I do not have a back-up administrator to carry out the administrator duties?
748.155 - May I exceed my operation's capacity?
748.157 - May I provide child day care services?
748.158 - What are the liability insurance requirements?
748.159 - What are acceptable reasons not to have liability insurance?
748.160 - When must I notify parents that I do not carry liability insurance?
748.161 - What are my fiscal requirements?
748.191 - What items must I post at my operation?

Subchapter D - REPORTS AND RECORD KEEPING

748.301 - What do certain terms mean in this subchapter?
748.303 - When must a general residential operation (GRO) report and document a serious incident?
748.305 - What constitutes a suicide attempt by a child?
748.309 - How do I make a report of a serious incident or occurrence to Licensing?
748.311 - How must I document a serious incident?
748.313 - What additional documentation must I include with a written serious incident report?
748.315 - How long must I keep incident reports?
748.317 - What are the notification requirements when Licensing finds my operation deficient in a standard related to safe sleeping or the abuse, neglect, or exploitation of a child?
748.319 - How must I notify parents of a safe sleeping deficiency or an abuse, neglect, or exploitation deficiency?
748.341 - What are the retention requirements for my operation's policies?
748.343 - What policies and procedures must I have for protecting records?
748.345 - What additional policies and procedures must I have for electronic records?
748.347 - Are electronic signatures allowed?
748.361 - Where must I maintain personnel records?
748.363 - What information must the personnel record of an employee include?
748.365 - What information regarding personnel must be kept confidential?
748.391 - What is an active child record?
748.393 - How must I maintain an active child record?
748.395 - How current must a child's record be?
748.397 - Who must consent to the release of a child's record?
748.399 - Must I make records available for Licensing to review?
748.401 - How must I maintain a child's record that is not active?
748.431 - How long must I maintain personnel records?
748.433 - How long must I maintain child records?
748.451 - What additional requirements are there for unauthorized absences of children from my operation?
748.453 - What documentation must be included in an annual summary log for a child who has an unauthorized absence?
748.455 - What are the requirements for debriefing a child after an unauthorized absence?
748.457 - When must a triggered review of a child's unauthorized absences occur?
748.459 - Who must participate in a triggered review of a child's unauthorized absences?
748.461 - What must a triggered review of a child's unauthorized absences include?
748.463 - What is an overall operation evaluation for unauthorized absences?

Subchapter E - PERSONNEL

748.503 - Does education received outside of the United States count toward educational qualifications?
748.505 - What minimum qualifications must all employees meet?
748.507 - What general responsibilities do all employees have?
748.509 - What are the requirements for tuberculosis screening?
748.511 - Is an employee, contract service provider, or volunteer allowed to be in possession of a handgun?
748.531 - What qualifications must a child-care administrator meet?
748.532 - When can a child-care administrator with a provisional license serve as the administrator for a general residential operation?
748.533 - Can a child-care administrator be an administrator for two residential child-care operations?
748.535 - What responsibilities must the child-care administrator have?
748.537 - What must the system for ensuring that an employee is available to handle emergencies include?
748.539 - Who must have overall administrative responsibility when the child-care administrator is absent on a frequent and/or extended basis?
748.561 - What professional level service activities must a professional level service provider perform at my operation?
748.563 - What professional qualifications must a professional level service provider have in order to perform professional level service activities?
748.565 - How must a professional level service provider document approval of professional level service functions?
748.567 - What are the requirements for the caseloads of a professional level service provider?
748.569 - Must I have health-care professionals on staff or on contract if I provide services to children with primary medical needs?
748.571 - What are the responsibilities of a registered nurse at an operation that provides services to a child with primary medical needs?
748.573 - What are the requirements for other nursing personnel for an operation that provides treatment services to 25 or more children with primary medical needs, or for an operation in which more than 30% of the children in care receive treatment services for primary medical needs?
748.575 - In what circumstances may a physician or registered nurse (including an advanced practice registered nurse) delegate nursing tasks to unlicensed caregivers?
748.601 - Must I have a treatment director?
748.603 - What are the responsibilities of a treatment director?
748.605 - What qualifications must a treatment director have?
748.607 - If I provide more than one type of treatment service, can I have one treatment director?
748.681 - What minimum qualifications must a caregiver meet?
748.683 - What are the general requirements for supervising caregivers?
748.685 - What responsibilities does a caregiver have when supervising a child or children?
748.701 - What is "normalcy"?
748.703 - Are children in care required to participate in childhood activities?
748.705 - What is the "reasonable and prudent parent standard"?
748.707 - Who makes the decision regarding a foster child's participation in childhood activities?
748.709 - Are there any restrictions on who can be a designated person that makes decisions regarding a child's participation in childhood activities?
748.721 - What are the requirements for a volunteer?
748.723 - Are there additional requirements for a volunteer or contractor that performs employee functions?
748.724 - When is a volunteer or contractor who is a part of another organization subject to my policies and procedures?
748.725 - Can a volunteer or a volunteer's family take a child in care for an overnight or weekend visit?
748.729 - What must I do when a child in care visits a volunteer or a volunteer's family for a day or overnight?
748.731 - May a person perform community service hours at my operation?
748.751 - What are the requirements for obtaining and verifying an applicant's employment history?
748.753 - What are the requirements for completing an applicant's reference checks?

Subchapter F - TRAINING AND PROFESSIONAL DEVELOPMENT

748.801 - What do certain words mean in this subchapter?
748.811 - What are the training and experience requirements for a caregiver?
748.813 - What are the training requirements for an employee?
748.831 - What is the orientation requirement for caregivers and employees?
748.833 - When may a caregiver or employee be exempt from orientation?
748.861 - What are the pre-service experience requirements for a caregiver?
748.863 - What are the pre-service training requirements for a caregiver?
748.864 - What are the pre-service training requirements for an employee?
748.865 - Can time spent in orientation training count towards pre-service training?
748.867 - What caregivers or employees are exempt from certain pre-service training requirements?
748.869 - How must pre-service training be conducted?
748.881 - What curriculum components must be included in the general pre-service training?
748.882 - What curriculum components must be included in the pre-service training for normalcy?
748.883 - What curriculum components must be included in the pre-service training for safe sleeping?
748.885 - What curriculum components must be included in the pre-service training for administering psychotropic medication?
748.887 - If I do not allow the use of emergency behavior intervention, what curriculum components must be included in the pre-service training for emergency behavior intervention?
748.889 - If I allow the use of emergency behavior intervention, what curriculum components must be included in the pre-service training for emergency behavior intervention?
748.911 - Who must have first aid and CPR training?
748.913 - What are the requirements for CPR training?
748.915 - What documentation must I maintain for first aid and CPR certifications?
748.930 - What are the annual training requirements for a caregiver?
748.931 - What are the annual training requirements for an employee?
748.935 - When must an employee or caregiver complete the annual training?
748.936 - When must a caregiver complete emergency behavior intervention training?
748.937 - What types of hours or instruction can be used to complete the annual training requirements?
748.939 - Does Licensing approve training resources or trainers for annual training hours?
748.941 - How must annual training be conducted?
748.943 - What areas or topics are appropriate for annual training?
748.944 - What curriculum components must be included in the annual training for normalcy?
748.945 - What curriculum components must be included in the annual training for administering psychotropic medication?
748.947 - What curriculum components must be included in the annual training for emergency behavior intervention?
748.949 - What documentation must I maintain for annual training?

Subchapter G - CHILD/CAREGIVER RATIOS

748.1001 - What is the child/caregiver ratio?
748.1003 - For purposes of the child/caregiver ratio, how many children can a single caregiver care for during the children's waking hours?
748.1005 - Can child/caregiver ratios be averaged on an operation-wide basis?
748.1007 - For purposes of the child/caregiver ratio, how many children can a single caregiver care for when children are asleep at night?
748.1009 - How many caregivers must I employ?
748.1011 - What employees can be counted as a caregiver in the child/caregiver ratio?
748.1013 - How does a caregiver care for a child needing constant supervision during sleeping hours?
748.1015 - How does the child/caregiver ratio apply if I provide care for both children in care and children of caregivers, or for both children and adult residents?
748.1017 - How does the child/caregiver ratio apply to activities that occur away from my operation?
748.1019 - What are the supervision requirements for a transitional living program?
748.1021 - When does a child who is in a transitional living program not need supervision?
748.1023 - Is my operation permitted to have a transitional living program with living quarters, a cottage, or a house with both male and female residents?

Subchapter H - CHILD RIGHTS

748.1101 - What rights does a child in care have?
748.1103 - How must I inform a child and the child's parents of their rights?
748.1107 - What right does a child have regarding contact with his parent(s)?
748.1109 - What right does a child have regarding contact with siblings?
748.1111 - What right to privacy does a child have in his contact with others?
748.1113 - Under what circumstances may I conduct a search for prohibited items or items that endanger a child's safety?
748.1115 - May a caregiver conduct a body cavity search of a child in care?
748.1117 - What must I document regarding a search?
748.1119 - What techniques am I prohibited from using on a child?

Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE

748.1201 - May children receiving different types of service live in the same living quarters?
748.1203 - Who may I admit?
748.1205 - What information must I document in the child's record at the time of admission?
748.1207 - What is a placement agreement?
748.1209 - What orientation must I provide a child?
748.1211 - What information must I share with the parent at the time of placement?
748.1213 - What information must I provide caregivers when I admit a child?
748.1215 - When must I complete the admission assessment?
748.1217 - What information must an admission assessment include?
748.1219 - What are the additional admission assessment requirements when I admit a child for treatment services?
748.1221 - What must I do if I cannot obtain the required information for an admission assessment?
748.1223 - What are the medical requirements when I admit a child into care?
748.1225 - What are the dental requirements when I admit a child into care?
748.1227 - What must I document when I re-admit a child for care?
748.1261 - For which of my programs may I accept emergency admissions?
748.1263 - What constitutes an emergency admission to my operation?
748.1265 - May I take possession of a child from a law enforcement officer?
748.1269 - For an emergency admission, when must I complete all of the requirements for an admission assessment?
748.1271 - At the time of an emergency admission, what information must I document in the child's record?
748.1301 - What responsibilities do I have for the education of a child in care?
748.1303 - What responsibilities do I have for a child's individual educational needs?
748.1305 - If I have an educational program, what information must I provide to a child's parent about that program?
748.1331 - What are the requirements for a preliminary service plan?
748.1333 - Who must be involved in developing the preliminary service plan for children receiving treatment services?
748.1335 - When must I complete an initial service plan?
748.1337 - What must a child's initial service plan include?
748.1339 - Who must be involved in developing an initial service plan?
748.1340 - Can the service planning team discuss to develop a child's service plan in separate meetings?
748.1341 - When must I inform the child's parent(s) of an initial service plan meeting?
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?
748.1345 - What roles do professional level service providers have in service planning?
748.1347 - What must I document regarding a professional level service provider's participation in the development of an initial service plan?
748.1349 - To whom do I provide a copy of the child's initial service plan?
748.1351 - When must I implement a service plan?
748.1381 - How often must I review and update a service plan?
748.1383 - How does a child's transfer affect the timing of the review of a child's service plan?
748.1385 - How do I review and update a service plan?
748.1386 - Can an operation continue to review and update a child's previous service plan without creating a new service plan?
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?
748.1389 - How often must I re-evaluate the intellectual functioning of a child receiving treatment services for intellectual disabilities?
748.1431 - What does a "transfer" of a child in care mean?
748.1433 - Who must plan a child's non-emergency discharge or transfer?
748.1435 - How do I discharge or transfer a child who is an immediate danger to self or others?
748.1437 - What must I document in the child's record at the time of a discharge or transfer?
748.1439 - When I discharge a child, what information must I provide to the next placement or caregiver?
748.1443 - What constitutes an emergency discharge or transfer?
748.1481 - To whom may I release a child?

