Part 12.
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
Chapter 370.
LICENSE RENEWAL
40 TAC §370.1
The Texas Board of Occupational Therapy Examiners proposes
an amendment to §370.1, concerning License Renewal. The amendment will
add language for online renewal and continuing education requirements for
reservist called to active service in the military.
John P. Maline, Executive Director of the Executive Council of Physical
Therapy and Occupational Therapy Examiners, has determined that for the first
five-year period the rule is in effect there will be no fiscal implications
for state or local government as a result of enforcing or administering the
rule.
Mr. Maline also has determined that for each year of the first five years
the rule is in effect the public benefit anticipated as a result of enforcing
the rule will be clarification of the OT rules. There will be no effect on
small businesses. There are no anticipated economic costs to persons who are
required to comply with the rule as proposed.
Comments on the proposed rule may be submitted to Augusta Gelfand, OT Coordinator,
Texas Board of Occupational Therapy Examiners, 333 Guadalupe, Suite 2-510,
Austin, Texas, 78701, (512) 305-6900, or through email: augusta.gelfand@mail.capnet.state.tx.us
The amendment is proposed under the Occupational Therapy Practice
Act, Title 3, Subchapter H, Chapter 456, Occupations Code, which provides
the Texas Board of Occupational Therapy Examiners with the authority to adopt
rules consistent with this Act to carry out its duties in administering this
Act.
Title 3, Subchapter H, Chapter 454 of the Occupations Code is affected
by this amended section.
§370.1.License Renewal.
(a)
Licensees are required to renew their licenses every two
years by the end of their birth month. A licensee may not provide occupational
therapy services without a current license or renewal certificate in hand.
If a license expired after all required items are submitted but before the
licensee received the renewal certificate, the licensee may not provide occupational
therapy services until the renewal certificate is in hand.
(1)
General Requirements. The renewal application is not complete
until the board receives all required items. The components required for license
renewals are:
(A)
Signed renewal application form
or online equivalent
verifying completion of 30 hours of continuing education, see Chapter
367 of this title (relating to Continuing Education);
(B) - (C)
(No change.)
(2)
Notification of license expiration. The Board will
send notification
[
(3)
Late Renewals. A renewal application is late if all required
materials are not postmarked prior to the expiration date of the license.
Licensees who do not complete the renewal process prior to the expiration
date are subject to late fees as described.
(A) - (D)
(No change.)
(E)
A reserve status licensee who
is called into active military service will have 6 additional months after
release from active military service to submit proof of completion of the
30 required CE hours.
(b) - (c)
(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 August 5, 2005.
TRD-200503270
John Maline
Executive Director, Executive Council of Physical Therapy and Occupational
Therapy Examiners
Texas Board of Occupational Therapy Examiners
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 305-6900
40 TAC §372.1
The Texas Board of Occupational Therapy Examiners proposes
an amendment to §372.1, concerning Provision of Services. The amendment
will delete the requirement for co-signature of COTA notes and move the language
concerning aides to the section concerning Supervision of Non-Licensed Personnel.
John P. Maline, Executive Director of the Executive Council of Physical
Therapy and Occupational Therapy Examiners, has determined that for the first
five-year period the rule is in effect there will be no fiscal implications
for state or local government as a result of enforcing or administering the
rule.
Mr. Maline also has determined that for each year of the first five years
the rule is in effect the public benefit anticipated as a result of enforcing
the rule will be clarification of the OT rules. There will be no effect on
small businesses. There are no anticipated economic costs to persons who are
required to comply with the rule as proposed.
Comments on the proposed rule may be submitted to Augusta Gelfand, OT Coordinator,
Texas Board of Occupational Therapy Examiners, 333 Guadalupe, Suite 2-510,
Austin, Texas, 78701, (512) 305-6900, or through email: augusta.gelfand@mail.capnet.state.tx.us
The amendment is proposed under the Occupational Therapy Practice
Act, Title 3, Subchapter H, Chapter 456, Occupations Code, which provides
the Texas Board of Occupational Therapy Examiners with the authority to adopt
rules consistent with this Act to carry out its duties in administering this
Act.
