Loading...
O-738-9-86SECTION I SECTION II SECTION III SECTION IV EXHIBIT "A" EXHIBIT "B" ?Aml�j ORDINANCE NO. CITY OF ALLEN ENVIRONMENTAL HEALTH ORDINANCE INDEX FOOD SERVICE SANITATION 2 SWIMMING POOLS 88 CHILD CARE CENTERS 110 ADMINISTRATION 118 FEE SCHEDULE 121 FOOD SERVICE ESTABLISHMENT 122 INSPECTION REPORT 0 ORDINANCE NO. 738-9-86 CITY OF ALLEN ENVIRONMENTAL HEALTH ORDINANCE AN ORDINANCE ESTABLISHING AND REGULATING THE HEALTH AND ENVIRONMENTAL STANDARDS FOR THE CITY OF ALLEN, COLLI N COUNTY, TEXAS; PR40V I D I NG RULES AND REGULATIONS FOR A COMPREHENSIVE FOOD SERVICE SANITATION PROGRAM; PROVIDING FOR REGULATIONS GOVERNING PUBLIC AND SEMI-PUBLIC SWIMMING POOLS; PROVIDING RULES FOR CHILD CARE OPERATIONS, AND ADOPTING THE MINIMUM STANDARDS SET BY THE TEXAS DEPARTMENT OF HUMAN RESOURCES; PROVIDING FOR ENFORCEMENT; ESTABLISHING A SCHEDULE OF FEES; PROVIDING A PENALTY OF ONE THOUSAND DOLLARS 4 ($1,000.00) FOR EACH OFFENSE; PROVIDING FOR AN APPEAL PROCESS; PROVIDING FOR A CONFLICT AND SEVERABILITY CLAUSE; PROVIDING FOR AN EFFECTIVE DATE OF IMPLEMENTATION. BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF ALLEN, TEXAS: 1 0 ORDINANCE NO. 738-9-86 I TABLE OF CONTENTS SECTION I Page ARTICLE 1 PURPOSE 7 i ARTICLE 2 DEFINITIONS 7 ARTICLE 3 FOOD CARE 12 A. Faced Suppl ies 12 1. General 12 2. S pec i a 1 requirement-. 12 B. Food Prat ect i an 13 1. General 13 2. Emergency occurrences 14 C. Food Storage 14 1. Genera 1 14 2. Refrigerated storage 16 j 3. Hot storage 18 j D. Food Preparation 19 1. Genera 1 19 2_ Raw fruits and vegetables 19 3. Cooking potentially hazardous faadV* 19 4_ Dry milk and dry milk products 20 5. Liquid, frozen, dry aggs, and egg products 20 G. Reheating potentially hazardous foods 20 7. Nan -dairy products 20 S. Prad uct t emperat ures 21 9. Thawing potentially hazardous foods 21 E. Food Display and Service 22 1. Potentially hazardaus foods 22 2. Milk and milk dispensing 22 3. Nondairy product dispensing 23 4_ Condiment dispensing 23 5. Ice dispensing 24 6. Dispensing utensils 24 7. Resery i ce 24 S. Display equipment 25 9. Reuse of tableware 25 F. Faced transportation 25 G. Coding and Dating ARTICLE 4 PERSONNEL A. Employee health B. Personal cleanlinass 2 25 26 26 26 ORDINANCE NO. 738-9-86 Page C. Clothing 26 D. Employee practices 27 E. Employer responsibility 27 ARTICLE 5 EQUIPMENT AND UTENSILS 28 A. Materials 28 1. 64 --neral 28 2. Solder 28 3. Wood 28 4. Plastics and rubber 29 5. Mollusk and Crustacea shells 29 G. Single -service, 29 B. Design and Fabrication 29 1. General 29 2. Accessi bi 1 ity 31 3. In-place cleaning 31 4. Pressure -spray -cleaning 31 5. Thermometers 332 G. Nan -food contact surfaces 32 7. Vent i 1 at i on Hoods 32 8. Existing equipment 33 C. Equipment Installation and Location 33 1. Genera 1 33 2. Table -mounted equipment 33- 3. Flaor-mounted equipment 34 4. Aisles and, work spaces 36 ARTICLE 6 CLEANING, SANITIZATION AND 36 STORAGE OF EQUIPMENT AND UTENSILS A. Equipment and Utensil Cleaning and Sanitization 36 1. Cleaning frequency 36 2. Wiping cloths 37 3. Manual cleaning and sanitizing 38 4. Mechanical cleaning and sanitizing. 43 5. Drying 47 B. Equipment and Utensil Storage 48 1. Handling 48 2. Knives 48 3. Storage 48 4. Single service articles 49 5. Prohibited st ora g e area 50 ARTICLE 7 SANITARY FACILITIES AND CONTROL 50 A. Water Supply 50 1. General 50 2. Transportation 51 3. Bot t 1 ed water 51 3 ORDINANCE NO. 738-9-86 4. Water under pressure 5. St eam B. Sewage C. Plumbing i . Genera 1 2. Nanpatable water system 3. Backflow 4. Grease traps 5_ Garbage grinders}/diaposal units G. Dva i ns D. Toilet Facilitias 1. Toilet installation 2. Toilet design 3. Toilet roams 4. Toilet f i x t urea E. Lavatory Facilities 1. Lavatory installation 2. Lavatory faucets 3. Lavatory supplies '4. Lavatory maintenance F. Garbage and Refuse 1. Containers 2_ Storage 3. Disposal G. Insect and Rodent Control I., General 2. Openings 3. Licensed Exterminators ARTICLE 8 CONSTRUCTION AND MAINTENANCE OF PHYSICAL FACILITIES A. F 1 oars B. Walls and Ceiling C. Cleaning Physical Facilities D. Lighting E. Vent i 1 at ion 1. Genera 1 2. Special Ventilation F. Dressing Rooms and Locker Argas 1. Dressing roams ` 2. Locker area G. Poisonous av Toxic Materials 4 Page 51 51 51 52 52 52 52 53 53 53 54 54 54 54 54 55 55 55 55 56 56 56 57 58 59 59 59 60 :1 60 62 63 64 65 65 65 66 66 66 66 ORDINANCE NO. 738-9-86 1. Materials permitted 2. Labeling of materials 3. Storage of materials 4. Use of materials 5. Personal medications G. First aid supplims H. Prem i ses 1. General 2. Living areas 3. Laundry faci 1 it iQs 4. Linens and clothes storage S. Cleaning equipment storage S. Animals SECTION 9 NON -CONFORMING USE SECTION 10 MOBILE FOOD UNITS A. Mobile Food Service 1. Banal -al 2. Restricted operation 3. Single -service articles 4. Water- system S. Waste retention B. Comm i awry 1. Base of operations 2. Servicing area 3. Sery i c i n" g opevat i ons C. Mobile Operations Permit 1. Perm i t 2. Perm i t fee ARTICLE 11 TEMPORARY FOOD SERVICE ESTABLISHMENT A. General B. Restricted operations C. I ce D. Equipment E. Single service articles F. Water G. Wet storage H. Wast e I. Handwashing 5 Page 66 66 66 67 68 68 68 68 69 69 70 70 70 70 .71 71 71 71 72 72 72 73 73 73 74 75 75 75 MAY 75 rkwi 76 s 77 77 77 77 77 78 ORDINANCE NO.738-9-86 J. F 1 Dors K. Walls and ceiling ARTICLE 12. FOOD SERVICE PERMITS A. Permits., 1. Genal -al 2. Issuance of permit 3. Suspension of permit 4. Revocation of permit S. Not i ces 1. Service of notices 2. Hearing 3. Perm i t refunding 4. Application after revocation ARTICLE 13 INSPECTIONS A. Access H. Inspection frequency C. Report of inspection D. Correction of violations E. Examination and condemnat ion -of food F. Procedure when infection is suspected G. Review of plans s U J 83 83 83 84 84 84 85 86 87 ORDINANCE NO. 738-9-86 SECTION I PURPOSE: RULES AND REGULATIONS ON FOOD SERVICE SANITATION; PROVIDING FOR PURPOSE, DEFINITIONS, FOOD CARE, FOOD PROTECTION, FOOD STORAGE, PERSONNEL, EQUIPMENT AND UTENSIL CLEANING, SANITIZATION AND STORAGE, SANITARY FACILITIES AND CONTROLS, CONSTRUCTION AND MAINTENANCE OF PHYSICAL FACILITIES, MOBILE FOOD UNITS, TEMPORARY FOOD SERVICE ESTABLISHMENTS, REQUIRING PERMITS FOR THE OPERATION OF FOOD SERVICE ESTABLISHMENTS, AND REGULATING THE INSPECTION OF SUCH ESTABLISHMENTS. ARTICLE 1_ Puvpase. The function of these rules is to protect the public health by establishing uniform requirements far food service and food processing operations. ARTICLE 2. Definitions. rules:` a Far the purpose of these (A) "Commissary" means a catering establishment, restaurant, ar any other place in which food,- cantainers, ar supplies are kept, handled, prepared, packaged -or stored . (B) "Corrosion -resistant materials" means those materials that maintain their original surface chavacteristics -undev prolonged influence of the food to be contacted, the `normal use of cleaning compounds and bactericidal salutians, and other, conditions -of -use environment. (C) "Easily cleanable" means that surfaces are readily k accessible and made of .such materials and finish and sa 7 73 ORDINANCE NO. 738-5-86 4 fabricated that residue may be effectively removed by normal cleaning methods. (D) "Employee" means individuals having supervisory at- management rmanagement duties and any other person working in a food service establishment.' (E) "Equipment'* means staves, ovens, ranges, hoods, slicers, m i xers, meat b 1 asks, tables, counters, refrigerators, sinks, dishwashing machine, $team tables, and similar items other than utensils,, used in the operation of a food service establishment. (F) "Food" means any raw, cooked, or procesoed edible substance, ice, beverage or ingredient used or intended far use or far sale in whole-ar in part for human consumption. u (G) "Food -contact surface" means thane surfaces of equipment and utensils with which food normally comes in contact, and thane surfaces fram which faced may drain, drip at- splash back onto surfaces narmally in contact with food. (H) Food est a b 1 i shmertt s. (1) "Faod pracessing establishment" means a f commercial establishment in which food is 0 manufactur-ed at- packaged far human consumpt ian. Also included are food storage and distribution warehauses. (2) "Food service establishment" means any place where food is prepared and intended far individual portion service, and includes the site at which a ORDINANCE NO. 739-9-196 individual portions are provided. The term includes any such place regardless of whether consumption is an or off the, premises and regardless of whether there is a charge far, the food. The term includes del. feat essen-type y operations that prepare sandwiches intended Vow- individual orindividual portion service: The term also 4 includes retail food/grocery stores, commissaries, i schaals, hospitals, nursing homes, chi-ldcare centers, fruit stands, vending trucks, vending machines, industrial feeding establishment, concession stands, catering service or public or nonprofit organization or institution selling food. The term does riot include private homes where food is prepared or served far i ind i v i d ua 1 family consumption. (I) "Hermetically sealed container" means a container - designed and intended to be secure against the entry of microarganisms and to maintain the commercial sterility of its content after processing. (J) "Kitchenware" means all multi -use utensils ather than tableware. (K) "Law" includes Federal, State and lacal statutes, ordinances and regulations. (L) "Mobile faced unit" means a vehicle -mounted food service establishment designed to be readily movable. (M) "Packaged" means bottled, canned or cartaned or securely wrapped. 9 ORDINANCE NO. 738-9-86 (N) "Person in charge" means the individual present in a food service establishment who is the apparent supervisor of the food service establishment at the time of inspection. If no individual is the apparent supervisor, than any employee present is the person in charge. (0) "Potentially hazardous food" means any food that consists in whole or in part of milk or, milk products, eggs, meat, poultry, fish shellfish, edible Crustacea, at- other- r other ingredients including synthetic ingredients, in a t form capable of supporting rapid and progressive growth of infectious or toxogenic microorganisms. The term does not include clean, whole, uncracked, odor -free shell eggs or foods which have a pH level of 4.5 or below or a water- activity ater activity (AN) value of 0.85 or less. (P) "Reconstituted" means recombining dehydrated food products with water or other liquids. (0) "Regulatory authority" means the local health enforcment authority or authorities in the City of Allen F having Jurisdiction over the food service establishment. (R) "Safe materials" means articles manufactured from or composed of materials that may not reasonably be expected to result, directly or indirectly, in their becoming 'ex component or otherwise affecting the characteristics of any food. If materials are food additives or calor s additives as'defined in Section 201(m) or (t) of the Federal Food, Drug and Cosmetic Act as used, they are "safe" only if they are used in conformity with U 10 1 ORDINANCE NO. 738-9-86 regulations established pursuant to Section 409 ar Section 706 of the Act. Other materials are "safe" only if they are not food additives or color additives as defined in Section 201(s) ar (t) of the Federal Food, Drug and Cosmetic Act, as used. (S) "Sanitization" means effective bactericidal treatmwnt [F by a process that provides enough accumulative heat or concentration of chemicals far enough time to reduce the bacterial count, including pathogens, to a safe level an utensils and equipment. (T) "Sealed" means free of cracks ar other openings that perm i t -the entry or passage of moisture. (U) "Single -service articles" means cups, containers, 1 i d s, c 1 as ures, plates, knives, forks, spoons, stirrers, paddles, straws, napkins, wrapping materials, toothpicks and similar articles intended for one-time, one-person use and than discarded. (V) "Tableware" shall mean all multi -use eating and drinking utensils including flatware (knives; forks and spoons). 11 (W) "Temporary food sevvice,establishment" means a food service establishment that operates at a fixed location far a period of time of not more than 14 consecutive days in canjunction with a single event or celebration. (X) "Utensil" means any implement used in the starage, preparation, transportation or service of food. (Y) Vending Machine means any self-service device which dispenses serving of food in bulk ar in packages, without ' 11 .ORDINANCE NO. 738-9-86 the necessity of replenishing the unit between each vending operation. ARTICLE 3. FOOD CARE (A) Food Supplies (1) General. Food shall be in sound condition, free from spoilage, filth, or other contamination and shall be safe for human consumption. Food shall be obtained from sources that comply with all laws relating to food and food labeling. The making of premade sandwiches and other-premade packaged food other than individual portions is a manufacturing process which requires proper labeling and the facility shall be registered as a manufacturer with the State of Texas. The use of food in hermetically sealed containers -that was not prepared in a food'processing-establishment is prohibited. Expiration dates on all food " containers shall be required. (2) Special Requirements (a)• All milk and milk products to include dry milk sold in the City of Allen shall be pasteurized. (b) Fresh and frozen shucked shellfish (oysters, clams or mussels) shall be packed in nonreturnable packages identified with the name and address of a the original shell stock processor, shucker-packer or repacker, and the 12 ' ,� ORDINANCE NO. 738-9-86 interstate cert i f i cation riumber - -issued according to law. Shell stock and shucked shellfish shall be kept in-the,contairer in which they were received until they are used. Each container of unshucked shell stock (oysters, clams or mussels) shall be identified by an attached tag that states the name and address of the original shell stock processor, the kind and quantity of .hall stock, and an i nt erst at e certification number issued by the State or foreign shellfish control agency. (c) Only clean whole eggs, with shell intact and without cracks or checks or pasteurized liquid, frozen, or dry eggs orr pasteurized dry egg products shall be used, except that hard boiled, peeled eggs, commercially prepared and packaged, may be used. (H) Food Protection (1) General: At all times, including while being stored, prepared, displayed, served,, or transported, food shall be protected from potential contamination, i nc 1, ud ieng dust, insects, rodents, unc 1 wan equipment and- utensils, moneyladen hands, unnecessary handling, coughs and sneezes, flooding, drainage and overhead drippage f ram condensation. The i nt erna 1 temperature of .13 ORDINANCE NO. 738-9-86 patent ial ly hazardaus food shal l be 45' F. (7' C. ) or below or 140' F. (60' C. ) or above at al I t imam, except as atherw'ise provided in these rules: (2) Emergency Occurrences. In the event of an occurrence, such as a Vii -e; f load, power outage or similar event, which might result in -the contamination of food, or -which might prevent, potentially hazardous'food from being held at required temperatures, the person in charge, shall immediately contact the regulatory authority. Upon receiving notice of this occurrence, the regulatory authority shall take whatever action that it deems necessary to protect the public health. (C) Food St ai -age. (1) General. (a) Food, whether raw at- prepared, if removed from the container or package in which it was obtained, shall be stared in a clean covered cantainer except during i necessary periads of prepavatian or- Mol-viae. rservice. Container covers shall be impervious and nonabsorbent, except that linens or napkins may be used for lining or covering bread at- roll containers., So 1 i d cut s of meat --.ha 1 1 be, prat acted by being covered in storage, except that quarters or, sides of meat may be hung 14 ORDINANCE NO. 738-9-86 uncovered on clean -•sanitized hooks if' no y food product is stored beneath the meat. (b) Contai-ners•of food shall be stored a minimum of six inches above the -floor in the manner that protects the food from r splash and athev contamination, and that permits easy cleaning of the storage area, except that: (i) Metal pressurized beverage containers, and cased food , packaged in cans, glass ar, other waterproof containers shall be stared in a manner to allow easy cleaning; and 1 (ii) Containers may be stored on dollies, or racks, provided such equipment i% easily moveable. (iii) Bulk food products in food %tavage and wavehouse_facilities may be stared on pat l l et %. (c) Food and cant a i ners of food %hal 1' not be stared under expased ov unprotected sewer lines or water lines; except far- automatic arautomatic fire protection sprinkler heads that may, be veuired by law. The storage of food and single service items in tailet roams ov vestibules is pvahibited. (d) Food not subject to further washing or 15 e ORDINANCE NO. 73a-9-66 cooking before -serving shall be -stored in a way that protects it against cross -contamination from food requiring washing or cooking. (e) Packaged food shall not be.stared in contact with water at- undrained ice. Wrapped sandwiches shall, not be stared in d i rect contact with ice. (f) Unless its identity is unmistakable, bulk food such as cooking oil, syrup, salt, sugar or flour not stored in the product container or package in which it was obtained, %ha 1 1 be stored - i n a container identifying the food by common name. (2) Refrigerated Storage. (a) Conveniently located refrigeration facilities or effectively insulated facilities shall be provided to -assure the maintenance of all potentially hazardous food at required temperatures during storage. Each mechanically refrigerated facility storing potentially hazardous food shall be provided with a numerically sca 1 ed i nd i cat ring t hermomet er, accurate to 0-/-1.7'1C),, located to measure the r air temperature in the warmest part of the facility and located to be easily ORDINANCE NO. 738-9-86 i readable. Recording' thermometers, accuti^ate to +/-3' F. t+/-1. 7' C), may be used`in lieu of indicating thermometers. (b) Potentially hazardous food requiring refrigeration after preparation shall be rapidly cooled to an internal temperaturQ of 451F. (79C.) or below. Pat ent i a l l y hazardous foods of large volume ar prepared in'large quantities shall be rapidly cooled utilizing such methods as shallow pans, agitation, quick chilling at- water- rwater circulation external to the food container, so that the cooling period shall not exceed four' (4) hours. Potentially hazardous food to be transported shall be I. prechilled and held at a temperature of 45' F. (7's C. ) or below unless maintained in accordance with paragraph (3) (b) of subsectian (C) of this rule. ' (c) Frozen foods shall be kept frozen and sh a 1 1 be stored at a temperature of 09F. (-18' C. ) ar below. (d) Ice intended far human consumption shall be from an approved source, and ynot be used as a medium for cooling stored food, food containers ar food utensils, except that such ice may be used far coaling tubes conveying beverages or 17 ORDINANCE NO. 738-9-86 beverage ingredients to a dispenser h E Ice used far cooling stared food and good cantainers shall not be used for human cornsumpt ion. (3) Hot Storage. A (a) Conveniently located -hat food storage facilities shall be pravided to assure the maintenance of food at the required temperature during storage. Each hot, food facility staring potentially hazardous toad shall be provided with a numerically scaled indicating thermometer, accurate to F. (+/-1. 7' C) , lacated to meisuve the air temperature in the caolest• part of the facility and located to be easily readable. Recording thermometers accurate to +/-3' F. (-+-/-1.7'C.) may be used in lieu of indicating thermometers. Where it is impractical to install thermometers on h equipment such as bainmariss, steam tab 1 es, steam ket t 1 es,. heat lamps, ca 1 -rod units, or insulated food transport carriers, a product thermometer must be available and used to check internal food t emperat ure. (b) The i nt erna 1 temperature of potentially hazardous foods requiring hot storage sha 1 1 be 14011F. (60'9C.) or above ORDINANCE NO. 738-9-86 except during necessary periods of pvepavaion. Potentially hazardous food to be transported shall be held at a temperature of 140' F. (60' C. ) or above unless maintained in accordance with paragraph (2) (b) of subsection (C) of E this rule. (D) Food Preparation. (1) General. Food shall be prepared with the -least possible manual contact, with suitable utensils, and on surfaces that prior to use have been cleaned, rinsed and sanitized to prevent crass -contamination. Where operations require continuous manual contact with potentially hazardous foods, disposable gloves shall be used. (8) Raw Fruits and Raw Vegetables. Raw fruits and raw vegetables shall be tharoughly washed -with H potable water before being cooked or served. (3) Cooking Potentially Hazardous Foods. Potentially hazardaus foods requiring cooking shall be cooked to heat all parts of the food to a temperature of at least 1409F. (60' C.) , except that: (a) Paultry, poultry stuffings, stuffed meats and stuffings containing meat shall be cooked to heat all parts of the food to at least 165' F. (74' C. ) with no interruption of the cooking process: 19 ORDINANCE NO. 738-9-86 (b) Park and any toad containing park d shall be caaked to heat all parts of the food to at least 15011F. (c) Rare roast beef shall be cooked to an i nt erna 1 t emperat ure of at feast- 130', F. (549 C. unless otherwise ordered by the immediate consumer. (4) Dry Milk and Dry Milk Products. Reconstituted dry milk and dry milk products may be used in G instant desserts and whipped products, or far cooking and baking purposes. (5) Liquid, Frozen, Dry Eggs and Egg Praducts. Liquid, fvazen, dry eggs and egg products shall be used only for cooking and baking purposes. (6) Reheating. Potentially hazardous foods that have been cooked and then refrigerated, shall be reheated rapidly to 16511F. (749C.) or higher throughout before being served or before being placed in a hat food storage facility. The establishment shail utilize staves, ovens, microwave ovens, and high heat- pressure steamers for rapid reheating. Steam tables, bainmaries, warmers, and similar hat food holding facilities are prohibited far the rapid Y -cheating of potentially hazardous foods. (7) Nondairy Products. Nondairy creaming, whitening, or whipping agents may be vecanstituted on -the premises only when they will be stared in 20 ORDINANCE NO. 738-9-86 sanitized, covered cantainers not exceeding -ane gallon in capacity and cooled to 45' F. (7' C. ) or- below rbelow within four hours after preparation. (8) Product Thermometers. Metal stem -type numerically scaled indicating thermometers,, ,accurate to -1-/-2"F. (+/=1. 1' C.-),- %hal l be provided and used to assure the attainment and maintenance of proper internal cooking, -holding, or refrigeration temperatures of all potentially hazardous foods. (9) Thawing Potentially Hazardous Foods. Patentially hazardous foads shall be thawed: (a) In refrigerated units at a•tempevature not to exceed 45' F. (7' C. ; or (b) Under potable running water of a temperature of 7011F. (211C.) or be 1 ow, with sufficient water velocity to agitate and flaat off loose food particles into the overflow; or- (c) r (c) In a microwave aven ONLY when the food will be immediately transferred to conventional cooking facilities as part of a continuous cooking process or when the entire, uninterrupted cooking process i takes place in the microwave oven; at- (d) r(d) As part of the conventional cooking process. 21 ORDINANCE NO. 738-9-86 (E) Food Display and Service. (1) Potentially Hazardous Foods. Obtentially 4 hazardous food shall be kept at an internal t emperat ure of 459 F. ( 7' C. ) or< be 1 ow or at an i nt erna 1 t empeerat ure of 1409F. (6011C.) or above during display and service, except that rare roast beef shall be held far service at a temperature of at l east 130' F. (5411C.). (2) Milk -and Cream Dispensing. (a) Milk and milk products far drinking purposes shall be provided to the consumer in an unopened, commercially filled package not exceeding one pint in capacity, or drawn from a commercially filled container stored in a -mechanically refrigerated bulk milk dispenser. Where it is necessary to provide individual servings under special institutional circumstances, milk and milk products may be poured from a commercially filled container provided such a procedure is authorized by the regulatory authority. Where a bulk dispenser for milk and. milk products is not available and portions -of less than one-half pint are required for mixed drinks, cereal-, or dessert service, milk and milk products may be poured from 4 ORDINANCE NO. 738-9-86 a commerciaily filled container. Expiration dates on all milk products shall be observed. (b) Cream or half and half shall be provided in; ark individual service container, protected pour -type pitcher, or drawn from a refrigerated dispenser designed for such service. (3) Nondairy Product Dispensing. Nondairy creaming or whitening agents shall be provided in an individual service container, protected pour -type pitcher, or drawn from'a refrigerated dispenser designed far such service. (4) Condiment Dispensing. " (a) Condiments, seasonings and dressings for self-service use shall be provided in individual packages, from dispensers, or from containers protected in accordance with paragraph (8) of subsection (E) of this rule. (b) Condiments provided for table or, counter service shall be individually portioned, except that catsup and other sauces may be served in the original container or pour -type dispenser. Sugar- for- ugarfor consumer usage shall be provided, in individual packages or in pour -type $. dispensers. 23 ORDINANCE NO. 738-5-86 ill (5) Ice Dispensing. Ice far consumer use shall be dispensed only by employees with scoops, tangs, or- other- rother ice -self -dispensing utensils or through automatic service, ice -dispensing equipment. Ice dispensing utensils shall be stored an a clean 'surface or in the ice with the dispensing -utensil's handle extended out of the ice. Between uses, ice transfer receptacles shall be stared in a way that protects them fram contamination. Ice storage bins shall be drained through an air gap of at least.2 inches to the sewer. Automatic service units shall be used far self-service. (6) Dispensing Utensils. To avoid unnecessary manual contact with food, suitable dispensing utensils shall be used by employees or provided to consumers who serve themselves. between uses during service, dispensing utensils shall be: (a) Stored in the food with the dispensing utensil handle extended out of the food; Gin (b) Stored clean and dry; or (c) Stoned -in running water; or (d) Stored either in a running water- 11 ater m dipper well, an clean and dry in the case of dispensing utensils and malt callars used in preparing frozen desserts. (7) Reservice. Once served to a cansumer, portions of leftover toad shall not be served _ 24 ORDINANCE NO. 738-9-86 again except that packaged food, other than potentially hazardous food, that is still packaged and is still in sound condition, may be re -served. (8) Display Equipment. Food on display shall be protected from consumer contamination by the use of packaging or by the use of easily cleanable counter, serving line or salad bar protector devices, closed display cases, or by other. effective means. Enough hat or cold food facilities shall be available to maintain the required temperature of potentially hazardous food on display. (5) Reuse of ,Tableware. Reuse of soiled tableware by self-service consumers returning to the service area for additional food is prohibited. Beverage cups and glasses are exempt from this requirement. (F) Food Transportation. During transportation, food and food utensils shall be kept in covered containers or- completely rcompletely wrapped or packaged so as to be protected from contamination. Foods in original individual packages do not need to be over -wrapped or covered if the original package has not been torn or broken. During transportation, including transportation'to another location for service or catering operatians, food shall meet the requirements of tAose rules relating to food x protecion and food storage. (6) Coding and Dating. Coding and dating of food shall be monitored by the regulatory authority to insure the dates 25 ORDINANCE NO. 738-9-86 are being utilized properly by the food industry. ARTICLE 4. PERSONNEL I (A-) Employee Health. No person, while infected with a communicable disease that can be transmitted by foods or who is a carrier of organisms that cause such a disease at- while rwhiie afflicted with a boil, an infected wound, or an acute respiratory infection, or exhibits signs of ill"Hess, shall work in a food service establishment in any capacity in which there is a likelihood of such person contaminating food ov food -contact surfaces with pathogenic organisms or transmitting disease to other persons. (B) Personal Cleanliness. Employees shall thoroughly wash their hands and the exposed portions of their arms with soap and warm water before starting work, during work as often as is necessary to keep them clean, and after smoking, eating, drinking ov using the toilet. Signs shall be posted to this effect. Employees shall keep their fingernails clean and trimmed. (C) Clothing. ` (1) The outer clothing of all employees shall be clean and changed daily. available and worn. Aprons shall be made (2) Employees shall use effective hair restraints to prevent the contamination of food or food_contact surfaces. (3) Employees shall remove all insecure Jewelry, and during periods when food is manipulated by 26 ORDINANCE NO. 738-9-86 hand, remove from hands any ,jewelry that cannot be -adequately sanitized. Plain wedding rings are acceptable. (D) Employee Practices. .& (1) Employees shall consume food only in designated dining areas. An employee dining area shall not be so designated if consuming food there may result in contamination of other food, equipment, utensils or other items needing protection. In that case, employees shall eat in the customer dining area. (2) Employees shall not use tobacco in any form while engaged in food preparation or service, nor, while in equipment -washing or utensil -washing or food preparation areas. Employees shall use tobacco only: in designated areas. An employee tobacco use area shall not be designated for that purpose if the use of -tobacco there may result in contamination of food, equipment, utensils or t other items needing protection. (3) Employees shall handle soiled tableware in a way that minimizes contamination of their hand's. (4) Employees shall maintain a high degree of personal cleanliness and shall conform to good hygienic practices during all working periods in the food service establishment. (E) Employer responsibility (1) It shall be the responsibility of the 27 ORDINANCE -NO. 738-9-86 F owner/management to enforce items (A) through (D) of this section and to further certify to the City Sanitarian that all employees are in compliance with this code. (2) Management shall be responsible' for employee health compliance and cleanliness practices to the point, of insuring these rules are completely understood. ARTICLE 5. EQUIPMENT AND UTENSILS (A) Materials (1 ) Gernera l . Mu 1 t i -use equipment and ut ens i 1 s shall be constructed and repaired with safe materials, including finishing materials; shall be corrosion resistant and nonabsorbent; and shall be smooth, easily cleanable and under conditions of normal use. Single -service articles shall be made from clean, sarii t ary, safe materia 1 s. Equipment , - utensils and single -service articles shall not impart odors, co 1 or or taste, nor cont r i but e to the contamination of food. (C) Solder. If solder is used, it shall be composed of safe materials and be corrosion ' resistant. (3) Wood. Hard maple or equivalently nonabsorbent material that meets the general requirementsrset forth in paragraph (1) of subsection (A) of this rule, may be used for cutting blacks, cutting boards, salad bowls and baker's tables. Wood may 26 ORDINANCE NO. 738-9-86 be used for single -service articles, such as chop sticks, stirrers, or ice cream spoons. The use of wood as a food -contact surface under other circumstances is prohibited. (4) Plastics and Rubber. Safe plastic ov safe rubber or safe rubber -like materials that are resistant under normal conditions of use to scratching, scoring, decomposition, crazing, chipping and distortion, that are of sufficient weight and thickness to permit cleaning and sanitizing by normal dishwashing methods, and which meet the general requirements set forth in paragraph (1) of subsection (A) of this rule,- may be reused. (5) Mollusk and Crustacea Shells. Mollusk and crustacea shells may be used only once as a serving container. Further reuse of such shells Vow- food service is prohibited. (6) Single -Service. Reuse of single -service articles is prohibited. (B) Design and Fabrication (1) General. All equipment and utensils, including plasticware, shall be commercially designed and fabricated far durability under conditions of normal use and shall be resistant to denting, rusting, buckling, pitting, chipping and crazing. 