TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 19. TEXAS DEPARTMENT OF PROTECTIVE AND REGULATORY SERVICES

Chapter 700. CHILD PROTECTIVE SERVICES

The Texas Department of Protective and Regulatory Services (TDPRS) proposes the repeal of §§700.337-700.344 and 700.346-700.348; and proposes new §§700.801-700.805, 700.820-700.824, 700.840-700.850, 700.860-700.863, 700.880, and 700.881, concerning the adoption assistance program, in its Child Protective Services chapter. The new sections are proposed in new Subchapter H, Adoption Assistance Program. The purpose of the repeals and new sections is to simplify the language of the adoption assistance rules so they are clearer to the public and private child-placing agencies. The proposal is intended to facilitate understanding of the law, eligibility requirements and application procedures, and enable private child-placing agencies to better fulfill their obligation to inform adoptive parents of the assistance benefits which may be available if they adopt a special needs child. The proposal is part of TDPRS's strategic plan initiative to review and revise rules to eliminate redundancy and conflict; maximize uniformity across program lines; and promote efficiency, effectiveness and accountability. In drafting the new rules, staff used the question and answer style as well as other plain language techniques.

TDPRS published proposed rules on this subject in the December 15, 2000, issue of the Texas Register (25 TexReg 12327), which TDPRS is withdrawing in this issue of the Texas Register . The new proposal reflects many changes resulting from ACYF-CB- PA-01-01, a policy announcement concerning adoption assistance eligibility, that TDPRS received after the rules were proposed in the Texas Register .

Mary Fields, Budget and Federal Funds Director, has determined that for the first five-year period the proposed sections will be in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the sections.

Ms. Fields also has determined that for each year of the first five years the sections are in effect the public benefit anticipated as a result of enforcing the sections will be that the sections will be better organized and easier to understand. There will be no effect on large, small, or micro-businesses because there is no change to the program requirements. There is no anticipated economic cost to persons who are required to comply with the proposed sections.

Questions about the content of the proposal may be directed to Susan Klickman at (512) 438-3302 in TDPRS's Child Protective Services Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-157, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under section 2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

Subchapter C. ELIGIBILITY FOR CHILD PROTECTIVE SERVICES

40 TAC §§700.337 - 700.344, 700.346 - 700.348

(Editor's note: The text of the following sections proposed for repeal will not be published. The sections may be examined in the offices of the Texas Department of Protective and Regulatory Services or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeals are proposed under Human Resources Code (HRC), §40.029, which provides the department with the authority to propose and adopt rules in compliance with state law and to implement departmental programs.

The repeals implement the Texas Family Code, Chapter 162, Subchapter D, Adoption Assistance Program, and Title IV-E of the Social Security Act (42 U.S.C. §673), which require that the department implement an adoption assistance program for special needs children.

§700.337.Eligibility Requirements for State-paid Adoption Subsidies.

§700.338.Additional Eligibility Requirements for Federal Title IV-E Adoption Assistance.

§700.339.Determination of Adoption Assistance Benefits.

§700.340.Effective Dates of Subsidy Benefits.

§700.341.Application and Right to Notification.

§700.342.Beginning the Subsidy.

§700.343.Reporting Changes.

§700.344.Right to Appeal.

§700.346.Reimbursement of Nonrecurring Adoption Expenses.

§700.347.Medical Assistance for Children Who Do Not Reside in the State That Signed the Adoption Assistance Agreement.

§700.348.Continuing Eligibility for Title IV-E Adoption Assistance in Subsequent Adoptions.

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 March 23, 2001.

TRD-200101711

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter H. ADOPTION ASSISTANCE PROGRAM

1. PROGRAM DESCRIPTION AND DEFINITIONS

40 TAC §§700.801 - 700.805

The new sections are proposed under Human Resources Code (HRC), §40.029, which provides the department with the authority to propose and adopt rules in compliance with state law and to implement departmental programs.

The new sections implement the Texas Family Code, Chapter 162, Subchapter D, Adoption Assistance Program, and Title IV-E of the Social Security Act (42 U.S.C. §673), which require that the department implement an adoption assistance program for special needs children.

§700.801.What do certain words and terms in this subchapter mean?

In Subchapter H, the following words and terms have the stated meanings:

(1)

The words "I," "my," "you" and "your" refer to the adoptive parent(s) of a special needs child.

(2)

The words "we," "us," "our" and "PRS" refer to the Texas Department of Protective and Regulatory Services (PRS) or any of its divisions or employees, including Child Protective Services (CPS).

(3)

The word "child" refers to any child that meets the definition of a special needs child, as described in §700.804 of this title (relating to Who is a special needs child?).

(4)

The term "Title IV-E" refers to the federal program for adoption assistance that is established under Title IV-E of the Social Security Act, 42 U.S.C. §673, and administered by PRS.

(5)

The term "state adoption assistance" refers to the state program for adoption assistance established under Texas Family Code, §162.302.

(6)

The term "AFDC eligible" means a child would have qualified for aid under the Texas State IV-A Plan (as in effect on July 16, 1996), with the exception that the child's and family's maximum resource limit is $10,000. Requirements include that the child live with a parent or specified relative and be deprived of parental support. Parental deprivation exists if one of the child's parents is dead, absent from the home, or has a mental or physical incapacity that prevents the parent from supporting or caring for the child, or the principal wage earner parent is unemployed.

(7)

The term "licensed child-placing agency" or "LCPA" refers to a private, nonprofit agency that is licensed or certified by the State of Texas to place children for adoption.

(8)

The term "adoptive parent(s)" refers to the person(s) who commit(s) to adopting a special needs child placed for adoption in accordance with licensing minimum standards for child- placing agencies.

(9)

The terms "adoptive placement" and "placed for adoption" only refer to points in time during the period when PRS or the LCPA has managing conservatorship of the child, parental rights to the child are terminated, the adoptive parent(s) have an approved adoptive home study and the child is living with them under a written adoptive placement agreement prior to adoption consummation.

(10)

The term "complete application" refers to all the forms and documents that must be filled out and received by PRS to process a request for adoption assistance. An application is not complete until we receive all the information and supporting documentation necessary to determine a child's eligibility.

(11)

The word "agreement" refers to the written contract for adoption assistance that is legally binding because both parties have signed it agreeing to all terms and conditions.

(12)

The term "deferred agreement" refers to the legally binding, written contract to provide adoption assistance in the future if the need develops. A deferred agreement is used when the child is eligible for adoption assistance and you are able to meet the child's current needs, but you may be unable to meet the child's needs in the future if circumstances change.

§700.802.What is adoption assistance?

(a)

Adoption assistance is a program designed to facilitate the adoption of children with special needs. The program includes benefits to help meet the needs of your adopted child.

(b)

The benefits that may be provided under the program are:

(1)

Medicaid health coverage for the child;

(2)

monthly payments to assist in meeting the child's needs; and

(3)

reimbursement of one-time expenses directly related to completing the adoption process (nonrecurring expenses).

§700.803.Do all children placed for adoption by PRS get adoption assistance?

(a)

No. Only a special needs child, in an approved adoptive placement, can qualify for adoption assistance. When we place a child for adoption, we first determine whether the child is eligible under Title IV-E. If the child is not eligible under Title IV-E, we determine whether the child is eligible under the state adoption assistance program.

(b)

To receive any adoption assistance benefits, you must sign an agreement before the adoption is final. Exceptions can be made to this requirement only in certain circumstances, as described in §700.881 of this title (relating to Can my child still get benefits if I did not sign an agreement before the adoption?).

§700.804.Who is a special needs child?

(a)

The child must be less than 18 years old and meet one of the following criteria when the adoptive placement agreement is signed:

(1)

the child is at least six years old;

(2)

the child is at least two years old and a member of a minority group that traditionally creates a barrier to adoption;

(3)

the child is being adopted with a sibling or to join a sibling; or

(4)

the child has a verifiable physical, mental, or emotional handicapping condition, as established by an appropriately qualified professional through a diagnosis that addresses:

(A)

what the condition is; and

(B)

that the condition is handicapping.

(b)

The state must determine that the child cannot or should not be returned to the home of his parents.

(c)

A reasonable effort must be made to find an adoptive placement without providing adoption assistance, unless doing so is against the child's best interests.

§700.805.Can a child who is placed by an LCPA get adoption assistance?

(a)

Yes, but a special needs child placed for adoption by an LCPA can qualify for adoption assistance only by meeting the requirements of Title IV-E, as described in Division 2 of this subchapter (relating to Title IV-E Eligibility Requirements).

(b)

You must sign an agreement before the adoption is final. Exceptions can be made to this requirement only in certain circumstances, as described in §700.881 of this title (relating to Can my child still get benefits if I did not sign an agreement before the adoption?).

(c)

A special needs child placed for adoption by an LCPA is not eligible for the state adoption assistance program.

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 March 23, 2001.

TRD-200101712

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


2. TITLE IV-E ELIGIBILITY REQUIREMENTS

40 TAC §§700.820 - 700.824

The new sections are proposed under Human Resources Code (HRC), §40.029, which provides the department with the authority to propose and adopt rules in compliance with state law and to implement departmental programs.

The new sections implement the Texas Family Code, Chapter 162, Subchapter D, Adoption Assistance Program, and Title IV-E of the Social Security Act (42 U.S.C. §673), which require that the department implement an adoption assistance program for special needs children.

§700.820.How do I get Title IV-E adoption assistance for my child?

(a)

To be eligible for any adoption assistance benefits, your child must be a special needs child and you must sign an agreement with us before the child's adoption is finalized. In addition, benefits are only available to those who meet the federal law requirements of U.S. citizenship or special immigration status, as described in §700.824 of this title (relating to What if the child is not a U.S. citizen?).

(b)

When the additional Title IV-E eligibility requirements are met, as described in this division, you may be entitled to monthly payments and Medicaid coverage for your child in addition to the reimbursement of nonrecurring expenses.

(c)

When the additional Title IV-E eligibility requirements are not met, the only benefit you can receive is reimbursement of nonrecurring expenses, as described in §700.850 of this title (relating to How do I get reimbursement of nonrecurring expenses?).

§700.821.What are the additional Title IV-E eligibility requirements?

A special needs child must be in an adoptive placement and meet one of the following conditions to be eligible for Medicaid and possible monthly payments under an agreement:

(1)

The child is eligible for Supplemental Security Income (SSI) benefits, as determined by the Social Security Administration (SSA) during the adoptive placement;

(2)

We determine that the child is AFDC eligible both:

(A)

in the month that court proceedings began which resulted in the child's removal from the home; and

(B)

in the month the adoption petition is filed;

(3)

We already determined that the child was eligible for Title IV-E foster care assistance; or

(4)

The child lives with a minor parent in foster care, and the child's costs are included in the Title IV-E foster care payments being made on behalf of the minor parent.

§700.822.How do you determine whether the child was AFDC eligible?

(a)

To determine whether the child was AFDC eligible, we must consider the detailed circumstances of the home of the parent or relative from whom the court ordered the child to be removed. If the child was no longer living in the home when the court ordered removal,

(1)

the child must have been living there at some point during the six months before the court removal proceedings began; and

(2)

we must determine that the child would have been eligible for AFDC assistance had the child still been living in that home during the month the court proceedings began.

(b)

We must also determine whether the child is still AFDC eligible at the time the adoption petition is filed.

§700.823.What is necessary for a court order to be considered a removal?

The very first court order addressing the fact that the child no longer lives at home must contain a judicial finding that it is contrary to the child's welfare, or not in the child's best interest, to remain in the home. A court order that follows a voluntary transfer of possession of a child to an LCPA cannot be characterized as a court removal.

§700.824.What if the child is not a U.S. citizen?

(a)

If the child is not a U.S. citizen, then the child must meet one of the conditions specified in this subsection or in subsection (b) of this section before the agreement is signed:

(1)

The child has been a permanent resident or other qualified alien (as described in 8 U.S.C. §1641(b)) for at least five years;

(2)

The child entered the U.S. as a permanent resident or other qualified alien before August 22, 1996; or

(3)

The child is a refugee or asylee (as defined in 8 U.S.C. §1613(b)).

(b)

If the child does not meet one of the conditions listed in subsection (a) of this section, but has been a permanent resident or other qualified alien for less than five years, then the child is still eligible for adoption assistance if you are a U.S. citizen, permanent resident, or other qualified alien.

(c)

A child who does not meet the conditions in subsections (a) or (b) of this section, including an undocumented child, is not eligible for Title IV-E adoption assistance.

(d)

The child's citizenship or immigration status must be verified in accordance with federal law. If you are relying on the exception in subsection (b) of this section, your citizenship or immigration status must be verified in accordance with federal law.

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 March 23, 2001.

TRD-200101713

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


3. APPLICATION PROCESS, AGREEMENTS, AND BENEFITS

40 TAC §§700.840 - 700.850

The new sections are proposed under Human Resources Code (HRC), §40.029, which provides the department with the authority to propose and adopt rules in compliance with state law and to implement departmental programs.

The new sections implement the Texas Family Code, Chapter 162, Subchapter D, Adoption Assistance Program, and Title IV-E of the Social Security Act (42 U.S.C. §673), which require that the department implement an adoption assistance program for special needs children.

§700.840.What is the application process for adoption assistance?