Title 3, Subchapter H, Chapter 454 of the Occupations Code is affected
by this amended section.
§372.1.Provision of Services.
(a) - (d)
(No change.)
(e)
Plan of Care.
(1) - (7)
(No change.)
[
(8)
[
(9)
[
(f)
(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 August 5, 2005.
TRD-200503271
John Maline
Executive Director, Executive Council of Physical Therapy and Occupational
Therapy Examiners
Texas Board of Occupational Therapy Examiners
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 305-6900
40 TAC §373.1
The Texas Board of Occupational Therapy Examiners proposes
an amendment to §373.1, concerning Supervision of Non-Licensed Personnel.
The amendment will add language for when aides may or may not enter data into
the patient's medical record.
John P. Maline, Executive Director of the Executive Council of Physical
Therapy and Occupational Therapy Examiners, has determined that for the first
five-year period the rule is in effect there will be no fiscal implications
for state or local government as a result of enforcing or administering the
rule.
Mr. Maline also has determined that for each year of the first five years
the rule is in effect the public benefit anticipated as a result of enforcing
the rule will be clarification of the OT rules. There will be no effect on
small businesses. There are no anticipated economic costs to persons who are
required to comply with the rule as proposed.
Comments on the proposed rule may be submitted to Augusta Gelfand, OT Coordinator,
Texas Board of Occupational Therapy Examiners, 333 Guadalupe, Suite 2-510,
Austin, Texas, 78701, (512) 305-6900, or through email: augusta.gelfand@mail.capnet.state.tx.us
The amendment is proposed under the Occupational Therapy Practice
Act, Title 3, Subchapter H, Chapter 456, Occupations Code, which provides
the Texas Board of Occupational Therapy Examiners with the authority to adopt
rules consistent with this Act to carry out its duties in administering this
Act.
Title 3, Subchapter H, Chapter 454 of the Occupations Code is affected
by this amended section.
§373.1.Supervision of Non-Licensed Personnel.
(a) - (e)
(No change.)
(f)
The non-licensed personnel may not:
(1) - (3)
(No change.)
(4)
write or sign occupational
therapy documents in the permanent record. However, non-licensed personnel
may record quantitative data for tasks delegated by the supervising OTR, LOT,
COTA or LOTA. Any documentation reflecting activities by non-licensed personnel
must identify the name and title of that person and the name of the supervising
OTR, LOT, COTA or LOTA.
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 August 5, 2005.
TRD-200503272
John Maline
Executive Director, Executive Council of Physical Therapy and Occupational
Therapy Examiners
Texas Board of Occupational Therapy Examiners
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 305-6900
Chapter 700.
CHILD PROTECTIVE SERVICES
Subchapter J. RELATIVE AND OTHER DESIGNATED CAREGIVER PROGRAM
40 TAC §§700.1001, 700.1003, 700.1005, 700.1007, 700.1009, 700.1011, 700.1013, 700.1015, 700.1017
The Health and Human Services Commission proposes, on behalf
of the Department of Family and Protective Services (DFPS), new §§700.1001,
700.1003, 700.1005, 700.1007, 700.1009, 700.1011, 700.1013, 700.1015, and
700.1017, concerning the Relative and Other Designated Caregiver Program,
in its Child Protective Services chapter. Senate Bill 6 of the 79th Legislature
required implementation of a Relative and Other Designated Caregiver Program
by March 1, 2006, to provide initial transitional payments, annual reimbursements
for expenses, and support services to certain non-licensed individuals who
provide care to children in their extended family. Traditionally, relatives
who provide placement services for children in DFPS custody have not received
specific financial compensation from the State, although some families and
children have qualified for assistance under other criteria in other agencies.
These rules outline the eligibility for these services, maximize the benefit
to those most in need, and ensure that the provision of such services does
not exceed the available dollars appropriated for the biennium.