29 ORDINANCE NO. 738-9-86 (a) All faced -contact surfaces shall be of stainless steel construction, including shelving of walk-in refrigerators and freezers, except where exposed to extreme heat such as grills, griddle tops and ski 1 lets. (b) Walk-in units shall be flush with the ceiling and sealed. (c) Equipment containing bearings and gears requiring unsafe lubricants shall be designed and constructed so that the lubricant cannot leak, drip or be forced into food or onto food -contact surfaces. Only safe lubricants shall be used on equipment designed to receive lubrication of bearings and gears on or within food -contact surfaces. (d) Tubing canveying beverages ov beverage ingredients to dispensing heads may be in contact with stored ice, provided that such tubing is fabricated from safe materials, is gvommeted at entry and exit paints to preclude moisture (condensation) from entering the ice machine or the ice storage bin, and is kept clean. Drainage or drainage tubes from dispensing units shall not pass through the ice machine or the ice storage bin. Such drainage must 30 ORDINANCE NO. 738-9-86 be routed directly to a floor drain. (e) Sinks and drain boards shall be self -draining. (2) Accessibility. Unless designed for in-place cleaning, food -contact surfaces shall be accessible for cleaning and inspection: (a) Without being disassembled; ow- (b) r(b) By disassembling without the use of tools; 01- (c) r(c) by easy disassembling with the use of only simple tools such as a mallet, a screwdriver, or an open-end wrench kept available near the equipment. (3) In-place Cleaning. Equipment intended far in-place cleaning shall be so designed and fabricated that: (a) Cleaning and sanitizing solutions can be circulated throughout a fixed system using an effective cleaning and sanitizing procedure; and (b) Cleaning and sanitizing solutions will contact all interior and exterior food -contact surfaces; and (c) The system is self -draining or capable of being completely evacuated. (4) pressure Spray Cleaning. Fixed equipment designed and fabricated to be cleaned and sanitized by pressure spray methods shall have 31 ORDINANCE NO. 738-9-86 sealed electrical wiring, switches and connections. (5) Thermometers. Indicating thermometers required for immersion into food ov cooking media shall be of metal stem -type construction, numerically scaled, and acuvate to -§-/-2'F. (-#-/-1. i' C. ) . (6) Nonfood -Contact Surfaces. Surfaces of equipment not intended far contact with food, but which are exposed to splash of food debris at- which rwhich otherwise require frequent cleaning, shall be designed and fabricated to be smooth, washable, free of unnecessary ledges, projections or crevices, and readily accessible for cleaning, and shall be of such material and in such repair as to be easily maintained in a clean and sanitary condition. (7) Ventilation Hoads. Ventilation hoods and devices shall be designed to prevent grease or condensation from collecting on walls and ceilings, and from dripping into food or onto food and nonfood -contact surfaces. Filters or other grease extracting equipment shall be readily removable for cleaning and replacement if not designed to be cleaned in place. Ventilation hoods shall be of stainless steel construction, flush with the ceiling and sealed. Splash areas on wall or, walls between cooking surface and 32 ORDINANCE NO. 738-9-86 vent -a -hood equipment shall be of stainless steel. (8) Existing Equipment. Equipment which was installed in a food service and food processing establishment prior to the effective date of these rules, and which does not meet fully all of the design and fabrication requirements of this rule, shall be deemed acceptable in that establishment as long as thane is no change of ownership, if it is in good repair, capable of being maintained in a sanitary condition, and the food -contact surfaces are nontoxic and approved by the regulatory authority. Replacement equipment and new equipment acquired after the effective date of these rules shall meet the requirements of these vu 1 es. (9) All existing equipment shall meet the design and fabrication requirements of these rules no l at ev than June 30, 1989. (C) Equipment Installation and Location. (i) General. All equipment shall be installed and maintained to facilitate the cleaning thereof, and of all adjacent areas. Equipment, including ice makers and ice storage equipment, shall not be located under exposed or unprotected sewer lines or water lines, open stairwells, at- other sources of contamination. This requirement does not apply to automatic fireprotections sprinkler heads that may be reuired by law. (2) Table Mounted Equipment. 33 ORDINANCE NO. 738-9-86 (a) Equipment that is placed on tables or counters, unless portable, shall be sealed to the table or counter, or elevated on legs to provide at least a four inch clearance between the table at- counter and equipment and shall be installed to facilitate the cleaning of the equipment and adjacent areas. (b) Equipment is portable within the meaning of paragraph (2) of s.ubseEt-ior-- (C) of this rule if: (i) It is small and light enough to be moved easily by one person; and (ii) It has no utility connection, or has a utility connection that disconnects quickly, or has a flexible utility connection line of sufficient length to permit the equipment to be moved far easy cleaning. (3) Floor -mounted Equipment. (a) Floor -mounted equipment, unless readily movable, shall be: (i) Sealed to the floor; at- (ii) r(ii) Installed on a raised platform of the or other smooth 34 ORDINANCE NO. 738-9-86 masonry in a way that meets all the requirements far sealing or floor clearance; or- (iii) r(iii) Elevated on legs to provide at least a six-inch clearance between the floor and equipment, equipment and wall, and between equipment, except that vertically mounted floor mixers may be elevated to provide at least a four -inch clearance between the floor and equipment if no part of the floor under the mixer is more than six inches from cleaning access. (b) Equipment is easily movable if: (i) It is mounted on wheels or 'casters; and (ii) It has utility connection that disconnects quickly, or has a flexible utility line of sufficient length to permit the equipment to be moved far easy cleaning. (c) Unless sufficient space is provided for easy cleaning between and behind each unit of floor -mounted equipment, the space between it and adjoining equipment units, 35 ORDINANCE NO. 735-9-86 and between it and adjacent walls, shall be closed; or, if exposed to seepage, the equipment shall be butted and sealed to the adjoining equipment or adjacent walls. (4) Aisles and Working Spaces. Aisles and working spaces between units of equipment and walls, shall be -unobstructed and of sufficient width to permit employees to perform their duties readily without contamination of food or food -contact surfaces by clothing or personal contact. All easily movable storage equipment such as racks and dollies shall be positioned to provide accessibility to working areas. ARTICLE 6. CLEANING, SANITIZATION AND STORAGE OF EQUIPMENT AND UTENSILS. (A) Equipment and Utensil Cleaning and Sanitization. (1) Cleaning Frequency. (a) Tableware shall be washed, rinsed and sanitized after each use. (b) To prevent cross -contamination, kitchenware and food -contact surfaces of equipment shall be washed, rinsed and sanitized after each use and following any interruption of operations. (c) Where equipment and utensils are used for the preparation of potentially hazardous foods, utensils and the food -contact surfaces of equipment shall 36 ORDINANCE NO. 73a-9-86 be washed, rinsed and sanitized at intervals throughout the day on a schedule based on food temperature, type of food and amount of food particle accumulation. (d) The food -contact surfaces of grills, griddles and similar cooking devices and the cavities and door seals of microwave ovens shall be cleaned at least once a day; except that this shall not apply to hot oil cooking equipment and hot oil filtering systems. The food -contact surfaces of all cooking equpment shall be kept free of grease deposits and other accumulated soil. (e) Nonfood -contact surfaces of equipment shall be cleaned as often as is necessary to keep the equipment free of accumulation of dust, grease, dirt, food particles and other debris. (2) Wiping Cloths. (a) Cloths used far wiping food spills on tableware, such as plates or bowls being served to the consumer, shall be clean, dry and used for no other purpose. Sponges shall not be used. (b) Moist cloths used for wiping food spills on kitchenware and food -contact surfaces of equipment shall be clean and 37 ORDINANCE NO. 738-9-a& rinsed frequently in one of the sanitizing solutions permitted in paragraph (3) (e) (i thraugh vii) of subsection (A) of this rule, and used for no other purpose. These cloths shall be stared in the sanitizing solutian between uses. (c) Moist cloths used for cleaning nonfood -contact surfaces of equipment such as counters, dining table tops and shelves shall be clean and rinsed as specified in paragraph (2) (b) of subsection (A) of this rule, and used far no other purpose. These cloths shall be stored in the sanitizing solution between uses. (3) Manual Cleaning and Sanitizing. (a) A three (3) compartment sink shall be used if washing, rinsing and sanitizing of utensils and equipment is done manually. Existing establishments not having a three (3) compartment sink that can demonstrate an acceptable procedure for washing, rinsing and sanitizing utensils and equipment may be exempt from this requirement only by the regulatory authority. Sinks shall be large enough to permit the complete immersion of the utensils and equipment and each compartment sink shall be supplied with 38 ORDINANCE NO. 738-9-86 hot and cold potable running water. A two (2) compartment sink will be acceptable where only single -service tableware is used. Suitable equipment shall be made available if washing, rinsing and sanitizing cannot be accomplished by immersion. A four compartment sink shall be utilized where mixed drinks are prepared. Sinks shall have automatic dispensing injectors for detergent and sanitizes. (b) Sloped drain boards or easily movable dish -tables of adequate size shall be provided for proper handling of soiled utensils prior to washing and far cleaned utensils following sanitizing and shall be located so as not to interfere with the proper use of the dishwashing facilities. (c) Equipment and utensils shall be pveflushed or prescraped and, when necessary, presoaked to remove gross food particles and soil to insure that manual or, automatic dishwashing results in completely clean and sanitary utensils. (d) Except for fixed equipment and utensils too large to be cleaned in sink compartments, manual washing, rinsing and sanitizing shall be conducted in the 39 ORDINANCE NO. 738-9-86 following sequence: (i) Sinks shall be cleaned priar to use; and (ii) Equipment and utensils shall be thoroughly washed in the first compartment with a hot detergent solution that is changed frequently. (iii) Equipment and utensils shall be rinsed free of detergent and abrasives with clean water in the second compartment; and (iv) Equipment and utensils shall be sanitized in the third compartment according to one of the methods included in paragraphs (3) (e) ( i through v) of subsection (A) of this rule. (e) The food contact surfaces of all equipment and utensils shall be sanitized by: (i) Immersion for at least one-half (1/2) minute in clean, hot water at a t emperat ure of at least 170"F. (772C.); or(ii) Immersion far, at least one (1) minute in a clean salution containing at least 50 parts pat- 40 er 40 ORDINANCE NO. 738-9-86 million of available chlorine as a by posh 1 or i t e and at a temperature of at least 7511F. (2411C.); or (iii) Immersion for at least one (1) minute in a clean solution containing at least 12.5 parts per- million ermillion of available iodine and having a pH not higher than 5.0 and at a temperature of at least 7511F. (249C.); air- (iv) r (iv) Immersion in a solution containing an approved quaternary ammonium compound { Q. A. C_ ) at a strength and for a period of time as stated on the product's officially approved label. Quaternary ammonium compounds refers to products approved and registered with the U.S. Environmental Protection Agency; at- (v) r (v) Immersion in a clean solution containing any other chemical sanitizing agent approved by the Texas Hoard of Health that will provide the equivalent bactericidal effect of a solution containing at least 50 parts per 41 ORDINANCE NO. 738-9-86 million of available chlorine as hypochlorite at a temperature of at leant 751F. (24'2C.) for one ( 1 ) minute. (f) When hot water is used far sanitizing, the following facilities shall be provided and usedz (i) An integral heating device or f i xt ure i nst a l l ed irk, on, or under the sanitizing compartment of the sink capable of maintaining the water at a temperature of at least 17011F. (779c.); and (ii) A numerically scaled indicating thermometer, accurate to -1-/-3"F. (+/-1. 7' C.) , convenient to the sink for frequent checks of water temperature; and (iii) Dish baskets of such size and design to permit complete immersion of the tableware, kitchenware and equipment in the hot water. (g) When chemicals are used for sanitization, a test kit or other device that accurately measures the parts per million (ppm) concentration of the solution shall be provided and used. 42 ORDINANCE NO. 738-9-86 (4) Mechanical Cleaning and Sanitizing. (a) Cleaning and sanitizing may be done by spray -type or immersion dishwashing machines at- by any other type of machine ov device if it is demonstrated that it thoroughly cleans and sanitizes equipment and utensils. These machines and devices shall be properly installed, clean, and maintained in good repair. Machines and devices shall be operated in accordance with manuf act urers' i nst v uct i ons, and utensils and equipment placed in the machine shall be exposed to all dishwashing cycles. Automatic detergent dispensers, wetting agent dispensers, and liquid sanitizer injectors, shall be properly installed and maintained. (b) The pressure of final rinse water supplied to spray -type dishwashing machines shall not be less than 15 nor more than 25 pounds per, square inch measured in the water line immediately adjacent to the final rinse cantrol valve. A 1/4 inch IPS valve shall be pravided immediately upstream from the final rinse control valve to permit checking the flow pressure of the final rinse water. (c) Machine or water line mounted 43 ORDINANCE NO. 738-9-86 numerically scaled indicating thermometer-% accurate to +/-3' f> t+/ -i. 7' C. ), %hal l be providwd to indicate the temperature of the water in each tank of the machine and the temperature of the final rinse water - as it enters the manifold. (d) Rinse water tanks shall be protected by baffles, curtains, or other effective means to minimize the entry of wash water into the rinse water. Conveyor% in dishwashing machines shall be accurately timed to assure proper exposure times in wash and rinse cycles in accordance with manufacturers' specifications attached to the machines. (e) Drain boards, sloped to drain, shall be provided and be of adequate size fav- the arthe proper handling of sailed utensils prior to washing and of cleaned utensils following sanitization and shall be %a located and constructed as not to interfere with the proper use of the dishwashing facilities. This does not preclude the use of easily movable dish tables for the storage of sailed utensils or the use of easily movable dish tables for the storage of clean utensils following sanitization. 44 ORDINANCE NO. 738-9-86 (f) Equipment and utensils shall be flushed or scraped and, when necessary, soakeo to remove grass toad particles and sail prior to being washed in a dishwashing machine unless a prewash cycle is a part of the dishwashing machine operation. Equipment and utensils shall be placed in racks, trays at- baskets, ar on canveyars, in a way that faod-cantact surfaces are expased to the unobstructed application of detergent wash and clean rinse waters and that permits free draining. (g) Machines (single -tank, stationary -rack, door -type machines and spray -type glass washers) using chemicals for sanitization may be used pravided that (i) The temperature of the wash water shall not be less than 120"F. (40' C.) ; and (ii) The wash water shall be kept clean; and (iii) Chemicals added far sanitization purpases shall be automatically dispenses; and (iv) Utensils and equipment shall be exposed to the final chemical 45 ORDINANCE NO. 738-9-86 sanitizing rinse in accordance with the manufacturers' specifications for time and concentration; and (v) The chemical sanitizing rinse water temperature shall be not 1e%% than 75' F. (24' C. ) nor less than the temperature specified by the machine's manufacturer; and (vi) Chemical sanitizers used shall be approved and a test kit or other devices that accurately measures the parts per million concentration of the solution shall be available and used. (h) Machines using hat water for sanitizing may be used provided that wash water and pumped rinse water shall be kept clean and water shall be maintained at not less than the temperatures stated below: (i) Single -tank, stationary -rack, dual -temperature machine: Wash t emperat ure - 150' F. (66's C. ) Final r i nse t emperat ure - 1809F. (8211C.) (ii) Single -tank, stationary -rack, single -temperature 46 ORDINANCE NO. 738-9-86 machine: Wash t emperat ure - 165' F. ( 74' C. ) Final rinse temperature - 1651F. (74' C. ) (iii) Single -tank, conveyor, machine: Wash temperature - 1681F. (71'9C.) Final rinse temperature - 1809F. (82' C. ) (iv) Multi -tank, conveyor machine: Wash temperature - 1509F. (669C.) Pumped rinse temperature - 1601F. (71' C. ) Final rinse temperature - 1807F. (82' C. ) (v) Single -tank, pot, pan and utensil washer (either stationary or moving -rack): Wash temperature - 1409F. (681C.) Final rinse temperature - 180"F. (i) All dishwashing machines shall be thoroughly cleaned at least once a day or more often when necessary to maintain them in a satisfactory and sanitary operating Gond i t• i on. (5) Drying. After sanitization, all equipment and utensils shall be air, dried. The use of towels is 47 ORDINANCE NO. 738-9-86 flood level rim. A hose shall not be attached to a faucet unless a backflow prevention device is installed. (4) Grease Traps. Grease traps are required and shall be of size designated and located in accordance with the specifications of the Uniform Plumbing Code. Food service establishments, with seating capacity of 50 or, more, are req u i red to have a minimum 750 lb. capacity grease trap unless otherwise allowed by the regulatory authoriy. Grease traps shall be -located on the outside of the building. All grease traps must be serviced effectively and frequently enough to maintain traps in satisfactory working avder to protect the sanitary sewer from excessive contaminants. Materials removed from a grease trap shall be dispased of at an approved disposal site in a lawful manner by a licensed hauler. (5) Garbage Grinders/Disposal Units. If used, gargabe grinders/disposal units shall be installed and maintained according to law. Use ,judicially so as not to overload the grease traps and sanitary sewer. (6) Drains. There shall be no direct connection between the sewage system and any drains originating from equipment in which food, par -table equipment, or utensils are placed, except far properly trapped open sinks. When a dishwashing 53 ORDINANCE NO. 738-9-86 prohibited. (6) Food service establishments which do not have adequate and effective facilities for cleaning and sanitizing utensils shall use single service articles. (H) Equipment and Utensil Storage. (1) Handling. Cleaned and sanitized equipment and utensils shall be handled in a way that protects them from contamination. Spoons, knives and forks shall be touched only by their handles. Cups, glasses, bowls, plates and similar items shall be handled without contact with inside surfaces or surfaces that contact the user's mouth. (2) Knives shall be stored in a rack or holder- designed olderdesigned far that purpose and said holder shall be kept clean. (3) Storage (a) Cleaned and sanitized utensils and equipment shall be stared at least six inches above the floor in a clean, dry location in a way that protects them from contamination by splash, dust and other means. The food -contact surfaces of fixed equipment shall also be protected from contamination. Equipment and utensils shall not be placed under exposed sewer 1 ines or water 1 ine%, except for automatic fire protection sprinkler heads that may 48 ORDINANCE NO. 738-9-86 be required by law. (b) Utensils shall be air dried before being stared or shall be stored in a self -draining position. Adequate drying or storage racks shall be provided. (c) Glasses and cups shall be stared inverted. Other stored utensils shall be covered or inverted. Facilities for the storage of knives, forks and spoons shall be designed and used to present the handle to the employee ov consumer. Unless tableware is pvewvapped, holders far knives, forks and spoons at self-service locations, shall protect these articles from contamination and present the handle of the utensil to the consumer. (d) If presetting is practiced, all unprotected, unused, preset tableware shall be collected for washing and sanitizing after the meal period; and after any place at a table or counter is occupied. (4) Single -Service Articles. (a) Single -service articles shall be stored at least six inches above the floor in closed cartons or containers which protect them from contamination and shall not be placed under exposed sewer lines or 49 ORDINANCE NO. 738-9-86 water lines, except for automatic fire protection sprinkler heads that may be required by law. (b) Single -service articles shall be handled and dispensed in a manner that prevents contamination of surfaces which may come in contact with food or with the mouth of the user. (c) Single -service knives, forks and spoons packaged -in bulk shall be inserted into holders or be wrapped by an employee who has washed his hands immediately prior to sorting ov wrapping the utensils. Unless single -service knives forks and spoons are prewrapped ov prepackaged, holders shall be provided to protect these items from conta►imination, and present the handle of the utensil to the consumer. (5) Prohibited Storage Area. The storage of food equipment, utensils or single -service articles in toilet rooms, bailer rooms or vestibules is prohibited. ARTICLE 7. SANITARY FACILITIES AND CONTROLS. (A) Water Supply. (1) General. Adequate potable water far the needs of the food service establishment shall be provided from a source constructed and operated 50 ORDINANCE NO. 738-9-86 according to law. (2) Transportation. All potable water not provided directly by pipe to the food service establishment from the source shall be transported in a bulk water transport system and shall be delivered to a closed -water system. Both of these systems shall be constructed and operated according to, law. (3) Battled Water. Bottled and packaged potable water, shall be obtained from a source that complies with all laws and shall be handled and stored in a way that protects it from contamination. Bottled and packaged potable water shall be dispensed from the original container. (4) Water Under Pressure. Water (hot and cold) under pressure at the required temperatures shall be provided to all fixtures and equipment that use water. (5) Steam. Steam used in contact with food or food -contact surfaces shall be free from any harmful materials or additives. (B) Sewage. All sewage, including liquid waste, shall be disposed of by a public sewerage system or by a sewage disposal system constructed and operated according to law. Nonwater carried sewage disposal facilities are prohibited, except as permitted by Section 10 (pertaining to temporary food service establishments) or as permitted by the regulatory authority in remote areas or because of 51 ORDINANCE NO. 738-9-86 special situations. In the -event of sewage backup into the food service facility, the preparation and serving of food shall cease. (C) Plumbing. (1) General. Plumbing shall be sized, installed and maintained according to law. There shall be no cross -connection between the potable water- supply ater supply and any nonpotable or questionable water- supply atersupply nor any source of pollution through which the potable water supply might become contaminated. (2) Nonpotable Water System. A nonpotable watt--r- system atersystem is permitted only far purposes such as air-conditioning and fire protection and only if the system is installed according to law and the nonpotable water does not contact, directly or indirectly, food, potable water, equipment that contacts, food or utensils. The piping of any nonpotable water system shall be durably identified so that it is readily distinguishable from piping that carries potable water. (3) Backflow. The potable water system shall be installed to preclude the possibility of backflow. Devices shall be installed to protect against backflow and backsiphonage at all fixtures and equipment where an air gap at least twice the diameter of the water supply inlet is not provided between the water supply inlet and the fixture's 52 ORDINANCE NO. 738-9-86 machine is located within five feet of a trapped floor drain, the dishwasher waste outlet may be connected directly on the inlet side of a properly vented floor drain trap if permitted by law. (D) Toilet Facilities. (1) Toilet Installation. Toilet facilities shall be inwstalled according to law, shall be the number required by law, shall be conveniently located, and shall be accessible to employees and consumers at all times. Separate facilities shall be made available far male and female employees and patrons. In the case of take-out operations where patrons do not eat on the premises, a single toilet roam is acceptable,.if within the limits of the Uniform Building and Plumbing Codes. (2) Toilet Design. Toilets and urinals shall be designed to be easily cleanable. (3) Toilet Rooms. Toilet rooms shall be completely enclosed and shall have tight -fitting, self-closing; solid doors, which shall be closed except during cleaning or maintenance. (4) Toilet Fixtures. Toilet fixtures shall be kept clean and in good repair. A supply of toilet tissue shall be provided at each toilet at all times. Easily cleanable receptacles shall be provided for trash materials. Toilet rooms used by women shall have at least one covered waste receptacle for sanitary napkins. 54 ORDINANCE NO. 738-9-86 (E) Lavatory Facilities. (1) Lavatory Installation. Lavatories shall be at least the number, required by law, shall be i nst a l- 1 ed accord i ng - t o law, and sh a l l be 1 ocat ed to permit convenient use by all employees in food preparation areas and utensil -washing areas. Lavatories shall be accessible to employees at all times. Lavatories shall also be located in toilet rooms. Sinks used for food preparation or for- washing orwashing equipment ov utensils shall not be used for handwashing. (2) Lavatory Faucets. Each lavatory shall be provided with hot and cold water tempered by means of a mixing valve ov combination faucet. Any self-closing, slow -closing, or metering faucet used shall be designed to provide a flow of water for at least fifteen seconds without the need to reactivate the faucet. Steam -mixing valves are prohibited. (3) Lavatory Supplies. A supply of hand -cleansing soap or detergent shall be available at each lavatory. The use of bar soap at lavatories is prohibited. A supply of sanitary towels or hand -drying device providing heated air shall be conveniently located near each lavatory. When sanitary towels are used a single towel dispensing unit shall be required. Common towels are prohibited. If disposable towels are used, easily 55 ORDINANCE NO. 738-9-86 cleanable waste receptacles shall be conveniently located near the handwashing facilities. (4) Lavatory Maintenance. Lavatories, soap dispensers, hand -drying devices, and all related fixtures shall be kept clean and in good repair. (F) Garbage and Refuse. (1) Containers. (a) Garbage and refuse shall be kept in durable, easily cleanable, insect -proof and rodent -proof containers that do not leak and do not absorb liquids. Plastic bags shall be used to line these containers, and they may be used for storage inside the food serice establishment. When three-fourths full, plastic bags are to be tied prior, to disposal in dumpsters. (b) Containers used in food preparation and utensil -washing areas shall be kept covered. (c) Containers stored outside the establishment, and dumpsters, compactors and compactor systems shall be easily cleanable, shall be provided with tight -fitting lids, doors or covers, and shall be kept covered when not in actual use. In containers designed with drains, drain plugs shall be in place at all 56 ORDINANCE NO. 738-9-86 times, except during cleaning. (d) There shall be a sufficient number of containers to hold all the garbage and refuse that acumulates. (e) Soiled containers shall be cleaned at a frequency to prevent insect and rodent attraction. Each container shall be thoroughly cleaned on the inside and outside in a way that does not contaminate food, equipment, ut ens i 1 s, or food preparation areas. Suitable facilities, including hot water and detergent ov steam, shall be provided and used far washing containers. Liquid waste from compacting or cleaning operations shall be disposed of as sewage. (c) Storage. (a) Garbage and refuse on the premises shall be stored in a manner to make it inaccessible to insects and rodents. Outside storage of unprotected plastic bags av baled units containing garbage ov refuse im prohibited. Cardboard or other packaging material not containing garbage at- food wastes shall be broken down and stared in dumpsters. (b) Garbage or refuse storage rooms, if used, shall be constructed of easily 57 ORDINANCE NO. 738-9-86 cleanable, nonabsorbent, washable materials, shall be kept clean, shall be insect-proaf and rodent -proof and shall be large enough to stare the garbage and refuse containers that accumulate. Trash storage rooms shall be protected by automatic sprinklers as stated in the Fire Code. (c) Outside storage areas shall be enclosed and shall be large enough to store the garbage, refuse, and grease containers, and space for spillage cleanup. Garbage, ref use, grease containers, dumpsters and compactor systems located outside shall be stared on or above a smooth surface of nonabsorbent material, such as concrete or machine -laid asphalt, that is kept clean and maintained in good repair. Garbage and refuse containers shall not be stored or placed within five (5) feet of combustible walls, openings, or roof wave. (d) Special pickup of constructian or remadeling debris, and bulk items shall be the responsibility of the owner of the Food service or processing establishment. (3) Disposal. (a) Garbage and refuse shall be disposed 58 ORDINANCE NO. 736-9-86 of often enough to prevent the development of odor and the attraction of insects and rodents. (b) Where garbage or refuse is burned on the premises, it shall be done by controlled incineration that prevents the escape of particulate matter, in accordance with air quality regulations. Areas around incineration facilities shall be kept clean and orderly. Incineration roams shall be protected by automatic sprinklers. (G) Insect and Rodent Control. (1) General. Effective measures intended to minimize the presence of rodents, flies, cockroaches and other insects on the premises shall be utilized. The premises shall be kept in such condition as to prevent the harborage ov feeding of insects or rodents. Implement a strong housekeeping program in conjunction with a licensed, reliable pest controller. (2) Openings. Openings to the outside shall be effectively protected against the entrance of rodents. Outside openings shall be protected against the entrance of insects, expecially flies, by tight -fitting, self-closing doors, closed windows, screen i rig, cant ro 1 1 ed a i r current s, or other means. Screen doors shall be self-closing, 59 ORDINANCE NO. 738-9-86 and screens for windows, doors, skylights, intake and exhaust air ducts, and other openings to the outside shall be tight-fitting and free of breaks. Screening material shall not be less than sixteen (16 ) mesh to the inch ( 25. mm ) (3) Licensed exterminators. Licensed exterminators shall conduct spraying in a food service and food processing facility. Spraying shall be conducted before or after food preparation and service hours. ARTICLE 8. CONSTRUCTION AND MAINTENANCE OF PHYSICAL FACILITIES_ (A) Floors. (1) Floor Construction. Floors and floor coverings of all food preparation, food storage, and utensil -washing areas, and the floors of all walk-in refrigerating units, dressing rooms, locker rooms, toilet roams and vestibules shall be constructed of quarry tile, terrazzo, ceramic tile or a durable grade of seamless vinyl ov plastic and shall be maintained in good repair. Only sealant, grout and glue of the highest quality shall be used. Nothing in this rule shall prohibit the use of antislip floor covering in areas where necessary for safety reasons_ (2) Floor Carpeting. Carpeting, if used as a floor covering, shall be of closely woven construction, proper l y insta l led, eas i l y s@ ORDINANCE NO. 73a-9-aS cleanable, and maintained in good repair. Carpeting is prohibited in food preparation, equipment washing and utensil -washing areas where it would be exposed to large amounts of grease and water, in food storage areas and toilet room areas where urinals or toilet fixtures are located. (3) Prohibited Floor Covering. The use of sawdust, wood shavings, preanut hulls or, similar material as a floor covering is prohibited. (4) Floor Drains. Properly isntalled, trapped floor drains shall be provided in floors that are water flushed for cleaning or that receive discharges of water or other fluid waste from equipment or in areas where pressure spray methods for cleaning equipment are used. Such floors shall be constructed only of quarry tile, terazzo, ceramic tile or similar materials approved by the regulatory authority and shall be graded to drain. (5) Mats and Duckboards. Mats and duckboards shall be of nonabsorbent, grease resistant materials and of such size, design, and construction as to facilitate their being easily cleaned. Duckboards may be used as storage racks in food storage and distribution warehouses. Mats shall be cleaned in the cleaning facility. (6) Floor Junctures. In all new or remodeled establishments utilizing quarry tile, terrazzo, ceramic tile or similar flooring materials, and 61 ORDINANCE NO. 738-9-86 where water flush cleaning methods are used, the Junctures between walls and floors shall be coved and sealed. In all other cases, the Juncture between walls and floors shall not present an open seam of mare than 1/3E inch. (7) Utility Line Installation. Exposed utility service lines and pipes shall be installed in a way that does not obstruct or prevent cleaning of the floor. In all new or remodeled establishments, installation of exposed horizontal utility lines and pipes on the floor is pr -oh i b i t ed. (B) Walis and Ceilings. (1) Maintenance. Walls and ceilings, including doors, windows, skylights, and similar closures, shall be maintained in good repair. (2) Construction. The walls, including nonsupporting partitions, wall coverings, and ceilings of walk-in refrigerating units, food preparation areas, food storage areas, equipment -washing and utensil -washing areas, toilet rooms and vestibules shall be light-colored, smooth, nonabsorbent and easily cleanable. (3 ) Ex posed Construction. Studs, J o i st s and rafters shall not be exposed in those areas listed in paragraph (2) of subsection (B) of this rule. 62 ORDINANCE NO. 73a -9-a6 If exposed in other, raam av areas, they shall be finished to pvavide an easily cleanable surface. (4) Utility Line Installation. Exposed utility service lines and pipes shall be installed in a way that does not abstruct or prevent cleaning of the walls and ceilings. Utility service lines and pipes shall not be unnecessarily exposed on walls or ceilings in those areas listed in paragraph (2) of subsection (H) of this rule. (5) Attachments. Light fixtures, vent covers, wall -mounted fans, decorative materials, and similar equipment attached to walls and ceilings shall be easily cleanable and shall be maintained in good repair. (6) Covering Material Installation. Cammercial wall and ceiling covering materials shall be attached and sealed so as to be easily cleanable. (C) Cleaning Physical Facilities. (1) General. Cleaning of floors and walls, except emergency cleaning of floors, shall be done during periods when the least amount of food is exposed, such as after closing or between meals. Floor, mats, duckboards, walls, ceilings and attached equipment and decorative materials shall be kept clean. Only dustless methods of cleaning floars and walls shall be used, such as vacuum cleaning, wet cleaning, at- the use of dust -arresting sweeping compounds with brooms. 