(a)

You must file a complete application with the adoption assistance staff in the PRS office in your area. Some of the information you are asked to provide is unrelated to determining your child's eligibility, but it may be used to discuss and negotiate the amount of monthly payments, as described in §700.844 of this title (relating to What is the maximum amount for monthly payments?).

(b)

If we place the child for adoption, we inform you of the adoption assistance program and provide you with the application. We can help you fill out many of the required forms because we have access to the necessary information in our files.

(c)

If an LCPA places the child, the LCPA must inform you of the adoption assistance program. You may need the LCPA to help you with the application and eligibility documentation. The LCPA can provide information directly to us on your behalf.

§700.841.When do I find out if my child is eligible?

We send you written notification of our decision within 30 days after we receive your complete application. If you do not receive the notification or you believe your application is not being processed promptly, you should contact the supervisor of the adoption assistance staff in the PRS office where you filed the application.

§700.842.What happens if my child is determined eligible?

(a)

If we determine that the child is eligible for adoption assistance, we send you a proposed agreement that identifies the specific benefits for which your child is eligible. We must receive your signed agreement before you finalize the adoption. Benefits are not available until there is a legally binding agreement.

(b)

If the child is eligible for benefits other than the reimbursement of nonrecurring expenses, we send you an agreement that may specify a monthly payment amount. If you are not offered the maximum monthly payment amount, as described in §700.844 of this title (relating to What is the maximum amount for monthly payments?), you can discuss and negotiate the amount with us before you sign and return the proposed agreement.

(c)

If you and your child do not have any current need for adoption assistance, but reasonably expect to have a need in the future, you can sign a deferred agreement, as described in §700.801(12) of this title (relating to What do certain words and terms in this subchapter mean?).

(d)

If the child is eligible for reimbursement of nonrecurring expenses, you cannot receive that benefit until after the adoption is finalized, as described in §700.850 of this title (relating to How do I get reimbursement of nonrecurring expenses?).

§700.843.What happens if my child is determined ineligible?

If we determine that the child is not eligible for adoption assistance, we send you written notification explaining the reasons for our decision and informing you of your right to appeal.

§700.844.What is the maximum amount for monthly payments?

(a)

The monthly payment amount cannot exceed the level-of-care one (LOC 1) rate that is being paid by us for foster care maintenance as of the effective date of your agreement:

(1)

The ceiling for the monthly payment amount is determined as follows:

(A)

the daily LOC 1 rate is multiplied by 365 days;

(B)

the result is divided by 12 months; and

(C)

that result is rounded to the nearest whole dollar amount.

(2)

This ceiling for monthly payments applies to all agreements and is not subject to negotiation or appeal. Exception: For agreements already in existence where the monthly payment exceeds the LOC 1 foster care rate, the ceiling will be the amount being paid by us on the date this section is adopted.

(b)

The following factors are considered and discussed in negotiating and determining benefits:

(1)

We evaluate your child's current need for services in relation to your family's income, expenses, circumstances, and plans for the future.

(2)

Benefits are intended only to assist in meeting your child's current needs and your parental responsibilities.

(3)

Any and all sources of income and support that are specifically designated for the child (such as Retirement, Survivors, Disability Insurance (RSDI) or Veterans Administration (VA) benefits) must be applied toward meeting the child's needs.

(4)

We do not consider costs associated with your choice to meet the child's needs through private sources when those needs can be met through other publicly funded sources.

(5)

If the child needs special services not covered by your private insurance or Texas Medicaid, we must determine the actual cost of services available to meet those needs. If actual costs are not available, we determine a reasonable estimate of projected costs.

§700.845.Can my child get adoption assistance monthly payments in addition to Supplemental Security Income (SSI) benefits?

Only the Social Security Administration (SSA) can determine whether your child is eligible for SSI benefits. The SSA considers your family's financial resources in determining whether your child remains eligible for SSI benefits after adoption. If your child does remain eligible, the SSI benefits would be reduced by any amount you receive in adoption assistance monthly payments. If you choose to receive SSI benefits and do not sign an agreement with us before the adoption is final, you cannot return later and ask for adoption assistance if the SSI benefits stop.

§700.846.How is the effective date of the agreement determined?

(a)

The effective date of the agreement is the month in which the child meets all eligibility requirements. If the child already meets all eligibility requirements when you apply, the effective date of the agreement cannot be more than 12 months before we receive your complete application. Benefits are not available for any period of time before the effective date of the agreement.

(b)

The effective date of the agreement is always the first day of the month. A child cannot receive Medicaid and monetary payments from both the foster care and adoption assistance programs in the same month. If we are making foster care maintenance payments for the child, adoption assistance benefits begin the month after the foster care payments stop.

§700.847.When does the agreement end?

The agreement you sign is effective through the month in which your child turns 18 years old, unless terminated earlier.

§700.848.When can the agreement and benefits be terminated before my child turns 18 years old?

The agreement and benefits can be terminated when any of the following occurs:

(1)

the adoptive placement ends before the adoption is consummated;

(2)

we discover the child was mistakenly determined eligible for benefits;

(3)

you are no longer legally responsible for the child's support, such as when your parental rights are terminated, or when the child emancipates, marries, or enlists in the military;

(4)

we determine that you are no longer financially supporting the child;

(5)

the child dies; or

(6)

you request termination of benefits.

§700.849.Can benefits be suspended while the agreement is effective?

(a)

Yes, we may suspend benefits, without your agreement, when any of the following occurs:

(1)

we determine that the child is not living in your home and you are not supporting the child financially;

(2)

we do not receive a certified copy of the Decree of Adoption within 24 months after the effective date of the agreement; or

(3)

we do not receive your recertification form, as described in §700.862 of this title (relating to Why must I recertify my child's eligibility?).

(b)

Benefits resume if we are able to determine that you and your child remain eligible. If you receive any monthly payments for a period of time when they could have been suspended, we may require you to repay the total amount or recover the overpayment by deducting amounts from future payments under a repayment plan.

§700.850.How do I get reimbursement of nonrecurring expenses?

(a)

We must receive your signed agreement before you finalize the adoption. After you finalize the adoption, you can get reimbursement from us for your nonrecurring expenses. These expenses are defined as reasonable and necessary adoption fees, court costs, attorney fees, and "other expenses" that are directly related to the legal adoption of your child.

(b)

Other expenses include the costs of adoption incurred by you or by someone else who you must reimburse. Examples of these expenses, when necessary to complete the adoption process, include the adoption home study, health and psychological examinations, supervision of the adoptive placement, transportation and reasonable costs of lodging and food for you or your child.

(c)

We must receive your claim for reimbursement no later than 18 months after the adoption is finalized. If your right to reimbursement is authorized by a PRS hearing order after the adoption is final, we must receive your claim as soon as possible.

(d)

You must submit your receipts or other proof of payment, such as cancelled checks, and a certified copy of the Decree of Adoption. You are reimbursed only for expenses actually incurred that are not reimbursable by a third party. The maximum amount that you can receive as reimbursement for nonrecurring expenses is $1500 per child.

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 March 23, 2001.

TRD-200101714

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


4. CHANGES IN CIRCUMSTANCES

40 TAC §§700.860 - 700.863

The new sections are proposed under Human Resources Code (HRC), §40.029, which provides the department with the authority to propose and adopt rules in compliance with state law and to implement departmental programs.

The new sections implement the Texas Family Code, Chapter 162, Subchapter D, Adoption Assistance Program, and Title IV-E of the Social Security Act (42 U.S.C. §673), which require that the department implement an adoption assistance program for special needs children.

§700.860.What if my child's or family's circumstances change?

(a)

You must promptly inform us of the following changes in circumstances regarding your adopted child or your family:

(1)

any name or address changes;

(2)

a change in marital status;

(3)

a change in where the child is living;

(4)

a change in the child's legal status; and

(5)

any change(s) that may affect continuing eligibility for benefits, as described in §700.848 of this title (relating to When can the agreement and benefits be terminated before my child turns 18 years old?).

(b)

If you are not already receiving the maximum monthly payment, you may request an increase when there is a change of circumstances affecting your adopted child's current needs or your family's ability to meet those needs. You must submit a written request for an increase to the local PRS office that processed your application and specify the change(s) in your child's or family's circumstances. Any request for an increase in monthly payment amount is subject to the requirements and limitations described in §700.844 of this title (relating to What is the maximum amount for monthly payments?).

§700.861.Will my child receive benefits if I move to, or live in, another state?

(a)

If you have an adoption assistance agreement with another state that provides Medicaid coverage for your child, we will provide Texas Medicaid after you move here. Only medical assistance benefits covered by the Texas Medicaid program are provided. The state that entered into the agreement with you remains responsible to provide any monetary payments or other services specified in that agreement.

(b)

If you have an agreement with us and you move to another state, we provide Texas Medicaid coverage only if the state where you live does not agree to cover your child under its state Medicaid program. We remain responsible for any monthly payments specified in your agreement no matter where you live, which is why you must keep us informed of your current address.

§700.862.Why must I recertify my child's eligibility?

We require the recertification of your child's eligibility to ensure that you and your child remain eligible for benefits as provided by the agreement. We may periodically send you a recertification form to fill out, sign and return to us within 60 days. Your monthly payments can be suspended if we do not receive your recertification form on time.

§700.863.Does a child remain eligible for benefits in a subsequent adoption?

(a)

Yes, a child remains eligible for adoption assistance in a subsequent adoption if the following conditions are met before finalization of the subsequent adoption:

(1)

we determine that the child is a special needs child, as described in §700.804 of this title (relating to Who is a special needs child?); and

(2)

a new adoption assistance agreement is signed.

(b)

Benefits may be suspended if we do not receive a certified copy of the Decree of Adoption for the subsequent adoption within 24 months after the effective date of the new agreement.

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 March 23, 2001.

TRD-200101715

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


5. APPEALS AND FAIR HEARINGS

40 TAC §700.880, §700.881

The new sections are proposed under Human Resources Code (HRC), §40.029, which provides the department with the authority to propose and adopt rules in compliance with state law and to implement departmental programs.

The new sections implement the Texas Family Code, Chapter 162, Subchapter D, Adoption Assistance Program, and Title IV-E of the Social Security Act (42 U.S.C. §673), which require that the department implement an adoption assistance program for special needs children.

§700.880.What are my rights to appeal a PRS decision regarding adoption assistance benefits?

(a)

You have the right to request a hearing whenever adoption assistance benefits are denied, delayed, suspended, reduced, or terminated. A hearing is also available when the processing of your application is unreasonably delayed. The hearing, as described in §730.1102 of this title (relating to Definitions), provides you the opportunity to appeal a decision made in a local PRS office to a higher authority within PRS.

(b)

We must receive your written request for a hearing within 90 days after you receive written notification of our decision. At the hearing, you can represent yourself or have another person, including an attorney, represent you.

(c)

There is no right to appeal our decision to provide you all the benefits available, including the maximum monthly payment allowed, as described in §700.844 of this title (relating to What is the maximum amount for monthly payments?).

§700.881.Can my child still get benefits if I did not sign an agreement before the adoption?

(a)

Yes, but only after you request a hearing and show that there is good reason to excuse your failure to have a signed agreement. Some good reasons that provide for a hearing are:

(1)

We placed your child for adoption but did not inform you of the adoption assistance program before the adoption was final.

(2)

Facts relating to the child's eligibility for adoption assistance were known but not disclosed to you before the adoption.

(3)

The child's physical, mental, or emotional handicapping condition could not be diagnosed before the adoption, but was later diagnosed by an appropriately qualified professional as having existed at the time of the adoptive placement.

(4)

We made an error in determining that your child was not eligible before the adoption was final.

(5)

We denied you assistance because of a means test.

(b)

In the hearing, you have the burden to prove both:

(1)

your reason for not having a signed agreement before the adoption; and

(2)

that your child met all eligibility requirements before the adoption.

(c)

If we agree that your child was eligible before the adoption and your failure to have a signed agreement should be excused, we can sign an agreed order with you and avoid having a hearing. The hearing officer must approve the agreed order, and you must sign an agreement consistent with its provisions, before you can receive benefits.

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 March 23, 2001.

TRD-200101716

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Chapter 700. CHILD PROTECTIVE SERVICES

The Texas Department of Protective and Regulatory Services (TDPRS) proposes the repeal of §700.516, concerning administrative review of investigation findings; proposes new §700.516, concerning administrative review of investigation findings; and proposes an amendment to §700.605, concerning prerequisites for release hearings, in its Child Protective Services chapter. The purpose of the proposal is to revise the rules concerning administrative review of investigation findings (ARIF) to address recent changes in the program. The proposal also reorganizes and simplifies the rules to provide persons designated as perpetrators of child abuse or neglect and the general public with an up-to-date, clear, succinct and legally sufficient statement of the person's rights and the agency's obligations and responsibilities in conducting administrative reviews of investigation findings.

Mary Fields, Budget and Federal Funds Director, has determined that for the first five-year period the proposed sections will be in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the sections.

Ms. Fields also has determined that for each year of the first five years the sections are in effect the public benefit anticipated as a result of enforcing the sections will be that persons found to have abused or neglected children will better understand the process by which they can seek to challenge the findings of the investigation involving them. There will be no effect on large, small, or micro-businesses because these rules do not impose any new requirements on these kinds of businesses. There is no anticipated economic cost to persons who are required to comply with the proposed sections.