Cindy Brown, Chief Financial Officer of DFPS, has determined that for the
first five-year period the proposed sections will be in effect there will
be fiscal implications for state government as a result of enforcing or administering
the sections. The estimated cost to the state as a result of the change will
be $2,927,506 for fiscal year 2006; $5,910,552 for fiscal year 2007; $6,383,397
for fiscal year 2008; $6,894,068 for fiscal year 2009; and $7,445,594 for
fiscal year 2010. Over time, it is anticipated that foster care expenses will
be reduced as more children reside with relative or other designated caregivers
rather than in paid foster care. At this time, cost savings are unable to
be determined. All payments, reimbursements, and support services are subject
to available funds. There will be no fiscal implications for local government.
Ms. Brown 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 relatives and other designated caregivers will receive
some reimbursement for their care of children in DFPS conservatorship. There
will be no effect on large, small, or micro-businesses because the proposed
changes do not impose new requirements on any business and do not require
the purchase of any new equipment or 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 Audrey Deckinga
at (512) 438-3238 in DFPS's Child Protective Services Division. Written comments
on the proposal may be submitted to Texas Register Liaison, Legal Services-336,
Department of Family and Protective Services E-611, P.O. Box 149030, Austin,
Texas 78714-9030, within 30 days of publication in the
Texas Register
.
HHSC has determined that the proposed new sections do not restrict or limit
an owner's right to his or her property that would otherwise exist in the
absence of government action and, therefore, do not constitute a taking under §2007.043,
Government Code.
The new sections are proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services (DFPS); Human Resources Code (HRC) §40.021, which provides that
the Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The new sections implement the Family Code, Chapter 264, as amended by §1.62
of Senate Bill 6, 79th Legislature.
§700.1001.What is the Relative and Other Designated Caregiver Program?
The Relative and Other Designated Caregiver Program is an array of
services designed to promote continuity and stability for children in the
conservatorship of DFPS. The program is effective March 1, 2006, and includes
support services and limited financial assistance for eligible caregivers
who assume caretaking responsibility for children in DFPS conservatorship.
Subject to availability of funds and eligibility requirements, caregiver assistance
may include case management services, training, referrals to appropriate services
and assistance programs, family counseling, child-care services, limited cash
assistance, and other support services. Funding for this program is limited
to the state and federal funds allocated to DFPS for this program.
§700.1003.What are the eligibility requirements for caregiver assistance?
(a)
The children to be placed must be in the conservatorship
of DFPS.
(b)
The caregiver must:
(1)
be related to the children or have a longstanding and significant
relationship with the children;
(2)
be formally approved by DFPS as a caregiver;
(3)
sign and abide by a written caregiver assistance agreement,
which includes a commitment to:
(A)
be available as a continuing placement for the children
for at least six months;
(B)
participate in specialized kinship training as recommended
and provided by DFPS;
(C)
comply with DFPS requirements limiting or facilitating
contact between the parents and the children;
(D)
apply for other forms of assistance, including financial
and medical, for which the children may be eligible; and
(E)
comply with any other child specific requirements or limitations;
and
(4)
not be a licensed or verified foster home or group foster
home.
§700.1005.What types of cash assistance are available?
(a)
Subject to the availability of funds, eligible caregivers
may receive two types of cash assistance:
(1)
an initial, one-time cash payment of not more than $1,000
per sibling group to defray costs incurred for essential child care items
at the time of placement; and
(2)
an annual reimbursement of not more than $500 per child
for DFPS approved child-related expenses. To receive this reimbursement the
caregiver must provide verification of the expenditures in the form of receipts.
(b)
DFPS may further clarify in policy specific conditions
or criteria caregivers must meet to receive this cash assistance or any other
services or benefits in connection with this program, including what costs
incurred for essential child care items may be defrayed, what expenditures
are appropriate for reimbursement, and situations where the full initial,
one-time payment may not be awarded.
§700.1007.Are there additional eligibility restrictions for the initial, one-time cash payment?
