|(a) The facility must provide for an ongoing program of activities
designed to meet, in accordance with the comprehensive assessment, the interest
and the physical, mental, and psychosocial well-being of each resident.
(b) The activities program must be directed by a qualified
(1) is a qualified therapeutic recreation specialist or an
activities professional who is:
(A) licensed or registered, if applicable, by the state in
which practicing; and
(B) eligible for certification as a therapeutic recreation
specialist, therapeutic recreation assistant, or an activities professional
by a recognized accrediting body, such as the National Council for Therapeutic
Recreation Certification, on October 1, 1990; or
(2) has two years of experience in a social or recreational
program within the last five years, one of which was full-time in a patient
activities program in a health care setting; or
(3) is a qualified occupational therapist or occupational therapy
(4) has completed an activity director training course approved
by any state. The Texas Department of Human Services (DHS) does not review
or approve any courses. DHS accepts training courses approved by a recognized
credentialing body, such as the National Certification Council for Activity
Professionals, the National Therapeutic Recreation Society, or the Consortium
for Therapeutic Recreation/Activities Certification, Inc.
(c) Activity directors must complete eight hours of approved
continuing education or equivalent continuing education units each year. Approval
bodies include organizations or associations recognized as such by certified
therapeutic recreation specialists or certified activity professionals or
registered occupational therapists.
(d) The facility must ensure that activities assessment and
care planning are completed and reviewed or updated as provided in §19.801
and §19.802 of this title (relating to Resident Assessment and Comprehensive
Care Plans). If indicated by the Resident Assessment Instrument (RAI) and/or
the resident's need, an in-depth activities assessment is required.
(e) Toys and recreational equipment for pediatric residents
must be appropriate for the size, age, and developmental level of the residents.