Subchapter J - CHILD CARE

748.1501 - What general dental requirements must my operation meet?
748.1503 - Who must determine the need and frequency of ongoing maintenance of dental health for a child?
748.1505 - Who must perform dental examinations and provide dental treatment?
748.1531 - What general medical requirements must my operation meet?
748.1533 - Who determines the need and frequency for ongoing maintenance of medical care and treatment for a child?
748.1535 - Who must perform medical examinations and provide medical treatment for a child?
748.1539 - What immunizations must a child in my care have?
748.1541 - What exemptions or exceptions are there concerning immunization requirements?
748.1543 - What documentation is acceptable for an immunization record?
748.1545 - Must children in my care have a vision and hearing screening?
748.1547 - What must I do if a child in my care is identified as needing a diagnostic vision or hearing examination?
748.1549 - What special equipment must I provide for a child with a physical disability?
748.1551 - How often must the physician review a child with primary medical needs?
748.1553 - How must a caregiver respond when a child is injured or ill and requires immediate treatment by a health-care professional?
748.1581 - What health precautions must I take if someone in my operation has a communicable disease?
748.1583 - Who must have a tuberculosis (TB) examination?
748.1611 - What is a protective device?
748.1613 - What does "involuntary self-injurious behavior" mean when used in this division?
748.1615 - May I use protective devices?
748.1617 - Who may use PRN orders with respect to protective devices?
748.1631 - What is a supportive device?
748.1633 - May I use supportive devices?
748.1635 - Who may use PRN orders with respect to supportive devices?
748.1661 - What policies must I enforce regarding tobacco products and e-cigarettes?
748.1691 - How often must I feed children in care?
748.1693 - What type of food and water must I provide children?
748.1695 - What are the specific requirements for feeding an infant?
748.1697 - What are the specific requirements for feeding toddlers and older children?
748.1699 - What must I do if a child refuses to or cannot eat a meal or snack that I offer?
748.1701 - What must I do if a child requires a therapeutic or special diet?
748.1703 - What are the requirements for daily menus?
748.1705 - What are the nutrition requirements for a child with primary medical needs?
748.1707 - What are the requirements for tube-feeding formula?
748.1709 - What are the requirements for using a nasogastric tube to feed a child?
748.1741 - What do certain words mean in this division?
748.1743 - What are the basic care requirements for an infant?
748.1745 - What steps must a caregiver follow when changing a child's diaper?
748.1747 - What must I do to prevent the spread of germs when diapering children?
748.1749 - What furnishings and equipment must I have in my infant care area?
748.1751 - What specific safety requirements must my cribs meet?
748.1753 - Are play yards allowed?
748.1755 - What equipment must have safety straps before I can use it with an infant?
748.1757 - What types of equipment are not allowed for use with infants?
748.1759 - What activities must I provide for infants?
748.1761 - How long may an infant remain in a crib after awakening?
748.1763 - What are the specific sleeping requirements for infants?
748.1765 - May I allow infants to sleep in a restrictive device?
748.1767 - May I swaddle an infant to help the infant sleep?
748.1791 - What are the basic care requirements for a toddler?
748.1793 - What furnishings and equipment must I provide for toddlers?
748.1795 - What activities must I provide for toddlers?
748.1821 - What information must I provide a pregnant child regarding her pregnancy?
748.1823 - Is the use of emergency behavior intervention of a pregnant child permitted in my operation?
748.1825 - If my policies permit the admission of adolescent parents with their child(ren), who is responsible for the care of the adolescent's child(ren)?

Subchapter K - OPERATIONS THAT PROVIDE CARE FOR CHILDREN AND ADULTS

748.1901 - What operations do the rules in this subchapter apply to?
748.1931 - After a child in my care turns 18 years old, may the person remain in my care?
748.1933 - May I admit a young adult into care?
748.1935 - How does the child/caregiver ratio apply if I provide care to both children and adults?
748.1937 - May an adult in care share a bedroom with a child in care?
748.1939 - How much general living space and floor space in a bedroom must I provide for children and young adults who are in my care?
748.1941 - What must I do if an adult resident is responsible for his own medication?
748.1943 - Must adult residents have a tuberculosis (TB) examination?
748.1945 - What must I do if an adult resident has a positive tuberculosis test result?

Subchapter L - MEDICATION

748.2001 - What consent must I obtain to administer medications?
748.2003 - What are the requirements for administering prescription medication?
748.2005 - May I accept verbal orders on the administration of medication?
748.2009 - What are the requirements for administering non-prescription medication and supplements?
748.2051 - What are the requirements for a self-medication program?
748.2053 - Who must record the medication dosage if a child is on a self-medication program?
748.2101 - What medication storage requirements must my operation meet?
748.2103 - What are the requirements for discontinued or expired medication?
748.2151 - What records must you maintain for each child receiving medication?
748.2201 - What is a medication error?
748.2203 - What must I do if I find a medication error?
748.2205 - What must I do if I find a medication label error?
748.2231 - What must I do if a child has an adverse reaction to a medication?
748.2233 - What must I do if a child experiences side effects from any medications?
748.2253 - If my operation employs or contracts with a health-care professional who prescribes psychotropic medications to a child in care, what information must I provide the person legally authorized to give consent before requesting his consent for the child to be placed on psychotropic medication?
748.2255 - If my operation does not employ or contract with a health-care professional who prescribes psychotropic medications to a child in care, what information must I provide the person legally authorized to give medical consent prior to the health-care professional prescribing psychotropic medications to a child in care?
748.2257 - What are the requirements if a physician orders administration of a psychotropic medication to a child in an emergency?
748.2259 - What information must I document about a child's use of psychotropic medication?
748.2261 - If my operation employs or contracts with a health-care professional who prescribes psychotropic medications to a child in care, what are the requirements for evaluating whether a child should continue taking a psychotropic medication?
748.2271 - What are the requirements if my operation chooses to maintain and administer unassigned epinephrine auto-injectors?

Subchapter M - DISCIPLINE AND PUNISHMENT

748.2301 - What are the requirements for disciplinary measures?
748.2303 - May I use corporal punishment for children in care?
748.2305 - What is "unproductive work"?
748.2307 - What other methods of punishment are prohibited?
748.2309 - To what extent may I restrict a child's activities as a behavior management tool?
748.2311 - May a child or adult in care discipline or punish another person in care?

Subchapter N - EMERGENCY BEHAVIOR INTERVENTION

748.2401 - What do certain words mean in this subchapter?
748.2451 - What types of emergency behavior intervention may I administer?
748.2453 - Who may administer emergency behavior intervention?
748.2455 - What actions must a caregiver take before using a permitted type of emergency behavior intervention?
748.2459 - What is the appropriate use for a short personal restraint?
748.2461 - What precautions must a caregiver take when implementing a short personal restraint?
748.2463 - Are there any purposes for which emergency behavior intervention cannot be used?
748.2501 - Are written orders required to administer emergency behavior intervention, and if so, who can write them?
748.2503 - Must the written order be in a child's record before a caregiver can use an emergency behavior intervention on a child?
748.2505 - What information must a written order include?
748.2507 - Under what conditions are PRN orders permitted for a specific child?
748.2551 - What responsibilities does a caregiver have when implementing a type of emergency behavior intervention?
748.2553 - When must a caregiver release a child from an emergency behavior intervention?
748.2601 - Who must monitor a personal restraint?
748.2603 - What is the appropriate action for a caregiver to take to ensure the child's adequate respiration, circulation, and overall well-being?
748.2605 - What personal restraint techniques are prohibited?
748.2651 - What are the additional responsibilities for implementing seclusion?
748.2653 - What must occur for a caregiver to remove the mat or bedding without a written order?
748.2701 - What are the additional responsibilities for implementing a mechanical restraint?
748.2703 - May my residential treatment center use altered mechanical restraint devices when restraining a child?
748.2705 - What mechanical and other restraint devices are prohibited?
748.2751 - May a caregiver successively use emergency behavior interventions on a child?
748.2753 - May a caregiver simultaneously use emergency medication in combination with another emergency behavior intervention?
748.2755 - May a caregiver simultaneously implement mechanical restraint in combination with emergency medication?
748.2757 - May a caregiver simultaneously implement mechanical restraint in combination with seclusion?
748.2801 - What is the maximum length of time that an emergency behavior intervention can be administered to a child?
748.2803 - How long may a caregiver seclude or mechanically restrain a child who has been released within the same 12-hour time period?
748.2805 - Can a caregiver exceed the maximum length of time that an emergency behavior intervention can be administered to a child?
748.2807 - May continuation orders be obtained verbally to exceed the maximum length of time that seclusion or mechanical restraint can be administered to a child?
748.2851 - What follow-up actions must caregivers take after the child's behavior no longer constitutes an emergency situation?
748.2853 - What must the caregiver document after discussing with the child the use of the emergency behavior intervention?
748.2855 - When must a caregiver document the use of an emergency behavior intervention, and what must the documentation include?
748.2857 - What notice must I provide to the parent when I use an emergency behavior intervention with a child in care?
748.2901 - What circumstances trigger a review of the use of emergency behavior intervention for a specific child?
748.2903 - When must a triggered review occur?
748.2905 - Who must participate in the triggered review?
748.2907 - What must the triggered review include and what must be documented in the child's record?
748.2909 - What if there are four triggered reviews within a 90-day period?
748.2951 - What is an overall operation evaluation?
748.2953 - What data must be collected?