Yes, caregivers meeting the eligibility requirements specified in §700.1003
of this title (relating to What are the eligibility requirements for caregiver
assistance?) are eligible only if:
(1)
there have been no other caregivers paid under this provision
on behalf of the same children;
(2)
the caregiver is not eligible for supplemental financial
assistance under the Grandparents Program, Human Resources Code, §31.0041;
(3)
the household income of the caregiver does not exceed 300%
of poverty, as determined by federal poverty guidelines; and
(4)
the placement of the children by DFPS with the caregiver
is made after March 1, 2006.
§700.1009.Who is eligible for the annual reimbursement?
Caregivers meeting the eligibility requirements specified in §700.1003
of this title (relating to What are the eligibility requirements for caregiver
assistance?) are eligible, including:
(1)
caregivers that are entitled to the initial, one-time cash
payment;
(2)
subsequent caregivers that didn't qualify for the initial,
one-time cash payment because a different caregiver was previously paid under
this provision on behalf of the same children;
(3)
caregivers that didn't qualify for the initial, one-time
cash payment because the caregiver was eligible for supplemental financial
assistance under the Grandparents Program; and
(4)
caregivers with whom DFPS placed the children before March
1, 2006.
§700.1011.Are there additional eligibility restrictions for the annual reimbursement?
(a)
Yes:
(1)
the household income of the caregiver must not exceed 300%
of poverty, as determined by federal poverty guidelines;
(2)
the caregiver must continue to comply with the signed caregiver
assistance agreement; and
(3)
the children:
(A)
must continue to be in the conservatorship of DFPS or the
caregiver must be awarded permanent managing conservatorship after March 1,
2006, of children that were previously in the conservatorship of DFPS;
(B)
must be in the caregiver's care at the time the expense
is incurred; and
(C)
must continue to be placed with the caregiver.
(b)
The following limitations also apply to the reimbursements:
(1)
If the annual reimbursement is paid to a previous caregiver
on behalf of the same children, a subsequent caregiver is not eligible for
reimbursement for the remainder of the year.
(2)
If the placement occurred before March 1, 2006, the reimbursement
is limited to expenses incurred after March 1, 2006.
(3)
Caregivers subsequently appointed as permanent managing
conservator are only eligible for three additional annual reimbursement payments,
assuming all other eligibility requirements and restrictions are met.
§700.1013.Who is eligible for child-care services?
(a)
To the extent funds are available, DFPS may provide child-care
services to a caregiver who meets the requirements in §700.1003 of this
title (relating to What are the eligibility requirements for caregiver assistance?)
if:
(1)
all appropriate caregivers work outside the home 40 hours
per week or more; and
(2)
the caregiver is a resident of Texas.
(b)
To monitor the spending of funds, a priority system among
caregivers will also be established in policy. The priority system will be
based upon need, but at a minimum will require:
(1)
a determination by DFPS that the provision of child-care
services is critical to maintaining the placement of the child with the caregiver;
and
(2)
at least one child placed by DFPS is under six years of
age, or at least one child placed by DFPS has a developmental delay (including
physical, emotional, and cognitive or language) or physical disability.
§700.1015.What rates will DFPS use to pay for child-care services?
The rates of child-care assistance will be determined by the established
local rates set by Child Care Management Services.
§700.1017.Who is eligible for support services?
To qualify for available support services, a caregiver must meet the
eligibility requirements in §700.1003 of this title (relating to What
are the eligibility requirements for caregiver assistance?) and be a resident
of Texas.
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 August 8, 2005.
TRD-200503291
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
The Health and Human Services Commission proposes, on behalf of the
Department of Family and Protective Services (DFPS), amendments to §§720.66,
720.233, 720.335, 720.406, and 720.905, concerning serious incident reporting
requirements, reports and records, emergency reports and records in the independent
foster group homes, and administrative reports and records, in its 24-Hour
Care Licensing chapter. The proposed changes are the result of requirements
in Senate Bill (SB) 6, 79th Legislature. The bill directs the Executive Commissioner
to adopt rules to implement drug-testing requirements for residential child-care
facilities. The proposed amendments change the former Department's name to
reflect the Licensing Division, and require residential child-care facilities
to inform Licensing after learning of an allegation that a person who directly
cares for or has access to a child in care has abused drugs within the past
seven days.