Questions about the content of the proposal may be directed to Kay Love at (512) 438-3305 in TDPRS's Child Protective Services Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-170, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Subchapter E. INTAKE, INVESTIGATION, AND ASSESSMENT

40 TAC §700.516

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Department of Protective and Regulatory Services or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

The repeal is proposed under the Human Resources Code (HRC), §40.029, which authorizes the department to adopt rules to facilitate implementation of departmental programs.

The repeal implements the Texas Family Code, §261.309, which requires that TDPRS by rule establish policies and procedures to resolve complaints relating to and conduct reviews of child abuse or neglect investigations conducted by TDPRS.

§700.516.Administrative Review of Investigation Findings.

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 March 23, 2001.

TRD-200101745

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


The new section is proposed under the Human Resources Code (HRC), §40.029, which authorizes the department to adopt rules to facilitate implementation of departmental programs.

The new section implements the Texas Family Code, §261.309, which requires that TDPRS by rule establish policies and procedures to resolve complaints relating to and conduct reviews of child abuse or neglect investigations conducted by TDPRS.

§700.516.Administrative Review of Investigation Findings.

(a)

The purpose of an Administrative Review of Investigation Findings (ARIF) is to provide an informal review process for a person who has been designated as a perpetrator or victim/perpetrator of child abuse or neglect as specified in §700.512(b)(2) or (3) of this title (relating to Conclusions about Roles).

(b)

To be eligible, the designated perpetrator must request an ARIF, in writing, within 45 days after receiving notice of the findings of the investigation.

(c)

A person is not entitled to an ARIF for a finding of abuse or neglect if a court of competent jurisdiction has already issued a ruling consistent with that specific finding.

(d)

Except as provided in subsection (e) of this section, TDPRS must within 45 days after the date on which a request for an ARIF is received:

(1)

conduct the ARIF; or

(2)

notify the requestor that the request has been denied because the requestor is not eligible for an ARIF, as specified in this section.

(e)

TDPRS may postpone the conduct of an ARIF when there is a pending civil or criminal suit or an ongoing criminal investigation relating to the same acts or omissions involved in TDPRS's finding of abuse or neglect. An ARIF that is postponed for this reason must be conducted within 45 days from notification of the completion of the suit or criminal investigation that caused the postponement.

(f)

The ARIF is conducted by a TDPRS employee (the "reviewer") who was not involved in the investigation and did not directly supervise the investigation. The ARIF is an informal review in which the requestor, investigation worker, and investigation supervisor may appear, make statements, provide relevant written materials, and ask questions. The requestor has the right to be represented by another individual. Other interested individuals may participate or provide information at the sole discretion of the reviewer.

(g)

The reviewer may review the investigation case record, ask questions, and gather other relevant information. The formal rules of evidence do not apply. The reviewer may consider all allegations relating to the investigation, including allegations that were "reason-to-believe," "unable-to-determine," or "ruled-out" at the conclusion of the investigation, and the evidence gathered during the investigation and the ARIF process. The reviewer must confirm that decisions of "reason-to-believe" are supported by a preponderance of the evidence.

(h)

After completing the ARIF, the reviewer must timely issue a written decision that upholds, reverses, or alters the original investigation findings. An original finding of "reason-to-believe" for abuse or neglect may be upheld, or may be reversed to a finding of either "unable-to-determine" or "ruled-out." A finding may be altered with respect to the type of abuse or neglect found to have occurred. For example, an original finding of "reason-to-believe" for "physical abuse" of a child may be altered to a finding of "reason-to-believe" for "neglectful supervision" of the child. A "reason-to-believe" finding may be altered as to the type of abuse or neglect even when the original finding with respect to that same type of abuse or neglect had been "ruled-out" or "unable-to-determine."

(i)

If the reviewer's decision reverses or alters any of the original investigation findings, TDPRS must change its records regarding the outcome of the investigation to reflect the reviewer's decision.

(j)

Notwithstanding anything in this section, if an individual is entitled to an administrative hearing before the State Office of Administrative Hearings (SOAH), TDPRS may, at its sole discretion, waive the conduct of an ARIF and proceed directly to the SOAH hearing.

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 March 23, 2001.

TRD-200101746

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter F. RELEASE HEARINGS

40 TAC §700.605

The amendment is proposed under the Human Resources Code (HRC), §40.029, which authorizes the department to adopt rules to facilitate implementation of departmental programs.

The amendment implements the Texas Family Code, §261.309, which requires that TDPRS by rule establish policies and procedures to resolve complaints relating to and conduct reviews of child abuse or neglect investigations conducted by TDPRS.

§700.605.Prerequisites for Release Hearings.

(a)

(No change.)

(b)

Prior [ completion of an ] administrative review of investigation findings. If the person filing the appeal has not already been given an Administrative Review of Investigation Findings (ARIF) relating to those same findings, as provided under §700.516 of this title (relating to Administrative Review of Investigation Findings), TDPRS may, at its own discretion, offer an ARIF prior to scheduling a release hearing.

[(1)

Before a release hearing is conducted, TDPRS' Protective Services for Families and Children (PSFC) must conduct an administrative review of the investigation findings as specified in §700.516 of this title (relating to Administrative Review of Investigation Findings), unless PSFC and the designated perpetrator or designated victim/perpetrator agree to waive the administrative review.]

[(2)

Any administrative review of current or past investigation findings is sufficient to satisfy the requirement specified in paragraph (1) of this subsection as long as:]

[(A)

the investigation findings include a designation of the person who has requested the release hearing as a designated perpetrator or designated victim/perpetrator of child abuse or neglect as specified in §700.512(b)(1) of this title (relating to Conclusions About Roles); and]

[(B)

the individual who conducts the review confirms that the designation was supported by a preponderance of the evidence.]

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 March 23, 2001.

TRD-200101747

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Chapter 701. COMMUNITY INITIATIVES

Subchapter B. COMMUNITIES IN SCHOOLS

40 TAC §701.271

The Texas Department of Protective and Regulatory Services (TDPRS) proposes an amendment to §701.271, concerning appropriated state and federal funds, in its Community Initiatives chapter. The purpose of the amendment is to allow TDPRS some flexibility in implementing Communities In Schools (CIS) funding allocation methodology. This flexibility may be used to limit the amount of money a local CIS program might lose due to a new biennial allocation calculation. Failure to limit such losses could significantly impact service delivery by many local CIS programs.

Mary Fields, Budget and Federal Funds Director, 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 government as a result of enforcing or administering the section.

Ms. Fields 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 minimal disruption to local CIS programs because of a reduction of state funding. There will be no effect on large, small, or micro-businesses because they are not stakeholders in the CIS funding formula. There is no anticipated economic cost to persons who are required to comply with the proposed section.

Questions about the content of the proposal may be directed to Thomas Chapmond at (512) 438-3309 in TDPRS's Prevention and Early Intervention Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-172, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to this rule. Accordingly, the department is not required to complete a takings impact assessment regarding this rule.

The amendment is proposed under the Human Resources Code (HRC), §40.029, which authorizes the department to adopt rules to facilitate implementation of departmental programs, and the Texas Family Code, §264.746, which authorizes the Texas Department of Protective and Regulatory Services to develop and implement an equitable funding formula for the funding of local Communities In Schools programs.

The amendment implements the Texas Family Code, §264.746.

§701.271.Appropriated State and Federal Funds.

(a)

(No change.)

(b)

Continuation Funding.

(1)

(No change).

(2)

Notwithstanding subsection (b) of this section, TDPRS may choose , for the purpose of minimizing disruption in services due to loss of funding, to limit the annual amount of lost funding from one biennium to the next to a maximum of 50% of the calculated loss per contractor, as determined by the funding formula in subsection (b) [ to allocate as necessary to maintain the funding levels initially allocated by the Texas Workforce Commission for fiscal year 1999. Levels initially allocated shall refer to funds allocated at the beginning of fiscal year 1999 to the existing CIS programs. This paragraph shall expire August 31, 2000 ].

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 March 23, 2001.

TRD-200101749

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Chapter 720. 24-HOUR CARE LICENSING

The Texas Department of Protective and Regulatory Services (TDPRS) proposes amendments to §§720.31, 720.120, 720.131, 720.133, 720.135, 720.137, 720.201, 720.203, 720.205, 720.207, 720.243, 720.305, 720.326, 720.361, 720.363, 720.365, 720.367,720.368, 720.370, 720.372, 720.374, 720.420, 720.423, 720.440, 720.501, 720.506, 720.508, 720.520, 720.523, 720.530, 720.540, 720.550, 720.570, 720.916, 720.923, and 720.1503 - 720.1506; and proposes the repeal of §§720.424, 720.425, 720.447, 720.509 - 720.511, 720.531 - 720.534, 720.547, 720.557, and 720.1507, concerning behavior intervention in residential child-care facilities, foster homes, foster group homes, and child-placing agencies, in its 24-Hour Care Licensing chapter. The purpose of the proposal is to delete obsolete information concerning behavior intervention. TDPRS adopted new §§720.1001 - 720.1013 to govern the use of behavior intervention effective September 1, 2000. Those rules established precedence over all the other behavior intervention information in Chapter 720. However, the obsolete rules create confusion and TDPRS is deleting them. This proposal also changes obsolete definitions in the residential child care minimum standards to bring the rules up to date.

Mary Fields, Budget and Federal Funds Director, has determined that for the first five-year period the proposed sections will be in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the sections.

Ms. Fields also has determined that for each year of the first five years the proposed sections are in effect the public benefit anticipated as a result of enforcing the sections will be that obsolete sections will be deleted. There will be no effect on large, small, or micro-businesses because the sections do not impose new requirements on the cost of doing business, do not require the purchase of any new equipment, and should not require any increased staff time in order to comply. There is no anticipated economic cost to persons who are required to comply with the proposed sections.

Questions about the content of the proposal may be directed to Lizet Alaniz at (512) 438-4538 in TDPRS's Licensing Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-167, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register.

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

Subchapter A. STANDARDS FOR CHILD-PLACING AGENCIES

40 TAC §720.31

The amendment is proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendment implements the Human Resources Code, §42.029 and §42.042.

§720.31.Problem Management.

[(a)

General requirements.]

[(1)

The child-placing agency must have written policies to guide caregivers in management of problem behavior of children in substitute care or adoptive placement prior to consummation. The policies must also include measures for positive responses to appropriate behavior. The agency must give copies of the policies to staff, foster parents, adoptive parents, and to birth parents or managing conservators.]

(a)

[ (2) ] Disciplinary measures used by caregivers must:

(1)

[ (A) ] be consistent with the agency's policies;

(2)

[ (B) ] not be physically or emotionally damaging to the child; and

(3)

[ (C) ] be individualized to meet each child's needs.

(b)

[ (3) ] Only adult caregivers may discipline a child.

(c)

[ (4) ] Children must not be subjected to any harsh, cruel, unusual, unnecessary, demeaning, or humiliating punishment.

(d)

[ (5) ] Children must not be denied food, mail, or visits with their families as punishment.

(e)

[ (6) ] Children must not be threatened with the loss of placement [ as a means of controlling behavior ].

(f)

[ (7) ] The reasons for any punishment or restriction must be explained to the child when the measures are imposed.

(g)

[ (8) ] Physical punishment must not be used with any child placed in substitute care or in an adoptive placement prior to consummation of the adoption.

(h)

[ (9) ] If a child is restricted to a foster or adoptive home for more than 24 hours, the restrictions must be recorded in the child's record.

[(b)

Restraint and seclusion.]

[(1)

If the agency's policies permit the use of any form of restraint, this must be limited to emergency use of personal restraint.]

[(2)

Restraining measures must not be used as punishment, as a substitute for effective treatment or program, or for the caregiver's convenience.]

[(3)

If restraining measures are used, only such force as is reasonable and necessary may be used.]

[(4)

If the agency authorizes the use of restraint for a child, caregivers must be trained in the type(s) of restraint authorized before the child is placed.]

[(5)

Personal restraint may be used only when a child's behavior endangers himself or others.]

[(6)

The child must be released from personal restraint as soon as he is no longer a danger to himself or others.]

[(7)

Any use of personal restraint must be documented in the child's record, including:]

[(A)

the date and time the caregiver began using the restraint and the name of the caregiver using it;]

[(B)

a description of the specific behaviors necessitating the use of the restraint;]

[(C)

the type of restraint used and the length of time the child was restrained; and]

[(D)

any injury the child sustained as a result of the incident or the use of restraint.]

[(8)

The use of personal restraint must be evaluated as part of the next service plan review. The agency must consider alternative strategies to handle the behavior that required using personal restraint. This evaluation and instructions to caregivers must be documented in the child's record.]

[(9)

Except as permitted in Chapter 720, Subchapter S, Standards for Child Care Facilities Serving Children with Autistic-like Behavior, of this title, mechanical restraints, seclusion, or placing a child in a locked room must not be used in an agency home or adoptive placement. Protective devices may only be used when prescribed by a physician.]

[(10)

At admission, the child-placing agency must explain to children able to comprehend the information, the agency's policies and practices on the use of restraint. The explanation must include who is permitted to do a restraint, the things caregivers must first try to do to defuse the situation and avoid the use of restraint, the kinds of situations in which restraint may be used, the types of restraints authorized by the agency, what a child needs to do to end the use of a restraint, and the way to report an inappropriate restraint. This explanation must be documented in the child's record.]

