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TITLE 26 - HEALTH AND HUMAN SERVICES
PART 1 - HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS
SUBCHAPTER D - REPORTS AND RECORD KEEPING
SECTION/RULE §748.303 - When must a general residential operation (GRO) report and document a serious incident?
Chapter Review Date 04/17/2024

(a) A GRO must report and document the following types of serious incidents involving a child in its care. The reports must be made to the following entities, and the reporting and documenting must be within the specified time frames: Attached Graphic(b) If there is a medically pertinent incident that does not rise to the level of a serious incident, a GRO does not have to report the incident but the GRO must document the incident in the same manner as for a serious incident, as described in §748.311 of this division (relating to How must I document a serious incident?). (c) If a child returns before the required reporting timeframe outlined in (a)(8) - (10) in Figure: 26 TAC §748.303(a), the GRO is not required to report the absence as a serious incident. Instead, the GRO must document within 24 hours after becoming aware of the unauthorized absence in the same manner as for a serious incident, as described in §748.311 of this division. (d) If there is a serious incident involving an allegation of abuse, neglect, or exploitation of an elderly adult or an adult with a disability in a residential child-care operation, the GRO must document the incident in the same manner as a serious incident. The GRO must also report the incident to: (1) The Department of Family and Protective and Services intake through:(A) The Texas Abuse and Neglect Hotline (1-800-252-5400); or(B) Online at https://www.txabusehotline.org;(2) Law enforcement, if there is a fatality; and(3) The parent, if the adult resident is not capable of making decisions about the resident's own care.(e) A GRO must report and document the following types of serious incidents involving the GRO, an employee, a professional level service provider, contract staff, or a volunteer to the following entities within the specified time frames: Attached Graphic

Source Note: The provisions of this §748.303 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective June 1, 2014, 39 TexReg 3727; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909; amended to be effective June 1, 2020, 45 TexReg 3324; amended to be effective April 25, 2021, 46 TexReg 2452; amended to be effective April 25, 2022, 47 TexReg 2248;amended to be effective November 23, 2022, 47 TexReg 7727; amended to be effective December 22, 2024, 49 TexReg 9554.

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