Subchapter O - SAFETY AND EMERGENCY PRACTICES

748.3001 - When must I have an annual sanitation inspection?
748.3003 - How must I document that a sanitation inspection has been completed?
748.3005 - Must I make all corrections specified in the sanitation inspection report?
748.3007 - What must I sanitize?
748.3009 - How should items be sanitized?
748.3013 - What are the parameters for sinks used for food service or food preparation?
748.3015 - How must caregivers handle bodily fluids that require universal precautions?
748.3017 - Are animals allowed at my operation?
748.3019 - Must I use a licensed exterminator to treat my operation for insects, rodents, and other pests?
748.3021 - How must I protect children from dangerous tools and equipment?
748.3061 - When must my operation be inspected for gas leaks?
748.3063 - Who must conduct a gas leak inspection at my operation?
748.3065 - What documentation must I maintain regarding gas leak inspections?
748.3101 - When must I have a fire inspection?
748.3103 - Who must conduct a fire inspection?
748.3105 - What documentation must I maintain regarding a fire inspection?
748.3107 - What type of smoke-detection system must I have?
748.3109 - How must smoke detectors be installed at my operation?
748.3111 - How often must the smoke detectors at my operation be tested?
748.3113 - Must my operation have a fire-extinguishing system?
748.3115 - How often must I inspect and service the fire extinguisher(s)?
748.3117 - How often must the state or local fire inspector inspect fire extinguisher(s)?
748.3119 - How often must a fire sprinkler system be inspected?
748.3161 - What steps must I take to ensure that heating devices do not present hazards to children?
748.3191 - Must I have a carbon monoxide detector-system?
748.3193 - How must carbon monoxide detectors be installed?
748.3195 - How must I maintain carbon monoxide detectors?
748.3231 - What is an emergency evacuation and relocation plan?
748.3233 - Must I have an emergency evacuation and relocation diagram?
748.3235 - Where must I post the emergency evacuation and relocation diagram?
748.3237 - What other safety provisions must I make?
748.3239 - How often must I practice my emergency evacuation and relocation plans?
748.3271 - Must I have a first-aid kit at my operation?
748.3273 - What must each first-aid kit contain?
748.3281 - When is a product considered unsafe?
748.3283 - What are my responsibilities regarding unsafe products at my operation?

Subchapter P - PHYSICAL SITE

748.3301 - What general physical site requirements must my operation meet?
748.3303 - What parts of my operation must be ventilated?
748.3305 - What are the requirements for handrails, railings, and stairway and stairwell landings?
748.3307 - What are the requirements for lighting?
748.3309 - What are the requirements for a communication system?
748.3311 - What are the requirements for using a tractor?
748.3313 - May I use water from a private water system?
748.3315 - What are the requirements for running hot water?
748.3317 - May I use a septic system for sewage disposal?
748.3319 - What "No Trespassing" signs must I post if my operation is a residential treatment center?
748.3321 - What additional responsibilities do I have regarding the "No Trespassing" signs if my operation is a residential treatment center?
748.3351 - What are the requirements for general living space?
748.3353 - May I use a video camera to supervise a child in the child's bedroom?
748.3355 - May I use an audio monitoring device to supervise a child in the child's bedroom?
748.3357 - What are the requirements for floor space in a bedroom used by a child?
748.3359 - What rooms may I not use as bedrooms?
748.3361 - May a child in care share a bedroom with an adult caregiver?
748.3363 - May children of opposite genders share a bedroom?
748.3365 - What are the requirements for beds and bedding?
748.3367 - What types of beds are not allowed for a child?
748.3369 - What are the requirements for bunk beds?
748.3391 - What are the general requirements for bathroom facilities?
748.3393 - What are the requirements for a toilet that a child uses?
748.3395 - What are the requirements for hand-washing sinks that a child uses?
748.3397 - What are the requirements for bathing facilities?
748.3399 - May I use a video camera or audio monitoring device to supervise a child while the child is in a bathroom?
748.3421 - What are the requirements for protecting children from poisonous or flammable material?
748.3441 - What general requirements apply to food service and preparation?
748.3443 - What are the requirements for storing food?
748.3445 - How must kitchen, dining areas, supplies, and equipment be maintained in a cottage home?
748.3471 - What are the minimum safety requirements for outdoor equipment?
748.3473 - How high must platform guardrails be?
748.3475 - What special maintenance procedures must I follow for my playground?
748.3477 - What are the specific safety requirements for swings?
748.3479 - May I have indoor equipment such as climbing equipment or platforms?
748.3521 - What does the term "use zone" mean?
748.3523 - How do I measure the use zone for stationary equipment?
748.3525 - How do I measure the use zone for slides?
748.3527 - How do I measure the use zone for to-fro swings?
748.3529 - How do I measure the use zone for tire swings?
748.3531 - How do I measure the use zone for bucket swings?
748.3533 - How do I measure the use zone for rotating or rocking equipment or for track rides?
748.3561 - Where must I install protective surfacing?
748.3563 - What are the requirements of protective surfacing for use zones?
748.3565 - What documentation must I keep at the operation if I use unitary surfacing materials?
748.3601 - What are the requirements for swimming pools that a child uses?
748.3603 - What are the additional requirements for a swimming pool located at my operation?
748.3605 - What are the safety requirements for wading/splashing pools at my operation?
748.3607 - What are the requirements for a hot tub?

Subchapter Q - RECREATION ACTIVITIES

748.3701 - What are my responsibilities for providing opportunities for recreational activities and physical fitness?
748.3703 - What are the requirements for recreational areas and equipment?
748.3705 - What are higher risk recreational activities?
748.3707 - Does Licensing regulate higher risk recreational activities?
748.3709 - What are the requirements when children participate in a higher risk recreational activity?
748.3711 - Who must supervise a higher risk recreational activity?
748.3713 - What duties are required for a person supervising higher risk recreational activities?
748.3719 - May children in care use all-terrain vehicles?
748.3751 - Must a certified lifeguard be on duty during a swimming activity?
748.3753 - Who must provide a certified lifeguard’s training?
748.3755 - Where must a certified lifeguard be positioned when supervising children who are swimming?
748.3757 - What are the child/adult ratios for swimming activities?
748.3759 - May I count the certified lifeguard in the swimming child/adult ratio?
748.3763 - May I include volunteers or employees who do not meet minimum qualifications for caregivers in the swimming child/adult ratio?
748.3765 - What are the requirements for a child's access to a body of water?
748.3767 - May I use a stock tank as a pool for a swimming activity?
748.3801 - What watercraft activities do the rules of this division apply to?
748.3803 - What are the requirements for watercraft activities?
748.3805 - What considerations must the watercraft activity supervisor take into account prior to the implementation of the activity?
748.3807 - What are the requirements for watercraft equipment?
748.3841 - What are the requirements for hiking or camping excursions?
748.3843 - What are the requirements for monitoring children's safety and health during hiking or camping excursions?
748.3845 - What type of itinerary must I have for hiking or camping excursions?
748.3847 - Where must the itinerary be kept?
748.3849 - What are the requirements for shelter during an overnight excursion?
748.3851 - What are the requirements for bed equipment used during an overnight excursion?
748.3853 - What are the specific requirements for storing food during a hiking or camping excursion?
748.3855 - What requirements must I meet for food utensils and equipment when camping?
748.3857 - What parameters must I follow for drinking water during a hiking or camping excursion?
748.3861 - What are the requirements for toilet facilities during overnight camping excursions?
748.3891 - May I use a trampoline?
748.3893 - What are the requirements for using a trampoline as gym equipment?
748.3931 - Are weapons, firearms, explosive materials, and projectiles permitted at my operation?
748.3933 - What factors must I consider when determining whether weapons, firearms, explosive materials, or projectiles are stored adequately?
748.3935 - May a caregiver transport a child in a vehicle where weapons, firearms, explosive materials, or projectiles are present?

Subchapter R - TRANSPORTATION

748.4001 - What types of transportation does Licensing regulate?
748.4003 - What requirements must I meet when transporting a child away from the operation?
748.4005 - May a child in care transport other children in care?
748.4007 - What specific information and equipment must be in a vehicle I use to transport children during overnight trips away from the operation?
748.4009 - What plan must I have for handling transportation emergencies?
748.4011 - What safety precautions must I take when loading and unloading a child from the vehicle?
748.4013 - What is required when my operation takes children on out-of-state overnight trips?
748.4041 - What are the requirements for transporting children?
748.4043 - Do the seat belt requirements prohibit transporting children in the bed of a pick-up truck?
748.4045 - May I place more than one person in each child passenger safety seat system or seat belt?
748.4081 - What type of vehicle may I use to transport children?
748.4083 - What vehicle maintenance requirements must I maintain for a vehicle used for transporting children?
748.4111 - What transportation records must I maintain?

Subchapter S - ADDITIONAL REQUIREMENTS FOR OPERATIONS THAT PROVIDE EMERGENCY CARE SERVICES

748.4201 - What must I do when I admit a child who cannot consent to emergency care services?
748.4203 - What are the additional medical requirements when I admit a child to receive emergency care services?
748.4205 - What is the maximum amount of time a child receiving emergency care services may stay in care without a placement extension?
748.4207 - What is the maximum amount of time a child receiving emergency care services may stay in care with a placement extension?
748.4209 - What are the documentation requirements for a placement extension?
748.4211 - When must I document the appropriate reason for continuing emergency care services?
748.4213 - What are the requirements for a preliminary discharge plan?
748.4231 - What information must an admission assessment include for a child needing emergency care services, including respite child-care services?
748.4261 - May I provide respite child-care services?
748.4263 - Whom must I notify when I accept a child for respite child-care?
748.4265 - What information regarding a child must I receive prior to providing respite child-care services to that child?
748.4267 - How long may a child be in respite child-care?
748.4269 - May I update an admission assessment when I provide respite child-care services to a child to whom I have already provided respite child-care?

Subchapter T - ADDITIONAL REQUIREMENTS FOR OPERATIONS THAT PROVIDE AN ASSESSMENT SERVICES PROGRAM

748.4301 - Does Licensing regulate all assessment services?
748.4331 - What are the requirements for approving a child's admission into my assessment services program?
748.4361 - When must I complete the child's individual plan for the assessment?
748.4363 - When does admission into the assessment services program begin?
748.4365 - What must an individual plan for the assessment include?
748.4369 - How must my assessment services program collect information from a child's caregivers?
748.4371 - When is the plan for the assessment complete?
748.4391 - What is an assessment report?
748.4393 - When must I complete the assessment report?
748.4395 - What must be included in the written assessment report?
748.4397 - Who must review and approve an assessment report?

Subchapter U - ADDITIONAL REQUIREMENTS FOR OPERATIONS THAT PROVIDE THERAPEUTIC CAMP SERVICES

748.4401 - What do certain words mean in this subchapter?
748.4403 - What children are eligible to participate in a therapeutic camp program?
748.4431 - What are the requirements for an adventure/challenge program that requires spotting or belaying?
748.4461 - What is considered a primitive camping excursion?
748.4463 - How long must children remain at the operation's permanent camp between primitive camping excursions?
748.4465 - What child/caregiver ratios apply to a primitive camping excursion?
748.4467 - What are the requirements for toilet facilities for a primitive camping excursion?
748.4469 - What are the requirements for sanitizing hands at a primitive campsite?
748.4471 - What personal hygiene provisions must I provide to a child who participates in a primitive camping excursion?
748.4473 - What are the requirements for laundry provisions on a primitive camping excursion?