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 March 23, 2001.

TRD-200101732

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter B. STANDARDS FOR AGENCY HOMES

40 TAC §720.120

The amendment is proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendment implements the Human Resources Code, §42.029 and §42.042.

§720.120.Children's Rights.

(a)-(b)

(No change.)

(c)

Discipline shall be consistent with the policies of the child-placing agency. There shall be no cruel, harsh, unusual, or unnecessary punishment. The foster parents shall keep a record of the physical punishment administered to children and the imposition of restrictions to the agency home that exceed 24 hours.

(1)-(3)

(No change.)

(4)

Any discipline [ or control ] shall be appropriate to the child's age and developmental level.

(5)-(7)

(No change.)

[(d)

Children shall not be placed in a locked room.]

[(e)

Physical holding as a method of restraint shall be used only when necessary to protect the child from injury to self or others.]

[(1)

The use of holding and the length of time used shall be reported to the agency and recorded in the child's case record.]

[(2)

Mechanical restraints shall not be used.]

[(3)

At admission, the foster parents must explain to children able to comprehend the information, the home's policies and practices on the use of restraint. The explanation must include who can do a restraint, the things caregivers must first try to do to defuse the situation and avoid the use of restraint, the kinds of situations in which restraint may be used, the types of restraints authorized by the agency under which the home operates, what a child needs to do to end the use of a restraint, and the way to report an inappropriate restraint. This explanation must be documented in the child's record.]

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 March 23, 2001.

TRD-200101733

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter C. STANDARDS FOR HABILITATIVE AND THERAPEUTIC AGENCY HOMES

40 TAC §§720.131, 720.133, 720.135, 720.137

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.131.Personnel Staffing Standards for Habilitative Agency Homes.

(a)

(No change.)

(b)

The child-placing agency must have a psychologist available for diagnosis, treatment, and consultation.

(1)

He or she must be a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ].

(2)

(No change.)

§720.133.Child Care, Development, and Training Standards for Habilitative Agency Homes.

(a)-(c)

(No change.)

(d)

Children's rights.

[ (1) ]

Discipline must be consistent with the policies of the child-placing agency. There must be no cruel, harsh, unusual, or unnecessary punishment.

(1)

[ (A) ] Only foster parents or adult caregivers may discipline a child.

(2)

[ (B) ] Children must not be subjected to verbal remarks that belittle or ridicule them or their families.

(3)

[ (C) ] Children must not be denied food, mail, or family visits as punishment.

(4)

[ (D) ] Children must not be threatened with the loss of foster home placement as punishment.

(5)

[ (E) ] Discipline must fit the needs of the child.

(6)

[ (F) ] Children must not be punished by shaking, striking, or spanking.

(7)

[ (G) ] A record must be kept of the imposition of restrictions to the agency home that exceed 24 hours.

[(2)

Physical holding for restraint or mechanical restraints must be used only to protect the child from injury to self or others.]

[(A)

In an emergency, only physical holding can be used unless a physician orders mechanical restraint. The nature of the emergency must be documented.]

[(B)

The need for restraint, the type of restraint used, and the length of time the restraint was used must be recorded in the child's record.]

[(C)

If physical holding for restraint is to be used other than in an emergency, it can be used only upon the orders of a licensed physician.]

[(D)

Any order for physical restraint must designate the type of restraint, the circumstances, and the duration of its use.]

(e)

(No change.)

§720.135.Personnel Standards For Therapeutic Agency Homes.

(a)

Staffing. The child-placing agency must provide staff necessary to ensure the proper care, treatment, and safety of the residents.

(1)

(No change.)

(2)

The child-placing agency must arrange to obtain services of a professional consultant team which has responsibility for supervising and reviewing the needs and treatment of residents. Documentation of the services provided by these professionals and the frequency of services shall be made. This professional team must include:

(A)

(No change.)

(B)

a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ]; and

(C)

(No change.)

(b)

(No change.)

§720.137.Child Care, Development, and Training Standards for Therapeutic Agency Homes.

(a)-(b)

(No change.)

(c)

Residents' rights.

[ (1) ]

Discipline must be consistent with the policies of the child-placing agency and must not be physically or emotionally damaging. There must be no cruel, harsh, unusual, or unnecessary punishment.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline residents.

(2)

[ (B) ] Residents must not be subjected to verbal remarks that belittle or ridicule them or their families.

(3)

[ (C) ] Residents must not be denied food, mail, or family visits as punishment.

(4)

[ (D) ] Discipline must fit the needs of each resident.

(5)

[ (E) ] Residents must not be punished by shaking, striking, or spanking.

(6)

[ (F) ] A record must be kept of the imposition of restrictions to the agency home that exceed 24 hours.

(7)

[ (G) ] Residents must not be threatened with the loss of foster home placement as punishment. Potential moving to a more restrictive setting must be presented as an opportunity for healthier growth.

[(2)

Physical holding for restraint can be used only in an emergency and when necessary to protect the resident from injury to self or others. When physical restraint is used, the circumstances, including the length of time the restraint was used, must be documented in the resident's record. The use of mechanical restraint or seclusion is prohibited.]

(d)

(No change.)

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 March 23, 2001.

TRD-200101734

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter D. STANDARDS FOR HABILITATIVE AND THERAPEUTIC FAMILY HOMES

40 TAC §§720.201, 720.203, 720.205, 720.207

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.201.Personnel-Staffing Standards for Habilitative Family Homes.

(a)

(No change.)

(b)

The habilitative family home must have a psychologist available for diagnosis, treatment, and consultation.

(1)

He or she must be a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ].

(2)

(No change.)

§720.203.Child Care, Development, and Training Standards for Habilitative Family Homes.

(a)-(c)

(No change.)

(d)

Children's rights.

[ (1) ]

The habilitative family home must have written policies regarding methods used for [ control and ] discipline of children. The policies must be available to foster parents and adult caregivers. The home must also provide written information to the parents or managing conservators that identifies the person or office that parents or managing conservators can contact if they feel their children's rights have been violated. Copies of the discipline policy must be submitted to the department with each application for a license and at any time a change is made in the policy. Discipline must be consistent with the policies of the home and must not be physically or emotionally damaging.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline children.

(2)

[ (B) ] Children must not be subjected to cruel, harsh, unusual, or unnecessary punishment.

(3)

[ (C) ] A record must be kept of the imposition of restrictions to the foster home that exceed 24 hours.

(4)

[ (D) ] Children must not be subjected to verbal remarks that belittle or ridicule them or their families.

(5)

[ (E) ] Children must not be denied food, mail, or family visits as punishment.

(6)

[ (F) ] Children must not be threatened with the loss of foster home placement as punishment.

(7)

[ (G) ] Any discipline [ or control ] must fit the needs of each child.

(8)

[ (H) ] Children must not be punished by shaking, striking, or spanking.

[(2)

Physical holding or mechanical restraints must be used only to protect the child from injury to self or others.]

[(A)

In an emergency, only physical holding can be used, unless a physician orders mechanical restraint. The nature of the emergency must be documented.]

[(B)

The need for restraint, the type of restraint used, and the length of time the restraint was used must be recorded in the child's record.]

[(C)

If physical holding for restraint is to be used other than in an emergency, it can be used only upon the orders of a licensed physician.]

[(D)

Any order for restraint must designate the type of restraint, the circumstances, and the duration of its use.]

(e)

(No change.)

§720.205.Personnel Standards for Therapeutic Family Homes.

(a)

Staffing. The therapeutic family home must provide staff necessary to ensure the proper care, treatment, and safety of the residents.

(1)

(No change.)

(2)

The therapeutic family home must arrange to obtain services of a professional consultant team which has responsibility for supervising and reviewing the needs and treatment of residents. Documentation of the services provided by these professionals and the frequency of services shall be made. This professional team must include:

(A)

(No change.)

(B)

a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ]; and

(C)

(No change.)

(b)

(No change.)

§720.207.Child Care, Development, and Training Standards for Therapeutic Family Homes.

(a)-(b)

(No change.)

(c)

Residents' rights.

[ (1) ]

The therapeutic family home must have written policies regarding methods used for [ control and ] discipline of children. The policies must be available to appropriate staff. The home must also provide written information to the parents or managing conservators that identifies the person or office that parents or managing conservators can contact if they feel their children's rights have been violated. Copies of the home's discipline policy must be submitted to the department with each application for a license and resubmitted at any time a change is made in policy. Discipline must be consistent with the policies of the home and must not be physically or emotionally damaging.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline residents.

(2)

[ (B) ] Residents must not be subjected to cruel, severe, unusual, or unnecessary punishment.

(3)

[ (C) ] A record must be kept of the imposition of restrictions to the foster home that exceed 24 hours.

(4)

[ (D) ] Residents must not be subjected to verbal remarks that belittle or ridicule them or their families.

(5)

[ (E) ] Residents must not be denied food, mail, or family visits as punishment.

(6)

[ (F) ] Residents must not be threatened with the loss of foster home placement as punishment. Potential moving to a more restrictive setting must be presented as an opportunity for healthier growth.

(7)

[ (G) ] Any discipline [ or control ] must fit the needs of each resident.

(8)

[ (H) ] Residents must not be punished by shaking, striking, or spanking.

[(2)

Physical restraint can be used only in an emergency and when necessary to protect the resident from injury to self or others. When physical restraint is used, the circumstances, including the length of time the restraint was used, must be documented in the resident's record. The use of mechanical restraint or seclusion is prohibited.]

[(3)

A resident must not be placed alone in a locked room.]

(d)

(No change.)

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 March 23, 2001.

TRD-200101735

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter E. STANDARDS FOR FOSTER FAMILY HOMES

40 TAC §720.243

The amendment is proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendment implements the Human Resources Code, §42.029 and §42.042.

§720.243.Children's Rights and Privileges.

(a)-(g)

(No change.)

(h)

Discipline shall be consistent with the policies of the foster family home. The home shall provide copies of the discipline policies to the children's parents or managing conservators. The home shall also provide written information to the parents or managing conservators that identifies the person or office that parents or managing conservators can contact if they feel their children's rights have been violated. Copies of the foster family home's discipline policy shall be submitted to the department with each application for a license and resubmitted at any time a change is made in policy.

(1)-(9)

(No change.)

(10)

No form of discipline[ , control, ] or punishment shall be administered to children that violates state laws that protect children from abuse and neglect.

[(i)

Children shall not be placed in a locked room.]

[(j)

Physical holding as a form of restraint shall be used only when necessary to protect the child from injury to self or others. The use of physical holding and the length of time used shall be recorded in the child's case record. Mechanical restraints shall not be used. At admission, the foster parents must explain to children able to comprehend the information, the home's policies and practices on the use of restraint. The explanation must include who can do a restraint, the things caregivers must first try to do to defuse the situation and avoid the use of restraint, the kinds of situations in which restraint may be used, the types of restraints authorized by the home, what a child needs to do to end the use of a restraint, and the way to report an inappropriate restraint. This explanation must be documented in the child's record.]

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 March 23, 2001.

TRD-200101736

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter F. STANDARDS FOR FOSTER GROUP HOMES

40 TAC §720.305, §720.326

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.305.Children's Rights and Privileges in Homes Responsible to a Child-Placing Agency.

(a)-(f)

(No change.)

(g)

Discipline shall be consistent with the policies of the child-placing agency. There shall be no cruel, harsh, unusual, or unnecessary punishment. A record shall be kept at the foster group home of the physical punishment administered to children and the imposition of restrictions to the foster group home that exceed 24 hours.

(1)-(7)

(No change.)

(8)

No form of discipline[ , control, ] or punishment shall be administered to children that violates state laws that protect children from abuse and neglect.

[(h)

Physical holding as a form of restraint shall be used only to protect a child from injury to self or others. The use of physical holding and the length of time used shall be recorded in the child's case record. Mechanical restraint shall not be used.]

[(i)

Children shall not be placed in a locked room.]

[(j)

At admission, the foster parents must explain to children able to comprehend the information, the home's policies and practices on the use of restraint. The explanation must include who can do a restraint, the things caregivers must first try to do to defuse the situation and avoid the use of restraint, the kinds of situations in which restraint may be used, the types of restraints authorized by the agency under which the home operates, what a child needs to do to end the use of a restraint, and the way to report an inappropriate restraint. This explanation must be documented in the child's record.]

§720.326.Children's Rights and Privileges in an Independent Foster Group Home.

(a)-(l)

(No change.)

[(m)

Physical holding as a form or restraint shall be used only to protect the child from injury to self or others. The use of physical holding and the length of time it was used shall be recorded in the child's case record. Mechanical restraints shall not be used.]

[(n)

Children shall not be placed in a locked room.]

[(o)

At admission, the foster parents must explain to children able to comprehend the information, the home's policies and practices on the use of restraint. The explanation must include who can do a restraint, the things caregivers must first try to do to defuse the situation and avoid the use of restraint, the kinds of situations in which restraint may be used, the types of restraints authorized by the home, what a child needs to do to end the use of a restraint, and the way to report an inappropriate restraint. This explanation must be documented in the child's record.]

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 March 23, 2001.

