Part I.
Texas Department of Human Services
Chapter 72.
Memoranda of Understanding with Other State Agencies
Subchapter A. Memoranda of Understanding for Long-term Care
40 TAC §72.103
The Texas Department of Human Services (DHS) proposes new
§72.103, concerning personal care facilities, in its Memoranda of Understanding
with Other State Agencies chapter. The purpose of the new section is to set
forth a memorandum of understanding (MOU) among DHS, the Texas Department
of Protective and Regulatory Services (TDPRS), and the Office of the Attorney
General (OAG) that is required under the Health and Safety Code, §247.046
and §247.062. This MOU sets forth the agreement and the process whereby
the above noted agencies will cooperate in correcting violations or deficiencies
in personal care facilities.
Eric M. Bost, commissioner, has determined that for the first five-year
period the proposed section will be in effect there will be no fiscal implications
for state or local governments as a result of enforcing or administering the
section.
Mr. Bost also has determined that for each year of the first five years
the section is in effect the public benefit anticipated as a result of enforcing
the section will be that uncertified facilities will be removed from business
and certified facilities will be required to adhere to standards of the agency.
There will be no effect on small businesses as a result of enforcing or administering
the section. There is no anticipated economic cost to persons who are required
to comply with the proposed section.
Questions about the content of this proposal may be directed to Susan Syler
at (512) 438-3111 in DHS's Long-term Care Section. Written comments on the
proposal may be submitted to Supervisor, Rules and Handbooks Unit-205, Texas
Department of Human Services E-205, P.O. Box 149030, Austin, Texas 78714-9030,
within 30 days of publication in the
Texas Register
.
The new section is proposed under the Human Resources Code, Title
2, Chapter 22, which authorizes the department to administer public assistance
programs.
The new section implements the Human Resources Code, §§22.001-22.030
and §§32.001-32.042.
§72.103. Personal Care Facilities.
(a)
Basis. The Texas Department of Human Services, hereinafter
referred to as DHS, the Texas Office of the Attorney General, hereinafter
referred to as OAG, and the Texas Department of Protective and Regulatory
Services, hereinafter referred to as TDPRS are required under the provisions
of Health and Safety Code section 247.046 and §247.062 to enter into
a memorandum of understanding (MOU) regarding their respective responsibilities,
procedures, enforcement needs, and plans for correcting violations or deficiencies
in personal care facilities. This MOU implements those requirements.
(b)
DHS responsibilities.
(1)
DHS accepts applications and issues licenses in accordance
with the requirements of Chapter 247, and DHS rules and standards adopted
to implement the law.
(2)
If DHS finds a licensed personal care facility operating
in violation of minimum standards or licensing requirements and the violation
creates an immediate threat to the health and safety of a resident in the
facility, DHS may suspend the license or order the immediate closing of all
or part of the facility. DHS shall retain primary responsibility for assisting
families in finding new placements for individuals displaced when facilities
licensed by or subject to licensure by DHS are closed.
(3)
DHS shall investigate each allegation of abuse, exploitation,
or neglect of a resident of a personal care facility in accordance with Chapter
247 of the Health and Safety Code, Chapter 48 of the Human Resources Code,
and DHS rules. If the investigation reveals abuse, exploitation, or neglect,
DHS shall implement enforcement measures, including closing the facility,
revoking the facility's license, relocating residents, and making referrals
to law enforcement agencies (including the OAG) as appropriate.
(4)
DHS may refer a facility to the OAG or a local prosecuting
attorney for the purpose of petitioning a district court for a temporary restraining
order to restrain a continuing violation of standards or licensing requirements
for personal care facilities. If DHS finds that the violation creates an immediate
threat to the health and safety of the personal care facility residents, the
referral is made to the OAG along with all affidavits necessary to prosecute
the case. If the violation does not create an immediate threat to the health
and safety of personal care facility residents, the referral is to a local
prosecuting attorney. DHS, through the OAG or a local prosecuting attorney,
may petition a district court for a restraining order to inspect a facility
that is operating without a license when admission to the facility cannot
be obtained. In these inspection situations, DHS shall first contact the local
prosecuting attorney for assistance.
