(a) The caregiver is responsible for:
(1) Knowing which children they are responsible for;
(2) Being aware of and accountable for each child's
on-going activity;
(3) Providing the level of supervision necessary to
ensure each child's safety and well being, including auditory and/or
visual awareness of each child's on-going activity as appropriate;
(4) Being able to intervene when necessary to ensure
each child's safety; and
(5) Not performing tasks that clearly impede the caregiver's
ability to supervise and interact with the children while being responsible
for the supervision of the children and meet any service-planning
requirement regarding supervision of any child.
(b) In deciding how closely to supervise a child, the
caregiver must take into account:
(1) The child's age;
(2) The child's individual differences and abilities;
(3) The indoor and outdoor layout of the home;
(4) Surrounding circumstances, hazards, and risks;
and
(5) The child's physical, mental, emotional, and social
needs.
(c) Caregivers counted in the child/caregiver ratio
must:
(1) Be aware of the children's habits, interests, and
any special needs, including any special supervision needs;
(2) Provide a safe environment;
(3) Cultivate developmentally appropriate independence
in children through planned but flexible program activities;
(4) Positively reinforce children's efforts and accomplishments;
(5) Ensure continuity of care for children by sharing
with incoming caregivers information about each child's activities
during the previous shift and any verbal or written information or
instructions given by the parent or other professionals; and
(6) Implement and follow the children's service plans.
(d) When a child participates in an unsupervised childhood
activity, the caregiver must:
(1) Know where the child is scheduled to be;
(2) Give the child a specific time to return to the
foster home or the caregiver's location;
(3) Provide, arrange, or confirm an appropriate method
of transportation to and from the activity;
(4) Give the child a way to contact the caregiver in
an emergency; and
(5) Be available to respond if the child contacts the
caregiver and needs immediate assistance.
(e) Caregivers that supervise a child receiving treatment
services must maintain progress notes for the child, at a frequency
determined by the service planning team. Caregivers must sign and
date each progress note at the time the progress note is completed.
Progress notes must be available for Licensing staff to review.
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Source Note: The provisions of this §749.2593 adopted to be effective January 1, 2007, 31 TexReg 7469; amended to be effective September 1, 2010, 35 TexReg 7522; amended to be effective December 1, 2014, 39 TexReg 9058; amended to be effective January 1, 2017, 41 TexReg 9978; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909 |