TRD-200101737

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter G. STANDARDS FOR HABILITATIVE AND THERAPEUTIC GROUP HOMES RESPONSIBLE TO A CHILD-PLACING AGENCY AND FOR INDEPENDENT HABILITATIVE AND THERAPEUTIC GROUP HOMES

40 TAC §§720.361, 720.363, 720.365, 720.367, 720.368, 720.370, 720.372, 720.374

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.361.Personnel-Staffing Standards for Habilitative Group Homes Responsible to a Child-Placing Agency.

(a)

(No change.)

(b)

The child-placing agency habilitative group home must have a psychologist available for diagnosis, treatment, and consultation.

(1)

He or she must be a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ].

(2)

(No change.)

§720.363.Child Care, Development, and Training Standards for Habilitative Group Homes Responsible to a Child Placing Agency.

(a)-(c)

(No change.)

(d)

Children's rights.

[ (1) ]

Discipline must be consistent with the policies of the child-placing agency. There must be no cruel, harsh, unusual, or unnecessary punishment.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline children.

(2)

[ (B) ] Children must not be subjected to verbal remarks that belittle or ridicule them or their families.

(3)

[ (C) ] Children must not be denied food, mail, or family visits as punishment.

(4)

[ (D) ] Children must not be threatened with the loss of foster home placement as punishment.

(5)

[ (E) ] Any discipline [ or control ] must fit the needs of each child.

(6)

[ (F) ] Children must not be punished by shaking, striking, or spanking.

(7)

[ (G) ] A record must be kept of the imposition of restrictions to the home that exceed 24 hours.

[(2)

If the agency's policies permit the use of restraint, this must be limited to emergency use of personal restraint.]

[(A)

Restraining measures must not be used as punishment, as a substitute for effective treatment or program, or for the caregiver's convenience.]

[(B)

If restraining measures are used, only such force as is reasonable and necessary may be used.]

[(C)

If the agency authorizes the use of restraint for a child, caregivers must be trained in the type of restraint authorized before the child is placed in the agency home.]

[(D)

Personal restraint may be used only when a child's behavior endangers himself or others.]

[(E)

The child must be released from personal restraint as soon as he is no longer a danger to himself or others.]

[(F)

Any use of personal restraint must be documented in the child's record, including:]

[(i)

the date and time the caregiver began using the restraint and the name of the caregiver using it;]

[(ii)

a description of the specific behaviors necessitating the use of the restraint;]

[(iii)

the type of restraint used and the length of time the child was restrained; and]

[(iv)

any injury the child sustained as a result of the incident or the use of restraint.]

[(G)

The use of personal restraint must be evaluated as part of the next service plan review. The agency must consider alternative strategies to handle the behavior that required using personal restraint. This evaluation and instructions to caregivers concerning alternative strategies must be documented in the child's record.]

[(H)

Except as permitted in Subchapter S of this chapter (relating to Standards for Child Care Facilities Serving Children with Autistic-like Behavior), mechanical restraints, seclusion, or placing a child in a locked room must not be used in an agency home. Protective devices may only be used when prescribed by a physician.]

(e)

(No change.)

§720.365.Personnel Standards for Therapeutic Group Homes Responsible to a Child-Placing Agency.

(a)

Staffing. The child-placing agency therapeutic group home must provide staff necessary to ensure the proper care, treatment, and safety of the residents.

(1)

(No change.)

(2)

The child-placing agency therapeutic group home must arrange to obtain services of a professional consultant team which has responsibility for supervising and reviewing the needs and treatment of residents. Documentation of the services provided by these professionals and the frequency of service shall be made. This professional team must include: a licensed physician who is a psychiatrist or a physician who specializes in children with psychiatric disorders; a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ]; and a social worker with a master's degree in social work from a school accredited by the Council of Social Work Education.

(b)

(No change.)

§720.367.Child Care, Development, and Training Standards for Therapeutic Group Homes Responsible to a Child-Placing Agency.

(a)-(b)

(No change.)

(c)

Residents' rights.

[ (1) ]

Discipline must be consistent with the policies of the child-placing agency. There must be no cruel, harsh, unusual, or unnecessary punishment.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline residents.

(2)

[ (B) ] Residents must not be subjected to verbal remarks that belittle or ridicule them or their families.

(3)

[ (C) ] Residents must not be denied food, mail, or family visits as punishment.

(4)

[ (D) ] Residents must not be threatened with the loss of foster home placement as punishment. Potential moving to a more restrictive setting must be presented as an opportunity for healthier growth.

(5)

[ (E) ] Any discipline [ or control ] must fit the needs of each resident.

(6)

[ (F) ] Residents must not be punished by shaking, striking, or spanking.

(7)

[ (G) ] A record must be kept of the imposition of restrictions to the home that exceed 24 hours.

[(2)

If the agency's policies permit the use of restraint, this must be limited to emergency use of personal restraint.]

[(A)

Restraining measures must not be used as punishment, as a substitute for effective treatment or program, or for the caregiver's convenience.]

[(B)

If restraining measures are used, only such force as is reasonable and necessary may be used.]

[(C)

If the agency authorizes the use of restraint for a child, caregivers must be trained in the type of restraint authorized before the child is placed in the agency home.]

[(D)

Personal restraint may be used only when a child's behavior endangers himself or others.]

[(E)

The child must be released from personal restraint as soon as he is no longer a danger to himself or others.]

[(F)

Any use of personal restraint must be documented in the child's record, including:]

[(i)

the date and time the caregiver began using the restraint and the name of the caregiver using it;]

[(ii)

a description of the specific behaviors necessitating the use of the restraint;]

[(iii)

the type of restraint used and the length of time the child was restrained; and]

[(iv)

any injury the child sustained as a result of the incident or the use of restraint.]

[(G)

The use of personal restraint must be evaluated as part of the next service plan review. The agency must consider alternative strategies to handle the behavior that required using personal restraint. This evaluation and instructions to caregivers concerning alternative strategies must be documented in the child's record.]

[(H)

Except as permitted in Subchapter S of this chapter (relating to Standards for Child Care Facilities Serving Children with Autistic-like Behavior), mechanical restraints, seclusion, or placing a child in a locked room must not be used in an agency home. Protective devices may only be used when prescribed by a physician.]

(d)

(No change.)

§720.368.Personnel-Staffing Standards for Independent Habilitative Group Homes.

(a)

(No change.)

(b)

The independent habilitative group home must have a psychologist available for diagnosis, treatment, and consultation.

(1)

He or she must be a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ].

(2)

(No change.)

§720.370.Child Care, Development, and Training Standards for Independent Habilitative Group Homes.

(a)-(c)

(No change.)

(d)

Children's rights.

[ (1) ]

The independent habilitative group home must have written policies regarding methods used for [ control and ] discipline of children. The policies must be available to appropriate staff. The home must also provide written information to the parents or managing conservators that identifies the person or office that parents or managing conservators can contact if they feel their children's rights have been violated. Copies of the discipline policy shall be submitted to the department with each application for a license and at any time a change is made in the policy. Discipline must be consistent with the policies of the home and must not be physically or emotionally damaging.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline children.

(2)

[ (B) ] Children must not be subjected to cruel, harsh, unusual, or unnecessary punishment.

(3)

[ (C) ] A record must be kept of the imposition of restrictions to the home that exceed 24 hours.

(4)

[ (D) ] Children must not be subjected to verbal remarks that belittle or ridicule them or their families.

(5)

[ (E) ] Children must not be denied food, mail, or family visits as punishment.

(6)

[ (F) ] Children must not be threatened with the loss of foster home placement as punishment.

(7)

[ (G) ] Any discipline [ or control ] must fit the needs of each child.

(8)

[ (H) ] Children must not be punished by shaking, striking, or spanking.

[(2)

If the facility's policies permit the use of restraint, this must be limited to emergency use of personal restraint.]

[(A)

Restraining measures must not be used as punishment, as a substitute for effective treatment or program, or for the caregiver's convenience.]

[(B)

If restraining measures are used, only such force as is reasonable and necessary may be used.]

[(C)

Personal restraint may be used only when a child's behavior endangers himself or others.]

[(D)

The child must be released from personal restraint as soon as he is no longer a danger to himself or others.]

[(E)

Any use of personal restraint must be documented in the child's record, including:]

[(i)

the date and time the caregiver began using the restraint and the name of the caregiver using it;]

[(ii)

a description of the specific behaviors necessitating the use of the restraint;]

[(iii)

the type of restraint used and the length of time the child was restrained; and]

[(iv)

any injury the child sustained as a result of the incident or the use of restraint.]

[(F)

The use of personal restraint must be evaluated as part of the next service plan review. The facility must consider alternative strategies to handle the behavior that required using personal restraint. This evaluation and instructions to caregivers concerning alternative strategies must be documented in the child's record.]

[(G)

Except as permitted in Subchapter S of this chapter, (relating to Standards for Child Care Facilities Serving Children with Autistic-like Behavior), mechanical restraints, seclusion, or placing a child in a locked room must not be used in a foster group home. Protective devices may only be used when prescribed by a physician.]

(e)

(No change.)

§720.372.Personnel Standards for Independent Therapeutic Group Homes.

(a)

Staffing. The independent therapeutic group home must provide staff necessary to ensure the proper care, treatment, and safety of the residents.

(1)

(No change.)

(2)

The independent therapeutic group home must arrange to obtain services of a professional consultant team which has responsibility for supervising and reviewing the needs and treatment of residents. Documentation of the services provided by these professionals and the frequency of services shall be made. This professional team must include: a licensed physician who is psychiatrist or a physician who specializes in children with psychiatric disorders; a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ]; and a social worker with a master's degree in social work from a school accredited by the Council of Social Work Education.

(b)

(No change.)

§720.374.Child Care, Development, and Training Standards for Independent Therapeutic Group Homes.

(a)-(b)

(No change.)

(c)

Residents' rights.

[ (1) ]

The independent therapeutic group home must have written policies regarding methods used for [ control and ] discipline of children. The policies must be available to appropriate staff. The home must also provide written information to the parents or managing conservators that identifies the person or office that parents or managing conservators can contact if they feel their children's rights have been violated. Copies of the home's discipline policy must be submitted to the department with each application for a license and resubmitted at any time a change is made in policy. Discipline must be consistent with the policies of the home and cannot be physically or emotionally damaging.

(1)

[ (A) ] Only foster parents or adult caregivers can discipline residents.

(2)

[ (B) ] Residents must not be subjected to cruel, severe, unusual, or unnecessary punishment.

(3)

[ (C) ] A record must be kept of the imposition of restrictions to the home that exceed 24 hours.

(4)

[ (D) ] Residents must not be subjected to verbal remarks that belittle or ridicule them or their families.

(5)

[ (E) ] Residents must not be denied food, mail, or family visits as punishment.

(6)

[ (F) ] Residents must not be threatened with the loss of foster home placement as punishment. Potential moving to a more restrictive setting must be presented as an opportunity for healthier growth.

(7)

[ (G) ] Any discipline [ or control ] must fit the needs of each resident.

(8)

[ (H) ] Residents must not be punished by shaking, striking, or spanking.

[(2)

If the facility's policies permit the use of restraint, this must be limited to emergency use of personal restraint.]

[(A)

Restraining measures must not be used as punishment, as a substitute for effective treatment or program, or for the caregiver's convenience.]

[(B)

If restraining measures are used, only such force as is reasonable and necessary may be used.]

[(C)

Personal restraint may be used only when a child's behavior endangers himself or others.]

[(D)

The child must be released from personal restraint as soon as he is no longer a danger to himself or others.]

[(E)

Any use of personal restraint must be documented in the child's record, including:]

[(i)

the date and time the caregiver began using the restraint and the name of the caregiver using it;]

[(ii)

a description of the specific behaviors necessitating the use of the restraint;]

[(iii)

the type of restraint used and the length of time the child was restrained; and]

[(iv)

any injury the child sustained as a result of the incident or the use of restraint.]

[(F)

The use of personal restraint must be evaluated as part of the next service plan review. The facility must consider alternative strategies to handle the behavior that required using personal restraint. This evaluation and instructions to caregivers concerning alternative strategies must be documented in the child's record.]

[(G)

Except as permitted in Subchapter S of this chapter, (relating to Standards for Child Care Facilities Serving Children with Autistic-like Behavior), mechanical restraints, seclusion, or placing a child in a locked room must not be used in a foster group home. Protective devices may only be used when prescribed by a physician.]

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 March 23, 2001.

TRD-200101738

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter H. CONSOLIDATED STANDARDS FOR 24-HOUR CARE FACILITIES

40 TAC §§720.420, 720.423, 720.440, 720.501, 720.506, 720.508, 720.520, 720.523, 720.530, 720.540, 720.550, 720.570

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.420.Plan of Service.

(a)

The requirements in this section do not apply to residential treatment centers. Residential treatment centers must meet the requirements for a treatment plan in §§720.520 - 720.530 and §§720.535 - 720.537 [ §§720.520-720.537 ] of this title (relating to Program Director and Admission Staff-Residential Treatment Centers; Other Professional Staff-Residential Treatment Centers; Staff-Child Ratio-Residential Treatment Centers; Training-Residential Treatment Centers; Admission Policies-Residential Treatment Centers; Admission Procedures-Residential Treatment Centers; Emergency Admission-Residential Treatment Centers; Preliminary Treatment Plan-Residential Treatment Centers; Treatment Plan-Residential Treatment Centers; Treatment Plan Review-Residential Treatment Centers; Problem Management-Residential Treatment Centers; [ Restraining Measures-Residential Treatment Centers; Protective Devices-Residential Treatment Centers; Mechanical Restraint-Residential Treatment Centers; Seclusion-Residential Treatment Centers; ] Child Care-Residential Treatment Centers; Health and Safety-Residential Treatment Centers; and Environment-Residential Treatment Centers).