Cindy Brown, Chief Financial Officer of DFPS, 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. Brown 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 protection of children will be enhanced and
the quality of care of children will improve. There will be no effect on large,
small, or micro-businesses because the proposed changes do not impose new
requirements on any business and do not require the purchase of any new equipment
or 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 DFPS's Licensing Division. Written comments on the proposal
may be submitted to Texas Register Liaison, Legal Services-333, Department
of Family and Protective Services E-611, P.O. Box 149030, Austin, Texas 78714-9030,
within 30 days of publication in the
Texas Register
.
HHSC has determined that the proposed amendments do not restrict or limit
an owner's right to his or her property that would otherwise exist in the
absence of government action and, therefore, do not constitute a taking under §2007.043,
Government Code.
Subchapter A. STANDARDS FOR CHILD-PLACING AGENCIES
40 TAC §720.66
The amendment is proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services; Human Resources Code (HRC) §40.021, which provides that the
Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The amendment implements the HRC §42.063, as amended by §1.106
of Senate Bill 6, 79th Legislature.
§720.66.Serious Incident Reporting Requirements.
(a)
The child-placing agency must report the following
types of serious incidents to the
Licensing Division
[
(1)
any incident where there are indications that a child in
care may have been abused or neglected as defined by the Family Code;
(2)
abusive activity among children in care including:
(A)
non-consensual sexual activity between children of any
age;
(B)
consensual sexual activity between children with more than
24 months difference in age or when there is a significant difference in size
or developmental level of the children;
(C)
child to child behavior that results in observable physical
injury and causes material impairment;
(3)
abusive treatment by caregiver including non-accidental
caregiver action which if chronic or intensified, could cause substantial
harm to a child, such as a slap to the face, sexual verbalizations; exposing
the anus, breast, or any part of the genitals; inappropriate kissing; provision
of sexually oriented material to a child other than that used for appropriate
sex education and counseling; touching a child in inappropriate ways; and
providing drugs or alcohol to a child;
(4)
incidents that result in critical injury or permanent disability
of a child. A "critical injury" is defined as any life-threatening injury
or one that results in hospital intensive care or the need for life-resuscitation
methods. It includes any injury that is labeled as "critical" by appropriate
medical personnel;
(5)
a suicide attempt meaning any attempt by a child to take
his own life using means or methods capable of causing serious injury or means
or methods that the child believes capable of causing serious injury.
(b)
The child-placing agency must report to
the Licensing Division within 24 hours after learning of an allegation that
a person who directly cares for or has access to a child has abused drugs
within the past seven days.
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 August 8, 2005.
TRD-200503284
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
40 TAC §720.233
The amendment is proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services; Human Resources Code (HRC) §40.021, which provides that the
Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The amendment implements the HRC §42.063, as amended by §1.106
of Senate Bill 6, 79th Legislature.
§720.233.Reports and Records.
(a)
(No change.)
(b)
The foster family home shall complete written incident
reports concerning serious occurrences involving staff
members, foster
parents,
or children. Each report shall include the date and time of
occurrence, the staff
members, foster parents,
[
(c)
The following serious occurrences shall be reported to
the Licensing
Division
[
(1) - (4)
(No change.)
(d)
(No change.)
(e)
Disasters or emergency situations which require closure
of the foster home, such as those caused by fire or severe weather, shall
be reported to the Licensing
Division
[
(f)
The foster family home must report to
the Licensing Division within 24 hours after learning of an allegation that
a person who directly cares for or has access to a child in care has abused
drugs within the past seven days.
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 August 8, 2005.
TRD-200503285
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
40 TAC §720.335
The amendment is proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services; Human Resources Code (HRC) §40.021, which provides that the
Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The amendment implements the HRC §42.063, as amended by §1.106
of Senate Bill 6, 79th Legislature.
§720.335.Emergency Reports and Records in the Independent Foster Group Homes.
(a)
(No change.)