63 rORDINANCE WO. 738-9-66 (2) Utility Facility. In new or remodeled establishments at least one utility sink or curbed cleaning facility with a floor drain shall be provided and used for the cleaning of mops or s i m i l ar wet f 1 oar cleaning- too1s, f 1 oar mats, trash cans, bulky items, etc. , and for the disposal of mop water or similar liquid wastes, the drain shall be plumbed to the grease trap. The use of lavatories, utensil -washing or equipment -washing, or food preparation sinks for- this orthis purpose is prohibited. (D) Lighting. (1) General. At least fifty (50) foot candles of light shall be provided to all working surfaces and at least thirty (30) foot candles of light shall be provided to all other surfaces and equipment in food preparation, utensil -washing, and handwashing areas, and in toilet rooms. At least twenty (20) foot candles of light at a distance of thirty (30) inches from the floor- shall loorshall be provided in all other areas, except that this requirement applies to dining areas only during cleaning operations. (2) Protective Shielding. (a) Shielding to protect against broken glass falling onto food shall be provided for all -artificial lighting fixtures located aver, by or within food storage, 64 ORDINANCE NO. 738-9-86 preparation, service and display facilities, and facilities where utensils and equipment are cleaned and stored. (b) Infra -red or other heat lamps shall be protected against breakage by a shield surrounding and extending beyond the bulb, leaving only the face of the bulb exposed. (E) Vent i 1 at i on. (1) General. All rooms shall have sufficient ventilation to keep them free of excessive heat, steam, condensation, vapors, obnoxious odors, smoke and fumes. Ventilation hoods and devices shall be designed to prevent grease or condensate from dripping into food or onto food preparation surfaces. Filters, where used shall be readily removable for cleaning. Ventilation systems shall be installed and operated according to law and, when vented to the outside, shall not create an unsightly, harmful or unlawful discharge. (2) special Ventilation. (a) Intake and exhaust air, ducts shall be maintained to prevent the entrance of dust, dirt and other contaminating materials. (b) In new or remodeled establishments, all rooms, including restrooms, from which obnoxious odors, vapors or fumes originate shall be mechanically vented to the 65 ORDINANCE NO. 738-9-86 outside. (F) Dressing Rooms and Locker Areas. (1) Dressing Rooms. If employees routinely change clothes within the establishment, rooms shall be designated and used for that purpose. These designated rooms shall not be used for food preparation, storage or service, or far utensil -washing or storage. (2) Locker Area. Enough lockers or other suitable facilities shall be provided and used for the orderly storage of employee clothing and other belongings. Lockers or other suitable facilities may be located only in the designated dressing rooms or areas containing only completely packaged food or packaged single -service articles. (6) Poisonous or Toxic Materials. (1) Materials Permitted. Only those poisonous or toxic materials necessary for the maintenance of the establishment, the cleaning and sanitization of equipment and utensils, and the control of insects and rodents shall be present in food service establishments. (2) Labeling of Materials. Container% of poisonous or toxic materials shall be prominently and distinctly labeled according to law far easy identification of contents. (3) Storage of Materials. Poisonous or toxic materials consist of the following three (3) 66 T ORDINANCE NO. 738-9-86 cat egaviese (a) Insecticides and rodenticides; (b) Detergents, sanitizers and related cleaning av drying agents; (c) Caustics, acids, polishes and other chemicals. Each of these categories shall be stared and located to be physically separated from each other. All poisonous or toxic materials shall be stored in cabinets or in similar physically separated compartments or facilities used for no other purpose. To preclude potential contamination, poisonous at- toxic materials shall not be stared above food, food equipment, utensils or single -service articles, except that this requirement does not prohibit the convenient availability of detergent or sanitizers at utensil or dishwashing stations. (4) Use of Materials. (a) Bactericides, cleaning compounds ar other compounds intended for use on food -contact surfaces shall so indicate an the manufacturer's label and not be used in a way that leaves a toxic residue an such surfaces, nor in a way that constitutes a hazard to employees or other persons. (b) Poisonous or toxic materials shall not 67 ORDINANCE WO. 738-9-$6 be used in a way that contaminates food, equipment or utensils, nor, in a way that constitutes a hazard to employees or other persons, nor in a way other than in full compliance with the manufacturer's labeling. (5) Personal Medications. Personal medications shall not be stored in food storage, preparation or service areas. Medications shall be stored in a designated area for this purpose only. (6) First Aid Supplies. First aid supplies shall be stared in a way that prevents them from contaminating food and food -contact surfaces. (H) Premises. (1 ) Genera l . (a) Food service establishments and all parts of the property used in connection with operations of the establishments %hal 1 be kept free of 1 ittev. (b) The walking and driving surfaces of all exterior areas of food service establishments shall be surfaced with concrete or asphalt, or with gravel or- similar- r similar material effectively treated to facilitate maintenance and minimize dust. These surfaces shall be graded to prevent pooling of water and kept free of litter-. (c) Only articles necessary for the 6a ORDINANCE NO. 738-9-86 operation and maintenance of the food service establishment shall be stared on the premises. All unneeded articles and equipment shall be removed. All parts of the establishment shall be kept neat, clean and free of litter. (d) The traffic of unnecessary persons through the food preparation and utensil -washing areas is prohibited. (2) Living Areas. No operation of a food service establishment shall be conducted in any room used as living or sleeping quarters. Food service operations shall be separated from any living or sleeping quarters by complete partitioning and solid, self-closing doors. (3) Laundry Facilities. (a) Laundry facilities in a food service establishment shall be restricted to the washing and drying of linens, cloths, uniforms and aprons necessary to the operation. If such items are laundered on the prem i yes, an e 1 act r i c, gas or steam dryer shall be provided and used. (b) Separate rooms shall be provided for laundry facilities. Such operations may be conducted in storage rooms containing only packaged foods or, packaged single -service articles. 69 ORDINANCE NO. 738-9-86 (4) Linens and Clothes Storage. (a) Clean clothes and linens shall be stored in a clean place and protected from contamination until used. (b) Sailed clothes and linens shall be stored in nonabsorbent containers at- washable rwashable laundry bags until removed for laundering. (S) Cleaning Equipment Storage. Maintenance and cleaning tools such as brooms, mops, vacuum cleaners and similar equipment shall be maintained and stared in a way that does not contaminate food, utensils, equipment or linens and shall be stared in an orderly manner to facilitate the cleaning of that storage location. (6) Animals. Live animals, including birds and turtles, shall be excluded from within the food service operational premises and from immediately adjacent areas under the control of the food service establishment. This exclusion does not apply to edible fish, Crustacea, shellfish or to fish in aquariums. Patrol dogs, accompanying security or police officers or guide -dogs accompanying blind persons, shall be permitted in dining areas. ARTICLE 9. NON -CONFORMING USE Any lawful use of a food service or processing structuva existing on the date of adaption of this ordinance which 70 ORDINANCE NO. 738-9-86 does not conform to the regulations prescribed herein shall be deemed a non -conforming structure and shall be continued subject to such regulations as the maintenance and operation of premises with the public health and safety of the consumers and employees foremost in mind. ARTICLE 10. MOBILE FOOD UNITS (A) Mobile Food Service. (1) General. Mobile food units shall comply with the requirements of these rules, except as otherwise provided in this paragraph and in paragraph (2) of subsection (A) of this rule. The regulatory authority may impose additional requirements to protect against health hazards related to the conduct of the food service establishment as a mobile operation, may prohibit the sale of some or all potentially hazardous food, and when no health hazard will result, may waive or modify requirements of this rule relating to physical facilities. (2) Restricted Operation. Mobile food units shall serve only food from a commercially approved source that is prepared, packaged in individual servings, transported and stored under conditions meeting the requirements of these rules. beverages that are not potentially hazardous and are dispensed from covered urns or other protected equipment, need not comply with requirements of these rules pertaining to the necessity of water 71 ORDINANCE NO. 738-9-86 and sewage systems nor to those requirements pertaining to the cleaning and sanitization of equipment and utensils if the required equipment for cleaning and sanitizaion exists at its commissary. (3) Single -Service Articles. Mobile food units shall provide only single -service articles for use by the consumer. (4) Water System. A mobile food unit requiring a water system shall have a potable water system under pressure. The system shall be of sufficient capacity to furnish enough hot and cold water For- food orfood preparation, utensil cleaning and sanitizing, and hand -washing, in accordance with the requirements of these rules. The water inlet shall be located in such a position that it will not be contaminated by waste discharge, road dust, oil or grease and it %hail be kept capped when not being filled. The water inlet shall be provided with a transition connection of a size or type that will prevent its use for any other service. All water distribution pipes or tubing shall be constructed and installed in accordance with the requirements of these rules. (S) Waste Retention. If liquid waste results from operation of a mobile food unit, the waste shall be stared in a permanently installed retention tank that is of at least iS percent larger 72 ORDINANCE NO. 738-9-86 capacity than the water, supply tank. Liquid waste shall not be discharged from the retention tank when the mobile food unit is in motion. All connections on the vehicle for servicing mobile food unit waste disposal facilities shall be of a different size or type than those used for supplying potable water to the mobile food unit. The waste connection shall be located lower than the water inlet connection to preclude contamination of the potable water system. (B) Commissary. (1) Base of Operations. (a) Mobile food units shall operate from a commissary or other fixed food service establishment and shall report at least daily to such location for all supplies and for all cleaning and servicing operations. (b) The commissary or other fixed food service establishment, used as a base of operation for mobile food units, shall be constructed and operated in compliance with the requirements of these rules. (2) Servicing Area. (a) A mobile food unit servicing area shall be provided and shall include at least overhead protection for any supplying, cleaning or servicing 73 ORDINANCE NO. 738-9-86 aper-atiorb. Within this servicing area, there shall be a location provided for the flushing and drainage of liquid wastes separate from the location provided far water servicing and far the loading and unloading of food and related supplies. This servicing area will nat be required where only packaged food is placed on the mobile food unit ar where mobile food units do not contain waste retention tanks. (b) The surface of the servicing area shall be constructed of a smooth nonabsorbent material, such as concrete or machine -laid asphalt and shall be maintained in good repair, kept clean, and be graded to drain. (.3 ) Servicing O perat i ons. (a) Potable water servicing equipment shall be installed according to law and shall be stared and handled in a way that protects the water and equipment fram contamination. (b) The mobile food unit liquid waste retention tank, where used, shall be tharaughly flushed and drained during the servicing operation. All liquid waste shall be discharged to a sanitary sewerage 74 ORDINANCE NO. 738-9-86 disposal system. (C) Mobile Operations Permit. (1) Permit. All mobile food service units shall be required to secure, from the regulatory authority, a permit to operate within the corporate limits of the City of Allen. The permit shall be kept visible in the vehicle at all times. Mobile food service units shall have the-ii- company heir company name and telephone number on both doors to be easily recognizable. (2) Permit fee. The permit to operate a mobile Food service unit, within the City of Allen, shall be renewable on an annual basis. The fee is set in Exhibit "A" of this Ordinance. ARTICLE 11. TEMPORARY FOOD SERVICE ESTABLISHMENTS. (A) General. A temporary food service establishment shall comply with the requirements of these rules except as otherwise provided in this rule. The regulatory authority may impose additional requirements to protect against health hazards related to the conduct of the temporary food service establishment, may prohibit the sale of same or all potentially hazardous foods, and when no health hazard will result, may waive or modify requirements of these rules. Prior to making changes of any kind, the regulatory authority shall be notified. (B) Restricted Operat i ons. (1) These provisions are applicable whenever a 75 ORDINANCE NO. 738-9-86 temporary food service establishment is permitted, under the provisions of subsection (A) of this rule. (2) Only those potentially hazardous foods requiring limited preparation, such as hamburgers and frankfurthers that only require seasoning and cooking, shall be prepared or served. The preparation or service of other potenially hazardous foods, including pastries filled with cream or synthetic cream, custards, and similar products, and salads or, sandwiches containing meat, poultry, eggs or, fish is prohibited. This prohibition does not apply, however, to any potentially hazardous food that has been prepared and packaged under conditions meeting the requirements of these rules, is obtained in individual servings, i s stored at a t em perat ure of 459F. (71C.) or below, or at a t emperat ure of 14011F. (6011C.) or above, in favi 1 it ies that meet the requirements of these rules, and is served directly in the unopened container in which it was packaged. (3) The sale or display of food from street corners or roadsides, except fruit and vegetable stands, is prohibited in the City of Allen. (C) Ice. Ice that is consumed or that contacts food shall have been made under conditions meeting the requirements of these rules. The ice shall be obtained only in 76 ORDINANCE NO. 738-9-6b chipped, crushed at- cubed farm and in single -use safe plastic or wet -strength paper bags filled and sealed at the paint of manufacture. The ice shall be held in these bags until it is dispensed in a way that protects it from contamination. (D) Equipment. (1) Equipment shall be located and installed in a way that prevents food contamination and that also facilitates cleaning the establishment. (2) Food -contact surfaces of equipment shall be protected fir -am contamination by consumers and other contaminating agents. Where helpful to prevent contamination, effective shields far such equipment shall be provided. (E) Single -service Articles. All temporary food service establishments which do not have effective facilities for cleaning and sanitizing tableware shall provide only single -service articles far use by the consumer. (F) Water. Enough potable water shall be available in the establishment for food preparation, far cleaning and sanitizing utensils and equipment, and for handwashing. A heating facility located on the premises and capable of producing enough hot water far these purposes shall be provided. (G) Wet Storage. The storage of packaged food in contact with water or undrained ice is prohibited. Wrapped sandwiches shall not be stored in direct contact with ice. (H) Waste. All sewage, including liquid waste, shall be 77 ORDINANCE NO. 738-9-86 disposed of according to law. (I) Handwashing. A convenient handwashing facility shall be available for employee handwashing. This facility shall consist of at least warm running water, soap and individual paper towels. (J) F l oors. F l oors %hal l be cornst uct ed of concrete, asphalt, tight wood or other similar cleanable material kept in good repair. Dirt or gravel, when graded to drain, may be used as subflooring when covered with clean, removable platforms or, duckboards, or covered with wood chips, shavings or other suitable materials effectively treated to control dust. (K) Walls and Ceilings of Food Preparation Areas. (1) Ceilings shall be made of wood, canvas or other materials that protect the interior of the establishment from the weather. Walls and ceilings of food preparation areas shall be constructed in a way that prevents the entrance of insects. Doors to food preparation areas shall be solid or screened and shall be self-closing. Screening material used for walls, doors or- windows rwindows shall bes at least sixteen (16) mesh to the inch. (2) Counter -service openings shall not be lay-gar- than argerthan is necessary for the particular operation conducted. These openings shall be provided with tight -fitting solid or screened doors or windows or shall be provided with fans installed and 78 ORDINANCE NO. 738-9-86 operated to restrict the entance of flying insects. Counter -service openings shall be kept closed, except when in actual use. ARTICLE 12. FOOD SERVICE PERMITS (A) Permits. (1) General. No person shall operate a food service or food processing establishment without a valid permit issued to him by the regulatory authority. Only a person who complies with the requirements of this Section shall be entitled to receive or retain such a permit. Permits are not transferable, and must be displayed in an area visible to the public. (2) Issuance of Permit. (a) A written application for a permit on a farm provided by the regulatory authority is required. Such application shall include the full name and address, telephone number, and indication of whether the applicant is an individual, firm or corporation; if a partnership, the names of their partners, their addresses, location and type of business establishment, as well as the signature of each applicant and other information deemed necessary. (b) A permit fee shall accompany each application, and the permit is valid for- 79 or 79 ORDINANCE NO. 738-9-86 one year. Permits shall be renewed an an annual basis by filing a renewal application and payment of the permit fee. The fee is not refundable. The permit fee is designated in Exhibit A of this ordinance. (c) Prior to approval of an application for permit, the regulatory authority shall inspect the food establishment to determine campliance with the requirements of this Sect i an. (d) The regulatory authority shall issue a permit to the applicant if subsequent inspection reveals that the food establishment complies with the requirements of this Section and the fee has been paid. (3) Susperns i an of Pow -mit. (a) The regulatory authority may, without warning, notice or hearing, suspend any permit to aperate,a food service ar processing establishment if the holder of the permit does not comply with the requirements of this Section, at- the operratian of the establishment does not comply with the requirements of this Section, or if the aperation of the establishment otherwise constitutes a Be ORDINANCE NO. 736-9-06 hazard to the public health. Suspension is effective immediately upon service of the notice required by the following paragraph of this Section. When a permit is suspended, the holder of the permit shall be afforded an opportunity for hearing within 20 days of receipt of a request for hearing. (b) Whenever a permit is suspended, the holder, of the permit or person in charge shall be notified in writing that the permit is, upon service of the notice, immediately suspended and that an opportunity for hearing will be provided if a written request far hearing is filed with the regulatory authority by the holder of the permit within ten days. If no written request far hearing is filed within ten days, the suspension is sustained. (c) A permit shall be reinstated when the holder of the permit has written a statement to the regulatory authority indicating the conditions for suspension have been corrected. The regulatory authority shall reinspect the operation to insure compliance. Once all requirements are met, the permit shall be reinstated. 81 ORDINANCE NO. 738-9-86 (4) Revocation of Permit. (a) The regulatory authority may, after providing opportunity for hearing, permanently revoke a permit far serious or continuously repeated vialatians of any of the requirements of this ordinance ar far interference with the regulatory authority in the performance of duty. (b) Prior to revocation, the regulatory autharity shall notify, in wrilting, the holder of the permit or persan in charge of the specific reason(%) for which the permit is to be revoked, and the permit shall be revoked at the end of five (5) days following service of such notice, unless a written request for hearing is filed with the regulatory authority by the permit holder within the five-day period. If no request far hearing is filed within the five-day period, the revocation of the permit beomes final. (b) Notices. (1) Service of Notices. A notice provided for in this ordinance is prraperly served when it is hand carried to the holder of the permit or persan in charge, or when it is sent by certified mail, to the last known address of the permit holder. (2) Hearings. The hearings provided for in this 82 ORDINANCE NO. 738-9-86 section are to be conducted by a regulatory committee at the time and place designed by the regulatory authority. The regulatory committee is comprised of the City Health Inspector, the City Fire Marshal, and two other appointees by the City Manager engaged in the food service industry in the City of Allen. Based upon the record of such hearing, the regulatory authority shall make a finding and sustain, modify or rescind any official notice or order considered in the hearing. A written report of the hearing decision will be furnished to the permit holder by the regulatory authority. (3) Hermit refunding. The applicant shall not be entitled to refunding of a permit fee when permit is revoked or suspended. (4) Application after Revocation. Whenever a revocation of a permit has become final, the holder of the revoked permit may make written application far a new permit after the expiration of six (6) months. ARTICLE 13. INSPECTIONS (A) Access. Agents of the regulatory authority, after proper identification, shall be permitted to enter any food service and processing establishment at any time, for the purpose of making inspections to determine compliance with these rules. The agents shall be permitted to 83 ORDINANCE NO. 738-9-06 examine the records of the establishments to obtain information pertaining to food and supplies purchased, received or used or to persons employed. (B) Inspection Frequency. An inspection of a food service or processing establishment should be performed at least three (3) times annually. Additional inspections shall be performed as often as necessary for the enforcement of this Sect i 4n. (C) Report of Inspections. Whenever an inspection is made of a food service establishment, the findings shall be recorded on the inspection report form provided by'the regulatory authority (Exhibit B). The original of the inspection report form shall be furnished to the owner ov person in charge at the completion of the inspection and constitutes a written notice. The inspecion report farm shall summarize the requirements of these rules, and shall set forth a weighted point value for each requirement. The rating scare of the establishment shall be the total of the weighted point value far all violaions, subtracted from one hundred (100). The completed inspection report form is a public document that shall be posted at a conspicuous location for consumers as they enter the establishmeent. (D) Correction of Violations. The inspection report farm shall specify a reasonable period of time for the correction of the violations found, and correction of the violations shall be accomplished within the period specified, in accordance with the following provisions: 84 ORDINANCE NO. 738-9-86 (1) If a potential health hazard exists, such as an obvious lack of sanitization, refrigeration, water or sewage backup into the establishment, the establishment shall immediately cease food service operations. Operations shall not be resumed until authorized by the regulatory authority. (2) All violations of 4 or 5 point weighted items shall be corrected immediately or within a time specified by the regulatory authority. (3) All 1 or 2 point weighted items shall be corrected as soon as possible, but in any event, by the time of the next routine inspection. A written report shall be sent to the regulatory authority indicating action taken to correct deficiencies noted. (4) When the rating score of the establishment is less than sixty (60), the establishment shall initiate corrective action on all identified violations and be prepared for reinspection within forty-eight (48) hours. (5) In the case of temporary food service establishments, all violations shall be corrected within twenty-four (24) hours. If violations are not corrected within twenty-four (24) hours, the establishment shall immediately cease food service operations until authorized to resume by the regulatory authority. (E) Examination and Condemnation of Food. The regulatory 85 ORDINANCE NO. 738-9-96 authority may examine and collect samples of food as often as necessary far the enforcement of these rules. The regulatory authority shall, upon written notice to the owner or person in charge specifying the reason therefore, place under detention any food which it has probable cause to believe is adulterated or misbranded in accordance with the provisions of Section 6, and paragraph (2) of Section 21, Article 4476-5, Texas Civil Statutes, The Texas Food, Drug and Cosmetic Act. (F) Procedure When Infection is Suspected. When the regulatory authority has reasonable cause to suspect the passibility of disease transmission from any food service establishment employee, it may secure a morbidity history of the suspected employee or make any other investigaton as may be indicated. The regulatory authority may require any or all of the following measures: (1) The immediate exclusion of the employee from all food service establishments; (2) The immediate closing of the food service establishment concerned until, in the opinion of the regulatory authority, no further, danger of disease autbreak exists; (3) Restvictian of the employoalm services to some area of the establishment where there would be no danger of transmitting disease; (4) Adequate medical and laboratory examinatian of the employee, of other employees and of his and their body discharges. 86 ORDINANCE NO. 738-9-66 (6) Review of Plans. (1) Whenever a food service or processing establishment is constructed, remodeled, or converted to use as a food service operation, stamped, certified, and properly prepared plans and specifications for such construction shall be submitted to the regulatory authority for review before construction is begun. The plans and specifications shall indicate the proposed layout, arrangement, mechanical plans, and construction materials of work areas, and the type and model of proposed equipment and facilities. (2) Pre -operational Inspection. Whenever plans and specifications are required by the regulatory authority, required inspections shall be conducted of the establishment prior to the start of Operatians. The inspections will be conducted to determine compliance with the appraved plans and specifications and with requirements of this Section. 