(b)-(e)

(No change.)

§720.423.Problem Management.

(a)

The facility must have current written policies and procedures to guide staff in disciplining [ and controlling ] children. Measures for positive responses to appropriate behavior must be included. A copy of the policies and procedures must be submitted to licensing with the initial application and when changes are made.

(b)-(g)

(No change.)

§720.440.Program Staff--Institutions Providing Basic Child Care.

The person responsible for the admission assessment, the plan of service, and the plan of service updates must meet one of the following qualifications:

(1)

a master's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed master [ certified ] social worker (LMSW) and at least one year of experience in children's or family services;

(2)

(No change.)

(3)

a bachelor's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed social worker (LSW) and at least two years of experience in children's or family services;

(4)-(6)

(No change.)

§720.501.Program Staff--Institutions Serving Mentally Retarded Children.

(a)

The person responsible for developing the admission assessment, the plan of service, and the plan of service updates must meet one of the following qualifications:

(1)

a master's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed master [ certified ] social worker (LMSW) and at least one year of experience in children's or family services;

(2)

(No change.)

(3)

a bachelor's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed social worker (LSW) and at least two years of experience in children's or family services;

(4)-(6)

(No change.)

(b)

A psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ] must be available for diagnosis, treatment, and consultation. If the psychologist is not on the institution's staff, the institution must document that his services are available on at least a continuing consulting basis.

§720.506.Plan of Service--Institutions Serving Mentally Retarded Children.

(a)

A psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologist's Certification and Licensing Act ] must determine the need and frequency for re-evaluation of each child's intellectual functioning. The evaluation and recommendations must be documented in the child's record.

(b)-(d)

(No change.)

§720.508.Problem Management--Institutions Serving Mentally Retarded Children.

[ (a) ]

No type of physical punishment may be inflicted in any manner upon any part of a child's body.

[(b)

The facility must have current written policies and procedures for using any form of restraint.]

§720.520.Program Director and Admission Assessment Staff--Residential Treatment Centers.

(a)

The person responsible for the overall treatment program must be full-time staff with at least the following minimum qualifications:

(1)

a master's degree in a mental health field from an accredited college or university or licensure by the Texas State Social Work Board of Examiners [ certification by the Texas Department of Human Services (DHS) ] as a licensed master [ certified ] social worker (LMSW) ; and

(2)

(No change.)

(b)

Staff responsible for evaluating potential admissions on the basis of data collected as part of the admission assessment must have at least the following minimum qualifications:

(1)

a master's degree in a mental health field from an accredited college or university or licensure by the Texas State Social Work Board of Examiners [ certification by DHS ] as a licensed master [ certified ] social worker (LMSW) ; and

(2)

(No change.)

(c)

(No change.)

(d)

Staff responsible for developing a preliminary treatment plan for each child must have at least the following minimum qualifications:

(1)

a master's degree in a mental health field from an accredited college or university or licensure by the Texas State Social Work Board of Examiners [ certification by DHS ] as a licensed master [ certified ] social worker (LMSW) ; and

(2)

(No change.)

§720.523.Training--Residential Treatment Centers.

(a)-(b)

(No change.)

(c)

Training must include information on the center's treatment methods and [ , ] program[ , and behavior management ].

§720.530.Problem Management--Residential Treatment Centers.

[ (a) ]

No type of physical punishment may be inflicted in any manner upon any part of a child's body.

[(b)

The facility must have current written policies and procedures for using seclusion or any form of restraint.]

§720.540.Program Staff--Halfway Houses.

(a)

The person responsible for developing the admission assessment, the plan of service, and plan of service updates must meet one of the following qualifications:

(1)

a master's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed master [ certified ] social worker (LMSW) and at least one year of experience in children's or family services;

(2)

(No change.)

(3)

a bachelor's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed social worker (LSW) and at least two years of experience in children's or family services;

(4)-(6)

(No change.)

(b)

(No change.)

(c)

Persons responsible for educational and vocational testing of children in care must have at least one of the following qualifications:

(1)

designation as a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ];

(2)

(No change.)

§720.550.Program Staff--Therapeutic Camps.

Staff responsible for developing the admission assessment, the comprehensive plan of service, and plan of service updates must meet at least one of the following qualifications:

(1)

a master's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed master [ certified ] social worker (LSMW) and at least one year of experience in children's or family services;

(2)

(No change.)

(3)

a bachelor's degree in social work from an accredited college or university or state licensure [ certification ] as a licensed social worker (LSW) and at least two years of experience in children's or family services;

(4)-(6)

(No change.)

§720.570.Definitions.

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise:

(1)-(3)

(No change.)

[(4)

Behavior endangering self or others--Behavior capable of causing physical harm to self or others; may include running away; physical holding may be used to prevent a child from running away because it is directly linked to protecting him from potential injury; may include destruction of property; however, physical holding to prevent destruction of property is permitted only after less restrictive interventions have been attempted and failed. Attempts to use less restrictive interventions must be documented in the child's record as part of documenting the need for restraint if destruction of property is defined as behavior endangering self or others.]

[(5)

Child care facility--A facility providing care, training, education, custody, treatment, or supervision for a child who is not related by blood, marriage, or adoption to the facility's owner or operator for all or part of the 24-hour day whether or not the facility is operated for profit and whether or not the facility charges for its service.]

(4)

[ (6) ] Children's or family services--Services designed to:

(A)

support or reinforce the ability of parents to meet children's needs;

(B)

supplement the care children receive from parents or to compensate for certain inadequacies in parental care; and

(C)

substitute for parental care either in whole or in part.

(5)

[ (7) ] Emergency admission--An emergency exists if:

(A)

a child is in danger;

(B)

a child is a danger to others; or

(C)

a child is abandoned and does not have a place to stay.

(6)

[ (8) ] External drug--A drug that, if administered orally or by injection, may harm or kill the patient.

(7)

[ (9) ] First aid supplies--Required supplies include multisize adhesive bandages, gauze pads, tweezers, cotton balls, hydrogen peroxide, syrup of ipecac, and a thermometer.

(8)

[ (10) ] Full-time--At least 30 hours per week.

(9)

[ (11) ] Governing body--The entity with ultimate authority and responsibility for the facility's overall operation. All governing bodies are one of the following types:

(A)

sole proprietorship--Personal ownership with the legal right and responsibility to possess, operate, sell, and otherwise deal with the facility; may include a facility owned in common by husband and wife;

(B)

partnership--A combination by contract of two or more people who use their money, labor, and skill to carry on a continuing business, dividing the profits and sharing the losses in an agreed manner; includes general and limited partnerships;

(C)

corporation--An intangible entity created by individuals to operate for profit but to limit individual liability; organized according to the Texas Business Corporation Act or similar act of another state as evidenced by its articles of incorporation;

(D)

nonprofit corporation--The equivalent of not for profit corporation. None of the income is distributed to members, directors, or officers; organized under the Texas Nonprofit Corporation Act or similar act of another state;

(E)

nonprofit corporation with religious affiliation--An entity with nonprofit corporation status operated by, responsible to, or associated with an organization of individuals devoted to religious purposes; those whose relation with a religious organization is only for business, such as those who only lease space, are not included;

(F)

association--A combination of individuals and interests of some kind without IRS tax-exempt status; not organized under the Texas Business Corporation Act;

(G)

nonprofit association--A combination of individuals and interests of some kind, synonymous with society, with operations devoted to charitable, benevolent, religious, patriotic, or educational purposes; not organized under the Texas Business Corporation Act;

(H)

nonprofit association with religious affiliation--A combination of individuals and interests of some kind, synonymous with society, with operations devoted to religious purposes; not organized under the Texas Business Corporation Act; operated by, responsible to, or associated with an organization of individuals devoted to religious purposes. Those whose relationship with a religious organization is only for business, such as those who only lease space, are not included.

(10)

[ (12) ] Hospital--Refers only to a licensed or accredited facility.

(11)

[ (13) ] Legend drug--A drug that bears the following caution on its label: "Federal law prohibits dispensing without a prescription." A prescription from a licensed physician is required for purchase.

(12)

[ (14) ] Living unit--A building or part of a building where a group of children live.

[(15)

Mechanical restraint--Any physical device used to restrict the movement of the whole or a portion of a child's body, except when such restriction is primarily used to prevent self-injury or permit wounds to heal.]

(13)

[ (16) ] Mental health field--A major field of study focusing on normal and abnormal human development and personal and interpersonal relationship skills. A degree in a mental health field must be from an accredited college or university and include a clinical internship or field placement.

(14)

[ (17) ] Mobile nonambulatory--The inability to walk without assistance, but ability to move from place to place using devices such as walkers, crutches, wheel chairs, wheeled platforms, and so on.

(15)

[ (18) ] Neglect--Nonaccidental failure or threatened failure to provide a child with the physical and emotional requirements for life, growth, and development.

(16)

[ (19) ] New facility--A child care facility that is not yet in operation.

(17)

[ (20) ] Nonambulatory--The inability to walk independently and without assistance; applies to both mobile nonambulatory and nonmobile individuals.

(18)

[ (21) ] Nonmobile--The inability to move from place to place.

(19)

[ (22) ] Nonlegend drug--A drug that does not require a prescription from a licensed practitioner for purchase; may also be called an over-the-counter (OTC) drug. A written prescription for a nonlegend drug does not make the drug legend.

(20)

[ (23) ] Normalization principle--The principle of helping the developmentally disabled to live as normally as possible; making available to them patterns and conditions of everyday life that are as close as possible to the norms and patterns of the mainstream of society; specifically, the use of means that are as culturally normative as possible to elicit and maintain behavior that is as culturally normative as possible.

[(24)

Personal restraint--Any contact of a staff member's body to restrict the movement of the whole or a portion of a child's body.]

(21)

[ (25) ] Physician--A person registered and licensed under the Medical Practice Act or practicing on a United States Military Installation.

(22)

[ (26) ] Professional staff--People include:

(A)

psychiatrist--a licensed physician with advanced training in the diagnosis and treatment of mental and emotional disorders;

(B)

psychologist--a person licensed as set forth in the Texas Occupations Code, Chapter 501 [ qualified according to the Psychologists' Certification and Licensing Act ];

(C)

social worker--a person licensed [ certified ] by the Texas State Social Work Board of Examiners [ department ] as a [ certified ] social worker;

(D)

person qualified to provide social work services--a person with a master's degree in social work from an accredited college or university; and

(E)

professional counselors licensed by the Texas State Board of Examiners of Professional Counselors [ Department of Health ]. Other professional staff in fields such as nursing, special education, vocational counseling, and so on may be included in the professional staffing plan for residential treatment centers if their responsibilities are appropriate to the scope of the facility's program description. These professionals must have the minimum qualifications generally recognized in their area of specialization.

[(27)

Protective device--Devices used to prevent self-injury or self-mutilation.]

(23)

[ (28) ] Psychologist--Psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act (Texas Civil Statutes, Article 4512c) ].

(24)

[ (29) ] Sample drug--A drug given without charge to a licensed practitioner that may be prescribed in the treatment regimen.

(25)

[ (30) ] Schedule II drug--A drug classified under the Dangerous Drugs and Controlled Substances Act of 1970 that has a high potential for abuse with severe psychic or physical dependence possible.

[(31)

Seclusion--Confinement, without staff present, in a locked room or in another isolated area from which the child is prevented from exiting.]

(26)

[ (32) ] Serious incident--Any nonroutine occurrence that has an impact on the care, supervision, and/or treatment of a child or children. This includes, but is not limited to, suicide attempts, injuries requiring medical treatment, runaways, commission of a crime, allegations of abuse and/or neglect, or abusive treatment.

(27)

[ (33) ] Significantly below average intellectual functioning--Performance that is two or more standard deviations from the mean or average of the tests (usually 68 on Stanford-Binet or Cattell and 70 on the Wechsler).

(28)

[ (34) ] Staff-child ratio--The ratio applies to the total facility and includes children of staff who live in child care units. Persons counted in the staff-child ratio must:

(A)

be engaged in child care activity; and

(B)

meet at least the qualifications for child care staff.

(29)

[ (35) ] Suicide attempts--Child's attempt to take his own life using means or methods capable of causing serious injury or means or method that the child believes capable of causing serious injury.

(30)

[ (36) ] Supervise (children)--Awareness of and responsibility for a child's ongoing activity. Supervision requires staff to have knowledge of program and children's needs and to be accountable for service delivery. The facility is responsible for providing the degree of supervision indicated by a child's age, developmental level, and physical, emotional, and social needs.

(31)

[ (37) ] Volunteer--A person who provides services to a facility without monetary compensation, includes sponsoring families. When a child in care is invited by another child in the community to participate in family, community, church, school, or other activities, this is not considered volunteer services, and the family is not considered a sponsoring family.

