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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 747MINIMUM STANDARDS FOR CHILD-CARE HOMES
SUBCHAPTER BADMINISTRATION AND COMMUNICATION
DIVISION 2REQUIRED NOTIFICATIONS
RULE §747.305What emergency and medical situations must I notify parents about?

(a) You must notify the parent of a child immediately if there is an allegation that the child has been abused, neglected, or exploited, as defined in Texas Family Code §261.001, while in your care.

(b) After you ensure the safety of the child, you must notify the parent of the child immediately after the child:

  (1) Is injured and the injury requires medical treatment by a health-care professional;

  (2) Shows signs or symptoms of an illness that requires hospitalization;

  (3) Has had an emergency anaphylaxis reaction that required administration of an unassigned epinephrine auto-injector;

  (4) Has been involved in any non-routine situation that placed, or may have placed, the child at risk for injury or harm. For example, forgetting the child in a vehicle or failing to prevent the child from wandering away from your child-care home unsupervised; or

  (5) Has been involved in any situation that renders the child-care home unsafe, such as a fire, flood, or damage to the child-care home as a result of severe weather.

(c) You must notify the parent of less serious injuries when the parent picks the child up from your child-care home. Less serious injuries include minor cuts, scratches, and bites from other children requiring first-aid treatment by caregivers.

(d) You must provide written notice to the parent of each child attending the child-care home within 48 hours when any child in your care, a caregiver, or a household member has contracted a communicable disease deemed notifiable by the Texas Department of State Health Services as specified in 25 TAC Chapter 97, Subchapter A (relating to Control of Communicable Disease).

(e) You must provide written notice to the parent of each child attending the child-care home within 48 hours when there is an outbreak of lice or other infestation in the child-care home.


Source Note: The provisions of this §747.305 adopted to be effective September 1, 2003, 28 TexReg 1462; amended to be effective December 1, 2010, 35 TexReg 10266; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909; amended to be effective April 25, 2021, 46 TexReg 2449; amended to be effective October 25, 2021, 46 TexReg 7219; amended to be effective March 1, 2023, 48 TexReg 950

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