87 ORDINANCE NO. 738-986 TABLE OF CONTENTS SECTION II ARTICLE 1 DEFINITIONS ARTICLE 2 BUILDING PERMIT, APPLICATION ARTICLE 3 INSPECTIONS ARTICLE 4 MATERIALS ARTICLE 5 SHAPE ARTICLE 6 DEPTH AND SLOPE; DEPTH MARKINGS ARTICLE 7 PROJECTIONS ARTICLE 8 DIVING AREA ARTICLE 9 STEPS, LADDERS, TOWERS ARTICLE 10 OVERFLOW GUTTERS AND SKIMMING DIVICES ARTICLE 11 DECK AREA, POOL ENCLOSURE, SPECTATOR SEPARATION SECITON 12 RECIRCULATION SYSTEM ARTICLE 13 INLETS, OUTLETS; WATER DISPOSAL ARTICLE 14 HEATING UNITS ARTICLE 15 LIGHTING ARTICLE 16 TOILET -FACILITIES ARTICLE 17 PERMIT AND MANAGER OF OPERATIONS ARTICLE 18 CERTIFICATION OF MANAGER OF OPERATIONS ARTICLE 19 OPERATION OF POOL ARTICLE 20 QUALITY OF WATER ARTICLE 21 SAFETY — EQUIPMENT ARTICLE 22 REGULATIONS IN POOL AREA ARTICLE 23 POOL DRAINAGE ARTICLE 24 SUSPENSION 88 Page 89 90 90 91 91 91 92 92 93 94 96 97 99 100 101 101 102 103 103 104 105 106 106 106 ORDINANCE NO. 738-9-86 SECTION II PURPOSE: REGULATING PUBLIC AND SEMI-PUBLIC, SWIMMING POOLS; PROVIDING FOR DEFINITIONS; PROVIDING FOR PERMIT REQUIRED; PROVIDING FOR INSPECTIONS; PROVIDING FOR CONSTRUCTION MATERIALS; PROVIDING FOR SHAPE; PROVIDING FOR DEPTH AND SLOPE; PROVIDING FOR PROJECTIONS; PROVIDING FOR DIVING AREA; PROVIDING FOR STEPS, LADDERS AND TOWERS; PROVIDING FOR OVERFLOW GUTTERS AND SKIMMING DEVICES; PROVIDING FOR DECK AREA, POOL ENCLOSURE, SPECTATOR SEPARATION; PROVIDING FOR RECIRCULATION SYSTEM; PROVIDING FOR INLETS AND OUTLETS, WATER DISPOSAL; PROVIDING FOR HEATING UNITS; PROVIDING FOR LIGHTING; PROVIDING FOR TOILET FACILITIES; PROVIDING FOR PERMIT AND MANAGER OF OPERATIONS REQUIRED; PROVIDING FOR CERTIFICATION OF MANAGER OF OPERATIONS; PROVIDING FOR OPERATIONS OF A POOL; PROVIDING FOR QUALITY OF WATER, PROVIDING FOR SAFETY EQUIPMENT; PROVIDING FOR REGULATIONS IN POOL AREA; PROVIDING FOR POOL DRAINAGE; PROVIDING FOR SUSPENSION; ARTICLE 1. Definitions (a) Regulatory authority means a representative of the City of Allen authorized to make pool inspections and review plans. (b) Person means an individual, partnership, company, corporation, association, f i rm, organization, inst itut ion, or Simi lar entity. (c) Private pool means a swimming pool appurtenant to a single-family or duplex residence, and used 89 ORDINANCE NO. 738-9-96 only by the occupants of the residence and their guests. (d) Public pool means a swimming pool to which the general public has access. (e) Semi-public pool means a swimming pool that is privately owned and open only to an identifiable class o f persons, including but not limited t o, motel guests, apartment residents, and club members. (f) Swimming pool or pool means a spa, hot tub, basin, tank or similar structure that is used for swimming, bathing or water play, including all equipment and appurtenant facilities, and having a depth of three feet or, more at any point. ARTICLE 2. Permit required, application; issuance. No person shall construct, modify or repair a swimming pool in the city without obtaining a building permit. The application for a permit shall be on a form provided by the regulatory authority and shall be accompanied by the required fee and a specified number of copies of tha detailed plans of which the applicant seeks approval. Plan review shall be conducted by the regulatory authority. If the regulatory authority is satisfied that the proposed swimming pool will conform in all respects to the requirements of the law, a permit shall be issued. ARTICLE 3. Inspections. The regulatory authority 90 ORDINANCE NO. 738-9-86 shall inspect a swimming pool at any time and has authority to enter upon the premises where a pool is located to the extent necessary to make a full examination in the construction and operational stage to insure compliance. Cade Enforcement Inspectors will examine the swimming pool while under construction. The regulatory authority will examine the swimming pool while under construction, and conduct a final inspection. ARTICLE 4. Materials. A swimming pool shall be constructed of materials that are sanitary, enduring, and nan-toxic to humans. Materials used on walls and bottom surfaces shall provide a watertight structure with a smooth and easily cleaned finish, free from cracks or open ,points other than structural expansion ,points. ARTICLE S. Shape. The shape of a pool shall be designed so that the water is uniformly circulated and so that all interior areas of a pool are visible from the edge of the pool. ARTICLE S. Depth and Slope; depth markings. (a) The depth and slope of a pool shall comply with the specifications indicated in Plate I. (b) All surfaces an the battam of a pool shall slope toward the main drain. A main drain is not required in vinyl pools with a depth of less than five feet. In areas of a pool that are less than five feet in depth, the following slope requirements apply: (1) The slope of the floor in a pool 42 91 ORDINANCE NO. 738-9-86 feet or more in length shall not exceed one foot in twelve feet. (2) The slope of the flaov in a pool less than 42 feet in length shall not exceed one foot in eight feet. (c) Walls in the deep par -tion of a pool shall be vertical from the water line far a minimum depth of two feet six inches. (d) Depth of water• shall be marked at ov above the water surface on the vertical pool wall and on the edge of the deck next to the pool, at maximum and minimum depth paints, at points of break between deep and shallow areas, and at intermediate increments of depth, spaced at not more than 25 foot intervals around the entire perimeter of the pool. Markings shall be in numerals of a minimum height of four inches and in a calor contrasting with the background. ARTICLE 7. Pro, eat ions. Pool structures, protrusions, ar extensions shall not pvoject more than six inches within the pool area, as delineated by the profiles illustrated in Plate I. ARTICLE S. Diving Area (a) The minimum depth of water below a diving board or platform and other minimum dimensions in the diving area of a pool must comply with the minimum standards indicated in Table I and Plate I. 92 ORDINANCE NO. 738-9--66 (b) A diving board or platform must not be placed more than nine feet (three meters) above the water- level ater level without approval of the regulatory authority. The base of a diving board or tower- shall owershall not extend into the pool water, and the tower, shall be anchored with sufficient bracing to insure stability under the heaviest load. Both sides of steps, ladders, and platforms of diving towers three feet (one meter) or higher shall be provided with suitable handrails designed to prevent persons from falling. (c) A minimum clearance of 16 feet shall be provided above each diving board ov platform, measured from the center of the front end of the board or platform and extending at least eight feet behind and to each side and sixteen feet ahead of the measuring point. ARTICLE 9. Steps, ladders, and towers.. (a) Materials used in steps, ladders, and diving towers must be of sufficient structural strength to safety support anticipated loads and must be corrosion resistant, easily cleaned, and of a nonskid design. (b) A minimum of one ladder must be provided for each 100 feet of public or semi-public pool perimeter; except that a diving area which is wider than 30 feet at any point must be provided with two ladders at, opposite sides. 93 ORDINANCE NO. 738-9--B& (c) If recessed steps are used, they must be designed to drain into the pool and to be easily cleaned. (d) Ladders and recessed steps must be provided with a handrail on both sides. Handrails must be constructed out over the coping and return to the pool deck. ARTICLE 10. Overflow Butters and Skimming Devices. (a) All pools must be equipped with either an overflow gutter or surface skimming device. (b) If surface skimming devices are used: (1) handholds must be provided around the entire perimter of the pool except above steps, and; (A) if caping is used, the outer two inches must be not more than two and one-half inches thick; and (B) must be not more than 12 inches -above the normal water line; (2) each skimming device must be individually controlled; (3) each skimming device must be automatically adjustable to variations in water level over a range of at least three inches; (4) the rate of flow through the total number of skimming devices must be 94 ORDINANCE NO. 738-9-Ei6 automatically adjustable from 50 to 75 percent of the capacity of the pool filter system; (5) each skimming device must have an easily removable -and cleanable bamket or screen to trap material which might clog the ciruclation pump; and (6) one skimmer, must be provided far each 500 square feet of water surface area plus an additional skimmer for any remaining increment of water surface area less than 500 square feet. (c) If an overflow gutter is used, it must: (1) extend around the entire perimeter of the pool except above steps; (c) be constructed so that the gutter is not completely recessed into the wall and water entering the gutter cannot flow back into the pool; (3) be capable of continuously removing 50 percent or more of the recirculated water through the filter, system; (4) be connected to a recirculation system with a surge capacity of not less than one-half gallon for each square foot of pool surface area, and in pools subject to heavy swimming use, a surge capacity of not less than one gallon for each square 95 ORDINANCE NO. 738-9-66 foot of surface area; (5) be designed so that the edge of the gutter can be used as a handhold for bathers; (6) be designed so that the overflow edge is level within three -tenths inch; (7) be designed so that the bottom slopes not less than one-eighth inch to the foot. (a) discharge waste into the recirculating system, the drain pipe being not less than one and one-half inches in diameter. ARTICLE 11. Deck Area; pool enclosure; spectator separation. (a) Each public or semi-public pool must be provided with a deck area which: (1) is continuous around the entire pool; (2) is not less than three and one-half feet in width, including caping and curbing; (3) is constructed of sanitary material with a skid resistant surface; (4) has a minimum slope of one-eighth inch per foot for the first eight feet to points of disposal other than the pool; (5) is equipped with gratings for drain pipe openings that are two times the diameter of the drain pipe if deck drains are used; and 96 ORDINANCE NO. 738-9-86 (6) is equipped around the entire edge of the pool with coping designed to prevent deck water from entering the pool. (b) Hose bibbs of not less than three-fourths inch must be provided around the perimeter of the deck area at intervals which will allow all parts of a pool to be reached with a 75 foot hose far cleaning. Each bibb must be equipped with an approved back-flow preventer. (c) The pool shall be enclosed as to eliminate access of small children. A fence, wall or other- solid thersolid structure six feet high shall be erected. Entries to pool area shall have a self-closing and self -latching device. Such latching device shall be mounted in the upper quarter of the entry door to eliminate access by %mail children. Signs or markers shall be mounted on all entries stating "Keep closed at all times." (d) Trees shall not hang aver pool. Dock surfaces as well as adjoining areas shall be kept clean and free of weeds, bugs, trash and cans. (e) If spectator galleries are installed: (i) there shall be a separation between the areas used by bathers and the areas used as galleries by spectators; (2) galleries shall not extend over any part of a pool. ARTICLE 12. Recirculation System. 97 ORDINANCE NO. 738-9-96 (a) Each pool with a water capacity of 800 gallons or more or a depth greater than three feet shall be equipped with a recirculation system consisting of pumps, hair and lint catchers, filters, and pipe connections necessary to connect to the inlets and outlets of the pool. (b) Filters. Filters shall meet National Sanitation Foundation standards, or be approved by the regulatory authority. The regulatory authority shall disapprove a filter if it does not backwash thoroughly or does not filter at a sufficient rate. (c) Pumps. The pumps shall be of an adequate size to turnover the pool water capacity within six hours for a public pool and eight hours for a semi-public pool. (d) Hair and lint catcher. A catcher shall be installed on the suction side of the pumps to prevent hair, lint, and other extraneous matter from reaching the pumps and filters. Catchers shall be designed to be easily dismantled far cleaning. (e) Crass connections. Crass connections between the pool water or the recirculation system and the water supply are prohibited. The pool shall be designed so that fresh water added to the pool will not create a crass connection as when a hose is submerged in the pool. Other cross connections 98 ORDINANCE NO. 736-9-86 shall comply with applicable city ordinances. ARTICLE 13. i n l et s and Gut 1 et s; water disposals. (a) Inlets. Pool inlets shall be arranged to produce a uniform chlorine ov equivalent disinfectant residual throughout the pool. (1) Each inlet shall be equipped with an adjustable orifice or valve so that the flow of water to various portions of the pool may be adjusted. (2) The fill pipe to all pools shall have an air gap of six inches above the pool coping or be protected by a double check backflow preventer assembly. (b) Outlets. Pool outlets shall be arranged to produce a uniform circulation of water throughout a pool. (1) At least one outlet shall be provided at the lowest point of the floor to permit complete drainage of the floor area, except in vinyl pools of less than five feet in depth. (2) If.the width of a pool is more than 40 feet, multiple outlets shall be provided. In this case outlets shall be not more than 10 feet from each sidewall. (3) If the exit velocity exceeds two feet 99 ORDINANCE NO. 738-9-96 per second, a National Sanitation Foundation approved, ov equal, anti -vortex outlet must be used. (4) Outlet gratings in the bottom of a pool shall be securely fastened and shall have a cross-sectional area of at least four times the cross-sectional area of the discharge pipe. (5) A pool shall be equipped with pipe connections which permit the pool to be emptied as well as recirculated, except far vinyl pools of less than five feet in depth. (c) Water disposal (1) Backwash from a filter must go to the sanitary sewer. Filter backwash may go to an approved septic tank system or separation tank if a sanitary sewer is not available. (E) Pools drained far repairs or cleaning shall drain to the sanitary sewer in compliance with the Uniform Plumbing Code. (3) A deck drain may go to a lawn, leaching field, dry well, or, if necessary, to a natural drainage course. ARTICLE 14. Heating Units. Heating units for pools, dressing roams, shower roams, toilet roams, and rooms in which pools are contained shall be installed in a manner 100 ORDINANCE NO. 73$-9-06 that will protect swimmers from injury and protect the units from damage. ARTICLE 15. Lighting (a) A system of artificial lighting shall be provided for pools, dressing rooms, shower rooms, toilet rooms, and rooms in which pools are contained, The system shall be installed in conformance with the City of Allen Electrical Code, and the design and arrangement of the lights shall insure clear vision in all areas of a pool and surrounding pool area. (b) Underwater lighting shall provide one watt per square foot of pool area far public or semi-public pools, and shall be installed and maintained in a manner that will insure the safety of swimmers. If underwater lighting is used, deck lighting shall be directed away from the pool surface as much as possible and be of a capacity not less than six -tenths watts per square foot of total area. (c) Grounding per City of Allen Electrical Code. Lighting shall be properly grounded with three to four loops of wire from the belly to attach to deck steel with brass grounding clamps. (d) No PVC conduit shall be allowed above grade or slab but rigid or EMT is permitted. ARTICLE 16. Toilet Facilities (a) Semi-public pools shall have toilet facilities 101 ORDINANCE NO. 738-9-86 available within 200 feet of the pool. (b) Public pools shall have toilet facilities for each sex at the pool site. (c) Toilet rooms and toilet facilities shall be cleaned with a chlorine solution daily. ARTICLE 17. Permit and Manager, of Operations (a) A person shall not operate a public or semi-public pool without an operations permit. To obtain a permit an applicant shall complete a farm provided by the regulatory authority. An applicant shall designate a manager of operations of each pool for which a permit is sought. (b) If a manager of operations of a pool ceases to perform that function for any reason, the owner of the pool shall designate a new manager within a reasonable period of time. (c) The regulatory authority shall issue an operational permit only on receipt of an application for operation, receipt of the designated fee, and upon inspection of the pool for compliance to this Section. No refunds will be made. See Exhibit A for the fee schedule. Once permitted, pools will be inspected monthly during the operational season. The inspection form shall constitute a written notice. (d) Non -conforming use. Any IawfuI use of swimming pools existing on the data of adoption of this ordinance which does not conform to the 102 ORDINANCE NO. 738-9-96 regulations prescribed herein shall be deemed a non -conforming structure and shall be continued subject to such regulations as to the maintenance and aperatians of premises with the health and safety of bathers foremost in mind. ARTICLE 18. Certification of Manager of Operations (a) A manager of operations of a public av semi-public pool shall obtain certification from the regulatory authority by successfully completing a training course in pool operations. If a person designated by an owner as manager of operations of a pool is not certified, he shall attend and successfully camplete the next training course conducted after his designation. Certificates from other cities may be accepted with the approval of the regulatory authority. (b) The certification of a manager of opevatians expires two years from the date of certificatian and a manager must repeat the training course to maintain certificat ian. ARTICLE 19. Operation of a Pool. A manager of aperatians or an owner of a public ar semi-public pool shall not: (a) knowingly permit a condition to exist that endangers the life, health, or safety of a swimmer av that violates a pravisian of this article; (b) knowingly permit a person to swim in a pool who has skin abrasions, - open sores, cuts, skin 103 ORDINANCE NO. 738-9-56 disease, eye disease, nasal or ear discharge, or other communicable disease; (c) knowingly permit a person to carry glass within a pool area ov enclosure; (d) knowingly allow animals within a pool area or enclosure; (e) fail to post placards containing pool regulations and instructions in conspicuous places within a pool area or, enclosure; (f) fail to maintain a pool in accordance with the standards of health and safety provided in Articles 20 and 21. ARTICLE 20. Quality of Water; (a) Acidity - alkalinity. The water shall be maintained in an alkaline condition so that the pH of the water i% between 7.2 and 7.6 ppm. (b) Clarity. The water shall be sufficiently clear to permit a distinct view of the main drain from outside the pool. (c) Disinfectant. Disinfectant capable of killing bacteria and algae, but not harmful to humans, shall be added to the pool water through a continuous feed machine. If chlorine is used, a residual level shall be maintained of one to two Par -t% per m i l l i on (1.0-2.0 ppm) . (d) Algae. A swimming pool shall be kept free of algae. (e) Circulation. The recirculation system shall 104 ORDINANCE NO. 736-9-86 be in operation at all times. (f) Heating. Hot water shall not enter a pool at a temperature exceeding 110' Fahrenheit. (g) Level. Fresh water shall be added to a pool at a rate that will keep the pool water at a level sufficient to allow skimming devices or, overflow gutters to work properly. (h) A testing kit shall be required and fully equipped as well as a log kept on a daily basis indicating hourly chlorine and pH readings, chemicals added, number of bathers and unusual occurrences. Water samples shall be taken as required by the regulatory authority. ARTICLE 21. Safety Equipment. The following safety equipment shall be available far use at anytime a pool is open: (a) a life pale or shepherd's crook pole capable of reaching each part of a pool; and (b) a guard line separating the shallow portion from the deep portion of a pool at the break point depth; and (c) a sign shall be available, and when applicable used, indicating "No Life Guard on Duty"; and I (d) an adult, parent or guardian shall be in attendance with any children under age six (6) years at all times while children are in pool enclosure; and (e) a telephone shall be nearby with information 105 ORDINANCE NO. 738-9-96 of nearest ambulance station; and (f) a first aid kit shall be available at all times; and (g) all chemicals shall be stared in a cool dry area; and (h) chlorination room shall be well ventilated with gas mask outside; and (i) all cleaning equipment and materials shall be in good repair. ARTICLE 22. Regulations in Fool Area. A person commits an offense if he: (a) allows a pet under his control to remain within the pool area or pool enclosure. (b) has skin abrasions, open sores, cuts, skin disease, eye disease, nasal or ear discharge, or communicable disease and swims in a public or semi-public pool; (c) carried glass within a pool area ov enclosure; or (d) alters or removes safety equipment from a pool except in a bona fide emergency. ARTICLE 23. Pool Drainage. It shall be unlawful to drain the pool upon public or privately owned property at any time for any reason. ARTICLE 24. Suspension (a) The regulatory authority shall immediately suspend a permit to operate a public or semi-public pool if: 106 ORDINANCE NO. 738-9-,96 (1) the annual permit fee is not paid; or - (2) r(2) an owner fails to designate and retain a certified manager of operations as specified in this article; at - (3) r(3) the condition of a pool is hazardous to the health or safety of swimmers or the general public; or (4) the owner fails to keep all pool equipment and devices working properly. (b) The suspension shall continue until the cause of suspension is corrected. The owner or operator of the pool shall contact the regulatory authority far reinspection to insure correction. 107 BOARD LENGTH Deck Level (18" Max.) Residential co (30" Max.) 1 Meter Max.) 3 Meter (Max.) See Plate I for floor slopes and radii. All pool shell dimensions shall be minimum inside. O d H 7 z TABLE I Z MINIMUM SWIMMING POOL SHAPE & DIVING BOARD DATA (See Plate V. O v BOARD A Bl B2 Bl + B2 Cl C2 DDl DD2 DB DS E EE LENGTH 00 I I CO Min. 6' 0" 2' 0" 8' 0" 2' 0" 10' 0" 12' 0" 20' 0" 8' 0" 7' 9" 4' 0" 7' 0" 8' 0" i Max. 10' 0" 4' 0" 5' 0" 3' 6" Min. 8' 0" 3' 0" 8' 0" 3' 0" 11' 0" 13' 6" 21' 6" 8' 0" 7' 9" 4' 0" 7' 6" 8' 0" Max. 12' 0" 4' 6" - 5' 0" 3' 6" I Min. 14' 0" 5' 0" 8' 6" 3' 6" 12' 0" 14' 0" 22' 0" 12' 0" 8' 3" 4' 0" 10' 0" 8' 0" Max. 16' 0" 6' 0" 5' 0" 3' 6" Min. 14' 0" 5' 0" 10' 0" 5' 0" 15' 0" 21' 0" 31' 0" 13' 0" 10' 0" 4' 0" 12' 0" 8' 0" Max. 16' 0" 6' 0" 5' 0" 3' 6" See Plate I for floor slopes and radii. All pool shell dimensions shall be minimum inside. ORDINANCE NO. 738-9-86 2' S" MLn o Max. R. DD wr rtI n2 T ':1 Water Line Z ❑ LONGITUDINAL SECTION TOP VIEW Water LineYM. Water Line a o m o m ❑ E- 0 ❑ 0 +� 3' 6" Max. at DS ❑ ir •DD1 ODD DEEP END SECTION SHALLOW END SECTION MINIMUM SHAPE AND DIVING BOARD DATA P L A T E 1 109 6] U C2 A _ B1 B2 C1 TOP VIEW Water LineYM. Water Line a o m o m ❑ E- 0 ❑ 0 +� 3' 6" Max. at DS ❑ ir •DD1 ODD DEEP END SECTION SHALLOW END SECTION MINIMUM SHAPE AND DIVING BOARD DATA P L A T E 1 109 F---- - - --- -- ' ORDINANCE NO. 738-9-86 SECTION III PURPOSE: PROVIDING FOR DEFINITIONS; PRESCRIBING MINIMUM STANDARDS FOR CHILD HEALTH AND SAFETY PROTECTION DURING PART OR ALL DAY FOR CHILDREN UNDER 14; PROVIDING PERMITS AND INSPECTION FREQUENCY; PROVIDING SUSPENSION OF PERMIT; PROVIDING FOR REISSUANCE OF PERMIT; PROVIDING FOR CLOSING OF A FACILITY. ARTICLE 1. Definitions (a) Registered Family Homes means a facility that is registered with the Texas Department of Human Resources, and regularly provides care in the caregiver's own residence far not more than four (4) children under 14 years of age, excluding the caregiver's own children, and that provides care after school hours for an additional three (3) school age brothers and sisters of other, children in care, but the total number of children, including the caregiver's own, shall not exceed ten (10) at any given time. (b) Day Care Center is a facility that is licensed by the Texas Department of Human Resources and provides care less than 24 hours a day for move- than orethan 1E children under age 14. (c) Kindergarten and Nursery Schools are child care facilities licensed by the Texas Department of Human Resources offering a program four hours or less per day for children who have passed their- lie heir lie ORDINANCE NO. 736-9-86 second birthday but who are under seven years aid. (d) School -kindergarten and above. A Schaal, grades kindergarten and above, is a child care facility licensed by the Texas Department of Human Resources, offering an educational program in one ov more grades for children ages S through 13. A school operates only during customary public school days. ARTICLE 2. Usage. The facility shall include: (a) Daily, continual and regular, group care for all or part of the work day while not in custody of the parent (day care services). (b) Hourly, peviadic, nandaily, graup care during the day av evening while not in custody of the parent (infant and child sitting services). (c) An organized program of group activities and related learning experiences for children attending on a daily basis. (d) Child care in residential homes shall limit the number of children cared far to six (6) after 7 : OW p.m. ARTICLE 3. Responsibilities. The regulatory authority shall be responsible for monitoring the health and safety aspects and conducting of inspections of child care centers. Liaisan with regulatory agencies shall be maintained to insure compliance with state minimum requirements. The director of the child care center has absolute responsibility for the operation of the center as 111 F --- ORDINANCE NO. 73a-9-86 does the caregiver in a Registered Family Home. ARTICLE 4. Adult/Child Ratio. In recognition of the need far enrichment programs, the ratios set by the Texas Department of Human Resources shall be used. ARTICLE 5. Emergency Requirements. Complete information for contacting the parent shall be available at the child care center. Data will include home and work telephone numbers and locations as well as a telephone number and location of a close relative av friend. Current instructions for telephoning the regulatory authority, medical services, ambulance services, fire department and police shall be posted at each telephone. ARTICLE S. Immunizations and medical requirements. All caregivers and attending children shall have records and immunizations as stipulated by the Texas Department of Human Resources. ARTICLE 7. Physical Considerations. (a) Facilities. (1) Prior to building or, remodeling a child care center professionally drawn plans shall be submitted to the regulatory authority for review. Registered Homes and Group Day Care Homes are exempt from this requirement. All centers shall meet the standards set forth by the Texas Department of Human Resources. (2) Centers shall be located on the ground floor level. 112 ORDINANCE NO. 738-9-86 (3) Only lead free nontoxic paint shall be used in child accessible areas. (b) Indoor Requirements (1) Handwashing facilities with soap, water, and disposable paper towels shall be readily available. Hygienic handwashing habits will be practiced by staff and encouraged for children. Where accessible to children, water temperatures shall be controlled so as not to exceed 1101 F. Common towels or face cloths are prohibited. (2) Maximum occupancy of a center will be the square foot of floor space each child is allotted in accordance with rules prescribed by the Texas Department of Human Resources. (3) A separate room will be provided for sleep and play. (4) A separate room will be provided for- isolation or isolation of children who become ill after arrival at the center. (5) Toilet facilities will be separate for boys and girls beyond the age of four years and the staff. Toilets and fixtures shall be scaled to size. (6) All stairways will be protected by gates or similar restraints. 113 ORDINANCE NO. 738-9-86 (7) Flaors shall provide safety and warmth, and be easily c1 eanab 1 e. (8) Electrical outlets shall be of the child safety type. All electrical appliances shall be protected from child cant act . (9) Separate cabinets for storage of cleaning and toxic materials shall be provided and securely locked. (10) All rooms shall have heating and ventilation as to allow a temperature of 721F within one foot of the floor. (11) Tables, chairs, and beds shall be scaled to meet the children's needs. Toys will be carefully selected so as not to have sharp edges or be coated with paints. (12) Waterproof receptacles having tight fitting lids will be used for diapers. (13) Thirty foot candles of light are required in play areas, and 100 foot candles in staff work spaces. (c) Outdoor requirements (1) Space requirements for each child shall be in accordance with the minimum standards set by the Texas Department of Human Resources. (d) Play equipment shall be selected with safety and sanitation in mind and approved by the 114 ORDINANCE NO. 738-9-a6 regulatory authority. Play equipment shall also be scaled to size. (e) Swimming pools shall meet the specifications of Section I1 of this Ordinance. (f) Food operations shall be in accordance with Section I of this Ordinance. (g) Sack lunches must be labeled with child's full name, date and properly stored. (h) Infant food and/or formula prepared by parent will be labeled, and accompanied with feeding instructions and properly stared. Preparation in the center is prohibited. ARTICLE 8. Governing Rules. A copy of the minimum standards set forth by the Texas Department of Human Resources as well as the City of Allen Environmental Health Ordinance, Section III, and where applicable, Section 1, Food Service, and Section 11, Swimming Poo 1 s, shall be easily accessible in the Child Care Facility. ARTICLE 9. Permits/Inspection Frequency. A person shall not operate a child care center without an operations permit and where applicable, a swimming pool Pe -1 -mit. To obtain a permit an applicant shall complete a form provided by the regulatory authority. On receipt of an application far operation and designated fee, the facility will be inspected for compliance prior to issuing a permit. See Appendix A for the fee schedule. Once permitted, the child care center will be inspected on a quarterly basis, with swimming pools being inspected 115 ORDINANCE NO. 738-9--G& monthly during the swimming season. Permits are renewable on an annual basis and fees are not refundable. Registered Hames shall be inspected on a complaint basis applying this ordinance and the Texas Department of Human Resaurces minimum standards for compliance. ARTICLE 10. Suspension of Permit. The regulatory authority may suspend a permit to operate a child care center if the holder does not comply with the requirements of this ordinance and the minimum standards set by the Texas Department of Human Resources. ARTICLE 11. Reissuance of Permit. The permit will be reissued when, in the ,judgement of the Regulatary Authority, there is no danger to the children and the violation causing the suspension has been corrected. A new application form and permit fee shall be submitted. ARTICLE 12. Claming of a Facility. The Regulatary Authority in conjunction with the Texas Department of Human Resources shall close a facility and place the children in another facility if violations of this ardinance and the minimum standards set by the Texas Department of Human Resaurces create an immediate danger to children. References: Texas Department of Human Resources minimum standards for; 1. Registered 'f=amily Homes 2. Group Day -Care Homes 3. Day -Care Centers 4. Kindergarten and Nursery Schools 116 ORDINANCE NO. 738-5-86 5. Sahaals: grades Kindergarten and above. 117 ORDINANCE NO. 738-9-86 SECTION IV ADMINISTRATION ARTICLE 1. SCHEDULE OF FEES. See Exhibit "A" attached hereto_ ARTICLE 2. PENALTY That any person, firm or corporation violating any of the provisions or terms of this ordinance shall be deemed guilty of a misdemeanor and conviction thereof shall be fined a sum not exceeding one thousand dollars (*1,000.00) far each violation and that each day such violation shall continue to exist const i t ut es a sepavat a offense. ARTICLE 3. APPEAL (a) If the regulatory authority denies the issuance of a permit, or suspends a permit, he shall send to the applicant, or permit holder, by certified mail, written notice of his action and the right to an appeal. The applicant, or permit holder, may appeal the decision of the regulatory authority to the City Manager or his designee by filing a written request for a hearing within 10 days after receipt of the notice from the regulatory authority. If a request for an appeal hearing is not made within the 10 -day limit, the action of the regulatory authority is final. (b) The City Manager, or designee, shall serve as hearing officer at an appeal hearing and consider evidence offered by any interested person. The iia ORDINANCE NO. 738-9-86 formal rules of evidence do not apply at an appeal hearing; the hearing officer shall make his decision on the basis of a preponderance of the evidence presented at the hearing. The hearing officer shall render a decision within 30 days after the request for an appeal hearing is filed. The hearing officer shall affirm, reverse, or modify the action of the regulatory authority and - his decision is final. ARTICLE 4. CONFLICT Whenever the contents of this ordinance conflict with existing City ordinances, the most stringent requirement shall apply. ARTICLE 5. SEVERABILITY It is hereby declared to be the intention of the City Council that the sections, paragraphs, sentences, clauses, and phrases of this ordinance are severable, and if any phrase, clause, sentence or section of this ordinance shall be declared unconstitutional or invalid by the ,judgement ov decree of a court of competent ,jurisdiction, such unconstitutionality ov invalidity shall not affect any other remaining sectin, paragraph, sentence, clause ov phrase of this Article; and the City Council hereby declared it would have passed the remaining portions even though it had known the affected parts would be held unconst i t ut i ona 1. ARTICLE S. EFFECTIVE DATE The fact that the City of Allen does not have adequate 119 ORDINANCE NO. 738-9-86 Food Service regulations; public and semi-public swimming pool regulations; creates an urgency and an emergency and required this ordinance to take effect from and after its passage as the law in such cases provides. DULY PASSED AND APPROVED by the City Council of the City of Allen, Texas, this 18th day of September, 1986. APPROVED: Id P. Rodenbaugh, ATTEST: APPROVED AS TO FORM: A. Don City Attorney 128 ORDINANCE NO. 738-9-86 EXHIBIT "A" FEE SCHEDULE Food Service Permit: Fixed Facility - $50 per year Temporary Facility - $35 each period Mobile Operation - $35 per year Pools - inground/aboveground $35 per season Child care - $125 per year 121 ORDINANCE NOrr ,r CITY OF EXHIBIT' B �:_ -- -- Food Service Establishment ALLEN Inspection Report Saaed on in inspection this day, the items circled below identity the violafibns in Operations or facilities which must be corrected by the next routine inspection or such shorter period of time as may be specified in wnting by the regulatory authority. Failure to comply, with any time limits for corrections specified in this not" may result in cessation of your Food Service operations. Est. I.D. [1-10] County I Dist. I Est. No. 71-M Original container; properly labeled 1 31 to maintain product temperature 4 I I I I Census Tract I Sanit.Code Yr. Mo. Day 17- 11-13 11-18 I 11 22 Owner Name: Establishment Name: Address: FOOD •01 1 Source. sound condition, no spoilage 6 30 Qi Original container; properly labeled 1 31 FOOD PROTECTION Good (ice) contact surfaces. designed, constructed, main- 2 •03 Potentially hazardous food meets temperature requirements during storage, preparation, display, service transportation { 32 •04 1Facilities to maintain product temperature 4 33 05 Thermometers provided and conspicuous 1 34 00 Potentially hazardous food properly thawed 2 35 •07 1Unwrapped and potentially hazardous food not re -served 4 1 39 09 Food protection during storage, preparation, display, service, transportation 2 37 09 Handling of food tics) minimized 2 34 10 In use, food )ice) dispensing utensils properly stored 1 39 PERSONNEL 19 Wash, rinse water clean, proper temperature •11 Personnel with infections restricted S e0 112 Hands washed and clean, good hygienic practices S e1 17 Clean clothes, hair restraints 1 eZ FOOD EQUIPMENT & UTENSILS WATER •27 1 Water source, sale hof b cold under pressure S S{ PURPOSE Regular .. Follow-up . . • . . . . Complaint ..... . Investigation .... Other Travel Time Inspec-Time 23-25 25-261 111 Zip SEWAGE HEwage and waste water disposal { S7 PLUMBING 29 Installed, maintained 1 s{ -w Cross -connection, back siphonage, backflow { 59 TOILET & HANDWASHING FACILITIES •31 Good (ice) contact surfaces. designed, constructed, main- 2 43 1, tained, installed, located 1 1S Non -toxo contact surfaces: designed, constructed, main- 1 41 lained, installed, located 1{ Dishwashing facilities: designed, constructed, matntained, 2 IS installed, located, operated 17 Accurate thermometers, chemical test kits provided. gauge 1 cock ('h" IPS valve) 19 Pre -flushed, scraped, soaked 1 47 19 Wash, rinse water clean, proper temperature 2 Y -20 Sandizahon rinse clean, temperature, concentration, ex- { 49 posure time. equipment, utensils sanitized 21 Wiping Goths. clean, use restricted 1 SO 22 Food -contact surfaces of equipment and utensils clean, 2 S1 tree of abrasives, detergents 23 Non -l000 contact surfaces of equipment and utensils clean 1 52 24 Storage, handling of clean equipment/ utensils 1 S3 2S Single -service articles, storage, dispensing 1 SI 26 No re -use of single service articles 2 SS WATER •27 1 Water source, sale hof b cold under pressure S S{ PURPOSE Regular .. Follow-up . . • . . . . Complaint ..... . Investigation .... Other Travel Time Inspec-Time 23-25 25-261 111 Zip SEWAGE HEwage and waste water disposal { S7 PLUMBING 29 Installed, maintained 1 s{ -w Cross -connection, back siphonage, backflow { 59 TOILET & HANDWASHING FACILITIES •31 Number. convenient, accessible. designed, installed 4 {0 1 Toilet rooms enclosed, self-closing doors, fixtures, good• - 1 32 repair, clean, hand cleanser, sanitary towels/tissues/hand- 2 611 drying devices provided, proper .caste recaptatlq GARBAGE & REFUSE DISPOSAL 33 Containers or receptacles, covered adequate number .2 62 1 insect/rodent proof, frequency. clean 1 34 Outside storage area enclosures property constructed, 1 93 clean, controlled incineration INSECT, RODENT, ANIMAL CONTROL .36Presence of insectsirodents — outer openings protected. ` M no birds, turtles, other animals FLOORS, WALLS & CEILINGS 35 Floors, constructed, drained, clean, good repair, covering 1 as 1 installation. dustless cleaning methods 1 37 Walls, ceiling, attached equipment: constructed, good 1 73 repair, clean, surfaces, dustless cleaning methods LIGHTING 37 Fighting provided as required. fixtures shielded 1 N VENTILATION 36 Rooms and equipment — vented as required 1 M DRESSING ROOMS a0 Rooms clean, lockers provided, facilities clean, located 1 q OTHER OPERATIONS •41 Toxic Mems properly stored, labeled, used s To Premises ma ntained free of litter, unnecessary articles. 