Texas Register

TITLE 40 SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 90INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS
SUBCHAPTER AINTRODUCTION
RULE §90.3Definitions
ISSUE 03/31/2017
ACTION Proposed
Preamble No Rule Available

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise. Individual subchapters may have definitions that are specific to the subchapter.

  (1) - (34)(No change.)

  (35)Life Safety Code [(also referred to as the Code or NFPA 101)]--NFPA 101 [The Code for Safety to Life from Fire in Buildings and Structures, Standard 101, of the National Fire Protection Association (NFPA)].

  (36) - (41)(No change.)

   (42)NFPA--The National Fire Protection Association. If the term is immediately followed by a number, it is a reference to a publication of NFPA, as referenced in NFPA 101.

   (43)NFPA 99--NFPA 99, Health Care Facilities Code, 2012 Edition. A publication of the NFPA that provides minimum requirements for the installation, testing, maintenance, performance, and safe practices for health care facilities and for material, equipment, and appliances, used for patient care in health care facilities. The Centers for Medicare and Medicaid Services has incorporated NFPA 99, 2012 Edition, except Chapters 7, 8, 12, and 13, by reference as a Condition of Participation in the ICF/IID program for facilities that meet the definition of a health care occupancy. Copies of NFPA 99 may be obtained from NFPA, 1 Batterymarch Park, Quincy, MA 02169.

   (44)NFPA 101--NFPA 101, Life Safety Code, 2012 Edition. A publication of the NFPA that provides minimum requirements, with due regard to function, for the design, operation, and maintenance of buildings and structures for safety to life from fire. The Centers for Medicare and Medicaid Services has incorporated NFPA 101, 2012 Edition, by reference as a Condition of Participation in the ICF/IID program. Copies of NFPA 101 may be obtained from NFPA, 1 Batterymarch Park, Quincy, MA 02169.

  (45)[(42)] Oral medication--Medication administered by way or through the mouth and does not include sublingual or buccal.

  (46)[(43)] Person--An individual, firm, partnership, corporation, association, or joint stock company, and any legal successor of those entities.

  (47)[(44)] Personal hold--

    (A)A manual method, except for physical guidance or prompting of brief duration, used to restrict:

      (i)free movement or normal functioning of all or a portion of a resident's body; or

      (ii)normal access by a resident to a portion of the resident's body.

    (B)Physical guidance or prompting of brief duration becomes a restraint if the resident resists the guidance or prompting.

  (48)[(45)] Qualified mental retardation professional (QMRP)--A person who has at least one year of experience working directly with persons with an intellectual disability or related conditions and is one of the following:

  (49)[(46)] Quality-of-care monitor--A registered nurse, pharmacist, or dietitian, employed by DADS, who is trained and experienced in long-term care regulations, standards of practice in long-term care, and evaluation of resident care and functions independently of DADS Regulatory Services Division.

  (50)[(47)] Registered nurse--A person licensed to practice professional nursing in accordance with Texas Occupations Code, Chapter 301.

  (51)[(48)] Remodeling--The construction, removal, or relocation of walls and partitions, or construction of foundations, floors, or ceiling-roof assemblies, including expanding of safety systems (i.e., sprinkler systems, fire alarm systems), that will change the existing plan and use areas of the facility.

  (52)[(49)] Renovation--The restoration to a former better state by cleaning, repairing, or rebuilding, e.g., routine maintenance, repairs, equipment replacement, painting.

  (53)[(50)] Restraint--A manual method, or a physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the resident cannot remove easily, that restricts freedom of movement or normal access to the resident's body. This term includes a personal hold.

  (54)[(51)] Seclusion--The involuntary separation of a resident away from other residents and the placement of the resident alone in an area from which the resident is prevented from leaving.

  (55)[(52)] Small facilities--Facilities with 16 or fewer resident beds.

  (56)[(53)] Specialized staff--Personnel with expertise in developmental disabilities.

  (57)[(54)] Standards--The minimum conditions, requirements, and criteria with which a facility will have to comply to be licensed under this chapter.

  (58)[(55)] Topical medication--Medication applied to the skin but does not include medication administered in the eyes.

  (59)[(56)] Universal precautions--The use of barrier precautions by facility personnel to prevent direct contact with blood or other body fluids that are visibly contaminated with blood.

  (60)[(57)] Vaccine preventable diseases--The diseases included in the most current recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

  (61)[(58)] Well-recognized church or religious denomination--An organization which has been granted a tax-exempt status as a religious association from the state or federal government.

The agency certifies that legal counsel has reviewed the proposal and found it to be within the state agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 16, 2017

TRD-201701095

Lawrence Hornsby

General Counsel

Department of Aging and Disability Services

Earliest possible date of adoption: April 30, 2017

For further information, please call: (512) 438-5502



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