(b)
The foster group home shall complete written incident
reports concerning serious occurrences involving staff
members, foster
parents,
or children. Each report shall include the date and time of
occurrence, the staff
members,
[
(c)
The following types of serious occurrences shall be reported
to [
(d)
(No change.)
(e)
Disasters or emergency situations which require closure
of the living unit, such as fires or severe weather, shall be reported to
the Licensing
Division
[
(f)
The foster group home shall submit reports to the Licensing
Division
[
(1) - (2)
(No change.)
(g)
The foster group home shall allow the
Licensing Division
[
(h)
The foster group home's records shall be available and
open for review by [
(i)
(No change.)
(j)
The foster group home must report to
the Licensing Division within 24 hours after learning of an allegation that
a person who directly cares for or has access to a child in care has abused
drugs within the past seven days.
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 August 8, 2005.
TRD-200503286
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
40 TAC §720.406
The amendment is proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services; Human Resources Code (HRC) §40.021, which provides that the
Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The amendment implements the HRC §42.063, as amended by §1.106
of Senate Bill 6, 79th Legislature.
§720.406.Administrative Reports and Records.
(a)
Written reports must be completed for any serious incident
involving staff or children. The date and time of the incident, the name(s)
of the staff
member(s) or
[
(b)
The following types of serious incidents must be reported
to
the Licensing Division
[
(c)
The facility must have current written policies and procedures
to follow when a child is absent without permission. These
policies and
procedures
must include:
(1)
(No change.)
(2)
actions staff
members
take to locate the child;
(3)
procedures (including timeframes) staff
members
must
follow to notify the parents or managing conservator and the appropriate law
enforcement agency.
(d)
If a child is not
located
[
(e)
(No change.)
(f)
Disasters or emergencies that require any living unit
to close must be reported to
the Licensing Division within 24 hours
[
(g)
The
Licensing
Division
must be informed
of any impending change of administrator and any impending change necessitating
a change in the conditions of the license.
(h)
The facility must report to the Licensing
Division within 24 hours after learning of an allegation that a person who
directly cares for or has access to a child in care has abused drugs within
the past seven days.
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 August 8, 2005.
TRD-200503287
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
40 TAC §720.905
The amendment is proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services; Human Resources Code (HRC) §40.021, which provides that the
Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The amendment implements the HRC §42.063, as amended by §1.106
of Senate Bill 6, 79th Legislature.
§720.905.Reports and Records.
(a)
(No change.)
(b)
The emergency shelter must complete written reports concerning
serious occurrences involving staff
members
or children. The emergency
shelter must ensure that each report includes the date and time of occurrence,
the staff
members
or children involved, the nature of the incident,
and the circumstances. The emergency shelter must file a copy of the report
at the shelter and make it available for review by
Licensing
staff
[
(c)
The emergency shelter must report the following types
of serious occurrences to the
Licensing Division
[
(1) - (2)
(No change.)
(3)
incidents which critically injure or permanently disable
a child; [
(4)
death of a child
; and
[
(5)
an allegation that a person who directly
cares for or has access to a child in care has abused drugs within the past
seven days.
(d)
The emergency shelter must have written policies and procedures
to be followed when a child is absent without permission, including the following:
(1)
specific actions staff
members
must take to
locate the child;
(2)
procedures staff
members
must follow to notify
parents or managing conservators and the appropriate law enforcement agency.
(e)
If a child is absent without permission, the shelter must
report his absence to the appropriate law enforcement agency and managing
conservator or parents, if the emergency shelter knows the managing conservator's
or parents' identity and how to contact them.
(1)
The shelter must consider the absence of a child under
10 years old (chronological or developmental age, whichever is less) as absence
without permission as soon as staff
members
responsible for the
child's care
do
[
(2)
(No change.)
(f)
(No change.)
(g)
The emergency shelter must report to the
Licensing
Division
[
(h)
The administrator of the emergency shelter must submit
reports to the
Licensing Division
[
(1) - (2)
(No change.)
(i)
The emergency shelter must allow
Licensing
[
(j)
The emergency shelter must make records available for
review at the facility by
Licensing
staff [
(k)
(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 August 8, 2005.
