(a) The subrecipient must implement written policies and procedures that cover the following areas:(1) administration of medication, if applicable;(2) infectious disease prevention and management, including: (A) adherence to universal precautions as defined by the Centers for Disease Control of the United States Public Health Service;(B) compliance with the Texas Communicable Disease Prevention and Control Act, Texas Health and Safety Code Chapter 81; and(C) immunization guidelines as specified by the Texas Department of State Health Services.(b) The subrecipient must follow all federal and state laws and regulations regarding providing services and maintaining records for families and children with Human Immunodeficiency Virus or other communicable diseases.(c) The subrecipient must not refuse to provide ECI services to a child based solely on the family's refusal or failure to obtain a vaccine or immunization for a particular infectious or communicable disease. The subrecipient is not in violation of this rule if the subrecipient adopts a policy requiring children receiving group services to be vaccinated or immunized against a particular infection or communicable disease if the policy provides an exemption from each required vaccination or immunization based on:(1) a reason of conscience, including a sincerely held religious belief, observance, or practice, that is incompatible with the administration of the vaccination or immunization; or(2) a recognized medical condition for which the vaccination or immunization is contraindicated.(d) The subrecipient must accept oral or written requests for an exemption.