42 cleaning maintenance equipment properly stored. Author- ized personnel 1 71 43 Complete separation from living/sleeping quarters. Laundry 1 72 M Clean, soiled linen properly stored. 1 73 FOLLOW-UP No RATING SCORE �� inspected by: Remarks: Received by: name title lit a Critical Items Requiring Immediate Attention: x -aa GPC -1993 z 0 ,�^ ' EM 0 �^ �IME ^� JEI :i I Registered Family Homes Stock Code 20320-0000 �t r. o Texas Department of Human Resources State Headquarters Located at 706 Banister Lane ` Mailing Address: P.O. Box 2960 • Austin, Texas 78769 CO&WAMM ONER SOARD MEMaERS Marlin W Johnston f RE OERICK C RE HF E l DT M O Charman Mdltap RAUI IIMF NEI February 22, 1982 San Antonn JAMES C CONNER Marshall Dear Registered Family Home Caregiver: The Texas Department of Human Resources Licensing Branch developed the following set of minimum standards under authority of the child care licensing law and as prescribed by the Administrative Procedure and Texas Register Act. The department received comments and suggestions from Interested individuals during the 60 -day public review period In 1981. The State Advisory Committee on Child Care Facilities, authorized by the child care licensing law, is composed of parents, guardians, or custodians of children using child care facilities, members of child advocacy groups, operators of child care facilities, and experts In professional fields relevant to child care and development. The advisory committee refined drafts of the minimum standards submitted for their consideration by Texas Department of Human Resources. When the standards were developed, the following people were members of the State Advisory Committee on Child Care Facilities. Mr. Bob Barker, Houston Mrs. Betty Brown,Vidor Mr. J. Leland Hacker, San Antonio Mr. Gene Little, Irving Mr. Orba Lee Malone, El Paso Mr. J. B. Moore, Corpus Christi Dr. Kent Skipper, Dallas Mr. Lyn Turner, Austin Mrs. Joan Braun, Mt. Enterprise Mrs. Sally Cox, Houston Ms. Elizabeth Hollamon, Galveston Ms. Carolyn Martin, Houston Mrs. Rita Bryant, Amarillo Dr. Wilbur E. Crenwelge, Fredericksburg Alternates Mrs. Dee Ann Pate, San Antonio Dr. Robert C. Prall, Austin Ms. L. Lynne Rarra, EI Paso Dr Michael Romaine, Dallas Mr. Lamont Waldrlp, Boys Panch Mrs. Carol 'Athlte, San Antonio Mrs. Beverly Wood, Longview M Equal Opportunity Employer Page 2 The minimum standards, incorporating the comments and recommendations of the advisory committee and the public, were submitted to the Texas Board of Human Resources The Board Chaiiman is Frederick C Rehfeldt, M D , of Millsap The Board members are Raul Jimenez of San Antonio and James C. Conner of Marshall After approval by the Board, the minimum standards were Bled with the Secretary of State Many Texas citizens have been involved in the development of reasonable Minimum Standards for Registered Family Homes. The department deeply appreciates their help and support in our mutual goal of reducing the risk to Texas children in out -of -home care These minimum standards are effective April 26, 1982. h. Sincerely, / Marlin W. Johnston Attachments MINIMUM STANDARDS FOR REGISTERED FAMILY HOMES 1000 THE CHILDREN IN CARE 1100 The Number of Children in Can The maximum number of children that a caregiver may care for in a. egistered family home is determined by: 1. the legal definition of a registered family home, and 2 the ages of the children in care 1 Legal Basis To be registered, a caregiver's home must meet the definition of a registered family home, in the Human Resources Code, Chapter 42, Section 42.002/91: "Registered family home means a facility that regularly provides care in the caretaker's own residence for not more than six children under 14 years of age, excluding the. caretaker's own children, and that provides care after school hours for not more than six additional elementary school siblings of the other children given care, but the total number of children, including the caretaker's own, does not exceed 12 at any given time." 2 Ages of Children in Care If there are mon than six children in the home, the children in excess of six must be either the caregiver's own, or school aye brothers and sister* of other children in care. In determining how many children, according to age, can be in the home at one time, all children are counted including the caregiver's own. The number of children that may be cared for at one time is shown on the chart on the following page. The maximum number of children allowed is 12 or fewer, depending on the ages of the children. RF H Section 1000 Page DHR 4 -8 - As shown in the chart, there can be up to four infant: -n care. There must never be more than four infants in care There must not be more than six children between birth and 4 years old in the home. The number of children between '8 months and 4 years is reduced by the number of infants •r. care. For example, if there are two infants .n care in the home, there can be up to four children from 18 months through 4 years of age in care. For each parr of numbers under "Preschoolers" there is a corresponding number on the same line under "Schco Age Children." This is the maximum number of cr,ldrer• from the age of 5 through 13 who can be in care in the home at the same time as the "Preschoolers". RFH Section 1000 Page 2 DHR 4-82 fruits on Nun*m of Children in Can by Age All children in the home including the caregiver's own children must be counted. Preschoolers School Age Children (See Item 5400) Always total six or fewer Maximum Allowed Infants 0-1 7 mos 18 mos. -4 yrs. 5-13 yrs. 0 6 6 12 0 5 7 12 0 4 8 12 0 3 9 12 0 2 10 12 0 1 11 12 0 0 12 12 1 5 4 10 1 4 5 10 1 3 6 10 1 2 7 10 1 1 8 10 1 0 9 10 2 4 2 8 2 3 3 8 2 2 4 8 2 1 5 8 2 0 6 8 3 3 1 7 3 2 2 7 3 1 3 7 3 0 4 7 4 2 0 6 4 1 1 6 4 0 2 6 T here must not be more children in the home at the same time than is shown in one of the Innes across in the chart. 1200 Length of Can A child must not be in registered family home care for more than 24 consecutive hours. 1300 Taking Children for Can 1 Parents' Gude — When accepting a child for care, the caregiver must give parents a copy of the Texas Department of Human Resources parents' guide to registered family homes 2 Emergency Medical Care Form — Before accepting a child for care, the caregiver must have parents complete and sign an emergency medical care form for their children This caregiver must keep the form in the registered family home. 3. Racal Discrimination — The caregiver must not refuse care to a child because of race. 1400 Children's Heakh Records 1 Immunizations The caregiver must comply with laws, rules, and regulations regarding immunization of children. The caregiver must keep current immunization records at the registered family home for each child, including the caregiver's own children if they are living in the family home. For each child's record the caregiver must include the child's birthdate, the type of immunization, the number of doses, and the date of each immunization. A machine or handwritten copy of the record is acceptable. When the caregiver copes the record by hand, the caregiver must also sign the record. The record may be any of the following: a. A dated statement, signed or stamped by a physician or health clinic, that the child has been immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella, and showing the type of vaccine, the number of doses, and the dates the immunizations were given. RFH Section 1000 Page 3 DHR 4-82 b A dated statement signed o• s!arnped by a physician or health clinic, stating that immurizatior aga rst at least one of the diseases mentioned has begun, ,r o Mat all immunizations will be completed as soon as coss-ole current updated immunization record must be in t'^e home c A statement signed by a licensed ph,1 .-ar that the immunizations would harm the health and well-being of the child or a member of the child's fam.; , o, household d. An affidavit la notarized statement) signed by the child's parent that immunization is against the family's religion. e. A statement signed and dated by the parent is acceptable for children enrolled in school The statement must say that the child's immunizations are current and that the record is at the school The name of the school must be included 2. • TB Examination a. When accepting a child for care, the caregiver must get a record from the parents that the child has had a tuberculosis examination, if this is recommended oy the Texas Department of Health for the area in which the registered family home is located b. The caregiver must get the records of the examinations if the Texas Department of Health recommends further tuberculosis examinations. c. The caregiver must keep the records in the registered family home. d. The caregiver's own children under 14 years of age must meet the same requirements and their records must be on file in the registered family home. RFH Section 2000 Page 4 SHR 4.82 2000 THE CARE "O AND FAMILY 2100 Caregiver Q.uaYBcndons 1 The caregiver must be at least 18 years old and able to care for children. 2. A person 14 through 17 years old may help the caregiver, but must never be left alone with the children. 3. A person convicted within the preceding 10 years of any of the following offenses cannot serve as a caregiver or be present in the registered family home when children are in care, unless the Director of Licensing has ruled that the person has established that he is rehabilitated - a A felony or misdemeanor classified as an offense against the person or the family, b. A felony or misdemeanor classified as public moecency, c. A felony violation of any statute intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 4. A person present in a registered family home who is indicted or the subject of an official criminal complaint accepted by a county or district attorney alleging commission of any of the offenses listed below must not be allowed to have any contact with children in care until the charges are resolved: a. A felony or misdemeanor classified as an offense against the person or the family. b. A felony or misdemeanor classified as public indecency. c. A felony violation of any statute intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. The caregiver must notify the licensing office within 24 hours or on the next working day of the indictments or complaints. 2200 Persons in the Home When children are present, persons whose behavior or health endangers the health, safety, or well-being of the children must riot be to the registered family home Family members, visitors, parents, or other persons with symptoms of contagious disease, a physical or mental condition that would be harmful to the children, or who appear to be under the influence of alcohol or other drugs must not be in the registered family home when children are present. 2300 TB Examination Persons over 14 years old who are in the registered family home when children are in care must have a record of a •uberculosrs examination. The individuals must have had the examination within 12 months of the date the home was first registered with the department. Further examinations are required if recommendeo by the Texas Department of Health for the area in which the registered family home is located. For recommendations, call the local health authorities or the regional office of the Texas Department of Health. A copy of the examination records must be kept on file in the registered family home. 2400 Aoddarrts The caregiver must have a copy available of the first aid and emergency care guide provided by the department to use in case of an accident. RFH Section 3000 Page 5 DHR 4.82 3000 HEALTH AND SAFETY 3100 Fire, Sanitation, and Safety The caregiver's home must meet the requirements in Appendix I, Fire Prevention, Sanitation, and Safety. 3200 Nutrition The caregiver must ensure that children in care have nutritious meals and snacks in amounts adequate to meet the needs of each child as shown in Appendix IV. 3300 General The caregiver must keep a safe and healthy home. Indoor and outdoor toys, equipment, and supplies must be safe for the children RFH Section 4000 Page a OHR 4-82 4000 THE CARE GIVEN TO CHILDREN 4100 Supervision and Health 1. Children must be supervised at all times by an adult who is able to take care of them. 2 Children mus, not be out of control. 3. If a child gets sick, he must be separated from the other children The sick child's parents must be notified immediately. If the illness is serous, the physician listed on the emergency medical care form must be notified or the child must be taken to the hospital or clink listed on the form 4. The caregiver may give medicine to a child in care only if a physician or the child's parents have given written permission. 4200 Abuse or Nepbct of Children in Care 1 Children must not be abused or neglected while in care in the registered family home. 2. If a child comes to the registered family home looking abused or neglected, the caregiver must call the department or the police immediately. This is required by state law. 4300 Tebphone Numbers 1. The caregiver must have a working telephone. Telephone numbers for ambulances, police or sheriff's department, and fire departmerit must be posted near the phone. 2. Telephone numbers, where parents can be reached in case of an emergency, must be posted near the phone. 4400 Activities and Sipned Permission 1 The caregiver must plan activities appropriate to the health, safety and well-being of the children. They must include quiet and active play. Sufficient toys and equipment must be available. 2 If the weather is good, the children must be allowed to play outdoors daily Infants must be allowed outside their cabs for activities. 3. The caregiver must get signed permission from the parents before the children can participate in trips or activities away from the registered family home 4. The caregiver must also get signed permission from the parents before anyone other than the parents takes a child away from the registered family home. 4600 Discipline Children in care must not be punished cruelly, harshly, or in an unusual way. A child of any age can never be shaken or hit. A child under five years old can never be spanked. The caregiver can only spank a child five years old or older if the child's parents give the caregiver their written and signed permission. The caregiver can only use an open hand to spank, and the spanking can only be done on the child's buttocks. 4000 Togs The caregiver must not allow toys that use anything that explodes (such as caps) or that shoot things (such as darts or BB's). Caregivers must not allow toys that contain poisonous materials (such as lead paints or poisonous gases). RF11 Section 5000 Page 7 OHR 4-82 5000 DEFINITIONS 5100 Parent "Parent," as used in these standards, includes a parent, legal guardian, or a managing conservator. 5200 Regular Care Regular care is for more than two days a Week and for at least five consecutive weeks (See Item 1100, 1 1 5300 After-school Hours After-school hours include school holidays, summer vacations, and periods during which the school is in operation but students are not expected to attend, such as teacher work days. (See Item 1100, 1 .1 5400 School Age Children School age children are those children 5 through 13 years of age who are regularly enrolled in a school in addition to coming to the registered family home for care. 5500 Own Children The caregiver's own children include the caregiver's children by birth or adoption, and stepchildren. (See Item 1100, 1 and 2.) RFH Appendix I Page 9 DHR 4-82 APPENDIX I FIRE PREVENTION, SANITATION, AND SAFETY REQUIREMENTS FOR REGISTERED FAMILY HOMES Fire Prevention I In case of danger from fire, the first respon- sibility of the caregiver is to get the children to safety. 2 There must be a 2 1/2 pound dry chemical fire extinguisher in good working condition availa- ble for use to the kitchen. 3. When children are in care, there must be an adult present who is familiar with the operation of :he fire extinguisher. 4. The fire extinguisher must be serviced after each use, checked for proper weight at least once a year, and serviced if needed. 5. There must be at least two unblocked exits to the outside of the home. A window may be counted as an exit if children can get through it to the ground outside of the house quickly and safely. 6. The electrical wiring system must be in good repair. 7. Fuses or circuit breakers in the fuse box must be in good operating condition. 8. Cords for electrical appliances and lighting fixtures must be in good working condition.' 9. Extension cords must not be overloaded. They may not be run under rugs or hooked over nazis. 10. Central heating units must be inspected by a qualified technician as often as recommended by the manufacturer. 11. Wood -burning or gas -log fireplaces and open flame heaters must be protected with a spark screen or guard. FIRE PREVENTION, SANITATION, AND SAFETY 12. Space heaters designed to be vented mus: be vented properly to the outside. 13. All gas appliances (heaters, water heaters. stoves) must have metal tubing and pipe connec- tions. 14. If trash is burned, it must be in an area away from the children. 15. Lighters and matches must be kept where children cannot reach them. 16. Flammable liquids must be stored in safety cans and kept where children cannot reach them. 17. The home and yard, particularly attics, basements, garages, and storage sheds, must be kept free of rubbish. 18. Rags, paper, and other flammable materials must be kept away from heat. Sanitation 1. The home and grounds must be kept clean. 2. The kitchen and all food preparation, storage, and serving areas and utensils must be kept clean. 3. Perishable food must be refrigerated or safe- ly stored in other ways. 4. The home must either use a public water supply or a private well that is approved by local health authorities or the Texas Department of Health. RFH Appendix I Page 10 DHR 4-82 5. The home must either use it public sewage disposal system or a private system that is approved by local health authorities or the Texas Department of Health. 6. Plumbing must be kept in good working condition. 7 The home must have running water 8. There must be at least one toilet, lavatory, and bathtub or shower inside the home. 9. Bathrooms must be kept clean. 10. Soap and toilet paper must be available at all times. 11. Each child mist have a clean towel availa- ble, or paper towels must be available. 12. Garbage must be removed at least once a week. 13. Garbage must be kept in metal or plastic containers with tight fitting lids in an area away from the children. 14. The home must be kept free of insects, mice, and rats. 15. The yard must be well drained; with no standing water. The yard must be kept free of gar- bage and trash. 16. The house must be adequately ventilated and free from bad odors. 17. Windows and outside doors that are kept open must be screened Safety 1. The home and the outdoor play area must be kept free of hazards to children. 2. Cleaning supplies, bug sprays, medicines, and other materials that would harm children must be kept where children cannot reach them. 3. Electric outlets in rooms used by children must be safety outlets or have child -proof covers. 4. Electric fans must be securely mounted where children cannot reach them, or have guards which keep children from touching the fan blades. S. Outdoor steps must not have a slippery sur- face. Porches, railings, playhouses, and other wooden structures must not have splinters. 6. Indoor floors and steps must not be slippery, and must be dry when children are using them. Wood surfaces and objects must not have splinters. 7. Glass doors must be marked at a child's eye level to prevent accidents. 8. If there is a swimming pool, wading pool, pond, creek, or other body of water on or near the premises of the home, children must be protected from unsupervised access to the water. RFH Appendix II Page 11 DHR 4.82 APPENDIX II CHILD-CARE FACILITY IMMUNIZATION REQUIREMENTS EFFECTIVE 9/1/79 Age Group Immunization Required Under 2 mos. No immunizations required 2 mos. to 4 mos. 1 dose of oral polo vaccine (OPV) September 1, 1982 1 dose of diphtheria -tetanus -pertussis (DTP) vaccine 4 mos. to 6 mos. 2 doses of OPV September 1, 1984 2 doses of DTP vaccine 6 mos. to 18 mos. 2 doses of OPV I 3 doses of DTP vaccine. 18 mos. to 5 yrs. 3 doses each of OPV and DTP vaccine. 1 dose each of measles(1), rubella(2). and mumps(3) vaccines. 5 yrs. and older 3 doses each of OPV(4) and DTP(5) vp,-rcine. 1 dose each of measles(1), rube. -,1(2). and mumps(3) vaccines. NOTES. (1) Measles: As a part of the child's immunization record. a written physician -verified history of measles illness is accceptable in lieu of vaccine. Effective September 1, 1979, children through age 12 years are required to have received measles vaccine since the first birthday or provide a written physician -verified history of measles illness. On the first of September of each following year, children one year older must also meet these requirements. and by September 1. 1985. all children through 18 years of age will be included. Sea the table below: Measles Vaccine Requirements By Effective Dates For Children in Child -Care Facilities' Effective Dates Ages in Years' September 1. 1979 Thru 12 September 1. 1980 Thru 13 September 1, 1981 Thru 14 September 1, 1982 Thru 15 September 1, 1983 Thru 16 September 1, 1984 Thru 17 September 1. 1985 Thru 18 'Ages of children in child-care facilities on the effective date (2') Rubella: Rubella vaccine is not required after the twelfth birthday. A history of rubella illness -s no: acceptable. (3) Mumps: As a part of the child's Imm.11r.'Ivt101. record. a written physician -verified history oi ,...,mps illness is accep!able in lieu of vaccine. Effective September 1. 1979, children less than eight years of age are required to have received mumps vaccine or provide a written physician -verified history of mumps illness Or: the first of September of each following year. childrer, one year older must also meet this requirement B,; September 1. 1990. all children through 18 years >f ay, will be included. See the following table. RFH Appendix II Page 12 DHR d-82 Mumps Vaccine Requirements by Effective Date for Children 18 Months Through 18 Years of Age In Child -Care Facilities Effective Data Ages in Years• September 1. 1979 Thru 7 September 1. 1980 Thru 8 September 1. 1981 Thru 9 September 1. 1982 Thru 10 September 1. 1983 Thru 11 September 1. 1984 Thru 12 September 1. 1985 Thru 13 September 1. 1986 Thru 14 September 1. 1987 Thru 15 September 1. 1988 Thru 16 September 1. 1989 Thru 17 September 1. 1990 Thru 18 'Ages of children in child-care facilities on the effective date. (4) Pono: At least three doses of oral polio vaccine (OPV) are required. provided at least one dose has been received on or after the fourth birthday. A dose of OPV given during the calendar month prior to the fourth birthday will substitute for the dose on or after the fourth birthday. No further doses of OPV are required. Some children or students may be enrolled who have received inactivated polio vaccine (IPV). These students are in full compliance when an initial series of four doses are completed and a booster dose within five years of the fourth dose has been received. A booster dose is required every five years thereafter. If the child, upon medical advice, starts receiving OPV. then the total requirement for OPV must be met. P (5) DiphtMrie-Tetenue-PwtussiwTetonuo-Diphtheria: At least three doses of DTP and/or Td vaccine are required. provided at least one dose has been received on or after the fourth birthday. A dose of DTP or Td given during the calendar month prior to the fourth birthday will substitute for the dose on or after the fourth birthday. In addition to the minimum of three DTP or Td doses with one dose since the fourth birthday. children 12 years of age and older must have a last dose within the past ten years. (A Td booster is required ten years after the administration of the immunization that meets the requirement for the "dose since the fourth birthday." Example: If the last dose of DTP was received at age five. the ten year Td booster is due at age 15.) (6) An Annual Report of the Immunization Status by age group of all children must be submitted on the request of the Texas Department of Health. RFH App: idix III Page 13 DHR 4-82 APPENDIX 111 CRIMINAL OFFENSES FROM THE TEXAS PENAL CODE The following constitute criminal offenses included in the Texan Pex d Code: Title 5. Offenses Against the Person Murder Capital murder Voluntary manslaughter Involuntary manslaughter Criminally negligent homicide False imprisonment Kidnapping Aggravated kidnapping Rape Aggravated rape Sexual abuse Aggravated sexual abuse Homosexual conduct Public lewdness Indecent exposure Rape of a child Sexual abuse of a child Indecency with a child Assault Aggravated assault Deadly assault on a peace officer Injury to a child Reckless conduct Terroristic threat Aiding suicide Title Q. Offenses Against the Family Bey Incest Interference with child custody Enticing a child Criminal non-support Sale or purchase of a child Solicitation of a child Harboring a runaway child Title 43. Public Indecency Prostitution Promotion of prostitution Aggravated promotion of prostitution Compelling prostitution Obscene display or distribution Obscenity Sale. distribution or display of harmful material to a minor Sexual performance by a child RFH Appendix IV Page 16 DHR 4-82 KINDS AND AMOUNTS OF FOODS TO BE SERVED TO MEET NUTRITIONAL NEEDS Kinds of Food Total Amount to Meet Total Amount to Meet 1/3 of Daily Need 1/2 of Daily Need 1. Milk or Milk Products Milk Children 1-3 3/4 cup 1 1/Scups or Children 4-6 1 cup 1 1/2 cups Cheese Children 1-3 1 inch cube 1 1/ 2 inch cubes Children 4-6 1 1/ 2 inch cubes 2 inch cubes 2. Bread and Cereal Products Bread Children 1-3 1 slice 11/2 slices or Children 4-6 11/2 slices 21 /4 slices Cereal Children 1.3 1/2 cup 3/4 cup Children 4-6 3/4 cup 1 1/8 cups 3. Vegetables and Fruits One serving Vitamin C 1 / 2 cup 3/4 cup rich per day (1 /4 cup) One serving Vitamin A rich every other day (1/4 cup) 4. Protein Meat, fish, poultry 2 Tablespoons 3 Tablespoons (cooked) or Eggs 1 ]Egg 11/2 Eggs or Peanut butter 2 Tablespoons 3 Tablespoons or Cooked dried beans or peas 1/2 Cup 3/4 Cup APPENDIX IV EXAMPLES OF KINDS OF FOODS TO BE SERVED TO MEET NUTRITIONAL NEEDS 1) Mine or Milk Products 2) Vegetables and Fruits Milk and foods made from milk a) Vitamin A Foods b) Other Vegetables c) Vitamin C F4,40% such as cream and puddings VEGETABLES VEGS. FRUITS FRUITS Cheese' Cheddar Broccoli Beans Apples Orange juicc Cottage Carrots Lima Avocados Oranges Swiss Greens Green Bananas Grapefruit Dandelion Wax Dates Grapefruit juicc Mustard Beets Figs Mangos Turnip Celery Fruit cocktail Strawberrics Spinach Cabbage Grapes Tangerines Squash -winter Corn Olives Cantaloupe Sweet potatoes Cucumbers Peaches Watermelon Eggplant Pineapple FRUITS Lettuce Plums VEGETABLES Mushrooms Raisins Apricots Onions Watermelon Broccoli Cantaloupe Peas Juice Green peppers Potatoes Apple Brusscl sprouts Radishes Grape Cauliflower Pineapple Mustard greens Tomatoes Raw cabbage Baked potatoes 3) Meats, Fish, Poultry, or Meat Substitutes 4) Breads and Cereals Meat -canned, dried, fresh and frozen ENRICHED BREADS Beef 1) French 3) Rye S) White Lamb Peanut butter 2) Raisin 4) $oy 6) Whole wheat Pork Eggs Veal Dry beans All of the following must be enriched: Luncheon meats Dry peas Liver Lentils Boston brown bread Rolled wheat or oats Macaroni Grits Chicken Vegetable protein Fruit breads Biscuits Noodles Bulgar Turkey Prepared cereals Cornbread muffins Rolls Fish Rice Cheese' ..._.............. � D v 'Do not count the same .lice of cheese as both mills and meat. _ TV These•are examples offood which meet the requirements. Other foods may be substituted in amount-. -,7!hicit ensure 01�at the minimum rcq u.:cmenrs al: -r-t x! m �f 'L •r, Minimum El May 1995 Stock Code 20315-0000 IN Group Day-care Homes El May 1995 Stock Code 20315-0000 IN Texas Department of Human Services w John H. Winters Human Services Center • 701 West 51st Street Mailing Address: P.O. Box 2960 • Austin, Texas 78769 COMMISSIONER BOARD MEMBERS MARLIN W JOHNSTON J LIVINGSTON KOSBERG Chairman, Houston VICKI GARZA Corpus Christi SIDNEY STAHL February 8, 1985 Dallas Dear Licensee: The following are the revised minimum standards which are effective May 1, 1985. The State Advisory Committee on Child Care Facilities was established by the child care licensing law. It is composed of parents, guardians, or custodians of children using child care facilities; members of child advocacy groups; operators of child care facilities; and experts in various professional fields related to child care and development. The Advisory Committee members carefully studied drafts of the minimum standards that Licensing Branch staff of the Texas Department of Human Resources submitted for their consider- ation. -Based on their recommendations and the directions of the Texas Board of Human Resources, the proposed revisions to the standards were published in the Texas -Register. All sets of standards went through a 60 -day public review period during August and Sep- tember of 1984 to allow interested individuals to comment and make suggestions on them. Public hearings on the proposed minimum standards were held in Austin, San Antonio, Cor- pus Christi, McAllen, Tyler, Nacogdoches, Beaumont, Houston, Arlington, Wichita Falls, Abilene, Waco, Lubbock, Amarillo, Midland, and EI Paso. Members of the Advisory Commit- tee were present at the public hearings. The following were members of the State Advisory Committee on Child Care Facilities: Dr. Wilbur E. Crenwelge, Fredericksburg Mr. Joe E. Fogle, Dallas Ms. Sue Gainer, Dallas Mr. Hernan Gonzales, Alamo Dr. A. J. Green, Jr., Beeville Ms. Rose Ann Grissett, Austin Ms. Pat Henson, San Antonio Ms. Gail Laubenthal, Wichita Falls Mr. Buddy Owens, Mission Ms. Harriet Simburger, Dickinson Dr. Tom Slatton, Amarillo Mr. Alan Sowders, Quinlan Mr. David C. Winship, Houston Mr. Charles Campise, Driftwood Mr. Russell Herrington, Odessa Mr. Charles E. Long, Tyler Ms. Martha McDonald, Houston Ms. Sherry Workman, Austin An Equal Opportunity Employer Page 2 Based on the oral and written comments the department received and the recommenda- tions of two ad hoc committees composed of for profit and nonprofit providers, parents, interested professionals, and the Advisory Committee, the proposed changes to the stand- ards were submitted to the Board for approval on December 13, 1984, at its meeting in Lub- bock. The Board is composed of Mr. J. Livingston Kosberg, Chairman, Houston Ms. Vicki Garza, Member, Corpus Christi Mr. Thomas M. Dunning, Member, Dallas After the Board approved the minimum standards, they were filed with the Secretary of State. Many Texas citizens have been involved in the effort to develop reasonable minimum stand- ards for child care facilities. The department appreciates their help and support in our mutual goal of ensuring safe child care for Texas children. Sincerely, M % W alt� OJYA;� Marlin W. Johnston MWJ:lm Attachment MINIMUM STANDARDS FOR GROUP DAY CARE HOMES A group day care home is a facility that provides care for less than 24 hours a day for seven to 12 children under 14 years old. MINIMUM STANDARDS FOR GROUP DAY CARE HOMES Page INTRODUCTION ....................................... 1 1000 ORGANIZATION AND ADMINISTRATION ................ 3 1100 Organization........................................................ 3 1200 General Administration .............................................. 3 1300 Enrollment......................................................... 5 1400 Records............................................................ 6 2000 PERSONNEL ..................................... 7 2100 Director Qualifications ............................................... 7 2200 Director Responsibilities.............................................. 7 2300 Staff Qualifications and Responsibilities .............. ................ 7 2400 Training........................................................... 