(a) Direct care staff providing services on behalf
of a center, must have the following qualifications:
(1) be 18 years of age or older;
(2) a high school diploma or a general equivalency
degree;
(3) one of the following:
(A) one year of experience employed in a health care
setting providing direct care to minors who are medically or technologically
dependent;
(B) two years of experience employed in a health care,
childcare, or school setting providing direct care to minors who are
medically or technologically dependent;
(C) two years of experience employed in a health care
setting providing direct care to adults; or
(D) sufficient skills to meet the competency and training
requirements described in subsection (b) of this section; and
(4) maintain current certification in Pediatric Cardio
Pulmonary Resuscitation and basic First Aid.
(b) The center must adopt and enforce written policy
and procedures describing whether direct care staff who qualify to
provide services under subsection (a)(3)(D) of this section. The policy
must:
(1) require direct care staff who qualify under subsection
(a)(3)(D) of this section to complete a training program regarding
the provision of direct care to minors that:
(A) is determined appropriate by the nursing director;
(B) is conducted by an RN or LVN; and
(C) includes hands-on training;
(2) require, before providing services to a minor,
direct care staff who qualify under subsection (a)(3)(D) of this section
to demonstrate competency in the provision of direct care to minors
as determined by an RN;
(3) describe procedures for increased supervision of
direct care staff who qualify under subsection (a)(3)(D) of this section
during the training program and the competency evaluation, and for
six months after completion of the competency evaluation, to ensure
the health and safety of minors; and
(4) prohibit direct care staff who qualify under subsection
(a)(3)(D) of this section from being assigned to a minor or being
included in the nursing services staffing ratio as described in §15.410
of this division (relating to Nursing Services Staffing Ratio) until
the direct care staff completes the training program described in
paragraph (1) of this subsection and demonstrates competency as described
in paragraph (2) of this subsection.
(c) Direct care staff must meet the requirements in
§15.415 of this division (relating to Staffing Policies for Staff
Orientation, Development, and Training) and §15.416 of this division
(relating to Staff Development Program).
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Source Note: The provisions of this §550.409 adopted to be effective September 1, 2014, 39 TexReg 6569; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875 |