(32)

[ (38) ] Volunteer, short-term services through an organization or agency--Volunteer services provided through a church, civic, fraternal, or other organization or agency where individuals providing services have only occasional short-term contact with children in care. The facility must be aware of and approve the organization or agency's policies on volunteers who have contact with children.

(33)

[ (39) ] Volunteer, used as child care staff--A volunteer who provides child care services to a group of children without direct supervision by paid staff and/or whose presence must be counted for the facility to meet the staff-child ratio.

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 March 23, 2001.

TRD-200101739

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


40 TAC §§720.424, 720.425, 720.447, 720.509 - 720.511, 720.531 - 720.534, 720.547, 720.557

(Editor's note: The text of the following sections proposed for repeal will not be published. The sections may be examined in the offices of the Texas Department of Protective and Regulatory Services or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeals are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The repeals implement the Human Resources Code, §42.029 and §42.042.

§720.424.Restraining Measures.

§720.425.Personal Restraint.

§720.447.Restraining Measures: Institutions Providing Basic Child Care.

§720.509.Restraining Measures--Institutions Serving Mentally Retarded Children.

§720.510.Protective Devices--Institutions Serving Mentally Retarded Children.

§720.511.Mechanical Restraint--Institutions Serving Mentally Retarded Children.

§720.531.Restraining Measures--Residential Treatment Centers.

§720.532.Protective Devices--Residential Treatment Centers.

§720.533.Mechanical Restraint--Residential Treatment Centers.

§720.534.Seclusion--Residential Treatment Centers.

§720.547.Restraining Measures--Halfway Houses.

§720.557.Restraining Measures--Therapeutic Camps.

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 March 23, 2001.

TRD-200101740

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter M. STANDARDS FOR EMERGENCY SHELTERS

40 TAC §720.916, §720.923

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.916.Children's Rights.

(a)-(l)

(No change.)

[(m)

The emergency shelter must use physical holding as a form of restraint only to protect the child from injury to himself or others. The emergency shelter must document in the child's record the use of physical holding and the length of time used. The emergency shelter must not use mechanical restraint.]

[(n)

At admission, the facility must explain to children able to comprehend the information, the facility's policies and practices on the use of restraint. The explanation must include who can do a restraint, the things caregivers must first try to do to defuse the situation and avoid the use of restraint, the kinds of situations in which restraint may be used, the types of restraints authorized by the facility, what a child needs to do to end the use of a restraint, and the way to report an inappropriate restraint. This explanation must be documented in the child's record.]

[(o)

The emergency shelter may place children in a locked room only until they can be taken for immediate medical treatment. The emergency shelter must document in the child's record any seclusion of a child.]

(m)

[ (p) ] The emergency shelter must not allow children in care to act as or be employed as staff.

§720.923.Definitions.

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise:

(1)-(8)

(No change.)

(9)

Psychologist--Psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ].

(10)-(11)

(No change.)

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 March 23, 2001.

TRD-200101741

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter S. STANDARDS FOR CHILD-CARE FACILITIES SERVING CHILDREN WITH AUTISTIC-LIKE BEHAVIOR

40 TAC §§720.1503 - 720.1506

The amendments are proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendments implement the Human Resources Code, §42.029 and §42.042.

§720.1503.Admission.

(a)-(b)

(No change.)

(c)

The treatment team must be responsible for the evaluation and diagnosis of each child. The team must include a licensed physician who is a psychiatrist or a physician who specializes in children with psychiatric disorders, and has at least one year of experience in working with children with pervasive developmental disorders. The team must also include at least one of the following:

(1)

a psychologist licensed as set forth in the Texas Occupations Code, Chapter 501 [ as defined by the Psychologists' Certification and Licensing Act ]. The psychologist must have at least one year of experience in working with children with pervasive developmental disorders;

(2)-(3)

(No change.)

(d)

(No change.)

§720.1504.Treatment Plan.

(a)-(b)

(No change.)

(c)

The facility must implement the plan as follows:

(1)

(No change.)

(2)

If the treatment plan includes the use of aversive procedures, [ mechanical restraint, or chemical restraint, ] the facility must obtain written consent for its use from the parents or managing conservator. The facility must include the written consent in the child's record.

(3)-(4)

(No change.)

(d)

(No change.)

(e)

The facility must schedule a conference every three months to review and update the treatment plan. The facility also must schedule a conference every time the plan is altered. The person responsible for the treatment program and the foster parents or child-care worker with primary responsibility for the care of the child must attend the conference. The facility must invite the child's parents or managing conservator to attend the conference. If the parents or managing conservator are unable to attend the conference, the facility must document the reasons in the child's record. The facility documents the names of those who attended the conference in the child's records. The facility also must:

(1)-(2)

(No change.)

(3)

obtain written consent from the parents or managing conservator, if the updated plan includes initial use of aversive procedures[ , mechanical restraint, or chemical restraint ]; and

(4)

(No change.)

(f)

(No change.)

§720.1505.Behavior Therapy.

(a)-(g)

(No change.)

(h)

If a child is put in seclusion under §720.1011 of this title (relating to Seclusion), the child must not be placed in a dark room [ If aversive procedures include the use of locked time out, children must not be placed in a locked time-out room for more than 15-minute intervals ].

[(1)

Children in a locked time-out room must be watched or visually monitored on a continuous basis by the foster parent or child-care worker.]

[(2)

The facility must document in the child's records, the name of the person monitoring the child, and a description of the child's behavior while in a locked time-out room.]

[(3)

Children must not be placed in a dark room.]

(i)-(l)

(No change.)

§720.1506.Medical Therapy.

(a)-(g)

(No change.)

(h)

The [ Unless prescribed for chemical restraint, the ] facility must discontinue use of mind-altering or behavior-modifying medications if they interfere with a child's participation in his treatment plan.

[(i)

Facilities must only use chemical restraints to intervene in life-threatening situations when a child's self-abusive behavior could result in permanent disability.]

[(j)

The facility must ensure that children are transferred to an appropriate medical setting if their need for chemical restraint continues beyond the initial administration of the medication.]

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 March 23, 2001.

TRD-200101742

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


40 TAC §720.1507

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Department of Protective and Regulatory Services or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeal is proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The repeal implements the Human Resources Code, §42.029 and §42.042.

§720.1507.Mechanical Restraint.

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 March 23, 2001.

TRD-200101743

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Chapter 725. GENERAL LICENSING PROCEDURES

Subchapter OO. APPEALS OF LICENSING STAFF DECISIONS

40 TAC §725.4003

The Texas Department of Protective and Regulatory Services (TDPRS) proposes an amendment to §725.4003, concerning operations during appeal of denial or revocation, in its General Licensing Procedures chapter. The purpose of the amendment is to update the references to violations of standards that pose a risk to the health and safety of children to incorporate the behavior intervention rules that were effective September 1, 2000.

Mary Fields, Budget and Federal Funds Director, 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 government as a result of enforcing or administering the section.

Ms. Fields 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 obsolete references will be deleted, and correct references will be added. There will be no effect on large, small, or micro-businesses because the section does not impose new requirements on the cost of doing business, does not require the purchase of any new equipment, and should not require any increased staff time in order to comply. There is no anticipated economic cost to persons who are required to comply with the proposed section.

Questions about the content of the proposal may be directed to Lizet Alaniz at (512) 438- 4538 in TDPRS's Licensing Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-167, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

The amendment is proposed under the Human Resources Code (HRC), §42.029, which authorizes the department to propose and adopt rules to facilitate implementation of department programs; and HRC, §42.042, which gives the department the authority to promulgate rules to carry out the statute and to promulgate minimum standards for licensed child-care facilities and registered family homes.

The amendment implements the Human Resources Code, §§42.029 and 42.042.

§725.4003.Operations During Appeal of Denial or Revocation.

(a)-(b)

(No change.)

(c)

Violations of the following standards pose a risk to the health and safety of children:

(1)-(6)

(No change.)

(7)

Child-Placing Agencies.

(A)-(B)

(No change.)

(C)

§720.31(a)(2)-(3), (b)-(e), and (g) [ §720.31(a)(2)(B)-(C), (3)-(5) and (8), and (b)(1)-(6) and (8)-(9) ] of this title (relating to Problem Management);

(D)-(W)

(No change.)

(8)

Agency Homes.

(A)-(B)

(No change.)

(C)

§720.120(c) [ , (d), and (e)(2) ] of this title (relating to Children's Rights);

(D)-(H)

(No change.)

(9)

Habilitative and Therapeutic Agency Homes.

(A)

(No change.)

(B)

§720.133(c)(1), (d)(1)-(6), and (e)(2) [ §720.133(c)(1), (d)(1)(A)-(F) and (2) and (e)(2) ] of this title (relating to Child Care, Development, and Training Standards for Habilitative Agency Homes);

(C)-(D)

(No change.)

(E)

§720.137(c)(1)-(5) and (7), and (d) [ §720.137(c)(1)(A)-(E) and (G) and (2) and (d) ] of this title (relating to Child Care, Development, and Training Standards for Therapeutic Agency Homes).

(10)

Habilitative and Therapeutic Family Homes.

(A)

(No change.)

(B)

§720.203(c)(1), (d)(1)-(2), (4)-(6), and (8), and (e)(2) [ §720.203(c)(1), (d)(1)(A), (B), (D)-(F), (H), (2), and (e)(2) ] of this title (relating to Child Care, Development, and Training Standards for Habilitative Family Homes);

(C)-(D)

(No change.)

(E)

§720.207(c)(1)-(2), (4)-(6), and (8), and (d) [ §720.207(c)(1)(A)-(B), (D)-(F), (H), (2)-(3), and (d) ] of this title (relating to Child Care, Development, and Training Standards for Therapeutic Family Homes).

(11)

Foster Family Homes.

(A)-(D)

(No change.)

(E)

§720.243(h)(1), (2), (4), (5), and (8)-(10) [ , (i), and (j) ] of this title (relating to Children's Rights and Privileges);

(F)-(I)

(No change.)

(12)

Foster Group Homes.

(A)-(B)

(No change.)

(C)

§720.305 (f)-(g) [ §720.305(f)-(h) ] of this title (relating to Children's Rights and Privileges);

(D)-(N)

(No change.)

(O)

§720.326(l)(1)-(2), (4)-(5) and (7)-(9) [ , and (m)-(n) ] of this title (relating to Children's Rights and Privileges in an Independent Foster Group Home);

(P)-(U)

(No change.)

(13)

Habilitative and Therapeutic Group Homes Responsible to a Child-Placing Agency and for Independent Habilitative and Therapeutic Group Homes.

(A)

(No change.)

(B)

§720.370(c)(1), (d)(1)-(6), and (8), and (e)(2) [ §720.370(c)(1), (d)(1)(A)-(F) and (H), (d)(2), and (e)(2) ] of this title (relating to Child Care, Development, and Training Standards for Independent Habilitative Group Homes);

(C)-(D)

(No change.)

(E)

§720.374(c)(1)-(2), (4)-(6), and (8) [ §720.374(c)(1)(A)-(B), (D)-(F), (H), and (c)(2) ] of this title (relating to Child Care, Development, and Training Standards for Independent Therapeutic Group Homes).

(14)

24-Hour Care Facilities.

(A)-(J)

(No change.)

[ (K)

§720.424 of this title (relating to Restraining Measures);]

[ (L)

§720.425(a)-(c) of this title (relating to Personal Restraint);]

(K)

[ (M) ] §720.426(a) of this title (relating to Child Care);

(L)

[ (N) ] §720.427(a)-(d), (f), (h), (k), (l)(1), (p), (q), and (r)(2) of this title (relating to Medical and Dental Care);

(M)

[ (O) ] §720.428(a) and (e) of this title (relating to Nutrition);

(N)

[ (P) ] §720.429(a) and (c)-(f) of this title (relating to Health and Safety);

(O)

[ (Q) ] §720.430(b)-(d) of this title (relating to Environment);

(P)

[ (R) ] §720.431 of this title (relating to Transportation);

(Q)

[ (S) ] §720.432(b) of this title (relating to Food Preparation, Storage, and Equipment);

(R)

[ (T) ] §720.441 of this title (relating to Staff-Child Ratio-Institutions Providing Basic Child Care);

(S)

[ (U) ] §720.446(a), (d), and (e) of this title (relating to Problem Management: Institutions Providing Basic Child Care);

[ (V)

§720.447 of this title (relating to Restraining Measures: Institutions Providing Basic Child Care);]

(T)

[ (W) ] §720.449 of this title (relating to Environment - Institutions Providing Basic Child Care);

(U)

[ (X) ] §720.502 of this title (relating to Staff-Child Ratio - Institutions Serving Mentally Retarded Children);

(V)

[ (Y) ] §720.508 of this title (relating to Problem Management - Institutions Serving Mentally Retarded Children);

[(Z)

§720.509 of this title (relating to Restraining Measures - Institutions Serving Mentally Retarded Children);]

[(AA)

§720.510 of this title (relating to Protective Devices - Institutions Serving Mentally Retarded Children);]

[(BB)

§720.511(a)-(d) of this title (relating to Mechanical Restraint - Institutions Serving Mentally Retarded Children);]

(W)

[ (CC) ] §720.514 of this title (relating to Health and Safety - Institutions Serving Mentally Retarded Children);