9 2500 Staff -Child Ratio....................................................10 3000 BUILDING, GROUNDS, AND EQUIPMENT ................11 3100 Space.............................................................11 3200 Furnishings........................................................11 3300 Equipment.........................................................11 3400 Toilet Facilities......................................................11 4000 FIRE, SANITATION, AND SAFETY......................12 4100 Fire...............................................................12 4200 Sanitation..........................................................13 4300 Safety.............................................................14 5000 PHYSICAL HEALTH................................16 5100 Health Requirements for Children......................................16 5200 Illness or Injury .....................................................17 5300 Medications........................................................18 5400 Emergency Phone Numbers...........................................19 5500 Animals...........................................................19 6000 FOOD SERVICE AND NUTRITION ......................20 6100 Food Service........................................................20 6200 Nutrition..........................................................20 C7 7000 ACTIVITIES.....................................21 7100 Operation..........................................................21 7200 Discipline and Guidance..............................................22 7300 Infant and Toddler Care..............................................23 7400 Children with Need for Special Care.....................................24 7500 Night Care.........................................................24 7600 Water Activities.....................................................24 7700 Transportation......................................................26 GLOSSARY...........................................28 APPENDIX 1 Human Resources Code, Chapter 42 Child Care Licensing Law...................................................31 APPENDIX II Excerpts from the Toxas Family Code (Amended)...............................39 APPENDIX III Child Care Facility Immunization Requirements (from the Texas Department of Health) September1979...........................................................43 APPENDIX IV FoodCharts..............................................................45 APPENDIX V Alternatives to Physical Punishment.........................................49 APPENDIX VI Communicable Disease Chart................................................51 APPENDIX VII Sanitizing Procedures for Food Service Equipment..............................53 APPENDIX VIII Criminal Offenses from the Texas Penal Code..................................55 INTRODUCTION Minimum Standards Minimum standards for regulating child care facilities are developed by the Texas Department of Human Resources (DHR) with the assistance of child care providers, par- ents, lawyers, doctors, child care professionals, and experts in fire, sanitation, and safety. The child care licensing law sets guidelines for what must be included in the standards and requires that minimum standards be reviewed and commented on by the State Advi- sory Committee on Child Care Facilities. The licensing law requires that proposed stan- dards be distributed to providers for a 60 -day review and comment period before adopt- ing the proposed standards as rules. The Administrative Procedure and Texas Register Act also requires that proposed standards be published for a public comment period before adoption as rules. The department considers recommendations from providers, other interested groups, and individuals in formulating the final draft, which is filed as rules with the Secretary of State. Standards are a product of input from many people and groups and are designed to reflect what the citizens of Texas consider reasonable and minimum. Exceptions to Minimum Standards The child care licensing law authorizes the department to grant waivers and variances for specific standards. A waiver is official permission not to meet a specific standard. It is granted only for economic reasons. A variance is official permission to meet the intent of a specific standard in a way other than as stated in the standard. It may be granted for good and just cause when a particular standard is not applicable for a facility. A facility may request a waiver or variance when applying for a license, certificate, or registration or during the time the facility is regulated. The child care facility's licensing representative receives the request and makes a recommendation about it to state office staff. State office staff members make the decision on the request for a waiver or vari- ance primarily by considering the risk to the health, safety, and well-being of the children in care. Informal Administrative Reviews An applicant, a licensee, a certificate holder, or a person registered with the department has the right to request an informal review if he disagrees with a licensing representa- tive's decision. Child care providers are encouraged to first talk over the situation with the licensing representative. If this does not solve the problem, a day care provider may contact the day care licensing supervisor or the program director for day care licensing in the area. The licensing representative provides the name, address, and telephone number of the person to contact. Introduction Page 2 The child care provider may request the review orally or in writing. He explains the dis- agreement and tells the department if he plans to have an attorney present. A member of the department's licensing staff conducts the review. The reviewer examines the facts and then makes a recommendation to uphold or change the licensing representative's decision. The child care provider is promptly informed of the decision. Appeals and Court Challenges If the department denies an application or revokes a license, certification, or registration, the provider is notified in writing what standards or provisions of the law are being vio- lated. He is given information about how to request an appeal. The child care provider may request an appeal of the decision within 30 days of notification. If a request for appeal is granted, the assistant commissioner for licensing appoints an advisory review board which includes people who hold the same kind of license as the person appealing the denial or revocation. A hearing is also scheduled. After an appeal hearing, the advisory review board makes recommendations to the assistant commissioner for licensing. A committee reviews the materials and makes a decision on the appeal. The committee is composed of the assistant commissioner for licensing, a person from the Licensing Branch who develops standards, and a depart- ment representative in the region where the facility is located. If a person who appeals a denial or revocation does not agree with the decision on the appeal, he may challenge it within 30 days after notification of the decision. This is done by filing suit in a district court in Travis County or in the county where the facility is located. Section 1000 GDCH Page 3 DHR 5-85 ORGANIZATION AND ADMINISTRATION 1100 081.601) Organization 1. The owner of a group day care home is responsible for its policies. The owner must assure that the home operates in compliance with the "Minimum- Standards for Group Day Care Homes" and the child care licensing law, Chapter 42, Human Resources Code (see Appendix I). 2. The home must notify the department and apply for a new license before changing the location of the home. 3. The home must notify the department in writing of a. any planned addition or reduction in indoor or outdoor space before using the changed area, and b. the addition of a swimming or a fixed wading pool before using the pool. 4. The home must notify the department by telephone or in writing before, if possible, or within five workdays of any occurrence affecting the operation of the home. This includes, but is not limited to, the following- a. ollowinga. change in ownership, b. change of director, c. going out of business, d. change in hours of operation, and e. change in age range of children in care. If any change would violate the restrictions on the license, the owner must request that the license be amended. He must wait until the department changes the restriction before making the change in opera- tion. 1200 081.602) General Administration 1. The home must display the following in a prominent place where staff, parents, and others may review them: a. the license, b. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the home (if the notification includes a requirement for posting), and Section 1000 GDCH Page 4 DHR 5-85 c. a department form stating that the items required in standard 1200, 2 are available. 2. The home must have available for review on request a. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the home (if the notification does not include a requirement for posting); b. a current copy of the department's "Minimum Standards for Group Day Care Homes"; and c. the home's most recent (1) fire inspection report, (2) sanitation inspection report, and (3) gas pipe inspection report. 3. The home must immediately notify the department of any serious occurrences affecting its operation. These include, but are not limited to, the following- a. ollowinga. fire, and b. death, serious accident, serious injury, or serious communicable disease of a child or staff. 4. The home must report suspected child abuse or neglect as required by the Texas Family Code (see Appendix II) to a. the nearest DHR child protective services office, and b. a local or state law enforcement agency. 5. A person who is indicted or the subject of an official criminal complaint accepted by a county or dis- trict attorney alleging he committed any of the offenses listed below must not be in the home while children are in care and must not have contact with the children in care until the charges are resolved. The offenses (see Appendix VIII) are a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, and Section 1000 GDCH Page 5 DHR 5-85 c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. The home must notify the department of the indictment or complaint within 24 hours or on the next workday. 1300 081.603) Enrollment 1. Before a child is enrolled, the home must inform parents about the home's activities and policies. 2. The home must obtain enrollment information for each child before admission. The home must keep this information while the child is in care. The parent must sign a form that contains the following- a. ollowinga. the child's name, birth date, home address, and home telephone number; b. the school name and telephone number for a school-age child; c. date of admission (see Glossary); d. name and address of parent(s) and telephone numbers at which parent(s) can be reached while the child is in care; e. the names of people to whom the child may be released; f. hours the child will be in care; g. name, address, and telephone number of the child's physician; h. a statement of the child's special problems or needs. This includes allergy, existing illness, pre- vious serious illness and injuries, hospitalizations during the past 12 months, and any medication prescribed for long term, continuous use; i. transportation permission, if transportation is provided; j. permission for participation in water activities, if any, and k. emergency medical authorization. Section 1000 GDCH Page 6 DHR 5-85 3. The home must a. give the parent of each child in care a copy of the department booklet, "A Parent's Guide to Day Care," and b. keep on file a copy of the receipt showing that the parent was given the booklet and discussed it with the home. 4. The home must not racially discriminate against any child. 1400 (§81.604) Records 1. The home must have records of daily attendance of children and staff for the previous three months. The hours staff worked must be recorded. 2. The home must maintain personnel records for all staff and ensure that each staff's record includes a. the date on which staff began work at the home; b. a statement from the staff providing information about all felony and misdemeanor convictions and about all pending criminal charges, including deferred adjudication; and c. a record of a tuberculosis examination no earlier than 12 months before beginning the position. 3. All required records must be available at the home for the department to inspect during hours of oper- ation. Section 2000 GDCH Page 7 DHR 5-85 PERSONNEL 2100 081.605) Director Qualifications 1. A person who becomes the director of a home after May 1, 1985, must be at least 21 years old and have a high school diploma or its equivalent. 2. No one may serve as director of a home who has been convicted of any of the following offenses (see Appendix VIII): a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Tbxas Controlled Substances Act. 3. The director must send the following to the department on a department form: a. a record of training and experience; b. information about all felony and misdemeanor convictions; and c. information about all pending criminal charges, including deferred adjudication. 2200 081.606) Director Responsibilities An on-site director must administer the home's daily operation in compliance with minimum standards. If the director is absent from the home, an adult with the same qualifications must be responsible for the children. During the director's absence, the designated person must administer the home in compliance with minimum standards. 2300 (§81.607) Staff Qualifications and Responsibilities 1. Staff working directly with children must be age 18 or older. The home, however, may include in the staff -child ratio a person 16 or 17 years old who works under the direct supervision of a qualified adult and a. has graduated from high school, or Section 2000 GDCH Page 8 DHR 5-85 b. is enrolled in a child care related career program approved by the Texas Education Agency or other state or federally approved programs. At least one qualified adult staff must be included in the staff -child ratio of the group when chil- dren are in activities away from the home. 2. Each staff employed after May 1, 1985, must have a high school diploma or its equivalent except when meeting the requirements in standard 2300, Lb. 3. Staff must show competency, good judgment, and self-control in working with children. 4. Staff must relate to the children with courtesy, respect, acceptance, and patience. 5. Staff must give children a variety of positive experiences. These include setting limits, providing guidance, and settling arguments or fights. 6. Effective January 1, 1986, a person certified in first aid and a person certified in cardiopulmonary resuscitation of children must be present at the home at all times when children are in care. The home must have current certificates attesting to the training. 7. A person convicted of any of the following offenses (see Appendix VIII) must not be in the home while children are in care and must not serve in any capacity where there is contact with children in care: a. a felony or misdemeanor classified as an offense against the person or the family, b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 8. People at the home must not abuse, neglect, or sexually molest children (see Glossary). 9. People whose behavior or health appears to endanger the health, safety, or well-being of children must not be at the home. 10. People must not smoke in the presence of children or consume alcohol when children are at the home. People who appear to be under the influence of alcohol or other drugs must not be in the home when children are present. Section 2000 GDCH Page 9 DHR 5-85 11. Staff must supervise (see Supervision in Glossary) children at all times. 12. The home must ensure that children are not out of control. 13. The home must ensure that a child is released only to a parent or an adult designated by the parent. 14. The home must have and follow a plan to verify the identity of a person authorized to pick up a child but not known to staff. For example: view the picture identification on the person's driver's license or DPS identification card and record the name and card number. The home keeps this identifying information for 24 hours. 2400 081.608) Training 1. The home must orient new staff members in understanding children and in job expectations when they begin work. The home must have documentation that each staff was oriented in a. the requirements in the "Minimum Standards for Group Day Care Homes" and the licensing law; b. the home's child care policies, including discipline, guidance, and release of children; c. recognition of symptoms of child abuse, neglect, and sexual molestation and the responsibility and procedure for reporting these; and d. the procedures to follow in handling emergencies (after the home has explored its environment for external hazards and formulated emergency plans accordingly). Emergencies may include, but are not limited to, fire, explosion, tornado, toxic fume, or other chemical release. 2. If volunteers are counted in the staff -child ratio for special activities only, the home must a. ensure that each volunteer receives relevant orientation, and b. obtain from each volunteer the statement required in standard 1400, 2.b. 3. Staff must participate yearly in at least 15 clock hours of training (see Glossary) in understanding children and improving job performance. The director must participate yearly in at least 20 clock hours of training. At least six clock hours must be in staff supervision or management and at least six clock hours must be in child development or early childhood education. The training must be documented in the staff's record at the home. A year is defined as 12 months from the date of employment. Section 2000 GDCH Page 10 DHR 5-85 2500 (481.609) Staff -Child Ratio 1. No more than 12 children under 14 years old must be in care in a group day care home. This number includes the director's and staff's children under age 14. Any of the following combinations are acceptable. School-age children may be substituted for preschoolers in any of these combinations. One Person Caring for Children Infants Preschoolers School-age 0 -17 months 18 months - 3 years 4 -13 years 0 8 4 1 6 4 2 5 3 3 2 1 4 0 0 Two People Caring For Children Infants Older Children 0 -17 months 18 months and older 10 0 9 3 8 4 7 5 6 6 5 7 4 8 3 9 2 10 1 11 0 12 2. If more than two people are caring for children, then the. 12 children in care may be any age from infants through 13 years old. Section 3000 GDCH Page 11 DHR 5-85 BUILDING, GROUNDS, AND EQUIPMENT 3100 081.610) Space 1. There must be at least 30 square feet of indoor activity space, measured wall-to-wall on the inside, for each child in the home. The measurement does not include single -use areas (see Glossary). 2. The home must have an outdoor play space of at least 80 square feet for each child using the area at one time. 3. All outdoor play areas regularly used by children must be accessible by a safe route and enclosed by a building or a fence at least 4 feet high with at least two exits. An entrance to the house may count as one exit, but one exit must be away from the house. Staff must be able to open exits immediately in an emergency. 3200 081.611) Fumishings 1. The home must have a working telephone with a listed number. 2. The home must ensure that preschool children have individual cots, beds, or mats at least 1 inch thick that are waterproof or washable. The home must ensure that all sleeping equipment and furnishings are clean and sanitary (see Glossary). Linens must be washed before a different child uses them and when soiled. 3. The home must ensure that school-age children have comfortable arrangements for rest when they are in care more than seven hours. 3300 081.612) Equipment The home must provide indoor and outdoor equipment and materials (see Glossary) that are appropriate to the developmental needs, individual interests, and ages of the children. There must be a sufficient amount of equipment and materials to avoid excessive competition among the children or long waits for materials. 3400 081.613) Toilet Facilities The home must have bathroom and toilet equipment adequate to handle children's needs quickly and safely. Section 4000 GDCH Page 12 DHR 5-85 FIRE, SANITATION, AND SAFETY 4100 081.614) 81.614) Fire. 1. In case of fire or danger of fire or explosion, the home's first responsibility is to evacuate the children to a designated safe area. a. The home must supervise children until the fire department determines the building is safe to re- enter or until the children are picked up by their families. b. The home must contact the fire department in case of fire or danger of fire, explosion, toxic fume, or other chemical release. 2. The home must have an annual fire inspection with a written report by a local or state fire marshal. The home must make any corrections called for in the report and must comply with any restrictions imposed by the fire inspector. 3. The home must have at least one fire extinguisher approved by the fire marshal. The home must mount the extinguisher on the wall by the hanger or bracket provided so that all adults in the home can reach the extinguisher and use it. The home must make the extinguisher readily available for immediate use by the staff. The home must inspect the fire extinguisher monthly, record the date, and ensure the extinguisher is serviced when required. 4. By January 1, 1986, the home must be equipped with smoke detectors installed and maintained according to the manufacturer's instructions and in compliance with requirements of the local fire code. 5. The home must have a flashlight or other battery -powered lighting available to use in case of electri- cal failure. 6. The home must ensure that all children and staff are able to exit safely from the building within three minutes in an emergency. a. The home must practice a fire drill every three months and any other emergency procedures once each year. b. A home must not allow children on any level above or below the ground floor unless the home obtains specific written approval of a fire marshal for care on other levels. Section 4000 GDCH Page 13 DHR 5-85 c. A home must have at least two exits to the outside located in distant parts of the building. An exit through a kitchen or other hazardous area cannot be one of the required exits unless specifically approved in writing by the fire marshal. d. If any doors open into a fenced yard, children must be able to open the doors easily from inside the home. The home must not have any locked doors between rooms while children are present. e. The home must not have any blocked doors or pathways. 7. The home must ensure that heating devices and areas near heat sources are not fire hazards and present no hazard to children. a. If the home has gas appliances, the home must ensure that the appliances have metal tubing and connections unless approved in writing by the fire marshal. b. Open flame space heaters are prohibited. Space heaters must be enclosed and have the seal of approval of a test laboratory approved by the fire marshal. The home must safeguard floor and wall furnace grates so that children do not have access to them. c. If the home has liquid or gas fuel heaters, the home must properly vent them to the outside. Unvented liquid or gas fuel heaters are prohibited. d. If the home uses a fireplace or wood -burning stove, the home must properly vent it to the outside. The home must install a rigid screen or guard to prevent children from falling into the fire or against the stove. 8. The home must ensure that gas pipes are tested annually for leaks. 4200 081.615) Sanitation 1. The home must have an annual sanitation inspection with a written report by a local or state sanita- tion anitation official. The home must make any corrections and must comply with any restrictions stated in the report. 2. The home must keep the home, yard, and equipment cleaned, repaired, and maintained to protect the health of the children. 3. The home must have adequate light, ventilation, and heat. 4. The home must have an adequate supply of water meeting the standards of the lbxas Department of Health for drinking water. If possible, the source of water must be a public drinking water system. Section 4000 GDCH Page 14 DHR 5-85 5. The home must ensure that drinking water is always available to children. The home must supply the water in a safe and sanitary manner. 6. The home must ensure that the temperature of hot water available to children is controlled by a thermostat so the water cannot scald Ino higher than 120 degrees Fahrenheit). 7. The home must have adequate and safe flush toilets and sewage systems. If possible, the home must be connected to a public sewage system. If public sewers are not available, the home must have treatment facilities that meet the standards of the Texas Department of Health and that are approved by the local health authority. 8. The home must keep all garbage in containers with tight lids. Garbage must be kept away from areas used by children. The home must remove garbage from the house daily and from the yard at least once a week. 9. The home must take measures to keep the home free of insects and rodents. 10. Staff and children must wash their hands with soap and running water after using the toilet and before eating. Staff must wash hands with soap and running water before and after changing a dia- per, assisting a child with toileting, feeding a child, handling food, and caring for a child with symp- toms of a communicable disease. 11. If children use washcloths or cloth towels, the home must ensure that each child has a clean individ- ual cloth. If paper towels or facial tissues are furnished, the home must provide a clean individual paper towel for each child. 4300 081.616) Safety 1. The home must keep the home, yard, and equipment repaired and maintained to protect the safety of children. a. The home must have child -proof covers or safety outlets on electrical outlets accessible to children younger than 5 years old. If 220 -volt electrical connections are within the children's reach, the owner must cover them with a screen or guard. b. The home's air conditioners, electric fans, and heaters must be mounted out of children's reach or have safeguards that keep children from being injured. c. The home must equip stairs, porches, and platforms more than 2 feet above the ground with rail- ings the children can reach. Section 4000 GDCH Page 15 DHR 5-85 d. The home must keep its play area free from standing water and sharp objects. The home must keep tanks, ponds, open wells, drainage ditches, sewage pipes, dangerous machinery, and other hazards fenced to keep the children out. The home must not have garbage cans or highly flamma- ble material in the play area. Covered trash cans are permitted (see Glossary). 2. Indoor and outdoor equipment and supplies used both at and away from the home must be safe for the children. a. Outdoor play equipment must be placed away from busy areas in the yard and securely anchored unless portable by design. b. The home must not allow toys that explode (such as caps) or that shoot things (such as darts or BBs). c. The home must ensure that both indoors and outdoors children do not have access to toxic sub- stances. d. All swing seats must be constructed of durable, lightweight, relatively pliable material, such as rubber or nylon webbing. e. All heavy equipment must be installed in a manner to prevent tipping over or collapsing. L The home must not allow children to use (1) climbing equipment or swings on concrete or asphalt, or (2) swings with concrete or asphalt in the fall zone (see Glossary). g. The home must ensure that no equipment has openings or angles that could entrap (see Glossary) a child's head. h. The home must ensure that no pinch, crush, or shear points are on equipment (such as exposed or open gears on rotating devices) or underneath equipment (such as axle assemblies on rotating devices). 3. The home must have first aid supplies (see Glossary) readily available to staff in a designated location out of the children's reach. The director must make a guide to first aid and emergency care immedi- ately accessible. Section 5000 GDCH Page 16 DHR 5-85 PHYSICAL HEALTH 5100 081.617) Health Requirements for Children 1. The home must have on file within one week of admission evidence that each preschool child is physi- cally able to take part in the program. Any of the following constitutes compliance: a. a written statement from a licensed physician who has examined the child within the past year; b. a copy of the medical screening form of the Early and Periodic Screening, Diagnosis and Treat- ment (EPSDT) Program if no referral for further diagnosis and treatment is indicated; c. a form or written statement from a health service or clinic, such as (1) Head Start physical exam, (2) well-child conferences or clinics, (3) maternity and infant programs, or (4) children and youth programs; or d. a signed statement from the parent (1) giving the name and address of a licensed physician who has examined the child within the past year and states that the child is able to participate in the program. This must be followed within 12 months by a document as described in a, b, or c; or (2) giving the name and address of the physician with whom an appointment for examination has been made or the address of the EPSDT screening site where the examination will take place. Following the examination, the parent must submit a document as described in a, b, or c; or (3) stating that medical diagnosis and treatment are against the parent's religion. 2. The home must keep current immunization records for each child. (See Appendix III for immuniza- tion requirements.) The home must ensure that each child's immunization record includes the child's birth date, the number of doses and type, and the dates (month, day, and year) the child received each immunization. The home's compliance with the standard is measured by one or more of the following for each child in care: a. a dated record that the child has been immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella. There must be (1) a record with a rubber stamp or signature of the physician or health personnel, or Section 5000 GDCH Page 17 DHR 5-85 (2) a machine or handwritten copy of the immunization record. Staff copying the information must sign the handwritten copies. b. a dated statement from a licensed physician or other authorized health personnel that immuniza- tions against at least one of the diseases in standard 5100, 2.a. have begun. The immunization cycle must be completed as soon as is medically feasible. The home must have a current immuniza- tion record on file. c. a certificate signed by a licensed physician stating that the required immunization would be injuri- ous to the health and well-being of the child or a member of the child's family or household. d. an affidavit (notarized statement) signed by the parent that the immunization conflicts with the parent's religious beliefs and practices. e. a dated statement signed by the parent that the child's immunization record is current and is on file at a school the child attends. The parent must include the name of the school in the statement. 3. The home must have a record showing that the child has been tested for tuberculosis according to rec- ommendations of the Texas Department of Health if the local health authorities or the regional office of the lbxas Department of Health recommends a test. A dated statement signed by the parent that the child's tuberculosis test record is current and is on file at a school the child attends also complies. The parent must include the name of the school in the state- ment. 5200 081.618) Illness or Injury 1. A child who appears ill must not be admitted to the home unless approved in writing by health per- sonnel (see Glossary). 2. The director must handle illness or injury to protect the health of all children in the home. a. The home must provide an ill or injured child with a bed, cot, or mat away from the other children. The home must call the child's parent immediately. The child must be supervised until he leaves the home. b. The home must plan how it would provide emergency care for an injured child, a child with symp- toms of acute illness, and a child who is choldng or not breathing. The planning must include the continued supervision of other children in care. Section 5000 GDCH Page 18 DHR 5-85 c. The home must give the child first aid or cardiopulmonary resuscitation, if needed. In the case of a critical illness or injury, the home must call the physician named by the parent, take the child to the nearest emergency room or minor emergency clinic, or call for an emergency vehicle. 3. The home must follow the recommendations of the Texas Department of Health concerning the admission or readmission of any child after a communicable disease (see Appendix VI). 5300 081.619) Medications 1. If the home agrees to administer medications, the home must administer the medication to the child as follows: a. Prescription medications must be in the original container labeled with the child's name, a date, directions, and the physician's name. The home must administer the medication as stated on the label directions. The home must not administer medication after the expiration date. b. The home must ensure that nonprescription medication is labeled with the child's name and the date the medication was brought to the home. Nonprescription medication must be in the original container. The home must administer it according to label directions if approved in writing by health personnel or the child's parent (see Glossary). c. The home must document each dose of medication administered showing the child's name; the name of the medicine; date, time, and amount administered; and the name of the staff administer- ing the medicine. The record must be kept for two weeks. 2. The home must keep medications out of children's reach or in locked storage. 