MINIMUM STANDARDS FOR CHILD-PLACING AGENCIES

(a) A licensed physician must review a child's primary medical needs: (1) At least every 90 days or on a schedule recommended by the child's physician; and (2) Whenever a medical or related problem occurs. (b) The review must address: (1) Whether the child can continue to be care…

(a) Only the following may insert a nasogastric tube: (1) A physician; (2) A licensed nurse according to a physician's written orders; or (3) A caregiver instructed by a licensed nurse according to a physician's written orders. (b) The caregiver must document each insertion in th…

For an injury or illness that requires immediate treatment by a health-care professional, the caregiver must immediately have the child treated by a healthcare professional, contact emergency services, or take the child to the nearest emergency room after ensuring the supervision…

(a) You must obtain a general written consent to administer routine, preventive, and emergency medications. (b) You must obtain a written, signed, and dated consent, specific to the psychotropic medication to be administered, from the person legally authorized to give medical con…

(a) To the best of their knowledge, caregivers must inform the person legally authorized to give medical consent of the benefits, risks, and side effects of all prescription medication and treatment procedures used and the medical consequences of refusing them, and/or provide the…

(a) For non-prescription medications and supplements, you must: (1) Follow the label instructions for dosage; and (2) Ensure that the non-prescription medication or supplement is not contraindicated with any medication prescribed for the child or medical condition that the child …

For a child to be on a self-medication program: (1) The child's parent must give written authorization for the child to be on the program; (2) The child's service plan must include the self-medication program and any requirements for caregiver supervision; and (3) The health-care…

When a child who is on a self-medication program takes a dosage of the medication, you must ensure there is a system for reviewing the child's medication each day and that the child either: (1) Records the daily dosage; or (2) Reports the medication to a caregiver, who must then …

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

A foster home must: (1) Store medication in a locked container; (2) Keep medication inaccessible other than to caregivers responsible for stored medication; (3) Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate containe…

(a) Caregivers must maintain a cumulative medication record of all: (1) Prescription medication dispensed to each child; and (2) Nonprescription medications and supplements that are dispensed to a child under five years old. (b) The cumulative medication record must be updated wi…

(a) The foster parents must maintain at the foster home the child's medication records for the current month. (b) Foster parents must submit copies of the child's medication records to you each month. You must file these medication records in the child's record. (c) You must main…

You must make suitable forms available to caregivers for maintaining adequate records of all medications administered to a child. Notes 26 Tex. Admin. Code § 749.1545 The provisions of this §749.1545 adopted to be effective January 1, 2007, 31 TexReg 7469; transferred effective M…

A medication error includes, but is not limited to, the following: (1) A child receives the wrong medication; (2) A child receives medication prescribed to someone else; (3) A child receives the wrong dosage of medication; (4) A child receives medication at the wrong time; (5) A …

(a) If a caregiver finds a medication error regarding a prescribed medication, the caregiver must contact a health-care professional immediately, unless the error is the type described in paragraph (4) or (5) of § 749.1561 of Title 40 (relating to What is a medication error?), an…

If a caregiver finds a medication label error, the caregiver must: (1) Report the error to the pharmacist; and (2) Have the label on the medication container corrected as soon as possible but no later than the next business day. Notes 26 Tex. Admin. Code § 749.1565 The provisions…

If a child has an adverse reaction (unexpected or dangerous reaction) to a medication, the caregiver must: (1) Immediately report the reaction to a health-care professional and the child's parent; (2) Follow the health-care professional's recommendations; (3) Seek further medical…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

(a) Before requesting the person's written consent to give the child psychotropic medication, the prescribing health-care professional must give the following in writing or document a discussion with the person or a combination of both: (1) The child's diagnosis; (2) The nature o…

If you are requesting consent and the person legally authorized to give consent is not privy to this information, you must: (1) Before requesting the person's written consent to give the child psychotropic medication, provide information in writing or document a discussion with t…

(a) If a physician has made a determination that there is an emergency according to § 266.009 of the Family Code and the emergency requires the administration of a psychotropic medication, then you must follow the physician's orders and do not have to obtain consent prior to the …

(a) You must ensure that caregivers maintain a daily record of the child's use of such medication according to the requirements in § 749.1541 of Title 40 (relating to What records must caregivers maintain for each child receiving medication?). (b) Caregivers must document in the …

(a) If a child takes psychotropic medications, the prescribing health-care professional must evaluate and document in the child's medication record a description of the child's response to the medication and an assessment of its effectiveness and the appropriateness of continuing…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

(a) A protective device: (1) Protects a person from involuntary self-injurious behavior or permits wounds to heal; and (2) Does not prohibit a person's mobility. (b) Examples of a protective device are helmets, elbow guards, mittens, and wheelchair seat belts. (c) If used appropr…

