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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 748MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS
SUBCHAPTER DREPORTS AND RECORD KEEPING
DIVISION 1REPORTING SERIOUS INCIDENTS AND OTHER OCCURRENCES
RULE §748.303When must a general residential operation (GRO) report and document a serious incident?

(a) A GRO must report and document the following types of serious incidents involving a child in its care. The reports must be made to the following entities, and the reporting and documenting must be within the specified time frames:

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(b) If there is a medically pertinent incident that does not rise to the level of a serious incident, a GRO does not have to report the incident but the GRO must document the incident in the same manner as for a serious incident, as described in §748.311 of this division (relating to How must I document a serious incident?).

(c) If a child returns before the required reporting timeframe outlined in (a)(8) - (10) in Figure: 26 TAC §748.303(a), the GRO is not required to report the absence as a serious incident. Instead, the GRO must document within 24 hours after becoming aware of the unauthorized absence in the same manner as for a serious incident, as described in §748.311 of this division.

(d) If there is a serious incident involving an allegation of abuse, neglect, or exploitation of an elderly adult or an adult with a disability in a residential child-care operation, the GRO must document the incident in the same manner as a serious incident. The GRO must also report the incident to:

  (1) The Department of Family and Protective and Services intake through:

    (A) The Texas Abuse and Neglect Hotline (1-800-252-5400); or

    (B) Online at https://www.txabusehotline.org;

  (2) Law enforcement, if there is a fatality; and

  (3) The parent, if the adult resident is not capable of making decisions about the resident's own care.

(e) A GRO must report and document the following types of serious incidents involving the GRO, an employee, a professional level service provider, contract staff, or a volunteer to the following entities within the specified time frames:

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Source Note: The provisions of this §748.303 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective June 1, 2014, 39 TexReg 3727; 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 June 1, 2020, 45 TexReg 3324; amended to be effective April 25, 2021, 46 TexReg 2452; amended to beeffective April 25, 2022, 47 TexReg 2248;amended to be effective November 23, 2022, 47 TexReg 7727; amended to be effective December 22, 2024, 49 TexReg 9554

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