Subchapter V - ADDITIONAL REQUIREMENTS FOR OPERATIONS THAT PROVIDE TRAFFICKING VICTIM SERVICES

748.4501 - What does "trafficking victim services" mean when used in this subchapter?
748.4503 - When am I required to meet the additional rules of this subchapter?
748.4505 - In addition to the rules in this subchapter, what other rules in this chapter apply to an operation?
748.4507 - What rules in this subchapter replace other rules in this chapter?
748.4551 - What additional child-care policies must I develop?
748.4553 - What safety and security policies must I develop?
748.4555 - What confidentiality policies must I develop?
748.4601 - What qualifications must a treatment director have?
748.4603 - Are there additional training requirements for volunteers who have contact with children receiving trafficking victim services?
748.4651 - What are the pre-service experience requirements for a caregiver?
748.4653 - What are the pre-service hourly training requirements for caregivers and employees?
748.4655 - Must I provide pre-service training to a caregiver or employee who has previously worked in another operation?
748.4657 - What are the annual training requirements for caregivers and employees?
748.4659 - What areas or topics must the four hours of training regarding trafficking victims include?
748.4701 - For purposes of the child/caregiver ratio, how many children can a single caregiver care for during the children's waking hours?
748.4703 - For purposes of the child/caregiver ratio, how many children can a single caregiver care for when children are asleep at night?
748.4751 - Are there additional medical requirements when I admit a child for trafficking victim services?
748.4753 - Must a child I admit for trafficking victim services have an alcohol and substance abuse screening?
748.4755 - What must I do if an alcohol and substance abuse screening determines that a child receiving trafficking victim services may need alcohol or substance abuse treatment?
748.4757 - What behavioral health assessments are required when I admit a child for trafficking victim services?
748.4759 - What mental health services are required for a child receiving trafficking victim services?
748.4761 - Are there additional requirements for a preliminary service plan when I admit a child for trafficking victim services?
748.4763 - What additional items must be included in a child's initial service plan?
748.4765 - May I admit a young adult into care?
748.4767 - May a young adult in care share a bedroom with a child in care receiving trafficking victim services?

Subchapter W - ADDITIONAL REQUIREMENTS FOR OPERATIONS THAT PROVIDE PSYCHIATRIC HEALTH TREATMENTS AND SERVICES

748.4801 - What do the following terms mean when used in this subchapter?
748.4803 - When is a general residential operation (GRO) required to meet the additional rules of this subchapter?
748.4805 - In addition to the rules in this subchapter, what other rules in this chapter apply to a psychiatric residential treatment facility (PRYTF)?
748.4807 - How do the rules in this subchapter apply to the care of a young adult 18 to 21 years of age at a psychiatric residential treatment facility (PRYTF)?
748.4809 - What rules in this subchapter replace other rules in this chapter?
748.4821 - What additional policies must a general residential operation (GRO) submit as part of the application process for a psychiatric residential youth treatment facility (PRYTF) certificate?
748.4823 - When must a psychiatric residential youth treatment facility (PRYTF) notify Child Care Regulation (CCR) about accreditation changes regarding the PRYTF?
748.4825 - Where must a psychiatric residential youth treatment facility (PRYTF) post the PRYTF certificate?
748.4831 - Must a psychiatric residential youth treatment facility (PRYTF) have a treatment director?
748.4833 - What qualifications must a treatment director for a psychiatric residential youth treatment facility have?
748.4841 - What are the pre-service experience requirements for a caregiver providing psychiatric health treatments and services?
748.4843 - What additional pre-service training requirements apply to a caregiver or an employee at a psychiatric residential youth treatment facility (PRYTF)?
748.4845 - Who must have first-aid and CPR training in a psychiatric residential youth treatment facility?
748.4847 - What additional annual training requirements apply to a caregiver or an employee at a psychiatric residential youth treatment facility (PRYTF)?
748.4851 - For purposes of the child to caregiver ratio, how many children can a single caregiver care for when a child receiving psychiatric health treatments and services is asleep at night?
748.4861 - Whom may a psychiatric residential youth treatment facility (PRYTF) admit for psychiatric health treatments and services?
748.4863 - May individuals receiving different types of service live in the same living quarters?
748.4865 - Are there additional requirements for a preliminary service plan when a psychiatric residential youth treatment facility (PRYTF) admits an individual for psychiatric health treatments and services?
748.4867 - Are there additional requirements for an initial service plan when a psychiatric residential youth treatment facility (PRYTF) admits an individual for psychiatric health treatments and services?
748.4869 - Who must be involved in developing an initial service plan?
748.4881 - After a child in the care of a psychiatric residential youth treatment facility (PRYTF) turns 18 years old, may the young adult remain in care?

Chapter 749 - MINIMUM STANDARDS FOR CHILD-PLACING AGENCIES

Subchapter A - PURPOSE AND SCOPE

749.1 - What is the purpose of this chapter?
749.3 - Who is responsible for complying with the rules of this chapter?

Subchapter B - DEFINITIONS AND SERVICES

749.41 - What do certain pronouns mean in this chapter?
749.43 - What do certain words and terms mean in this chapter?
749.61 - What types of services does Licensing regulate?
749.63 - Can I provide each type of service that Licensing regulates?
749.65 - What children are eligible to participate in a transitional living program?
749.67 - What are the requirements for a transitional living program?
749.69 - What is an "independent living program"?
749.71 - May I have an independent living program?

Subchapter C - ORGANIZATION AND ADMINISTRATION

749.101 - What plans must I submit for Licensing's approval as part of the application process?
749.103 - What policies and procedures must I submit for Licensing's approval as part of the application process?
749.105 - What are the requirements for my personnel policies and procedures?
749.107 - What must my conflict of interest policies include?
749.109 - What must my admission policies include?
749.111 - What must my placement policies include?
749.113 - What child-care policies must I develop?
749.115 - What emergency behavior intervention policies must I develop if my foster homes are permitted to use emergency behavior intervention?
749.117 - What are the requirements for my discipline policies for children in care?
749.119 - What foster care policies must I develop?
749.121 - What policies must I develop concerning the rights and responsibilities of the child-placing agency and foster parents?
749.123 - What policies must I develop regarding foster parents who provide treatment services to a child with primary medical needs?
749.125 - What policies must I develop for foster parents who offer a transitional living program?
749.127 - What policies must I develop for babysitters, overnight care providers, and respite care providers?
749.129 - What policies must I develop for a legal risk placement program for foster-adoptive families?
749.131 - What policies must I develop if I offer adoption services?
749.133 - What policies must I develop if I use volunteers?
749.135 - What abuse and neglect policies must I develop?
749.136 - What suicide prevention, intervention, and postvention policy must I have?
749.137 - What is the model suicide prevention, intervention, and postvention policy?
749.138 - What are the general requirements for an agency's policies and procedures?
749.139 - What requirements must I follow when adopting my child-placing agency's plans, policies, and procedures?
749.141 - Can Licensing cite my agency for a deficiency if I fail to operate according to my approved plans, policies, and procedures?
749.151 - What are my operational responsibilities?
749.153 - What changes must I notify Licensing about regarding my child-placing agency?
749.154 - What is my timeframe for filling my child-placing agency administrator position if it becomes vacant while I do not have a back-up administrator to carry out the administrator duties?
749.155 - What are the liability insurance requirements?
749.157 - What are acceptable reasons not to have liability insurance?
749.159 - When must I notify parents that I do not carry liability insurance?
749.161 - What are my fiscal requirements?
749.191 - What type of financial report must I submit to Licensing if I provide adoption services?
749.193 - May I make payments for adoption referrals?
749.195 - What types of fees may I collect prior to the completion and approval of a home study?
749.197 - For adoption services, what fee policies must I have?
749.199 - Must I charge the same fees for all adoptions?
749.231 - What financial assistance may I provide for a birth mother?
749.233 - During what period of time may I provide financial assistance to a birth mother?
749.235 - How do I determine the birth mother's need for financial assistance?
749.237 - How do I document financial assistance that I provide for a birth mother?
749.239 - May I provide cash payments to birth mothers?
749.241 - If a birth mother decides not to relinquish a child for adoption, may I require her to repay my agency or the adoptive parent for expenses and services incurred?
749.243 - May I provide foster care services free of charge or at a reduced rate to a birth mother that needs time to make a decision about adoptive placement?
749.245 - If a birth mother's needs are met through existing resources, can I disrupt that arrangement?
749.271 - May I require adoptive families to reimburse me for expenses incurred by the birth mother?
749.273 - What must I do if I pass through expenses to adoptive families?
749.301 - What is a branch office?
749.303 - What must I do before opening a branch office?
749.304 - Where must I have a main or branch office?
749.305 - What are the requirements for administrators and treatment directors for a main office and branch offices?
749.307 - What happens to the foster homes supervised by a branch office when the branch office closes?
749.421 - Who are my clients?
749.423 - What rights do my adult clients have?
749.425 - What must my appeal process include?

Subchapter D - REPORTS AND RECORD KEEPING

749.501 - What do certain terms mean in this subchapter?
749.503 - When must a child-placing agency (CPA) report and document a serious incident?
749.505 - What constitutes a suicide attempt by a child?
749.509 - How do I make a report of a serious incident or occurrence to Licensing?
749.511 - How must I document a serious incident?
749.513 - What additional documentation must I include with a written serious incident report?
749.515 - How long must I keep my incident reports?
749.517 - What are the notification requirements when Licensing finds my operation deficient in a standard related to safe sleeping or the abuse, neglect, or exploitation of a child?
749.519 - How must I notify parents of a safe sleeping deficiency or an abuse, neglect, or exploitation deficiency?
749.529 - What are the retention requirements for my agency's policies?
749.531 - What policies and procedures must I have for protecting records?
749.533 - What additional policies and procedures must I have for electronic records?
749.534 - Are electronic signatures allowed?
749.535 - How current must a record be?
749.537 - Must I make records available for Licensing to review?
749.539 - Where must I maintain foster home disaster and emergency plans?
749.551 - Where must I maintain personnel records?
749.553 - What information must the personnel record of an employee include?
749.554 - What information regarding personnel must be kept confidential?
749.555 - How long must I maintain personnel records?
749.571 - What client records must I maintain?
749.573 - Where must I maintain active master records for clients?
749.575 - What is an active record for a child?
749.577 - What information must an active child record include?
749.579 - How must I maintain an active child record?
749.581 - Where must I maintain archived master records for clients?
749.583 - Who must consent to the release of a child's record?
749.585 - How long must I maintain client records?
749.587 - How must I handle adoption records if I cease operating?
749.590 - What additional requirements are there for unauthorized absences of children from a foster home?
749.591 - What documentation must be included in an annual summary log for a child who has an unauthorized absence?
749.592 - What are the requirements for debriefing a child after an unauthorized absence?
749.593 - When must a triggered review of a child's unauthorized absences occur?
749.594 - Who must participate in a triggered review of a child's unauthorized absences?
749.595 - What must a triggered review of a child's unauthorized absences include?
749.596 - What is an overall agency evaluation for unauthorized absences?