Involuntary self-injurious behavior means a person's physical movements that are automatic and not subject to control of the person's will that may inflict injury to the person. Notes 26 Tex. Admin. Code § 749.1643 The provisions of this §749.1643 adopted to be effective January …

(a) You may use protective devices if a licensed physician orders their use for a specific child. The orders must indicate the circumstances under which the protective device is permitted. (b) You may not use protective devices as: (1) Punishment; (2) Retribution or retaliation; …

A licensed physician ordering protective devices may use PRN orders. The physician must review PRN orders for protective devices at least every 90 days. Notes 26 Tex. Admin. Code § 749.1647 The provisions of this §749.1647 adopted to be effective January 1, 2007, 31 TexReg 7469; …

(a) A supportive device used: (1) To support a person's posture; (2) To assist a person who cannot obtain and/or maintain normal physical functioning to improve his mobility and independent functioning; or (3) As an adjunct to proper care and treatment, for example physical thera…

(a) You may use supportive devices if a licensed physician orders their use for a specific child. The orders must indicate the circumstances under which the supportive device is permitted. (b) You may not use a supportive device as a substitute for appropriate nursing care. (c) Y…

A licensed physician ordering supportive devices may use PRN orders. The physician must review PRN orders for supportive devices at least every 90 days. Notes 26 Tex. Admin. Code § 749.1675 The provisions of this §749.1675 adopted to be effective January 1, 2007, 31 TexReg 7469; …

These words have the following meanings in this division: (1) Baby bungee jumper--A bucket seat that is suspended from a doorway by an elastic bungee cord that allows an infant to bounce while sitting in the seat. (2) Baby walker--A baby walker allows an infant to sit inside the …

(a) Each infant must receive individual attention, including playing, talking, cuddling, and holding. (b) A caregiver must provide prompt attention to an infant's physical needs, such as feeding and diapering. (c) An infant's caregiver must ensure that the environment is safe. Fo…

An infant care area must at a minimum include the following furnishings and equipment: (1) An individual crib for each infant; and (2) A sufficient number of toys to keep each child engaged in activities. Notes 26 Tex. Admin. Code § 749.1805 The provisions of this §749.1805 adopt…

(a) All cribs must have: (1) A firm, flat mattress that snugly fits the sides of the crib. The mattress must not be supplemented with additional foam material or pads; (2) Sheets that fit snugly and do not present an entanglement hazard; (3) A mattress that is waterproof or washa…

A foster home may use a full-size, portable, or mesh-side crib if: (1) Caregivers follow the manufacturer's instructions; (2) The crib has: (A) Mesh that is securely attached to the top rail, side rail, and floor plate; and (B) Folded sides that securely latch in place when raise…

(a) A high chair, swing, stroller, infant carrier, rocker, bouncer seat, or a similar type of equipment that a foster home uses for an infant must be equipped with safety straps; and (b) The safety straps must be fastened whenever the infant is using the equipment. Notes 26 Tex. …

(a) A foster home may not use any of the following types of equipment with infants: (1) Baby walkers; (2) Baby bungee jumpers; (3) Accordion safety gates; (4) Toys that are not large enough to prevent swallowing or choking; and (5) Bean bags, waterbeds, and foam pads for use as s…

(a) Caregivers must place an infant not yet able to turn over on his own in a face-up sleeping position unless a health-care professional orders otherwise. You must keep any orders from a health-care professional in the child's record. (b) An infant's head, face, or crib must not…

You may not allow an infant to sleep in a restrictive device. If an infant falls asleep in a restrictive device, you must remove the infant from the device and place the infant in a crib as soon as possible. Notes 26 Tex. Admin. Code § 749.1817 Adopted by Texas Register, Volume 4…

(a) Caregivers must feed an infant based on the recommendations of the infant's health-care professional. (b) Unless recommendations from the service team are contrary, caregivers must hold the infant while feeding an infant that is: (1) Birth through six months old; or (2) Unabl…

You may not lay a swaddled infant down to sleep or to rest on any surface at any time, unless you have an order signed by a health-care professional. You must keep the order in the child's record. Notes 26 Tex. Admin. Code § 749.1821 Adopted by Texas Register, Volume 46, Number 1…

(a) Each toddler must receive individual attention, including playing, talking, and cuddling. (b) A toddler's caregiver must ensure that the environment is safe. For example, free the area of objects that may choke or harm the toddler, take measures to prevent electric shock, fre…

You must: (1) Ensure information, training, and counseling is available regarding health aspects of pregnancy, preparation for child birth, and recovery from child birth; (2) Ensure the pregnant child receives nutritional counseling and guidance that meets generally accepted stan…

If your policies allow for the use of personal restraints and you have a pregnant child in care: (1) The health-care professional attending to the child's pregnancy must document whether any type of emergency behavior intervention that your policies allow is inadvisable; and (2) …