(5)
DHS shall cooperate with the OAG and/or the local
prosecuting attorney in the preparation and prosecution of injunctive actions
against personal care facilities against which DHS has requested legal proceedings.
(6)
DHS may refer persons who do not possess a license,
or personal care facilities that violate the Personal Care Facility Licensing
Act (Chapter 247 of the Health and Safety Code) or a rule adopted under that
act, whose violation threatens the health and safety of a resident of a personal
care facility, to the OAG for the purpose of petitioning a district court
for civil penalties under section 247.045 of the Health and Safety Code. DHS
will refer civil penalty cases to the local district attorney, county attorney,
or city attorney if the OAG does not take action within 30 days of the referral.
DHS shall cooperate with the OAG and the local prosecuting attorneys in the
preparation for and prosecution of civil penalty actions.
(c)
TDPRS responsibilities. TDPRS will assist DHS, upon request,
in finding suitable placement for incompetent individuals who have no family
willing to assist and who must be relocated due to the closing of a personal
care facility licensed or subject to licensure by DHS.
(d)
OAG responsibilities.
(1)
The OAG will work in close cooperation with DHS throughout
any legal proceeding requested by DHS under Chapter 247 of the Health and
Safety Code.
(2)
The OAG will keep DHS informed of the status of all
cases referred to the OAG under Chapter 247 of the Health and Safety Code
upon the request of DHS.
(3)
The OAG will represent DHS to the full extent of
the law in Chapter 247 actions.
(4)
When the OAG chooses not to prosecute a Chapter 247
case referred by DHS, it will immediately inform DHS so that alternative action
can be taken.
(e)
Complaint investigations and opportunities for corrective
action.
(1)
When a complaint is received about a licensed or a unlicensed
personal care facility, DHS will do a complaint investigation of the facility.
If the owner of an unlicensed facility denies DHS investigators access to
a facility, DHS may, through the OAG or a local prosecutor's office, petition
a district court for a temporary restraining order to inspect the facility.
(2)
If the investigation indicates that there is a violation
of minimum standards and the violation creates an immediate threat to the
health and safety of a facility resident, DHS will suspend the license and
order closing of the facility for a ten day period.
(3)
If the investigation indicates that there is a violation
of minimum standards or licensing requirements and the violation is a threat
to resident health and safety, DHS immediately makes a referral to the Attorney
General's office to enjoin the facility's operation, enjoin the facility from
violating standards or licensing requirements, and/or for assessment of civil
monetary penalties.
(4)
If the OAG does not take action on a civil penalty
referral within 30 days of the referral, DHS will refer the case to the local
prosecuting attorney.
(5)
If the investigation indicates a violation of minimum
standards or licensing requirements but the violation is not a threat to resident
health and safety, DHS may notify the owner that he is in violation and make
a referral to the local prosecuting attorney or the OAG only after the facility
owner is given an opportunity to take appropriate action to come into compliance
within a reasonable time.
(6)
If the local prosecuting attorney refuses to prosecute
a case, DHS may seek the assistance of the OAG.
(7)
DHS may deny, suspend, or revoke the license of a
licensed facility for violating the Personal Care Facility Licensing Act or
rules adopted under that act.
(8)
If further investigation or monitoring of a facility
that has previously indicated that it will come into compliance, indicates
that violations have continued, DHS may immediately seek injunctive or other
appropriate relief in coordination and cooperation with the OAG or the local
prosecuting attorney.
This agency hereby certifies that the proposal has been
reviewed by legal counsel and found to be within the agency's legal authority
to adopt.
Filed with the Office of the Secretary of State, on
June 2, 1999.
TRD-9903253
Paul Leche
General Counsel, Legal Services
Texas Department of Human Services
Earliest possible date of adoption: July 18, 1999
For further information, please call: (512) 438-3765
Chapter 841.
Workforce Investment Act
Subchapter C. Training Provider Certification
Part XX.
Texas Workforce Commission