Subchapter E - AGENCY STAFF AND CAREGIVERS

749.603 - Does education received outside of the United States count toward educational qualifications?
749.605 - What minimum qualifications must all employees meet?
749.607 - What general responsibilities do all employees and caregivers have?
749.609 - What are the requirements for tuberculosis screening?
749.631 - What qualifications must a child-placing agency administrator meet?
749.633 - Can a child-placing agency administrator be an administrator for two residential child-care operations?
749.635 - What responsibilities must the child-placing agency administrator have?
749.637 - Who must have overall administrative responsibility when the child-placing agency administrator is absent on a frequent and/or extended basis?
749.661 - What employees must my agency have to perform child placement activities?
749.663 - What are the responsibilities of child placement staff?
749.667 - What are the responsibilities of child placement management staff?
749.669 - How do child placement management staff document approval?
749.673 - What are the qualifications that an employee must have to perform child placement activities?
749.675 - What are the qualifications an employee must have to perform child placement management activities?
749.677 - What are the requirements for child placement management staff at a branch office?
749.679 - What are the requirements for the caseloads of my child placement staff?
749.721 - Must I have a treatment director?
749.723 - What are the responsibilities of my treatment director?
749.725 - What qualifications must a treatment director have?
749.727 - If I provide more than one type of treatment service, can I have one treatment director?
749.741 - What treatment services must a registered nurse provide if I support a child with primary medical needs?
749.761 - What are the requirements for a volunteer?
749.763 - Are there additional requirements for a volunteer or contractor that performs employee or caregiver functions?
749.767 - When is a volunteer or contractor who is a part of another organization subject to my policies and procedures?
749.769 - May a person perform community service hours at my agency?

Subchapter F - TRAINING AND PROFESSIONAL DEVELOPMENT

749.801 - What do certain words and terms mean in this subchapter?
749.811 - What are the training and experience requirements for a caregiver?
749.813 - What are the training requirements for an employee?
749.831 - What is the orientation requirement for caregivers and employees?
749.833 - When may a caregiver or employee be exempt from orientation?
749.861 - What are the pre-service experience requirements for caregivers?
749.863 - What are the pre-service training requirements for a caregiver?
749.864 - What are the pre-service training requirements for an employee?
749.865 - Can time spent in orientation training count towards pre-service training?
749.867 - What caregivers or employees are exempt from certain pre-service training requirements?
749.868 - Can a child-placing agency waive pre-service training requirements for a foster parent?
749.869 - How must pre-service training be conducted?
749.881 - What curriculum components must be included in the general pre-service training?
749.882 - What curriculum components must be included in the pre-service training for normalcy?
749.883 - What curriculum components must be included in the pre-service training for safe sleeping?
749.885 - What curriculum components must be included in the pre-service training for administering psychotropic medication?
749.887 - If I do not allow the use of emergency behavior intervention, what curriculum components must be included in the pre-service training for emergency behavior intervention?
749.889 - If I allow the use of emergency behavior intervention, what curriculum components must be included in the pre-service training for emergency behavior intervention?
749.911 - Who must have pediatric first aid and pediatric CPR training?
749.913 - Are there any exemptions from pediatric first aid and pediatric CPR certification?
749.915 - What documentation must I maintain for pediatric first-aid and pediatric CPR certifications?
749.930 - What are the annual training requirements for a caregiver?
749.931 - What are the annual training requirements for an employee?
749.932 - What exemptions or waivers may apply to the annual training requirements for a caregiver?
749.933 - When must an employee or caregiver complete the annual training?
749.935 - What types of hours or instruction can be used to complete the annual training requirements?
749.937 - Does Licensing approve training resources or trainers for annual training hours?
749.939 - How must annual training be conducted?
749.941 - What areas or topics are appropriate for annual training?
749.943 - What curriculum components must be included in the annual training for normalcy?
749.944 - What curriculum components must be included in the annual training for employees on the prevention, recognition, and reporting of child abuse, neglect, and exploitation?
749.945 - What curriculum components must be included in the annual training for administering psychotropic medication?
749.947 - What curriculum components must be included in the annual training for emergency behavior intervention?
749.949 - What documentation must I maintain for annual training?

Subchapter G - CHILDREN'S RIGHTS

749.1001 - How must I protect the rights of children served by my child-placing agency?
749.1003 - What rights does a child in care have?
749.1005 - How must I inform a child and the child’s parents of their rights?
749.1007 - What are a child’s rights regarding education?
749.1009 - What right does a child have regarding contact with a parent?
749.1011 - What right does a child have regarding contact with siblings?
749.1013 - What right to privacy does a child have with respect to his contact with others?
749.1015 - Under what circumstances may I conduct a search for prohibited items or items that endanger a child's safety?
749.1017 - May a caregiver conduct a body cavity search of a child in care?
749.1019 - What must a caregiver document regarding a search?
749.1021 - What techniques am I prohibited from using on a child?

Subchapter H - FOSTER CARE SERVICES: ADMISSION AND PLACEMENT

749.1101 - Who may I admit?
749.1103 - After a child in my care turns 18 years old, may the person remain in my care?
749.1105 - May I admit a young adult into care?
749.1107 - What information must I document in the child's record at the time of admission?
749.1109 - What is a placement agreement?
749.1111 - What orientation must I provide a child?
749.1113 - What information must I share with the parent at the time of placement?
749.1115 - What information must I provide caregivers when I admit a child?
749.1131 - When must I complete the admission assessment?
749.1133 - What information must an admission assessment include?
749.1135 - What are the additional admission assessment requirements when I admit a child for treatment services?
749.1137 - What if I cannot obtain the required information for an admission assessment?
749.1151 - What are the medical requirements when I admit a child into care?
749.1153 - What are the dental requirements when I admit a child into care?
749.1155 - What must I document when I re-admit a child for care?
749.1181 - For which of my programs may I accept emergency admissions?
749.1183 - What constitutes an emergency admission to my child-placing agency?
749.1185 - May I take possession of a child from a law enforcement officer?
749.1187 - For an emergency admission, when must I complete all of the requirements for an admission assessment?
749.1189 - At the time of an emergency admission, what information must I document in the child's record?
749.1251 - What are the requirements for pre-placement visits for a child?
749.1253 - What must staff do to prepare a child for a placement?
749.1255 - What information from an admission assessment must I share with the caregivers responsible for the child's care?
749.1281 - What are the requirements when I move a child from one foster home to another?
749.1291 - What are the requirements for contact between child placement staff and children in foster care?

Subchapter I - FOSTER CARE SERVICES: SERVICE PLANNING, DISCHARGE

749.1301 - What are the requirements for a preliminary service plan?
749.1305 - Who must be involved in developing the preliminary service plan?
749.1307 - When must I complete an initial service plan?
749.1309 - What must a child's initial service plan include?
749.1311 - Who must be involved in developing an initial service plan?
749.1312 - Can the service planning team discuss and develop a child's service plan in separate meetings?
749.1313 - When must I inform the child's parents and foster parents of an initial service plan meeting?
749.1315 - Must a professional service provider or a professional who must participate in a child's service plan be an employee of my agency?
749.1317 - What roles do professional service providers have in service planning?
749.1319 - What must I document regarding a professional service provider's participation in the development of an initial service plan?
749.1321 - With whom do I share the initial service plan?
749.1323 - When must I implement a service plan?
749.1331 - How often must I review and update a service plan?
749.1333 - How does a child's transfer affect the timing of the review of the child's service plan?
749.1335 - How do I review and update a service plan?
749.1336 - Can the child-placing agency continue to review and update a child's previous service plan without creating a new service plan?
749.1337 - Are the notification, participation, implementation, and documentation requirements for a service plan review and update the same as for an initial service plan?
749.1339 - How often must I re-evaluate the intellectual functioning of a child receiving treatment services for intellectual disabilities?
749.1361 - What does a "transfer" of a child in care mean?
749.1363 - Who must plan a child's non-emergency discharge or transfer?
749.1365 - May a foster home release a child to any person without my consent?
749.1367 - To whom can I discharge a child in a non-emergency situation?
749.1369 - How do I discharge or transfer a child who is an immediate danger to self or others?
749.1371 - What must I document in the child's record at the time of a discharge or transfer?
749.1373 - When I discharge a child, what information must I provide to the next placement or caregiver?
749.1377 - What constitutes an emergency discharge or transfer?

Subchapter J - FOSTER CARE SERVICES: MEDICAL AND DENTAL

749.1401 - What general medical requirements must my agency meet?
749.1403 - Who determines the need and frequency for ongoing maintenance of medical care and treatment for a child?
749.1405 - Who must perform medical care examinations and provide medical treatment for a child?
749.1409 - What general dental requirements must my agency meet?
749.1411 - Who must determine the frequency and need for ongoing maintenance of dental health for a child?
749.1413 - Who must perform dental examinations and provide dental treatment?
749.1415 - What health precautions must I take if a person in care, employee, caregiver, someone else in one of my foster homes, or someone else in my agency has a communicable disease?
749.1417 - Who must have a tuberculosis (TB) examination?
749.1421 - What immunizations must a child in my care have?
749.1423 - What exemptions or exceptions are there concerning immunization requirements?
749.1425 - What documentation is acceptable for an immunization record?
749.1427 - Must children in my care have a vision and hearing screening?
749.1429 - What must I do if a child in my care is identified as needing a diagnostic vision or hearing examination?
749.1431 - What special equipment must I provide for a child with a physical disability?
749.1433 - How often must the physician review a child's primary medical needs?
749.1435 - What are the requirements for using a nasogastric tube?
749.1437 - How must a caregiver respond when a child is injured or ill and requires immediate treatment by a health-care professional?
749.1461 - What consent must I obtain to administer medications?
749.1463 - What are the requirements for administering prescription medication?
749.1469 - What are the requirements for administering non-prescription medication and supplements?
749.1501 - What are the requirements for a self-medication program?
749.1503 - Who must record the medication dosage if the child is on a self-medication program?
749.1521 - What medication storage and destruction requirements must a foster home meet?
749.1541 - What records must caregivers maintain for each child receiving medication?
749.1543 - Where must a child's medication records be maintained?
749.1545 - What other requirements must I meet regarding medication records?
749.1561 - What is a medication error?
749.1563 - What must a caregiver do if the caregiver finds a medication error?
749.1565 - What must a caregiver do if the caregiver finds a medication label error?
749.1581 - What must a caregiver do if a child has an adverse reaction to a medication?
749.1583 - What must a caregiver do if a child experiences side effects from any medications?
749.1603 - If my agency employs or contracts with a health-care professional who prescribes psychotropic medications to a child in care, what information must I provide the person legally authorized to give consent before requesting his consent for the child to be placed on psychotropic medication?
749.1605 - If my agency does not employ or contract with the health-care professional who prescribes psychotropic medications to a child in care, what information must I provide the person legally authorized to give medical consent prior to the health-care professional prescribing psychotropic medications to a child in care?
749.1607 - What are the requirements if a physician orders administration of a psychotropic medication to a child in an emergency?
749.1609 - What information must be documented about a child's use of psychotropic medication?
749.1611 - If my agency employs or contracts with a health-care professional who prescribes psychotropic medications to a child in care, what are the requirements for evaluating whether a child should continue taking a psychotropic medication?
749.1641 - What is a protective device?
749.1643 - What does "involuntary self-injurious behavior" mean when used in this division?
749.1645 - May I use protective devices?
749.1647 - Who may use PRN orders with respect to protective devices?
749.1671 - What is a supportive device?
749.1673 - May I use supportive devices?
749.1675 - Who may use PRN orders with respect to supportive devices?