(X)

[ (DD) ] §720.515(c) of this title (relating to Environment - Institutions Serving Mentally Retarded Children);

(Y)

[ (EE) ] §720.522 of this title (relating to Staff Child Ratio - Residential Treatment Centers);

(Z)

[ (FF) ] §720.523(a) and (c) of this title (relating to Training - Residential Treatment Centers);

(AA)

[ (GG) ] §720.530 of this title (relating to Problem Management - Residential Treatment Centers);

[(HH)

§720.531 of this title (relating to Restraining Measures - Residential Treatment Centers);]

[(II)

§720.532 of this title (relating to Protective Devices - Residential Treatment Centers);]

[(JJ)

§720.533(a)-(d) of this title (relating to Mechanical Restraint - Residential Treatment Centers);]

[(KK)

§720.534 of this title (relating to Seclusion - Residential Treatment Centers);]

(BB)

[(LL) ] §720.536 of this title (relating to Health and Safety - Residential Treatment Centers);

(CC)

[ (MM) ] §720.537 of this title (relating to Environment - Residential Treatment Centers);

(DD)

[ (NN) ] §720.541 of this title (relating to Staff-Child Ratio - Halfway Houses);

(EE)

[ (OO) ] §720.546 of this title (relating to Problem Management - Halfway Houses);

[(PP)

§720.547 of this title (relating to Restraining Measures - Halfway Houses);]

(FF)

[ (QQ) ] §720.549(b) of this title (relating to Environment - Halfway Houses);

(GG)

[ (RR) ] §720.551 of this title (relating to Staff-Child Ratio - Therapeutic Camps);

(HH)

[ (SS) ] §720.556 of this title (relating to Problem Management - Therapeutic Camps);

[(TT)

§720.557 of this title (relating to Restraining Measures - Therapeutic Camps);]

(II)

[ (UU) ] §720.559(a)-(b) of this title (relating to Medical and Dental Care - Therapeutic Camps);

(JJ)

[(VV) ] §720.560 of this title (relating to Environment - Therapeutic Camps);

(KK)

[(WW) ] §720.571(a), (f), and (g) of this title (relating to Facilities Providing Care for Children and Adults);

(LL)

[(XX) ] §720.572 of this title (relating to Texas Department of Health - Minimum Standards of Environmental Health for Texas Department of Protective and Regulatory Services Licensed Therapeutic Camps - Permanent Camps);

(MM)

[(YY) ] §720.573 of this title (relating to Texas Department of Health - Minimum Standards of Environmental Health for Texas Department of Protective and Regulatory Services Licensed Therapeutic Camps - Primitive or Wilderness Camps);

(NN)

[(ZZ) ] §720.574 of this title (relating to Additional Minimum Standards for Institutions Serving Mentally Retarded Children with Primary Medical Needs).

(15)

Emergency Shelters.

(A)-(I)

(No change.)

(J)

§720.916(l)(1)-(3) and (5)-(9) [ , (m), and (n) ] of this title (relating to Children's Rights);

(K)-(O)

(No change.)

(16)

Residential Child-Care Facilities, Child-Placing Agencies, and Agency Homes.

(A)

§720.1004(b) of this title (relating to Less Restrictive Behavior Interventions);

(B)

§720.1005 of this title (relating to Restraint and Seclusion: General Requirements);

(C)

§720.1006 of this title (relating to Emergency Medication);

(D)

§720.1007 of this title (relating to Personal Restraint);

(E)

§720.1008 of this title (relating to Mechanical Restraint);

(F)

§720.1009 of this title (relating to Protective Devices);

(G)

§720.1010 of this title (relating to Supportive Devices);

(H)

§720.1011 of this title (relating to Seclusion);

(I)

§720.1012(b)-(d) if this title (relating to Behavior Intervention Training);

(J)

§720.1013 of this title (relating to Evaluation of Behavior Interventions).

(17)

[ (16) ] Child-Care Facilities Serving Children with Autistic-like Behavior.

(A)

§720.1501(a) and (c) of this title (relating to Staffing);

(B)

§720.1502(b) of this title (relating to Training);

(C)

§720.1504(c)(2) of this title (relating to Treatment Plan);

(D)

§720.1505(a)-(c), (d)(1)-(2), and (f)-(k) [ §720.1505(a)-(c), (d)(1)-(2), (f), (g), (h)(1) and (3), and (i)-(l) ] of this title (relating to Behavior Therapy);

(E)

§720.1506 of this title (relating to Medical Therapy).[ ; ]

[ (F)

§720.1507(a)-(d), (e)(1)-(4), and (f)-(k) of this title (relating to Mechanical Restraint).]

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 March 23, 2001.

TRD-200101731

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Subchapter KKK. ADOPTIVE HOME SCREENING

40 TAC §725.6070

The Texas Department of Protective and Regulatory Services (TDPRS) proposes an amendment to §725.6070, concerning adoptive home screening requirements, in its General Licensing Procedures chapter. The purpose of the amendment is to delete the paragraph of the rule that conflicts with the Multi-Ethnic Placement Act of 1994 (MEPA), as amended (42 USC 622), and with the Removal of Barriers to Interethnic Adoption provisions of 1996 (IEP) (§1808, PL 104-188). This federal legislation prohibits a child-placing agency, when making a foster or adoptive placement, from considering the race, color or national origin of the child or of the foster or adoptive parents, in almost all circumstances. Child-placing agencies are also prohibited from considering the capacity of prospective foster or adoptive parents to meet the needs of a child relating to race, color or national origin, in almost all circumstances.

Mary Fields, Budget and Federal Funds Director, 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 government as a result of enforcing or administering the section.

Ms. Fields 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 the rule will comply with federal laws. There will be no effect on large, small, or micro-businesses because the rule does not impose new requirements on the cost of doing business, does not require the purchase of any new equipment, and should not require any increased staff time in order to comply. There is no anticipated economic cost to persons who are required to comply with the proposed section.

Questions about the content of the proposal may be directed to Lizet Alaniz at (512) 438- 4538 in TDPRS's Licensing Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-168, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

The amendment is proposed under the Human Resources Code (HRC), §40.029, which authorizes the department to adopt rules to facilitate implementation of department programs.

The amendment implements the Human Resources Code, §40.029, the Multi-Ethnic Placement Act of 1994 (MEPA), as amended (42 USC 622) and the Removal of Barriers to Interethnic Adoption provisions of 1996 (§1808, PL 104-188) (IEP).

§725.6070.Adoptive Home Screening Requirements.

(a)-(b)

(No change.)

(c)

An adoptive home screening must include all available information about the adoptive applicants regarding the following:

(1)-(8)

(No change.)

[ (9)

sensitivity to, and feelings about, different socioeconomic, cultural, and ethnic groups in relation to the family's ability to provide an adoptive home and to maintain the cultural or ethnic identity of a child from a different background;]

(9)

[ (10) ] expectations of, and plans for, adoptive children;

(10)

[ (11) ] behavior, background, special needs status or other characteristics of a potential adoptive child that the family cannot accept; and

(11)

[ (12) ] financial status and ability to support a child, including employment history and insurance coverage.

(d)

(No change.)

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 March 23, 2001.

TRD-200101744

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437


Chapter 732. CONTRACTED SERVICES

Subchapter A. GENERAL PROCEDURES

40 TAC §§732.101, 732.103, 732.105, 732.107, 732.109, 732.111, 732.113, 732.115

The Texas Department of Protective and Regulatory Services (TDPRS) proposes new §§732.101, 732.103, 732.105, 732.107, 732.109, 732.111, 732.113, and 732.115, concerning general procedures, in its Contracted Services chapter. The purpose of the new sections is to incorporate new Health and Human Services Commission (HHSC) contracting rules into this chapter. The new sections are proposed in new Subchapter A, General Procedures.

Mary Fields, Budget and Federal Funds Director, has determined that for the first five-year period the proposed sections will be in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the sections.

Ms. Fields also has determined that for each year of the first five years the sections are in effect the public benefit anticipated as a result of enforcing the sections will be to ensure that the rules comply with the HHSC rules. There will be no effect on large, small, or micro-businesses because the rules do not impose any new requirements. There is no anticipated economic cost to persons who are required to comply with the proposed sections.

Questions about the content of the proposal may be directed to Ron Curry at (512) 833- 3405 in TDPRS's Contract Administration Division. Written comments on the proposal may be submitted to Texas Register Liaison, Legal Services-171, Texas Department of Protective and Regulatory Services E-611, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

The new sections are proposed under the Human Resources Code (HRC), §40.029, which authorizes the department to adopt rules to facilitate implementation of departmental programs.

The new sections facilitate the implementation of all programs of the department. Child Protective Services, Adult Protective Services, Child Care Licensing, and Prevention and Early Intervention all use contracted goods and services to serve the needs of the agency and of the clients of the agency.

§732.101.What is the purpose of this chapter?

This chapter provides procedures and criteria to govern the purchase of goods and services and the management of contracts by this Department that are efficient, economical, and achieve the objectives of the Department.

§732.103.How are the terms in this chapter defined?

The words and terms in this chapter have the following meanings, unless the context clearly indicates otherwise:

(1)

Department - The Texas Department of Protective and Regulatory Services.

(2)

Executive Director - The director of the Department.

§732.105.Are all contracting procedures and criteria contained in this chapter?

(a)

Federal and State statutes and regulations control many aspects of purchasing and contract management. The Department and all other parties must comply with them when they are applicable.

(b)

The Health and Human Services Commission has adopted rules at 1 TAC Chapter 391 (relating to Purchase of Goods and Services by Health and Human Services Agencies). Those rules apply to the purchase of goods and services by this Department, whether for administrative or client use or benefit. The rules in 1 TAC Chapter 391 (relating to Purchase of Goods and Services by Health and Human Services Agencies) govern to the extent of any conflict with a procedure or requirement prescribed by another state agency other than a rule relating to:

(1)

historically underutilized businesses; or

(2)

the purchase of goods or services from persons with disabilities.

(c)

The rules of the Health and Human Services Commission do not apply to the following transactions:

(1)

the lease, purchase, or lease-purchase of real property;

(2)

the award of grants; or

(3)

interstate or international agreements executed in accordance with applicable law.

(d)

Other rules of this Department provide additional procedures, criteria, and requirements concerning specific types of contracts or specific stages of the contract process. For example, Chapter 700 of this title (relating to Child Protective Services) contains additional procedures, criteria, and requirements concerning contracts for residential child care, and Chapter 730 of this title (relating to Legal Services) contains procedures, criteria, and requirements concerning hearings.

(e)

The Executive Director or designee may adopt policies to guide the Department concerning contracting. The policies may interpret statutes, rules, or contract provisions; however, they do not create any new rights or responsibilities for any client or contractor unless the person agrees in writing. The Department may enforce the policies against employees and any person who has agreed to implement the policies. The Executive Director or designee may waive policies but may not waive rules.

§732.107.May the Department use all procedures, criteria, and exceptions contained in the rules of the Health and Human Services Commission?

(a)

The Department may use all procedures, criteria, and exceptions contained in 1 TAC Chapter 391 (relating to Purchase of Goods and Services by Health and Human Services Agencies), concerning the purchase of goods and services unless limited by:

(1)

federal statute, rule, or agreement;

(2)

state statute;

(3)

funding agreement;

(4)

other rule or order of the Health and Human Services Commission;

(5)

the rules of the Department; or

(6)

policies of the Department that have not been waived.

(b)

When required by 1 TAC Chapter 391 (relating to Purchase of Goods and Services by Health and Human Services Agencies), the Department must use the procedures, criteria, and exceptions in that chapter.

§732.109.How does the Department apply exceptions to its contracting rules?

Within this chapter and within other applicable statutes and rules, possible exceptions are listed. The Executive Director or designee, applying the criteria in the statute or rule, may determine whether the exception applies. Some exceptions require specific procedures and documentation. Policies may require additional procedures and documentation.

§732.111.What rules apply relating to historically underutilized businesses?

The Department will comply with the rules of the General Services Commission found at 1 TAC Chapter 111, Subchapter B (relating to the Historically Underutilized Business Program).

§732.113.What rules apply to emergency purchases?

(a)

If a purchase of goods or services is required as a direct result of a bona fide emergency that constitutes an immediate threat to public or client health or safety or which creates an imminent risk of loss to the Department that is documented and justified in the procurement record, the Department may use noncompetitive procurement methods.

(b)

Notwithstanding any other rule in this chapter, if the Executive Director or designee approves the designation as an emergency purchase, and if the purchase violates no other applicable statute or rule, no rule in this chapter shall prohibit the purchase.

(c)

Despite the existence of a bona fide emergency, the Department will use its best efforts to conduct the procurement with as much competition as is practical under the circumstances and in as much compliance with the rules of this chapter as is practical.

§732.115.Are the rules for purchasing with federal funds different?

Generally, the Department purchases goods and services with federal funds using the same procedures, criteria, and exceptions as the Department uses with state funds. If the federal statute, regulation, or funding agreement requires different procedures, criteria, or exceptions, the Department will comply.

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 March 23, 2001.

TRD-200101748

C. Ed Davis

Deputy Director, Legal Services

Texas Department of Protective and Regulatory Services

Proposed date of adoption: May 25, 2001

For further information, please call: (512) 438-3437