3. The home must keep medications requiring refrigeration separate from food. 4. The home must return medications when no longer needed to the child's parent. The home must dis- pose of medications when a child withdraws from the home or when the medicine is out of date. Section 5000 GDCH Page 19 DHR 5-85 5400 081.620) Emergency Phone Numbers 1. The home must post the following emergency telephone numbers by a telephone accessible to all staff. This telephone must not be a pay phone. a. Ambulance service or emergency medical services (EMS). b. Police or sheriff's department. c. Fire department. d. Poison control center. e. Local DHR children's protective services office or child abuse hotline. L The group day care home (with address). 2. The home must keep the following telephone numbers in a place accessible to the telephone and to all staff: a. numbers at which parents may be reached, and b. numbers of the physicians designated by the parents. 5500 081.621) Animals 1. The home must ensure that animals on the premises have been vaccinated according to a licensed vet- erinarian's recommendations. The home must have documentation of vaccinations. 2. The home must keep the home and play yard free of stray animals. The home must not allow children to play with stray animals. Section 6000 GDCH Page 20 DHR 5-85 FOOD SERVICE AND NUTRITION 6100 081.622) Food Service 1. The home must ensure that all food and drink served are of safe quality and are stored, prepared, dis- tributed, and served under sanitary and safe conditions. The home must wash and sanitize food ser- vice equipment (see Appendix VII). 2. The home must practice good hygiene when handling food. Staff with open or infected wounds must not work in the food preparation area. No one may smoke in any of the food areas. 3. The home must discard single -service napkins, bibs, dishes, and utensils after use. Washable napkins, bibs, and tablecloths must be cleaned after each use. 4. The home must encourage, but not force, children to eat. The home must discuss recurring eating problems with the child's parent. 5. Cleaning supplies must be clearly marked, kept separate from food, and kept inaccessible to children. 6200 081.623) Nutrition 1. The home must ensure that food is nutritious and is served in variety and amounts adequate to ensure growth and development (see Appendix IV for required amounts). a. All children must have regular meals and morning and afternoon snacks. b. The home must ensure that children in the home for six or more hours per day have available the food necessary to meet at least one-half of their daily food needs. This does not apply to the chil- dren arriving after the evening meal and leaving before the morning meal. c. The home must have the written approval of a physician or a registered licensed dietician for spe- cial or therapeutic diets. Section 7000 GDCH Page 21 DHR 5-85 ACTIVITIES 7100 (§81.624) Operation 1. The home must provide activities for children according to their ages, interests, and abilities. The activities must be appropriate to each child's health, safety, and well-being. The activities also must be flexible and promote each child's physical, emotional, social, and mental growth. These must include a supervised rest period after the noon meal. Rest periods must not last longer than three hours. After two hours the home must allow children who are awake to get up and take part in quiet activities. The rest area must be adequately lighted to allow visual supervision at all times. The home must ensure that indoor and outdoor time periods include a. active and quiet activities, b. opportunity for individual and group activities, and c. outdoor time each day that weather permits. 2. The home must ensure the children's safety on field trips and excursions and during any transporta- tion provided by or for the home. Transportation includes, but is not limited to, transportation pro- vided between the home and the school and between the child's home and group home (see section 7700 for additional transportation standards). a. Before taking children away from the home, the home must notify the children's parents where and when the children will go. b. Staff supervising children must have immediate access to emergency medical forms and emer- gency contact information for each child in the group. c. Staff must have a written list of the children in the group and must check the roll frequently. d. Staff must have first aid supplies (see Glossary) available on field trips. e. When children are on a field trip in an enclosed, controlled area, the home must maintain the staff - child ratio as outlined in standard 2500, 1. An example would be an event planned for the group including, but not limited to, skating, dancing, or gymnastic classes; library story time; or tours. Section 7000 GDCH Page 22 DHR 5-85 f. When children are on a field trip and mixing with other children or adults, the adult -child ratio must be as follows: Age of Youngest Child In Group 0-23 months 2 years 3 years 4 years 5 years 6 years and older Maximum Number of Children to be Supervised by One Adult 2 6 8 9 11 12 Examples of this situation would be trips to shopping centers, amusement parks, and the circus or other activities in areas open to the general public. (1) The number of regular staff supervising this type of field trip must be at least equal to the number required by standard 2500, 1. The number may be supplemented by parents or volun- teers trained in the home's field trip procedures. (2) Children must have name tags or other identification listing the name and phone number of the home. g. Staff supervising a field trip must have transportation or a plan for transportation at the field trip location in case of emergency. 7200 (§81.625) Discipline and Guidance 1. The home must ensure that discipline and guidance are consistent, are based on an understanding of individual needs and development, and promote self-discipline and acceptable behavior. 2. There must be no cruel, harsh, or unusual punishment or treatment. a. The home must not shake, bite, or hit the children. No child under 5 years old must ever be spanked. The home must not put anything in or on a child's mouth as punishment. b. If the owner believes that it is necessary to spank children who have passed their fifth birthday, the home must have a statement on file that it is the home's policy to permit physical punishment. The statement of the rules concerning the administration of physical punishment must include that spanking be done only with a staff's open hand on a child's buttocks. Each incident must be documented in the home's records. The home must inform the parents in writing of the policy and must have the parents' signed approval (see Appendix V for alternative methods of discipline). Section 7000 GDCH Page 23 DHR 5-85 c. The home may use brief, supervised separation from the group if necessary, but the home must not place children in a locked room or in a dark room with the door closed. d. The home must not humiliate or subject children to abusive or profane language. It must not associate punishment with food, naps, or toilet training. The home must ensure that bed wetters are not shamed or punished. 7300 081.626) Infant and Toddler Care 1. The home must provide infants with an indoor and outdoor environment that is safe and physically, mentally, emotionally, and socially stimulating. 2. An infant who is not yet climbing must have an individual crib with a waterproof mattress covered by a clean crib sheet. A mobile infant may sleep on a low cot or mat. 3. Staff must talk to, hold, and play with the infants. 4. The home must allow each infant to explore outside the crib or playpen each morning and afternoon. 5. Infants, while awake, may remain in their cribs for up to one hour as long as they stay content and responsive. 6. The home must ensure bottles are clearly marked with the child's name. 7. The home must ensure that infants up to 6 months old are held while being bottle fed. Infants over 6 months must be held, if needed. Bottles must never be propped. The child or an adult must hold the bottle. 8. The home must ensure that an infant not yet ready for table food is fed an infant formula or diet approved in writing by the child's physician or parent. The home must obtain feeding instructions, dated and signed by the parent, and updated as changes are made. 9. Infants no longer being held for feeding must be fed in a manner that ensures their safety and com- fort. 10. The home must promptly change soiled or wet diapers and other clothing in a sanitary and safe man- ner. a. The home must place the child on a clean, washable surface disinfected after each use. The home may also use a surface with a clean, disposable covering that is changed after each use. b. The home must use individual washcloths and towels or disposable towelettes to thoroughly cleanse and dry the child at each diaper change. c. The home must place all used diapers in a moisture -proof bag or store them in a covered container which is cleaned daily. Section 7000 GDCH Page 24 DHR 5-85 7400 081.627) Children with Need for Special Care The home must ensure that children who need special care at the home because of disabling or limiting conditions are given the care and activities qualified psychologists, physicians, or other experts recom- mend. 7500 081.628) Night Care 1. A home offering night care must comply with any applicable fire and safety requirements for this type of care. 2. The home must have visible exits. This may be provided by exit lights or by lighted exits. 3. Staff must be awake at all times. The home must ensure that activities and routines meet the unique needs of children in night care. 4. The home must ensure that each child in night care, including a school-age child, has a bed, cot, or mat that complies with standard 3200, 2. 7600 081.629) Water Activities 1. When a home uses a splashing or a wading pool with less than 2 feet of water, the following apply: a. The home must meet the staff -child ratio for wading- Age ading Age of Youngest Number of Maximum Number Child in Group Staff of Children 6 months -23 months 2 6 2 years 2 11 3 years 2 12 4 years and older 1 12 b. When a child under 4 years old is in the water, two staff members must supervise. c. When the pool is not in use, the home must keep it out of the children's reach. Pools that can be drained must be drained; those that cannot must meet the requirement in standard 7600, 2.a. 2. When the home uses a swimming pool (more than 2 feet of water), the following apply: a. At the home, the pool must be enclosed by a fence at least 6 feet high and built so children cannot easily climb over it. The home must keep the gate locked when the pool is not in use. Section 7000 GDCH Page 25 DHR 5-85 b. One lifesaving device must be available for each 2,000 square feet of water surface with a mini- mum of two for each pool. c. A certified lifeguard must be on duty at all times. This person must not be counted in the staff - child ratio if people other than the children from the home are swimming. d. Staff must be able to see clearly all parts of the pool, including the bottom. 3. The home must ensure that all drain grates are in place, are in good repair, and cannot be removed without using tools. 4. The staff -child ratio for swimming is as follows: Age of Youngest Number of Maximum Number Child in Group Staff of Children 6 months - 23 months 1 1 2 years 1 6 3 years 1 8 4 years and older 1 12 a. The number of regalar staff supervising swimming activities must be at least equal to the number required in standard 2500, 1. The number may be supplemented by parents or volunteers trained in the home's procedures for supervising swimming. b. Adults included in the staff -child ratio for swimming must be able to swim and must constantly supervise the swimming activity.. c. When four or more children are swimming, two adults must be present. 5. When children are in a pool that has a pump and filtering system, an adult who is able to turn off the system immediately must be present. 6. The home must ensure that pool chemicals are inaccessible to children and that machinery rooms are locked. 7. All pools the home uses must be maintained as stated in the standards of the Texas Department of Health and local regulations. Section 7000 GDCH Page 26 DHR 5-85 7700 (§81.630) Transportation 1. Effective July 1, 1985, if a home provides transportation, each child being transported must ride in an infant carrier, a child seat, or a seat belt, as appropriate to the child's age and size. This requirement applies to all transportation including, but not limited to, transportation to and from the home, to and from school, and on field trips. This requirement applies to any vehicle used by or for the home to provide transportation, regardless of whether owned by the home and regardless of the type of vehicle - automobile, van, school bus, or other. a. Appropriateness is determined as follows: (1) The home must ensure that an infant who cannot sit up without support is properly restrained in a dynamically crash -tested infant carrier designed as a child passenger restraint device and manufactured according to federal standards. The carrier must be placed in a semi -reclining position facing the back of the car. The carrier must be held in the seat by the standard fixed seat belt. (2) The home must ensure that each child under age 2 who can sit alone is properly seated in a child seat that is a dynamically crash -tested child passenger restraint device manufactured according to federal standards. (3) The home must ensure that each child age 2 and older rides in either a child seat that is a dynamically crash -tested child passenger restraint device manufactured according to federal standards or in a seat belt. Only one person may use each seat belt. (4) A child may ride in a shoulder harness and seat belt if the shoulder harness goes across the child's chest and not across the child's face or neck. Section 7000 GDCH Page 27 DHR 5-85 b. The home must properly anchor each restraint device and use the device according to the manu- facturer's specifications. c. If a parent provides equipment for the home to use for transporting the child, the equipment must meet the specifications stated in this standard. 2. Effective July 1, 1985, the driver and all adult passengers in a vehicle transporting children must be properly restrained by a seat belt when the vehicle is in motion. 3. The home must load and unload children at the curb side of the vehicle or in a protected parking area or driveway. The home must ensure that children do not cross a street unsupervised after leaving a vehicle. 4. The home must keep first aid supplies (see Glossary) in all the home's vehicles transporting children. 5. The home must equip the home's vehicles used for transporting children with a minimum of one 6 -BC portable fire extinguisher. The fire extinguisher must be installed in the passenger compartment of the vehicle and must be accessible to the adult occupants. 6. The staff -child ratio for transportation of children must be met. a. One adult must be present for each group of four children under 2 years old. b. For children age 2 or older, the staff -child ratio is established by any of the options outlined in standard 2500, 1 or 2. Glossary GDCH Page 28 DHR 5-85 GLOSSARY ( 81.632) Glossary Abuse — Nonaccidental infliction or threat of infliction of physical, emotional, or mental harm to a child. Activity Space — Area or rooms used for children's activity. Admission — The process of accepting a child for care. The date of admission is the first day on which the child is actually in care in the home. Adult — A person 18 years old or older. Application — The form the department furnishes to gather information about and to document the intent of the owner to set up a group day care home. The application also includes all material required to be sub- mitted to the department. Attendance — Children actually present in the home at any given time. (Not to be confused with enroll- ment.) Child — A person who has not reached his eighteenth birthday. Child Development Associate Credential — A credential which is highly desirable for staff working directly with young children; based on assessed competency in several areas of child care and child development. Child development training is available in the public community and junior college system as well as in four-year colleges, either in regular child development, vocational programs, or through adult continuing education courses. Children with Need for Special Care — Children with disabling or limiting conditions which prevent or limit participation in the normal activities of the home and which may require additional supervision. Disabling or limiting conditions include visual impairment or deafness, other physical disabilities, mental retardation, emotional disturbance, or learning disabilities. Consultation Services for Children with Need for Special Care — Qualified consultants include psychologists, special education counselors, educational diagnosticians, special education supervisors, teachers certified by the Texas Education Agency to teach mentally retarded or emotionally disturbed children, pediatri- cians, licensed registered nurses, child psychiatrists, and MSW social workers skilled in assessing normal and unusual developmental problems in children. Such consultants may be found in state homes and hospitals, MHMR centers, human development cen- ters, public school special education departments, university psychology or special education departments, and the state listing of certified psychologists. (Copies of "Roster -Texas State Board of Examiners of Psy- chologists" can be found in local DHR offices or can be ordered from the state office Business Management Bureau.) Day Care — The care, supervision, and guidance of a child or children unaccompanied by a parent, guard- ian, or custodian on a regular basis, for a period of less than 24 hours per day, and in a place other than the child's or children's own home or homes. Department (DHR) — Used in this document to refer only to the Texas Department of Human Resources. Glossary GDCH Page 29 DHR 5-85 Direct Child Care — The supervision, guidance, and care of children as compared to food service, janitorial functions, or administrative functions. Director — That person the owner designates to assume daily on-site responsibility for the operation of a group day care home, including maintenance of minimum standards. In multiple facilities under a chief administrative officer, the owner of a group day care home is usually the director. Entrapping Equipment — A component or group of components on play equipment that forms angles or openings that could trap a child's head by being (1)too small to allow the child to withdraw his head easily, and (2) placed so that the child would be unable to support his weight by means other than his head or neck. Equipment and Materials — Include, but are not limited to, those used for arts and crafts; building; reading and language; play acting, including dolls; large muscle activities (climbing, running, jumping); and manip- ulative activities (those done with the hands). Fall Zone — An area extending 4 feet from climbing structures; 5 feet from the bottom of a slide (other parts of the slide are climbing structures); 7 feet plus the length of a swing's chain from the point of its sus- pension; and 7 feet from a merry-go-round or other revolving devices. First Aid Supplies — Required supplies include multi -size adhesive bandages, gauze pads, tweezers, cotton balls, hydrogen peroxide, syrup of ipecac, and a thermometer. Food Service — The preparation or serving of meals or snacks. Garbage — Waste food or items which, when deteriorating, cause offensive odors and attract rodents, insects, and the like. Group Child Care — Care for seven or more children when at least one of the children is not related to the caregiver. Handwashing — Rubbing hands together with soap under running water. Health Personnel — A licensed physician, a licensed registered nurse, or a person providing preventive, diagnostic, or therapeutic medical care to individuals in the community. Infant — A child younger than 18 months old. License — A complete document issued to the owner of a group day care home authorizing the licensee to operate at a specified location according to the provisions of the license, the law, and the rules and regula- tions of the Texas Department of Human Resources. Neglect — Nonaccidental failure or threatened failure to provide a child with the physical and emotional requirements for life, growth, and development. Night Care — Care given to children who are starting or continuing their night sleep or to children who spend the night at the home. Glossary GDCH Page 30 DHR 5-85 Parent — Used in this document to refer to parent, legal guardian, or managing conservator. Probation — A sanction placed on a home instead of revocation. Under probation, the home may remain open and continue to provide care. Provisional License — A license the department issues to a home whose plans meet the department require- ments but which is (1) not currently operating, (2) not licensed for the location stated in the application, or (3) changing ownership. Sanitary Sleeping Furnishings — Linens which have been laundered since a different person slept on them and after being soiled. School-age Care — Care offered to children between the ages of 5 (before September of that school year) and 18. Sexual Abuse or Sexual Molestation — Any sexually oriented act or practice involving staff or another adult and a child in care. Examples include, but are not limited to fondling, sexual intercourse, sexual stimula- tion, sodomy, incest, rape, and using a child in sexually explicit films or pictures. Staff — Any person responsible for working in contact with children whether paid or unpaid. Supervision — Care for a child or group of children. This includes awareness of and responsibility for the ongoing activity of each child. It requires physical presence, knowledge of activity requirements and chil- dren's needs, and accountability for their care. This includes staff being near enough to children to inter- vene when needed. Raining — Time spent in workshops; conferences of child care, early childhood, or educational associa- tions; formal schooling; self -instructional material; or planned learning opportunities provided by director, other staff, or consultants. Training must be in subject areas such as child care, child development, and early childhood education. Training for directors may also be in supervision of staff or program administra- tion. Rash/Litter — Paper products, plastic, cloth, and the like. Water Activities — Related to the use of splashing pools, wading pools, swimming pools, or other bodies of water. GDCH Appendix I Page 31 DHR 5-85 INTRODUCTION The Child Care Licensing Act of 1975, formerly Texas Revised Civil Statues Annotated, Article 695a- 3, is now Chapter 42 of the Human Resources Code. The correct citation is Human Resources Code, Chap- ter 42. CHAPTER 42, REGULATION OF CHILD-CARE FACILITIES SUBCHAPTER A. Sec. 42.043. RULES FOR IMMUNIZATIONS GENERAL PROVISIONS Sec. 42.044. INSPECTIONS Sec. 42.045. RECORDS Sec. 42.001. PURPOSE Sec. 42.046. LICENSE APPLICATION Sec. 42.001. DEFINITIONS Sec. 42.047. CONSULTATIONS Sec. 42.048. ADVISORY OPINIONS (Sections 42.003-42.020 Sec. 42.049. LICENSING reserved for expansion) Sec. 42.050. LICENSE RENEWAL Sec. 42.051. PROVISIONAL LICENSE Sec. 42.052. CERTIFICATION AND SUBCHAPTER B. REGISTRATION ADMINISTRATIVE PROVISIONS Sec. 42.053. AGENCY HOMES Sec. 42.021. DIVISION DESIGNATED Sec. 42.022. STATE ADVISORY COMMITTEE Sec. 42.023. ANNUAL REPORT Sec. 42.024. ADMINISTRATIVE PROCEDURE (Sections 42.025-42.040 reserved for expansion) SUBCHAPTER C. REGULATION OF CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE Sec. 42.042. RULES AND STANDARDS (Sections 42.054-42.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PROBATION Sec. 42.072. LICENSE DENIAL OR REVOCA- TION Sec. 42.073. CLOSING A FACILITY Sec. 42.074. INJUNCTIVE RELIEF Sec. 42.075. CIVIL PENALTY Sec. 42.076. CRIMINAL PENALTIES .. __ - . . .-.. — - ___j GDCH Appendix I Page 32 DHR 5-85 SUBCHAPTER A. GENERAL PROVISIONS Sec. 42.001. PURPOSE. The purpose of this chap- ter is to protect the health, safety, and wellbeing of the children of the state who reside in childcare facilities by establishing statewide minimum standards for their safety and protection and by regulating the facilities through a licensing program. It is the policy of the state to ensure the protection of all children under care in child-care facilities and to encourage and assist in the improvement of childcare programs. It is also the intent of the legislature that freedom of religion of all citizens is inviolate, and nothing in this chapter gives a governmental agency authority to regulate, control, supervise, or in any way be involved in the form, man- ner, or content of religious instruction or the curricu- lum of a school sponsored by a religious organization. Sec. 42.002. DEFINITIONS. In this chapter: (1) "Child" means a person under 18 years of age. (2) "Division" means the division designated by the department to carry out the provisions of this chapter. (3) "Child-care facility" means a facility that provides care, training, education, custody, treatment, or super- vision for a child who is not related by blood, marriage, or adoption to the owner or operator of the facility, for all or part of the 24-hour day, whether or not the facil- ity is operated for profit or charges for the services it offers. (4) "Child-care institution" means a child-care facility that provides care for more than 12 children for 24 hours a day, including facilities known as children's homes, halfway houses, residential treatment camps, emergency shelters, and training or correctional schools for children. (5) "Foster group home" means a facility that pro- vides care for 7 to 12 children for 24 hours a day. (6) "Foster family home" means a facility that pro- vides care for not more than six children for 24 hours a day. (7) "Day-care center" means a facility that provides care for more than 12 children under 14 years of age for less than 24 hours a day. (8) "Group day-care home" means a facility that pro- vides care for 7 to 12 children under 14 years of age for less than 24 hours a day. (9) "Registered family home" means a facility that regularly provides care in the caretaker's own resi- dence for not more than six children under 14 years of age, excluding the caretaker's own children, and that provides care after school hours for not more than six additional elementary school siblings of the other chil- dren given care, but the total number of children, including the caretaker's own, does not exceed 12 at any given time. (10) "Family day home" means a facility that pro- vides care for not more than six children under 14 years of age for less than 24 hours a day not in the caretaker's own residence nor in the residence of one or more of the children. (11) "Agency home" means a private home that pro- vides care for not more than six children, that is used only by a licensed child -placing agency, and that meets division standards. (12) "Child -placing agency" means a person other than the natural parents or guardian of a child who plans for the placement of or places a child in an insti- tution, agency home, or adoptive home. (13) "Facilities" includes child-care facilities and child -placing agencies. (14) "State of Texas" or "state" does not include polit- ical subdivisions of the state. (Sections 42.003-42.020 reserved for expansion) SUBCHAPTER B. ADMINISTRATIVE PROVISIONS Sec. 42.021. DIVISION DESIGNATED. (a) The department shall designate a division within the department to regulate and license child-care facilities and child -placing agencies. The division shall enforce the provisions of this chapter and the rules and stand- ards adopted by the department under this chapter and shall carry out other responsibilities the department may delegate or assign. (b) The commissioner of the department shall appoint as director of the division a person who: (1) meets the qualifications required of a childcare administrator by Chapter 43 of this code; (2) holds a graduate degree in social science or law and has five years' administrative experience in a field related to child care; or (3) has 10 years' experience in a field related to child care, at least 5 of which must be administrative. (c) The department shall employ sufficient person- nel and provide training for the personnel to carry out the provisions of this chapter. (d) The director may divide the state into regions for the purpose of administering this chapter. Sec. 42.022. STATE ADVISORY COMMITTEE. (a) The State Advisory Committee on Child-care Facili- ties is composed of 15 citizens of this state appointed by the commissioner. (b) Members of the committee serve for terms of two years. (c) The members must represent the following groups: (1)parents, guardians, or custodians of children who use the facilities; (2) child advocacy groups; (3) operators of the facilities; and (4) experts in various professional fields that are relevant to child care and development. (d) At least three members of the division staff shall meet with the committee, and the division shall pro- vide staff necessary for the committee. (e) The committee shall review rules and minimum standards for child-care facilities and child -placing agencies promulgated by state agencies, and shall advise the department, the division, the council, and state agencies on problems of childcare facilities and child -placing agencies. (f) The committee shall receive and review the annual report of the division. (g) The committee shall meet twice a year, and the members shall receive their actual travel expenses and the state per diem. Sec. 42.023. ANNUAL REPORT. (a) The division shall send an annual report of its activities to the gov- ernor, lieutenant governor, and members of the legisla- ture. (b) The annual report shall include: (1) a report by regions of applications for licensure or certification, of provisional licenses issued, denied, or revoked, of emergency closures and injunctions, and of the compliance of state -operated agencies with certification requirements; (2) a summary of the amount and kind -of inservice training and other professional development opportu- nities provided for division staff; (3) a summary of training and other professional development opportunities offered to facilities' staffs; and (4)a report of new administrative procedures, of the number of staff and staff changes, and of plans for the coming year. (c) Copies of the annual report shall be available to any state citizen on request. GDCH Appendix I Page 33 DHR 5-85 Sec. 42.024. ADMINISTRATIVE PROCEDURE. The Administrative Procedure and Texas Register Act (Article 6252-13a, Vernon's Texas Civil Statutes) applies to all procedures under this chapter except where it is contrary to or inconsistent with the provi- sions of this chapter. (Sections 42.025-42.040 reserved for expansion) SUBCHAPTER C. REGULATION OF CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE. (a) No person may operate a child-care facility or child -placing agency without a license issued by the division. (b) This section does not apply to: (1) a state -operated facility; (2) an agency home; (3) a facility that is operated in connection with a shopping center, business, religious organization, or establishment where children are cared for during short periods while parents or persons responsible for the children are attending religious services, shopping, or engaging in other activities on or near the premises, including but not limited to retreats or classes for reli- gious instruction; (4) a school or class for religious instruction that does not last longer than two weeks and is conducted by a religious organization during the summer months; (5) a youth camp licensed by the Texas Depart- ment of Health; (6) a hospital licensed by the Texas Department of Mental Health and Mental Retardation or the Texas Department of Health; (7) an educational facility accredited by the Cen- tral Education Agency or the Southern Association of Colleges and Schools that operates primarily for edu- cational purposes in grades kindergarten and above; (8) an educational facility that operates solely for educational purposes in grades kindergarten through at least grade two, that does not provide custodial care for more than one hour during the hours before or after the customary school day, and that is a member of an organization that promulgates, publishes, and requires compliance with health, safety, fire, and sanitation standards equal to standards required by state, munici- pal, and county codes; GDCH Appendix I Page 34 DHR 5-85 (9) a kindergarten or preschool educational pro- gram that is operated as part of a public school or a pri- vate school accredited by the Central Education Agency, that offers educational programs through grade six, and that does not provide custodial care dur- ing the hours before or after the customary school day; and (10) a registered family home. (11) an educational facility that is integral to and inseparable from its sponsoring religious organization or an educational facility both of which do not provide custodial care for more than two hours maximum per day, and that offers educational programs for children age five and above in one or more of the following: kin- dergarten through at least grade three, elementary, or secondary grades. (c) A single license that lists addresses and the appropriate facilities may be issued to a child-care institution that operates noncontiguous facilities that are nearby and that are demonstrably a single opera- tion as indicated by patterns of staffing, finance, administrative supervision, and programs. (d) A person operating or desiring to operate a child- care facility that is exempt from the provisions of Sub- section (a) of this section may apply to the division for a license as provided in Section 42.046 of this code The division may not deny an exempt facility a license on the ground that it is exempt from Subsection (a) of this section. A facility exempt from the provisions of Subsection (a) of this section that desires to receive or participate in federal or state funding shall be required to comply with all other provisions of this Act and with all regulations promulgated thereunder. (e) The exemptions provided by Subsection (b) of this section do not affect the authority of local, regional, or state health department officials, the state fire marshal, or local fire prevention officials to inspect child-care facilities. Sec. 42.042. RULES AND STANDARDS. (a) The department shall make rules to carry out the provi- sions of this chapter. (b) The department shall conduct a comprehensive review of all rules and standards at least every six years. (c) The department shall provide a standard proce- dure for receiving and recording complaints and a standard form for recording complaints. (d) The department shall provide standard forms for applications and inspection reports. (e) The department shall promulgate minimum stan- dards for child-care facilities covered by this chapter that will: (1) promote the health, safety, and welfare of chil- dren attending a facility; (2) promote safe, comfortable, and healthy physi- cal facilities for children; (3) ensure adequate supervision of children by capable, qualified, and healthy personnel; (4) ensure adequate and healthy food service where food service is offered; (5) prohibit racial discrimination by child-care facilities; and (6) require procedures for parental and guardian consultation in the formulation of children's educa- tional and therapeutic programs. (f) In promulgating minimum standards for childcare facilities, the department shall recognize the various categories of facilities, including facilities offering spe- cialized care, and the various categories of children and their particular needs. Standards for child-care institutions must require an intake study before a child is placed in an institution. The intake study may be conducted at a community mental health and mental retardation center. (g) In promulgating minimum standards, the depart- ment may recognize and treat differently the following child-care facilities: child -caring institutions, foster homes, day-care centers, group daycare homes, family day homes, registered family homes, and agency homes. (h) The department shall promulgate minimum standards for child -placing agencies. (i) Before adopting minimum standards, the division shall present the proposed standards to the State Advi- sory Committee on Child -Care Facilities for review and comment, and shall send a copy of the proposed standards to each licensee covered by the proposed standards at least 60 days before the standards take effect to provide the licensee an opportunity to review and to send written suggestions to the council and the department. 