Subchapter K - FOSTER CARE SERVICES: DAILY CARE, PROBLEM MANAGEMENT

749.1801 - What do certain words mean in this division?
749.1803 - What are the basic care requirements for an infant?
749.1805 - What furnishings and equipment must I have in an infant care area?
749.1807 - What specific safety requirements must my cribs meet?
749.1809 - Are mesh cribs or port-a-cribs allowed?
749.1811 - What equipment must have safety straps before I can use it with an infant?
749.1813 - What types of equipment may a foster home not use with infants?
749.1815 - What are the specific sleeping requirements for infants?
749.1817 - May I allow an infant to sleep in a restrictive device?
749.1819 - What are the specific requirements for feeding an infant?
749.1821 - May I swaddle an infant to help the infant sleep?
749.1841 - What are the basic care requirements for a toddler?
749.1861 - What information must I provide a pregnant child regarding her pregnancy?
749.1863 - Is the use of emergency behavior intervention of a pregnant child permitted in a foster home?
749.1865 - If my policies permit the admission of adolescent parents with their child(ren), who is responsible for the care of an adolescent's child?
749.1891 - What responsibilities do I have for the education of a child in care?
749.1893 - What responsibilities do caregivers have for the educational needs of a child in their care?
749.1895 - What are the specific requirements for the educational program of a child diagnosed with autism spectrum disorder?
749.1921 - What responsibilities do foster parents have for providing a child with opportunities for recreational activities?
749.1923 - What physical fitness activities must caregivers provide for a child receiving treatment services for primary medical needs or intellectual disability?
749.1925 - What type of daily schedule must caregivers provide for a child receiving treatment services for primary medical needs or intellectual disability?
749.1927 - To what extent must a child receiving treatment services for primary medical needs or intellectual disabilities have normal life experiences?
749.1951 - What are the requirements for disciplinary measures?
749.1953 - May I use corporal punishment for children in care?
749.1955 - What is "unproductive work"?
749.1957 - What other methods of punishment are prohibited?
749.1959 - To what extent may a caregiver restrict a child's activities as a behavior management tool?
749.1961 - May a person in care discipline or punish another person in care?

Subchapter L - FOSTER CARE SERVICES: EMERGENCY BEHAVIOR INTERVENTION

749.2001 - What do certain terms mean in this subchapter?
749.2051 - What types of emergency behavior intervention may I administer?
749.2053 - Who may administer emergency behavior intervention?
749.2055 - What actions must a caregiver take before using a permitted type of emergency behavior intervention?
749.2059 - What is the appropriate use for a short personal restraint?
749.2061 - What precautions must a caregiver take when implementing a short personal restraint?
749.2063 - Are there any purposes for which emergency behavior intervention cannot be used?
749.2101 - Are written orders required to administer emergency behavior intervention, and if so, who can write them?
749.2103 - Must the written order be in a child's record before a caregiver can use an emergency behavior intervention on a child?
749.2105 - What information must a written order include?
749.2107 - Under what conditions are PRN orders permitted for a specific child?
749.2151 - What responsibilities does a caregiver have when implementing a type of emergency behavior intervention?
749.2153 - When must a caregiver release a child from an emergency behavior intervention?
749.2201 - Who must monitor a personal restraint?
749.2203 - What is the appropriate action for a caregiver to take to ensure the child's adequate respiration, circulation, and overall well-being?
749.2205 - What personal restraint techniques are prohibited?
749.2231 - May a caregiver successively use emergency behavior interventions on a child?
749.2233 - May a caregiver simultaneously use emergency medication in combination with personal restraint?
749.2281 - What is the maximum length of time that an emergency behavior intervention can be administered to a child?
749.2283 - Can a caregiver exceed the maximum length of time that an emergency behavior intervention can be administered to a child?
749.2301 - What follow-up actions must caregivers take after the child's behavior no longer constitutes an emergency situation?
749.2303 - What must the caregiver document after discussing with the child the use of the emergency behavior intervention?
749.2305 - When must a caregiver document the use of an emergency behavior intervention, and what must the documentation include?
749.2307 - What notice must I provide to the parent when I use an emergency behavior intervention with a child in care?
749.2331 - What circumstances trigger a review of the use of emergency behavior intervention for a specific child?
749.2333 - When must a triggered review occur?
749.2335 - Who must participate in the triggered review?
749.2337 - What must the triggered review include and what must be documented in the child's record?
749.2339 - What if there are four triggered reviews within a 90-day period?
749.2381 - What is an overall agency evaluation?
749.2383 - What data must be collected?

Subchapter M - FOSTER HOMES: SCREENINGS AND VERIFICATIONS

749.2401 - In what circumstances may I verify an individual spouse as a foster parent?
749.2403 - What minimum age requirement must foster parents and caregivers meet?
749.2405 - Will my home have to be re-verified if I am a single foster parent and I get married after my home is verified?
749.2407 - May a home be verified or approved by more than one child-placing agency simultaneously?
749.2445 - What is a foster home screening?
749.2447 - What information must I obtain for the foster home screening?
749.2449 - Whom must I interview when conducting a foster home screening?
749.2451 - What must I document regarding interviews I conduct for a foster home screening?
749.2453 - When must I update the foster home screening?
749.2470 - What must I do to verify a foster family home?
749.2472 - Are there any additional requirements to verify a foster home that is currently acting as a kinship home with the Child Protective Services (CPS) Division of the Department?
749.2473 - What must I do to verify a foster home that another child-placing agency has previously verified?
749.2475 - To whom must I release information regarding a family on which I previously conducted a foster home screening, pre-adoptive home screening, or post placement adoptive report?
749.2477 - May I verify a foster home prior to approval by child placement management staff?
749.2479 - May I place children in a foster home before verifying the home?
749.2481 - What type of certificate must a foster home have in order to prove verification?
749.2483 - Do foster parent applicants have to own the home they live in for it to be their primary residence?
749.2485 - What are the requirements for verifying a foster home at a residence that I own?
749.2487 - What are the requirements for an agreement that I have with a foster home that I verify?
749.2488 - What statement must I provide to foster parents regarding foster parent and child-placing agency rights and responsibilities?
749.2489 - What information must I submit to Licensing about a foster home's verification status?
749.2491 - May I verify a foster home to provide different services?
749.2493 - May a foster home provide day care in addition to foster care?
749.2495 - Do foster home verifications expire?
749.2497 - What requirements are there for a transfer or closing summary?
749.2520 - What is the purpose of a temporary verification?
749.2521 - What must I do prior to issuing a temporary verification?
749.2523 - For what length of time can I issue a temporary verification?
749.2525 - Can foster children remain in the foster home while a temporary verification is in effect?
749.2526 - What is the purpose of a time-limited verification?
749.2527 - What must I do to issue a time-limited verification?
749.2529 - For what length of time may I issue a time-limited verification?
749.2531 - Can I extend a time-limited verification or change the verification from time-limited to non-expiring?
749.2533 - What is the purpose of a provisional verification?
749.2535 - What must I do prior to issuing a provisional verification?
749.2537 - For what length of time can I issue a provisional verification?
749.2539 - Can foster children remain in the foster home while a provisional verification is in effect?
749.2550 - What does "children with primary medical needs requiring total care" mean when used in this Division?
749.2551 - What is the maximum number of children a foster family home may care for?
749.2555 - How do I determine capacity?
749.2557 - May a foster home exceed its verified capacity?
749.2591 - How am I responsible for ensuring adequate supervision of children in care?
749.2593 - What responsibilities does a caregiver have when supervising a child?
749.2595 - May I use a video camera to supervise a child in the child's bedroom?
749.2597 - Where must the caregivers reside in order to supervise children who are in a transitional living program?
749.2599 - Can a child serve as a babysitter?
749.2601 - What is "normalcy"?
749.2603 - Are children in care required to participate in childhood activities?
749.2605 - What is the "reasonable and prudent parent standard"?
749.2607 - Who makes the decision regarding a foster child's participation in childhood activities?
749.2621 - What are respite child-care services?
749.2623 - What must occur before I place a child for respite child-care services?
749.2625 - What information regarding the child must I share with the babysitter, overnight care provider, and respite care provider?
749.2627 - What must occur before one of my foster homes accepts a child for respite child-care service?
749.2629 - In addition to the requirements of this division, what requirements of this chapter apply to respite child-care services that a foster home provides?
749.2631 - How long may a child be in respite child-care services?
749.2633 - How frequently may a foster home provide respite child-care services?
749.2635 - May I place a child for babysitting, overnight care, or respite care services in a home that Licensing does not regulate?
749.2651 - May a foster home accept adults into the home for care?
749.2653 - What are the requirements for an unrelated adult to reside in a foster home?
749.2655 - When must a foster home notify you of changes that affect the foster home?

Subchapter N - FOSTER HOMES: MANAGEMENT AND EVALUATION

749.2801 - When must I evaluate a foster home for compliance with Licensing rules?
749.2803 - What changes affect a foster home's verification?
749.2805 - What is a "major life change in the foster family"?
749.2807 - How do I evaluate a foster home's compliance with the relevant Licensing rules affecting the need for the evaluation?
749.2809 - What must a plan for achieving compliance include?
749.2811 - How do I follow-up to ensure compliance?
749.2813 - How do I evaluate Licensing rules for each home every two years?
749.2814 - How do I evaluate a foster home prior to extending its time-limited verification or changing its verification from time-limited to non-expiring?
749.2815 - How often must I have supervisory visits with the foster home and what must be evaluated during a supervisory visit?
749.2817 - Must I monitor and have supervisory visits with a foster home where no children are placed?
749.2819 - When may I place a foster home on inactive status?
749.2821 - How do the foster parents meet their training requirements while their home is on inactive status?
749.2823 - Are background checks required on homes that are on inactive status?
749.2825 - How do I take a foster home off inactive status?

