Texas Register

TITLE 26 HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 559DAY ACTIVITY AND HEALTH SERVICES REQUIREMENTS
SUBCHAPTER HINDIVIDUALIZED SKILLS AND SOCIALIZATION PROVIDER REQUIREMENTS
DIVISION 3PROVIDER REQUIREMENTS
RULE §559.225General Requirements
ISSUE 08/12/2022
ACTION Proposed
Preamble Texas Admin Code Rule

(a)An individualized skills and socialization provider must:

  (1)comply with the provisions of Texas Health and Safety Code (HSC), Chapter 250 (relating to Nurse Aide Registry and Criminal History Checks of Employees and Applicants for Employment in Certain Facilities Serving the Elderly, Persons with Disabilities, or Persons with Terminal Illnesses);

  (2)before offering employment, search the employee misconduct registry (EMR) established under HSC §253.007 and the Texas Health and Human Services Commission (HHSC) nurse aide registry (NAR) to determine if a person is designated in either registry as unemployable; both registries can be accessed on the HHSC website; and

    (A)an individualized skills and socialization provider must not employ a person who is listed as unemployable in either registry;

    (B)an individualized skills and socialization provider must provide information about the EMR to an employee in accordance with 26 TAC §561.3 (relating to Employment and Registry Information); and

    (C)in addition to the initial search of the EMR and NAR, an individualized skills and socialization provider must:

      (i)conduct a search of the NAR and EMR to determine if the employee is designated in either registry as unemployable at least every 12 months; and

      (ii)keep a copy of the results of the initial and annual searches of the NAR and EMR in the employee's personnel file;

  (3)comply with all relevant federal and state standards; and

  (4)comply with all applicable provisions of the Texas Human Resource Code (HRC), Chapter 102 (relating to Rights of the Elderly).

(b)An individualized skills and socialization provider must:

  (1)provide an individual who is 55 years of age and older with a written list of the individual's rights, as outlined under HRC §102.004; and

  (2)protect and promote the rights of the individual.

(c)An individualized skills and socialization provider must:

  (1)report abuse, neglect, exploitation, and critical incidents in accordance with §559.241 of this subchapter (relating to Reporting Abuse, Neglect, Exploitation, or Critical Incidents);

  (2)maintain incident reports;

  (3)ensure the confidentiality of individual records and other information related to individuals; and

  (4)inform the individual orally and in writing of the individual's rights, responsibilities, and grievance procedures in a language the individual understands.

(d)An individualized skills and socialization provider must prominently and conspicuously post for display in a public area of the on-site individualized skills and socialization location that is readily available to individuals, employees, and visitors:

  (1)the license issued under this chapter;

  (2)a sign prescribed by HHSC that describes complaint procedures and specifies how complaints may be filed with HHSC;

  (3)a notice in the form prescribed by HHSC stating that inspection and related reports are available at the on-site individualized skills and socialization location for public inspection and providing HHSC's toll-free telephone number that may be used to obtain information concerning the individualized skills and socialization provider;

  (4)a copy of the most recent inspection report relating to the individualized skills and socialization provider;

  (5)a brochure or letter that outlines the individualized skills and socialization provider's hours of operation, holidays, and a description of activities offered; and

  (6)emergency telephone numbers, including the abuse hotline telephone number, near all telephones.

The agency certifies that legal counsel has reviewed the proposal and found it to be within the state agency's legal authority to adopt.

Filed with the Office of the Secretary of State on July 28, 2022

TRD-202202837

Karen Ray

Chief Counsel

Health and Human Services Commission

Earliest possible date of adoption: September 11, 2022

For further information, please call: (512) 438-3161



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