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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 748MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS
SUBCHAPTER BDEFINITIONS AND SERVICES
DIVISION 1DEFINITIONS
RULE §748.43What do certain words and terms mean in this chapter?

    (C) Soaking in or spraying on a disinfecting solution for at least two minutes. Rinsing with cool water only those items that a child is likely to place in his mouth; and

    (D) Allowing the surface or item to air-dry.

  (63) School-age child--A child who is five years old or older and is enrolled in or has completed kindergarten.

  (64) Seat belt--A lap belt and any shoulder strap included as original equipment on or added to a motor vehicle.

  (65) Seclusion--A type of emergency behavior intervention that involves the involuntary separation of a child from other children and the placement of the child alone in an area from which the child is prevented from leaving. Examples of such an area include where the child is prevented from leaving by a physical barrier, force, or threat of force.

  (66) Service plan--A plan that identifies a child's basic and specific needs and how those needs will be met.

  (67) Short personal restraint--A personal restraint that does not last longer than one minute before the child is released.

  (68) State or local fire authority--A fire official who is authorized to conduct fire safety inspections on behalf of the city, county, or state government, including certified fire inspectors.

  (69) State or local sanitation official--A sanitation official who is authorized to conduct environmental sanitation inspections on behalf of the city, county, or state government.

  (70) Substantial physical injury--Physical injury serious enough that a reasonable person would conclude that the injury needs treatment by a medical professional, including dislocated, fractured, or broken bones; concussions; lacerations requiring stitches; second and third degree burns; and damages to internal organs. Evidence that physical injury is serious includes the location, severity of the bodily harm, and age of the child. Substantial physical injury does not include minor bruising, the risk of minor bruising, or similar forms of minor bodily harm that will resolve healthily without professional medical attention.

  (71) Supine restraint--Placing a child in a chest up restraint hold.

  (72) Supplements--Includes vitamins, herbs, and any supplement labeled dietary supplement.

  (73) Swimming activities--Activities related to the use of swimming pools, wading/splashing pools, hot tubs, or other bodies of water.

  (74) Toddler--A child from 18 months through 35 months.

  (75) Trafficking victim--A child who has been recruited, harbored, transported, provided or obtained for the purpose of forced labor or commercial sexual activity, including any child subjected to an act or practice as specified in Texas Penal Code §20A.02 or §20A.03.

  (76) Trauma informed care (TIC)--Care for children that is child-centered and considers the unique culture, experiences, and beliefs of the child. TIC takes into consideration:

    (A) The impact that traumatic experiences have on the lives of children;

    (B) The symptoms of childhood trauma;

    (C) An understanding of a child's personal trauma history;

    (D) The recognition of a child's trauma triggers; and

    (E) Methods of responding that improve a child's ability to trust, to feel safe, and to adapt to changes in the child's environment.

  (77) Treatment director--The person responsible for the overall treatment program providing treatment services. A treatment director may have other responsibilities and may designate treatment director responsibilities to other qualified persons.

  (78) Universal precautions--An approach to infection control where all human blood and certain human bodily fluids are treated as if known to be infectious for the human immunodeficiency virus (HIV), the hepatitis B virus (HBV), and other blood-borne pathogens.

  (79) Unsupervised childhood activities--Childhood activities that a child in care participates in away from the operation and the caregivers. Childhood activities that an operation sponsors, conducts, or supervises are not unsupervised childhood activities. Unsupervised childhood activities may include playing sports, going on field trips, spending the night with a friend, going to the mall, or dating. Unsupervised childhood activities may last one or more days.

  (80) Vaccine-preventable disease--A disease that is included in the most current recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

  (81) Volunteer--A person who provides:

    (A) Child-care services, treatment services, or programmatic services under the auspices of the operation without monetary compensation; or

    (B) Any type of services under the auspices of the operation without monetary compensation when the person has unsupervised access to a child in care.

  (82) Young adult--An adult whose chronological age is between 18 and 22 years, who is currently in a residential child-care operation, and who continues to need child-care services.


Source Note: The provisions of this §748.43 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective March 1, 2010, 35 TexReg 881; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective June 1, 2014, 39 TexReg 3727; amended to be effective June 1, 2015, 40 TexReg 2789; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909; amended to be effective April 25, 2022, 47 TexReg 2248; amended to be effective December 21, 2022,47 TexReg 8115

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