Subchapter O - FOSTER HOMES: HEALTH AND SAFETY REQUIREMENTS, ENVIRONMENT, SPACE AND EQUIPMENT

749.2901 - What health and safety regulations must each foster home meet in addition to Licensing rules?
749.2902 - What health and safety measures are required at a foster home?
749.2903 - What fire safety measures are required at a foster family home not serving children receiving treatment services for primary medical needs?
749.2904 - What fire safety measures are required at a foster family home serving children receiving treatment services for primary medical needs?
749.2905 - How often must fire and health inspections be conducted at a foster home?
749.2907 - What disaster and emergency plans must each foster home have?
749.2908 - How must a foster home practice disaster and emergency plans?
749.2909 - How many smoke detectors must a foster home have?
749.2911 - How must smoke detectors be installed and maintained at a foster home?
749.2913 - How many fire extinguishers must a foster home have?
749.2915 - Where must a foster home store dangerous tools and equipment?
749.2917 - What are the requirements for animals that are present at a foster home?
749.2931 - What policies must I enforce regarding tobacco products and e-cigarettes?
749.2961 - Are weapons, firearms, explosive materials, and projectiles permitted in a foster home?
749.2963 - What factors must I consider when determining whether weapons, firearms, explosive materials, or projectiles are stored adequately?
749.2965 - How must I determine whether weapons, firearms, explosive materials, or projectiles are present in a foster home?
749.2967 - May a caregiver transport a child in a vehicle where firearms, other weapons, explosive materials, or projectiles are present?
749.3021 - How much space must bedrooms used by foster children have?
749.3023 - Which rooms in the home may not be used as bedrooms?
749.3025 - May an adult in care share a bedroom with a child in care?
749.3027 - May a child in care share a bedroom with an adult caregiver in the foster home?
749.3029 - May children of opposite genders share a bedroom?
749.3031 - What are the requirements for beds and bedding?
749.3033 - What type of personal storage space must a foster child have?
749.3035 - What bathroom accommodations must a home have?
749.3037 - What are the requirements for indoor space that children can use?
749.3039 - What are the requirements for outdoor recreation equipment?
749.3041 - What are the requirements for a foster home's physical environment?
749.3043 - When is a product considered unsafe and what are a caregiver's responsibilities regarding unsafe products in a foster home?
749.3061 - What are the requirements for feeding children in care?
749.3063 - What types of food and water must caregivers provide children?
749.3065 - What must the caregiver do if a child refuses to or cannot eat a meal or snack that is offered?
749.3067 - May a caregiver use food as a reward or punishment or as part of any behavior management program?
749.3069 - May caregivers offer a child in care different food choices than what the family is eating?
749.3071 - What must I do if a child requires a therapeutic or special diet?
749.3073 - What are the nutrition requirements for a child with primary medical needs?
749.3075 - What are the feeding requirements for children receiving treatment services for primary medical needs or intellectual disabilities?
749.3077 - What are the requirements for tube-feeding formula?
749.3079 - What are the requirements for storing food?
749.3081 - How must kitchen, dining areas, supplies, and equipment be maintained?
749.3101 - What are the requirements for the vehicles used to transport foster children?
749.3103 - What are the requirements for transporting foster children?
749.3105 - May children transport other foster children?
749.3107 - May caregivers teach or supervise foster children in learning to drive?
749.3109 - What are the special requirements for transporting a child who requires increased supervision or is non-ambulatory or non-mobile?
749.3111 - Do the seat belt requirements prohibit transporting children in the bed of a pick-up truck or other parts of the vehicle on the foster parents' property or public roads?
749.3131 - Who is responsible for complying with the requirements in this subchapter?
749.3133 - What are the requirements for a swimming pool at a foster home?
749.3135 - What general requirements must caregivers meet for children regarding a body of water?
749.3137 - What are the child/adult ratios for swimming activities?
749.3139 - May I include volunteers or relatives who do not meet minimum qualifications for caregivers in the swimming child/adult ratio?
749.3141 - When must a child wear a life jacket?
749.3143 - Must persons who are counted in the swimming child/adult ratio know how to swim and carry out a water rescue?
749.3145 - What are the safety requirements for wading pools?
749.3147 - What are the requirements for a hot tub?
749.3149 - What must I document regarding a body of water that is on or adjacent and accessible to the premises of a foster home?
749.3151 - Can foster parents approve a child to participate in swimming activities as an unsupervised childhood activity without complying with the rules of this division?

Subchapter P - FOSTER-ADOPTIVE HOMES AND LEGAL RISK PLACEMENTS

749.3201 - May I verify the same applicant as a foster family home and an adoptive placement at the same time?
749.3203 - What rules must I follow to verify a foster-adoptive home?
749.3221 - What is a "legal risk placement"?

Subchapter Q - ADOPTION SERVICES: CHILDREN

749.3301 - What legal authority must I have to place a child in adoptive care?
749.3321 - When must I initiate and complete the adoption service plan?
749.3323 - What must an adoption service plan include?
749.3325 - When placing a sibling group, must I develop a plan for each child?
749.3327 - If a child had a foster care service plan prior to preparation for adoption, must I complete a new adoption service plan?
749.3341 - How often must I have contact with a child being considered for adoptive placement?
749.3343 - What does preparing a child for adoption include?
749.3345 - Who must prepare a child for adoption?
749.3349 - What professional assessments must I obtain on a child being placed for adoption?
749.3351 - What information from the professional assessments must I share with the adoptive family?
749.3353 - What other referrals must I make regarding a child who has or may have a disability?
749.3371 - What are the requirements for a child to visit the adoptive family prior to placement?
749.3373 - What must my agreement with the adoptive parents include?
749.3375 - May I place a child in the home of a prospective adoptive parent before I complete the adoptive home screening?
749.3391 - What information must I compile for a child I am considering for adoptive placement?
749.3393 - What written authorization must I give adoptive parents at the time of placement?
749.3395 - What information must I provide the adoptive parents prior to or at the time of adoptive placement?
749.3421 - What are my responsibilities for the child during the post-placement period?
749.3423 - What responsibility do I have to offer counseling services to the adoptive family?
749.3425 - What are the requirements for post-placement contacts with the adoptive family and child?
749.3427 - What must I do if the adoption is not completed within the time frame stipulated in the written agreement?
749.3431 - What must I do if I determine that the placement cannot be completed and/or is not in the best interest of the child and/or the adoptive family?
749.3461 - Must I offer counseling services after the adoption is consummated?
749.3463 - If supplemental information concerning birth parents subsequently comes to my attention, what are my responsibilities?
749.3465 - What must I do when an adoptee requests his adoption record?

Subchapter R - ADOPTION SERVICES: BIRTH PARENTS

749.3501 - What information must I provide to birth parents who contact me for services?
749.3503 - What are the requirements for contacting birth parents that become my clients?
749.3521 - What requirements must I follow regarding termination of parental rights?
749.3523 - What specific information must I obtain from birth parents that voluntarily relinquish their parental rights?
749.3571 - Must I offer counseling services to birth parents after the adoption of their child is consummated?
749.3573 - What are the requirements to provide information about the child to birth parents after the adoption is consummated?

Subchapter S - ADOPTION SERVICES: ADOPTIVE PARENTS

749.3601 - What information must I provide to persons inquiring about agency adoption services?
749.3621 - What is an adoptive home screening?
749.3623 - What information must I obtain for the adoptive home screening?
749.3624 - May I consider a prospective adoptive parent's membership in a military organization as a factor in approving an adoptive home screening?
749.3625 - Whom must I interview when conducting an adoptive home screening?
749.3627 - What must I document regarding interviews for an adoptive home screening?
749.3629 - What are the requirements for visiting the home during an adoptive home screening?
749.3631 - What are the requirements if adoptive applicants previously adopted a child from another child-placing agency or were previously foster parents for another agency?
749.3633 - When must I update an adoptive home screening?
749.3635 - What is a "major life change in the adoptive family"?
749.3637 - Must I complete an adoptive home screening update if the prospective adoptive parents plan to adopt another child?
749.3661 - What information must adoptive applicants submit on their home and grounds as a part of their application?
749.3663 - What are the basic safety requirements for the home and grounds?
749.3691 - What contacts must I maintain with adoptive applicants prior to the placement of a child?
749.3721 - What are my agency's responsibilities during the pre-adoption supervisory period?
749.3725 - If the adoption has not been completed within the stipulated time frame in the written agreement, what actions must my agency take?
749.3727 - What actions must my agency take if there are changes to the adoptive family during the post-placement period?
749.3729 - What must my agency do if the placement cannot be completed and/or is not in the best interests of the child and/or the adoptive family?
749.3741 - What is a post-placement adoptive report?
749.3743 - Whom must I interview when developing a post-placement adoptive report?
749.3745 - What must I document regarding interviews for a post-placement adoptive report?
749.3747 - Is a visit to the home required when developing a post-placement adoptive report?
749.3749 - When must I develop a post-placement adoptive report?
749.3751 - What issues should an interview for a post-placement adoptive report address?
749.3753 - What information must the post-placement adoptive report include?
749.3771 - Is my agency required to offer counseling services to the adoptive family?
749.3781 - What are the requirements if adoptive parents apply to adopt another child?

Subchapter T - ADDITIONAL REQUIREMENTS FOR CHILD-PLACING AGENCIES THAT PROVIDE AN ASSESSMENT SERVICES PROGRAM

749.3801 - Does Licensing regulate all assessment services?
749.3831 - What are the requirements for approving a child's admission into my assessment services program?
749.3861 - When must I complete the child's individual plan for the assessment?
749.3863 - When does admission into the assessment services program begin?
749.3865 - What must an individual plan for the assessment include?
749.3869 - How must my assessment services program collect information from a child's caregivers?
749.3871 - When is the plan for the assessment complete?
749.3891 - What is an assessment report?
749.3893 - When must I complete the assessment report?
749.3895 - What must be included in the written assessment report?
749.3897 - Who must review and approve an assessment report?

Subchapter V - ADDITIONAL REQUIREMENTS FOR CHILD-PLACING AGENCIES THAT PROVIDE TRAFFICKING VICTIM SERVICES

749.4001 - What does "trafficking victim services" mean when used in this subchapter?
749.4003 - When am I required to meet the additional rules of this subchapter?
749.4005 - In addition to the rules in this subchapter, what other rules in this chapter apply to a child-placing agency?
749.4007 - What rules in this subchapter replace other rules in this chapter?
749.4051 - What additional child-care policies must I develop?
749.4053 - What safety and security policies must I develop?
749.4055 - What confidentiality policies must I develop?
749.4101 - What qualifications must a treatment director have?
749.4103 - Are there additional training requirements for volunteers who have contact with children receiving trafficking victim services?
749.4151 - What are the pre-service hourly training requirements for caregivers and employees?
749.4153 - Must I provide pre-service training to a caregiver or an employee who was previously a caregiver or employee for another operation?
749.4155 - What are the annual training requirements for caregivers and employees?
749.4157 - What areas or topics must the four hours of training regarding trafficking victims include?
749.4251 - Are there additional medical requirements when I admit a child for trafficking victim services?
749.4253 - Must a child I admit for trafficking victim services have an alcohol and substance abuse screening?
749.4255 - What must I do if an alcohol and substance abuse screening determines that a child receiving trafficking victim services may need alcohol or substance abuse treatment?
749.4257 - What behavioral health assessments are required when I admit a child for trafficking victim services?
749.4259 - What mental health services are required for a child receiving trafficking victim services?
749.4261 - Are there additional requirements for a preliminary service plan when I admit a child for trafficking victim services?
749.4263 - What additional items must be included in a child's initial service plan?
749.4265 - May I admit a young adult into care?
749.4267 - May an adult in care share a bedroom with a child in care receiving trafficking victim services?