TRD-200503288
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
Subchapter A. STRUCTURE OF A MATERNITY HOME
40 TAC §727.111
The Health and Human Services Commission proposes, on behalf
of the Department of Family and Protective Services (DFPS), an amendment to §727.111,
concerning serious incident reports, in its Licensing of Maternity Facilities
chapter. The proposed change will conform this chapter to the requirements
imposed on residential child-care facilities as a result of Senate Bill (SB)
6, 79th Legislature. The bill directs the Executive Commissioner to adopt
rules to implement drug-testing requirements for residential child-care facilities.
The proposed amendment changes the former Department's name to reflect the
Licensing Division, and requires the maternity homes to inform Licensing after
learning of an allegation that a person who directly cares for or has access
to a child in care has abused drugs within the past seven days.
Cindy Brown, Chief Financial Officer of DFPS, 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. Brown 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 protection of children will be enhanced and the
quality of care of children will improve. There will be no effect on large,
small, or micro-businesses because the proposed changes do not impose new
requirements on any business and do not require the purchase of any new equipment
or 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 DFPS's Licensing Division. Written comments on the proposal
may be submitted to Texas Register Liaison, Legal Services-333, Department
of Family and Protective Services E-611, P.O. Box 149030, Austin, Texas 78714-9030,
within 30 days of publication in the
Texas Register
.
HHSC has determined that the proposed amendment does not restrict or limit
an owner's right to his or her property that would otherwise exist in the
absence of government action and, therefore, do not constitute a taking under §2007.043,
Government Code.
The amendment is proposed under Government Code §531.0055,
which provides that the Health and Human Services Executive Commissioner shall
adopt rules for the operation and provision of services by the health and
human services agencies, including the Department of Family and Protective
Services; Human Resources Code (HRC) §40.021, which provides that the
Family and Protective Services Council shall study and make recommendations
to the executive commissioner and the commissioner regarding rules governing
the delivery of services to persons who are served or regulated by the department;
and HRC, §40.029, which authorizes DFPS to propose and adopt rules to
facilitate implementation of Department programs.
The amendment implements the HRC §42.063, as amended by §1.106
of Senate Bill 6, 79th Legislature.
§727.111.Serious Incident Reports.
The maternity home must
:
(1)
complete written reports for serious incidents involving
facility
staff
members
or clients within 24 hours of learning
about the occurrence. Each report must include the date and time of the occurrence,
the staff
members
or clients involved, the nature of the incident,
and the surrounding circumstances.
(2)
report the following types of serious incidents to the
Licensing Division
[
(A) - (E)
(No change.)
(3)
have written policies and procedures to follow when a client
is absent without permission. These
policies and procedures
must
include:
(A)
(No change.)
(B)
actions that maternity home staff
members
must
take to locate the client; and
(C)
procedures, including time frames, that maternity home
staff
members
must follow to notify the parents or managing conservator
of a minor client and the appropriate law enforcement agency.
(4)
report when a minor client is not
located
[
(5)
(No change.)
(6)
report to
the Licensing Division within 24 hours
[
(7)
report to the Licensing Division
within 24 hours after learning of an allegation that a person who directly
cares for or has access to a child in care has abused drugs within the past
seven days.
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 August 8, 2005.
TRD-200503289
Gerry Williams
General Counsel
Department of Family and Protective Services
Earliest possible date of adoption: September 18, 2005
For further information, please call: (512) 438-3437
Subchapter H. RESIDENTIAL CHILD-CARE MINIMUM STANDARDS
6.
DRUG TESTING
mail an application
] to each licensee
at least 30 days prior to the license expiration date. However, the licensee
is responsible for ensuring that the license is renewed. [
Licensees should
contact the board if they do not receive a renewal application approximately
30 days prior to the expiration date.
]
Chapter 372.