Chapter 900 - HEALTH AND SPECIALTY CARE SYSTEM

Subchapter B - STATE SUPPORTED LIVING CENTER COMMUNITY SERVICES

900.101 - Clinical Services to Individuals Residing in the Community

Chapter 901 - VOLUNTEER AND COMMUNITY ENGAGEMENT AT A STATE FACILITY

Subchapter A - VOLUNTEER AND COMMUNITY ENGAGEMENT

901.1 - Application
901.2 - Definitions
901.3 - Limitations on Donations
901.4 - Volunteer Services Councils

Subchapter C - DONATING PERMANENT IMPROVEMENTS TO A STATE FACILITY

901.100 - Purpose
901.102 - Application
901.104 - Definitions
901.106 - Permanent Improvement Process
901.108 - Permanent Improvement Approval
901.110 - Responsibilities of the Volunteer Services Councils (VSC) Board, VSC Chair, and Permanent Improvement Committee
901.112 - Dedicated Construction Account Requirements
901.114 - Accepting an Improvement

Chapter 902 - CONTINUITY OF SERVICES--TRANSFERRING INDIVIDUALS FROM STATE SUPPORTED LIVING CENTERS TO STATE HOSPITALS

902.1 - Transfer of an Individual from a State Supported Living Center to a State Hospital

Chapter 903 - INTERSTATE COMPACT ON MENTAL HEALTH AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

903.1 - Purpose
903.2 - Application
903.3 - Definitions
903.4 - Prerequisite for Transfer
903.5 - Legal Basis for Institutionalization
903.6 - Coordinating Requests for Interstate Transfer
903.7 - Requests for a person with Mental Illness or Intellectual and Developmental Disabilities to Transfer from Texas
903.8 - Requests for a Person with Mental Illness or Intellectual and Developmental Disabilities to Transfer to Texas

Chapter 904 - CONTINUITY OF SERVICES--STATE FACILITIES

Subchapter A - GENERAL PROVISIONS

904.1 - Purpose
904.3 - Application
904.5 - Definitions
904.7 - Department's Philosophy Concerning Continuum of Care

Subchapter B - ADMISSION AND COMMITMENT

904.25 - Criteria for Commitment, Commitment for Residential Services Without an Interdisciplinary Team Recommendation, and Regular Voluntary Admission of an Adult to a Residential Care Facility Under the PIDA
904.27 - Criteria for Commitment of an Adult under the Texas Code of Criminal Procedure
904.29 - Criteria for Commitment and Commitment for Residential Services Without an Interdisciplinary Team Recommendation of a Minor to a Residential Care Facility Under the PIDA
904.31 - Criteria for Placement of a Minor in a State MR Facility for Assessment Under the Texas Family Code
904.33 - Criteria for Commitment of a Minor to a State MR Facility Under the Texas Family Code
904.35 - Criteria for Regular Voluntary Admission of a Minor to a State MR Facility under the PMRA
904.37 - Criteria for Emergency Admission of an Adult or a Minor to a State MR Facility Under the PMRA
904.39 - Criteria for Admission of an Adult or a Minor to a State MR Facility for Respite Care Under the PMRA
904.41 - Criteria for an Order of Protective Custody
904.43 - LIDDA IDT Recommendation Concerning the Commitment of an Adult or a Minor or the Regular Voluntary Admission of an Adult to a Residential Care Facility Under the PIDA
904.45 - LIDDA Referral of an Applicant to a Residential Care Facility
904.47 - Process for Admission of an Adult or a Minor Who Has Been Committed to a State MR Facility Under the PMRA
904.49 - Process for the Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA
904.51 - Process for Placement of a Minor under the Texas Family Code in a State MR Facility
904.53 - Process for the Emergency Admission of an Adult or a Minor to a State MR Facility Under the PMRA
904.55 - Process for Admission of an Adult or a Minor to a State MR Facility for Respite Care Under the PMRA

Subchapter C - TRANSFERS

904.75 - Transfer of an Individual Between State MR Facilities
904.77 - Transfer of an Individual from a State MR Facility to a State MH Facility
904.79 - Transfer of an Individual from a State MH Facility to a State MR Facility

Subchapter D - MOVING FROM A STATE FACILITY TO AN ALTERNATIVE LIVING ARRANGEMENT

904.99 - Consideration of Living Options for Individuals Residing in State MR Facilities
904.101 - Accessing Alternative Living Arrangements for an Individual Residing in a State MR Facility Who Has the Ability to Provide Legally Adequate Consent or Has a Legally Authorized Representative (LAR)
904.103 - Accessing Alternative Living Arrangements for an Individual Residing in a State MR Facility Who Does Not Have the Ability to Give Legally Adequate Consent and Who Does Not Have a Legally Authorized Representative (LAR)
904.105 - Arrangements for the Move to an Alternative Living Arrangement of an Individual Residing in a State MR Facility
904.107 - Community Living/Discharge Plan for Alternative Living Arrangements

Subchapter E - DISCHARGE

904.125 - Discharge from a State MR Facility of an Individual Who Moves to an Alternative Living Arrangement
904.127 - Administrative Discharges Initiated by a State MR Facility
904.129 - Administrative Discharges from a Voluntary Admission Initiated by an Individual or LAR

Subchapter F - SPECIAL CONSIDERATIONS FOR INDIVIDUALS WHO MOVED FROM A STATE FACILITY TO AN ALTERNATIVE LIVING ARRANGEMENT PRIOR TO SEPTEMBER 1, 1997

904.151 - Review by Local MRA of Individual in a Community Living Arrangement

Subchapter G - PERMANENCY PLANNING AND LAR NOTIFICATION REQUIREMENTS FOR AN INDIVIDUAL UNDER 22 YEARS OF AGE

904.171 - MRA and State MR Facility Responsibilities

Chapter 910 - STATE FACILITY BUSINESS OPERATIONS

Subchapter A - CHARGES FOR SERVICES IN STATE FACILITIES

910.1 - Purpose
910.2 - Application
910.3 - Definitions
910.4 - Fee Assessment and Notification of Charges
910.5 - State Hospital Accruing Charges
910.6 - State Supported Living Center Accruing Charges
910.7 - Rate Review Process at State Hospitals
910.8 - Appeal Process
910.9 - Filing Notice of Lien
910.10 - Taxable Income of the Parents

Subchapter B - STATE FACILITY FINANCIAL RESPONSIBILITIES

910.51 - Definitions
910.53 - Depositing Department Funds
910.55 - Investing Department Funds
910.57 - Benefit Funds: Use and Control

Subchapter C - STATE FACILITY PROPERTY

910.103 - Inscription on State Facility Vehicles
910.105 - Non-Commercial Groups at a State Facility
910.107 - Overnight Accommodations for Guests of an Individual Receiving Services at a State Facility

Chapter 925 - RESEARCH INVOLVING HEALTH AND HUMAN SERVICES COMMISSION SERVICES

925.1 - Purpose
925.2 - Application
925.3 - Definitions
925.4 - General Principles
925.5 - Designated Institutional Review Board
925.6 - Designated Institutional Review Board Functions and Operations
925.7 - Review and Approval of Proposed Research
925.8 - Informed Consent
925.9 - Using and Disclosing Protected Health Information in Research
925.10 - Investigation of Allegations of Misconduct in Science
925.11 - Responsibilities of the Institutional Review Board 2

Chapter 926 - STATE FACILITY REQUIREMENTS TO ENHANCE THE SAFETY OF INDIVIDUALS RECEIVING SERVICES

Subchapter A - TRAINING REQUIREMENTS FOR STATE FACILITY STAFF

926.1 - Application
926.2 - Definitions
926.3 - Training for New Employees
926.4 - Additional Training for Employees who Provide Direct Care to Individuals
926.5 - State Hospital Refresher Training
926.6 - State Supported Living Center (SSLC) Refresher Training

Subchapter B - CRIMINAL HISTORY CHECKS AND REGISTRY CLEARANCES AT STATE FACILITIES

926.51 - Definitions
926.53 - Pre-employment or Pre-assignment Checks and Clearances
926.55 - Emergency Employment Pending Criminal History Check
926.57 - Notification to Applicants
926.61 - Self-Reporting and Subsequent Criminal History Checks and Registry Clearances
926.63 - Unpaid Professional Interns

Subchapter C - ABUSE, NEGLECT, AND EXPLOITATION AT STATE FACILITIES

926.103 - Prohibition of Abuse, Neglect, and Exploitation
926.105 - Reporting Abuse, Neglect, and Exploitation
926.107 - Prohibition Against Retaliation
926.109 - During an Investigation
926.111 - Completion of an Investigation
926.113 - Contractors

Chapter 930 - ADDITIONAL RIGHTS OF INDIVIDUALS RECEIVING SERVICES AT STATE FACILITIES

Subchapter A - STATE HOSPITAL ESSENTIAL CAREGIVER

930.1 - Purpose
930.3 - Application
930.5 - Definitions
930.7 - Essential Caregiver In-Person Visitation
930.9 - Revocation
930.11 - Temporary Suspension of Essential Caregiver Visits

Subchapter B - PERSONAL PROPERTY OF AN INDIVIDUAL RECEIVING SERVICES AT A STATE FACILITY

930.53 - Individual's Personal Property

Chapter 965 - ELECTRONIC MONITORING IN AN INDIVIDUAL'S BEDROOM IN A STATE SUPPORTED LIVING CENTER

965.1 - Definitions
965.2 - Electronic Monitoring
965.3 - Information Regarding Electronic Monitoring
965.4 - Request to Conduct Electronic Monitoring
965.5 - Annual Consent by a Roommate
965.6 - Capacity to Request or Consent to Electronic Monitoring
965.7 - Conducting Electronic Monitoring
965.8 - Required Facility Notice and Accommodation
965.9 - Reporting Abuse, Neglect, or Exploitation

Chapter 967 - CLIENT CARE OF INDIVIDUALS RECEIVING SERVICES AT STATE SUPPORTED LIVING CENTERS

Subchapter A - STATE SUPPORTED LIVING CENTER INDEPENDENT MORTALITY REVIEW

967.1 - Independent Mortality Review

Subchapter B - USE OF RESTRAINTS IN STATE SUPPORTED LIVING CENTERS

967.27 - General Provisions
967.29 - Mechanical Devices
967.31 - Evaluation and Assessment
967.33 - Imminent Harm Resulting from a Behavioral Crisis
967.35 - Imminent Harm Resulting from a Medical or Dental Procedure
967.37 - Imminent Harm Resulting from Documented Self-Injurious Behavior
967.39 - Release
967.41 - Reporting, Tracking, and Documentation

Subchapter C - CONSENT OR AUTHORIZATION FOR ADMINISTRATION OF PSYCHOTROPIC MEDICATION AT STATE SUPPORTED LIVING CENTERS

967.77 - Legally Adequate Consent or Authorization for Non-Emergency Administration of Psychotropic Medication
967.79 - Administration of Psychotropic Medication during a Medication-Related Emergency
967.81 - Refusal of Psychotropic Medication
967.83 - Order Authorizing Administration of Psychotropic Medication
967.85 - Effect of Order

Chapter 985 - HUMAN IMMUNODEFICIENCY VIRUS PREVENTION AND TREATMENT IN STATE SUPPORTED LIVING CENTERS

985.1 - Purpose
985.2 - Application
985.3 - Definitions
985.4 - Education
985.5 - Counseling
985.6 - Limitation of an Individual's Activity

Chapter 990 - ANATOMICAL GIFT

990.1 - Anatomical Gift Form