PROVISION OF SERVICES
(8)
It is the OTR's or LOT's responsibility
to ensure that all documentation which becomes part of the patient's/client's
permanent record is approved and co-signed by the OTR or LOT and signed on
the bottom of each page. Non-licensed personnel may not write or sign occupational
therapy documents in the permanent record. However, non-licensed personnel
may record quantitative data for tasks delegated by the supervising OTR, LOT,
COTA or LOTA. Any documentation reflecting activities by non-licensed personnel
must identify the name and title of that person and the name of the supervising
OTR, LOT, COTA or LOTA.]
(9)
] Except where otherwise restricted
by rule, the supervising OTR or LOT may only delegate to a COTA, LOTA or temporary
licensee tasks that they both agree are within the competency level of that
COTA, LOTA or temporary licensee.
(10)
] The COTA or LOTA must include
the name of his or her supervising OTR or LOT in each treatment note. If there
is not a current supervising OTR or LOT, the COTA or LOTA cannot treat.
Chapter 373.
SUPERVISION
Part 19.
DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES
Chapter 720.
24-HOUR CARE LICENSING
Texas
Department of Protective and Regulatory Services (PRS's) licensing division
] and the child's parents or managing conservator
within 24 hours
[
by the next workday
]:
Subchapter E. STANDARDS FOR FOSTER FAMILY HOMES
member
]
or children involved, the nature of the incident, and the circumstances surrounding
it. A copy of the report shall be filed at the foster family home, and shall
be available for review
by
[
to the staff of the
] Licensing
staff
[
Branch
].
Branch
] within 24 hours [
or the next working day
]:
Branch
] within
24 hours [
or the next working day
].
Subchapter F. STANDARDS FOR FOSTER GROUP HOMES
member
]
foster
parents,
or children involved, the nature of the incident, and the circumstances
surrounding it. A copy of the report shall be filed at the foster group home
and shall be available for review by [
the
]
Licensing
staff
[
of the Licensing Branch
].
the
] Licensing
Division
[
Branch
] within
24 hours [
or the next working day
]: suicide attempts, incidents
of cruel or abusive treatment, incidents which critically injure or permanently
disable a child, and death of a client.
Branch of the department
] within
24 hours [
or the next working day
].
Branch
] of the department concerning:
department
] to visit and inspect the foster group home
at all reasonable times (Texas Human Resources Code, Chapter 42).
the
] Licensing
staff
[
Branch
].
Subchapter H. CONSOLIDATED STANDARDS FOR 24-HOUR CARE FACILITIES
and/or
] child(ren) involved,
the nature of the incident, and the circumstances surrounding it must be included
in the report. A copy of the report must be filed at the facility and available
for
Licensing
[
licensing
] staff to review.
licensing
] and the child's
parent or managing conservator
within 24 hours
[
by the next
workday
]: suicide attempts; abusive treatment, including alleged abuse;
incidents that critically injure or permanently disable a child; and a child's
death.
found
],
the absence without permission must be reported to the parent or managing
conservator and to the appropriate law enforcement agency.
licensing by the next workday
].
Subchapter M. STANDARDS FOR EMERGENCY SHELTERS
of the licensing branch
].
licensing
branch
] within 24 hours [
or the next workday
]:
and
]
.
]
does
] not know where he is. The shelter
must consider the absence of a child 10 years old or older as absence without
permission when staff
members
responsible for the child's care
do
[
does
] not know his whereabouts for three hours.
licensing branch
] within 24 hours [
or the
next work day
] disasters or emergency situations, such as fires or severe
weather, requiring closure of a living unit in the emergency shelter.
licensing branch
]
concerning any:
department
] staff to [
visit and
] inspect the emergency shelter
at reasonable times.
of the licensing
branch
].
Chapter 727.
LICENSING OF MATERNITY FACILITIES
Texas Department of Protective and Regulatory
Services (TDPRS)
] and to a minor client's parent or managing conservator
within 24 hours
[
by the next workday
]:
found
]. Absence without permission must be reported to the client's
parents or managing conservator and to the appropriate law enforcement agency.
TDPRS, by the next workday
], disasters or emergencies, such as fires
or severe weather, that requires any part of the facility in which clients
reside to close.
Chapter 745.
LICENSING