6) The department may waive compliance with a minimum standard in a specific instance if it deter- mines that the economic impact of compliance is suffi- ciently great to make compliance impractical. (k) The department may not regulate or attempt to regulate or control the content or method of any orga- nization or curriculum of a school sponsored by a reli- gious organization. Sec. 42.043. RULES FOR IMMUNIZATIONS. (a) The department shall make rules for the immuniza- tion of children admitted to facilities. (b) The department shall require that each child at an appropriate age have a test for tuberculosis and be immunized against diptheria, tetanus, poliomyelitis, rubella, and rubeola. The immunization must be effec- tive on the date of first entry into the facility. However, a child may be provisionally admitted if the required immunizations have begun and are completed as rap- idly as medically feasible. (c) The Texas Department of Health shall make rules for the provisional admission of children to facili- ties and may modify or delete any of the immuniza- tions listed in Subsection (b) of this section or require additional immunizations as a requirement for admis- sion to a facility. (d) No immunization may be required for admission to a facility if a person applying for a child's admission submits one of the following affidavits: (1) an affidavit signed by a licensed physician stat- ing that the immunization would be injurious to the health and well-being of the child or a member of the child's family or household; or (2) an affidavit signed by the child's parent or guardian stating that the immunization conflicts with the tenets and practices of a recognized religious orga- nization of which the applicant is an adherent or a member. (e) Each facility shall keep an individual immuniza- tion record for each child admitted, and the records shall be open for inspection by the division at all rea- sonable times. (f) The Texas Department of Health shall provide the immunizations required by this section to children in areas where there is no local provision of these serv- ices. Sec. 42.044. INSPECTIONS. (a) An authorized rep- resentative of the division may visit a facility during operating hours to investigate, inspect, and evaluate. (b) The division shall inspect all licensed or certified facilities at least once a year and may inspect other facilities as necessary. At least one of the annual visits must be unannounced and all may be unannounced. (c) The division must investigate a facility when a complaint is received. The division representative must notify the facility's director or authorized repre- sentative when a complaint is being investigated and report in writing the results of the investigation to the director or the director's authorized representative. (d) The division may call on political subdivisions and governmental agencies for assistance within their authorized fields. GDCH Appendix I Page 35 DHR 5-85 Sec. 42.045. RECORDS. (a) A person who operates a licensed or certified facility shall maintain individual child development records, individual health records, statistical records, and complete financial records. (b) A person who operates a licensed facility shall have an annual audit by a certified public accountant of the facility's books. A copy of the accountant's state- ment of income and disbursements must accompany an application for a license. This subsection does not apply to a facility that provides care for less than 24 hours a day or to an agency home. (c) If a child -placing agency terminates operation as a child -placing agency, it shall, after giving notice to the department, transfer its files and records concern- ing adopted children, their biological families, and their adoptive families to the department or to a facil- ity licensed by the department to place children for adoption. Sec. 42.046. LICENSE APPLICATION. (a) An applicant for a license to operate a child-care facility or child -placing agency shall submit to the divison a com- pleted application on a form provided by the division. (b) The division shall supply the applicant the appli- cation form and a copy of the appropriate minimum standards. (c) After receiving an application, the division shall investigate the applicant and the plan of care for children. (d) The division shall complete the investigation and decide on an application within two months after the date the division receives an application. Sec. 42.047. CONSULTATIONS. (a) The depart- ment shall offer consultation to potential applicants, applicants, and license and certification holders about meeting and maintaining standards for licensing and certification and achieving programs of excellence in child care. (b) The department shall offer consultation to pro- spective and actual users of facilities. Sec. 42.048. ADVISORY OPINIONS. (a) The direc- tor of the division may give an advisory opinion on whether or not a planned facility or a planned change in an existing facility complies with the division's rules and minimum standards. GDCH Appendix I Page 36 D H R 5-85 (b) A written opinion authorized by Subsection (a) of this section is binding on the division as a declaratory order if it is signed by the division director and the division representative administering this chapter in a division region, and if an applicant or license holder has acted in reliance on the opinion. Sec. 42.049. LICENSING. (a) The division shall issue a license after determining that an applicant has satisfied all requirements. (b) When issuing a license, the division may impose restrictions on a facility, including but not limited to the number of children to be served and the type of children to be served. (c) The division may grant a variance of an individ- ual standard set forth in the applicable standards for good and just cause. (d) A license holder must display a license issued under this chapter in a prominent place at the facility. (e) A license issued under this chapter is not trans- ferable and applies only to the operator and facility location stated in the license application. A change in location or ownership automatically revokes a license. (f) A biennial license must be issued if the division determines that a facility meets all requirements. The evaluation shall be based on a specified number of vis- its to the facility and a review of all required forms and records. Sec. 42.050. LICENSE RENEWAL. (a) A license holder may apply for a new license in compliance with the requirements of this chapter and the rules promul- gated by the division. (b) The application for a new license must be com- pleted and decided on by the division before the expiration of the license under which a facility is oper- ating. (c) The division shall evaluate the application for a new license to determine if all licensing requirements are met. The evaluation must include a specified num- ber of visits to the facility and a review of all required visits to the facility and a review of all required forms and records. Sec. 42.051. PROVISIONAL LICENSE. (a) The division shall issue a provisional license when a facili- ty's plans meet the department's licensing require- ments and one of the following situations exists: (1) the facility is not currently operating; (2) the facility is not licensed for the location stated in the application; or (3) there is a change in ownership of the facility. (b) A provisional license is valid for six months from the date it is issued and is not renewable. Sec. 42.052. CERTIFICATION AND REGISTRA- TION. (a) A state -operated child-care facility or child - placing agency must receive certification of approval from the division. The certification of approval must be renewed every two years. (b) To be certified, a facility must comply with the department's rules and standards and any provisions of this chapter that apply to a licensed facility of the same category. The operator of a certified facility must dis- play the certification in a prominent place at the facil- ity. (c) A registered family home must be registered with the division. (d) To be registered with the division, a registered family must comply with the department's rules and standards and any provision of this chapter that applies to a registered family home. (e) The certification requirements of this section do not apply to a Texas Youth Council facility or a facility providing services solely for the Texas Youth Council. Sec. 42.053. AGENCY HOMES. (a) An agency home is considered part of the child -placing agency that operates the agency home for purposes of licens- ing. (b) The operator of a licensed agency shall display a copy of the license in a prominent place in the agency home used by the agency. (c) An agency home shall comply with all provisions of this chapter and all department rules and standards that apply to a child-care facility caring for a similar number of children for a similar number of hours each day. (d) The division shall revoke or suspend the license of a child -placing agency if an agency home operated by the licensed agency fails to comply with Subsection (c) of this section. (Sections 42.054-42.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PRO- BATION. (a) The division may suspend the license of a facility that has temporarily ceased operation but has definite plans for starting operations again within the time limits of the issued license. (b) The division may suspend a facility's license for a definite period rather than deny or revoke the license if the division finds repeated noncompliance with standards that do not endanger the health and safety of children. To qualify for license suspension under this subsection, a facility must suspend its operations and show that standards can be met within the suspension period. (c) The division may place a facility on probation for a definite period not to extend beyond the expiration date of the license rather than suspend or revoke the license. The division may revoke the license of the facility during the probationary period if the facility does not meet the conditions of probation. (d) The division shall revoke the license of a facility that does not comply with standards at the end of a license suspension or probation. Sec. 42.072. LICENSE DENIAL OR REVOCA- TION. (a) The division may deny or revoke the license or certification of approval of a facility that does not comply with the requirements of this chapter, the standards and rules of the department, or the spe- cific terms of the license or certification. (b) The division shall notify the person operating or proposing to operate a facility of the reasons for the denial or revocation and of the person's right to appeal the decision within 30 days after receiving the notice. (c) A person who wishes to appeal a license denial or revocation shall notify the director by certified mail within 30 days after receiving the notice required in Subsection (b) of this section. The person shall send a copy of the notice of appeal to the assigned division representative. (d) Within 14 days after the date the appeal notifica- tion was mailed, the director shall appoint an advisory review board to hear the appeal or notify the person requesting the appeal that the request is denied. (e) Within 14 days after notifying a person that an advisory review board will hear the case, the director shall appoint five of the person's peers to the board and set a date for the hearing. The date for the hearing GDCH Appendix I Page 37 DHR 5-85 must be within 28 days after the date the board mem- bers are appointed. (f) The advisory review board shall hear the appeal and render its opinion to the director within seven days after the last day of the hearing. The board members shall receive actual travel expenses and the state per diem for each day of the hearing. (g) A committee composed of the director, the divi- sion representative responsible for establishing stand- ards, and the division representative administering this chapter in the region where the facility in question is located shall review the opinion. The committee shall make a/ decision within 14 days after receiving the opinion and shall notify, by certified mail, the per- son who appealed. (h) A person whose license has been denied or revoked may challenge the committee's decision by fil- ing a suit in a district court of Travis County or the county in/ which the person's facility is located within 30 days after receiving the committee's decision. The trial shall be de novo. (i) Records of the department's hearing shall be kept for one year after a committee decision is rendered. On request, and at the person's own expense, the division shall supply a copy of the verbatim transcript of the advisory board hearing to a person appealing a license denial or revocation in district court. G) A person may continue to operate a facility during an appeal of a license denial or revocation unless the division has sought injunctive relief under Section 42.074 or civil penalties under Section 42.075 of this code. Sec. 42.073. CLOSING A FACILITY. (a) The divi- sion may close the facility and place the children attending the facility in another facility if the division finds violations of this chapter or violations of the department's rules and standards that create an imme- diate danger for children. 11 (b) A division representative who finds conditions described in Subsection (a) of this section shall imme- diately notify the director and request an immediate inspection of the facility by the director or the direc- tor's designee. (c) The division shall report to the governor and the commissioner of the department when a stateoperated facility is found in violation of this chapter or the department's rules and standards and the violation threatens serious harm to the children in the facility. GDCH Appendix I Page 38 DHR 5-85 (d) Closing a facility under this section is an emer- gency measure. The division shall seek an injunction against continued operation of the facility after closing a facility under this section. Sec. 42.074. INJUNCTIVE RELIEF. (a) When it appears that a person has violated, is violating, or is threatening to violate the licensing, certification, or registration requirements of this chapter or the depart- ment's licensing, certification, or registration rules and standards, the division may file a suit in a district court in Travis County or in the county where the facility is located for assessment and recovery of civil penalties under Section 42.075 of this code, for injunctive relief, including a temporary restraining order, or for both injunctive relief and civil penalties. (b) The district court shall grant the injunctive relief the facts may warrant. (c) At the division's request, the attorney general shall conduct a suit in the name of the State of Texas for injunctive relief, to recover the civil penalty, or for both injunctive relief and civil penalties as authorized by Subsection (a) of this section. Sec. 42.075. CIVIL PENALTY. (a) A person is sub- ject to a civil penalty of not less than $50 nor more than $100 for each day of violation and for each act of viola- tion if the person: (1) threatens serious harm to a child in a facility by violating a provision of this chapter or a department rule or standard; (2) violates a provision of this chapter or a depart- ment rule or standard three or more times within a 12 - month period; or (3) places a public advertisement for an unlicensed facility. (b) The civil penalty authorized by this section is cumulative and in addition to the criminal penalties and injunctive relief provided by this chapter. Sec. 42.076. CRIMINAL PENALTIES. (a) A person who operates a child-care facility or childplacing agency without a license commits a Class B misde- meanor. (b) A person who places a public advertisement for an unlicensed facility commits a Class C misdemeanor. GDCH Appendix II Page 39 DHR 5-85 APPENDIX II EXCERPTS FROM THE TEXAS FAMILY CODE (AMENDED) CHAPTER 17. EMERGENCY PROCEDURES IN SUIT BY GOVERNMENTAL ENTITY Section 17.03. Taking Possession of a Child Without a Court Order. (a) An authorized repre- sentative of the Texas Department of Human Resources, a law enforcement officer, or a juvenile probation officer may take possession of a child without a court order under the following conditions and no others: (1) upon discovery of a child in a situation of danger to the child's physical health or safety when the sole purpose is to deliver the child without unnecessary delay to the parent, managing conser- vator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (2) upon the voluntary delivery of the child by the parent, managing conservator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (3) upon personal knowledge of facts which would lead a person of ordinary prudence and cau- tion to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code; or (4) upon information furnished by another which has been corroborated by personal knowl- edge of facts and all of which taken together would lead a person of ordinary prudence and caution to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code. (See the full text of Section 17.03 for specifics on the court hearings which follow taking possession of a child in an emergency.) CHAPTER 34. REPORT OF CHILD ABUSE Section 34.01. Persons Required to Report Section 34.011. Form Section 34.02. Contents of Report: To Whom Made Section 34.03. Immunities Section 34.04. Privileged Communications Section 34.05. Investigation and Report of Receiving Agency Section 34.06. Central Registry Section 34.07. Failure to Report: Penalty Section 34.08. Confidentiality Section 34.01. Persons Required to Report. Any person having cause to believe that a child's physical or mental health or welfare has been or may be adversely affected by abuse or neglect shall report in accordance with Section 34.02 of this code. Section 34.011. Form. The Texas Department of Human Resources shall promulgate a form and cause a sample to be distributed for the reporting of suspected occurrences of child abuse as required by Section 34.01 of this code. Copies of the form shall be distributed to all licensed hospitals in this state to be available for use without charge by hospital employees, physicians, patients, and other persons. The form shall include a statement that child abuse reports are confidential and that information con- tained in the reports, including the name of the per- son making the report, may be used only for the purposes consistent with the investigation of child abuse. The form shall give the address of the Texas Department of Human Resources. Hospital employ- ees, physicians, patients, and other persons must complete the form and return it to the Texas Depart- ment of Human Resources. Section 34.02. Contents of Report: To Whom Made. (a) Nonaccusatory reports reflecting the reporter's belief that a child has been or will be abused or neglected, or has died of abuse or neglect, has violated the compulsory school attendance laws on three or more occasions, or has, on three or more occasions, been voluntarily absent from his home without the consent of his parent or guardian for a substantial length of time or without the intent to return shall be made to any local or state law enforcement agency, and in addition shall be made to: (1) the Texas Department of Human Resources; or (2) the agency designated by the court to be responsible for the protection of children. GDCH Appendix II Page 40 D H R 5-85 (b) All reports must contain the name and address of the child, the name and address of the person responsible for the care of the child, if availa- ble, and any other pertinent information. (c) All reports received by any local or state law enforcement agency shall be referred to the Texas Department of Human Resources or to the agency designated by the court to be responsible for the protection of children. The department or desig- nated agency immediately shall notify the appropri- ate state or local law enforcement agency of any report it receives, other than from a law enforce- ment agency, that concerns the suspected abuse or neglect of a child or death of a child from abuse or neglect. (d) An oral report shall be made immediately on learning of the abuse or neglect as prescribed in Subsection (a) of this section, and a written report shall be made within five days to the same agency or department. Anonymous reports, while not encour- aged, will be received and acted on in the same man- ner as acknowledged reports. Section 34.03. Immunities. Any person reporting pursuant to this chapter is immune from liability, civil or criminal, that might otherwise be incurred or imposed. Immunity extends to participation in any judicial proceeding resulting from the report. Per- sons reporting in bad faith or malice are not pro- tected by this section. Section 34.04. Privileged Communications. In any proceeding regarding the abuse or neglect of a child or the cause of any abuse or neglect, evidence may not be excluded on the ground of privileged communication except in the case of communica- tions between attorney and client. Section 34.05. Investigation and Report of Receiving Agency. (a) The Texas Department of Human Resources or the agency designated by the court to be responsible for the protection of children shall make a thorough investigation promptly after receiving either the oral or written report. The pri- mary purpose of the investigation shall be the pro- tection of the child. (b) In the investigation the department or agency shall determine: (1) the nature, extent, and cause of the abuse or neglect; (2) the identity of the person responsible for the abuse or neglect; (3) the names and conditions of the other chil- dren in the home; (4) an evaluation of the parents or persons responsible for the care of the child; (5) the adequacy of the home environment; (6) the relationship of the child to the parents or persons responsible for the care of the child; (7) all other pertinent data. (c) The investigation shall include a visit to the child's home, a physical examination of all the chil- dren in that home, and an interview with the subject child. The investigation may include a psychological or psychiatric examination of all the children in the home. If admission to the home, school, or any place where the child may be, or permission of the parents or persons responsible for the child's care for the physical examination cannot be obtained, then the juvenile court, or the district court, upon cause shown, shall order the parents or the persons responsible for the care of the children, or the per- son in charge of any place where the child may be, to allow entrance for the interview, the physical examination, and investigation. If the parents or persons responsible for the child's care does not con- sent to a psychological or psychiatric examination of the child that is requested by the department or agency, the juvenile court or district court, upon cause shown, shall order the examination to be made at the times and places designated by the court. The parent or person responsible for the child's care is entitled to notice and a hearing when the department or agency seeks a court order to allow a psychological or psychiatric examination. (d) If, before the investigation is complete, the opinion of the investigators is that immediate removal is necessary to protect the child from fur- ther abuse or neglect, the investigators shall file a petition pursuant to Chapter 17 of this code for tem- porary care and protection of the child. (e) The agency designated by the court to be responsible for the protection of children or the department shall make a complete written report of the investigation. The report, together with its rec- ommendations, shall be submitted to the juvenile court of the district court, the district attorney, and the appropriate law enforcement agency if sufficient grounds for the institution of a suit affecting the parent-child relationship are found. (f) On the receipt of the report and recommenda- tion required by Subsection (e) of this section, the court may direct the investigator to file a petition seeking appropriate relief under Subtitle A of this title. GDCH Appendix II Page 41 DHR 5-85 Section 34.06. Central Registry. The Texas Department of Human Resources shall establish and maintain in Austin, Texas, a central registry of reported cases of child abuse or neglect. The department may adopt rules and regulations as are necessary in carrying out the provisions of this sec- tion. The rules shall provide for cooperation with local child service agencies, including hospitals, clinics, and schools, and cooperation with other states in exchanging reports to effect a national reg- istration system. Section 34.07. Failure to Report: Penalty. (a) A person commits an offense if the person has cause to believe that a child's physical or mental health or welfare has- been or may be further adversely affected by abuse or neglect and knowingly fails to report in accordance with Section 34.02 of this code. (b) An offense under this section is a Class B misdemeanor. Section 34.08. Confidentiality. The reports, records, and working papers used or developed in an investigation made under this chapter are confi- dential and may be disclosed only for purposes con- sistent with the purposes of this code under regulations adopted by the investigating agency. Appendix III GDCH Page 43 D H R 5-85 APPENDIX III CHILD CARE FACILITY IMMUNIZATION REQUIREMENTS Age Group Required Immunization and Number of Doses Under 2 mos. No immunizations required. 2 mos. to 4 mos. 1 dose of oral polio vaccine (OPV). 1 dose of diphtheria -tetanus -pertussis (DTP) vaccine. 4 mos. to 6 mos. 2 doses of OPV. 2 doses of DTP vaccine. 6 mos. to 18 mos. 2 doses of OPV. 3 doses of DTP vaccine. 18 mos. to 5 yrs. 3 doses each of OPV and DTP vaccine. 1 dose each of measles', rubella', and mumps' vaccines. 5 yrs. and older 3 doses each of OPV4 and DTP' vaccine. 1 dose each of measles', rubella', and mumps' vaccines. NOTES: 'Measles: Measles vaccine,is required for each child 18 months old or older. The vaccination date for the measles vaccine must be during the calendar month of or after the first birthday and since January 1, 1968. A written physician -verified history of measles disease which shows the date of the illness will substitute for the measles vaccine requirements. 'Rubella: Rubella vaccine is not required after the 12th birthday. A history of rubella illness is not acceptable. Appendix III GDCH Page 44 DHR 5-85 'Mumps: As a part of the child's immunization record, a written physician -verified history of mumps disease which shows the date of the illness will substitute for the vaccine requirement. Effective Sep- tember 1, 1984, children less than 13 years old are required to have received mumps vaccine or pro- vide a written physician -verified history of mumps illness. On September 1 each following year, children one year older must also meet this requirement. By September 1, 1990, all children through 18 years old will be included. See the table below. Mumps Vaccine Requirements by Effective Dates for Children 18 Months through 18 Years of Age In Child Care Facilities Effective Dates September 1, 1984 September 1, 1985 September 1, 1986 September 1, 1987 September 1, 1988 September 1, 1989 September 1, 1990 Ages in Years* Thru 12 Thru 13 Thru 14 Thru 15 Thru 16 Thru 17 Thru 18 *Ages of children in child care facilities on the effective date. 'Polio: At least three doses of oral polio vaccine (OPV) are required for all children, provided at least one dose has been received on or after the 4th birthday. A dose of OPV given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. No further doses of OPV are required. Some children or students may be enrolled who have received inactivated polio vaccine (IPV). These students are in full compliance when an initial series of four doses are completed and a booster dose within five years of the fourth dose has been received. A booster dose is required every five years thereafter. 'Diptheria - Tetanus - Pertussis/Tetanus - Diphtheria: DPT/TD vaccine is required for all children. At least three doses of DTP and/or Td vaccine are required, provided at least one dose has been received on or after the 4th birthday. A dose of DTP or Td given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. Besides the minimum of three DTP or Td doses with one dose since the 4th birthday, children 12 years old and older must have a last dose within the past 10 years. (A Td booster is required 10 years after the administration of the immunization that meets the requirement for the "dose since the 4th birthday." Example: If the last dose of DTP was received at age five, the 10 -year Td booster is due at age 15.) 'An Annual Report of the Immunization Status by age group of all children must be submitted on the request of the Texas Department of Health. Amounts of Foods to be Served to Meet Nutritional Needs Kinds of Food 1. Milk or Milk Products Milk or Cheese 2. Bread and Cereal Products Bread or Cereal 3. Vegetables and Fruits including 1/4 cup vitamin C -rich fruit or vegetable each day and 1/4 cup vitamin A -rich fruit or vegetable 3 times each week 4. Protein Meat, Fish, Poultry (cooked) or Eggs or Cooked Dried Beans or Peas or Cheese One tablespoon peanut butter can be substituted for 1 tablespoon of meat. Appendix IV GDCH Page 45 DHR 5-85 Total Amount To Meet 1/2 of Daily Need 11/4 cups 2 ounces 2 slices 1 cup 3/4 cup 3 tablespoons or 1 1/2 ounces 1 egg 3/8 cup 1 1/2 ounces Appendix IV GDCH Page 46 DHR 5-85 Examples of Kinds of Foods To Be Served To Meet Nutritional Needs 1) Milk or Milk Products Milk Whole Low Fat Skim Non-fat Dry Buttermilk +Double serving is required. Cheese* Cheddar American Cottageffi Monterey Jack Swiss Mozzarella Ricottaffi *Do not count the same slice of cheese as both milk and meat. 2) Vegetables and Fruits Food made with required amounts of milk, such as custards or puddings a) Vitamin A Foods b) Other Vegetables c) Vitamin C Foods VEGETABLES VEGETABLES FRUITS FRUITS Bean sprouts (mung) Bean sprouts Broccoli Beans Apples Orange juice Carrots lima, green, wax, Avocados Oranges Greens pinto, kidney Bananas Grapefruit chard, lambsquarter, garbanzo, mung, Blackberries Grapefruit juice chicory, dandelion, great northern, Blueberries Mangos collards, mustard soy, navy Cherries Strawberries kale, turnip Beets Cranberries Tangerines Spinach Celery Boysenberries Cantaloupe Squash, winter Corn Dates Sweet potatoes Cucumbers Figs VEGETABLES Eggplant Fruit Cocktail Bean sprouts (mung) FRUITS Lettuce Grapes Broccoli Mushrooms Olives Green peppers Apricots Okra Peaches Brussel sprouts Cantaloupe Onions Pears Cauliflower Purple plums (canned) Peas Pineapple Kohlrabi Mangos green, blackeye, Plums Greens Persimmons Radishes Raspberries lambsquarter, kale, Prunes, dry, uncooked Rutabaga Raisins spinach, mustard Squash, summer Rhubarb Tomatoes Parsnips Watermelon Cabbage Juice Potatoes apple, grape, pineapple, cranberry *Do not count the same slice of cheese as both milk and meat. Appendix IV GDCH Page 47 D H R 5-85 3) Protein Meat -canned, dried, fresh, and frozen Beef Lamb Pork Veal Luncheon meats Liver and other organ meats Chicken Turkey Fish/shellfish *Cheese Peanut butter Eggs Dry beans Dry peas Lentils Vegetable protein *Do not count the same slice of cheese as both milk and meat. 4) Breads and Cereals All of the following must be enriched or whole grain Sliced Breads French, raisin, rye, soy, white, whole wheat Bread sticks Rolled wheat or oats Spaghetti Barley Boston brown bread Biscuits Macaroni Grits Fruit breads Cornbread Noodles Bulgar Crackers English muffins Sopaipillas Rolls graham Soft pretzels Pancakes Farina saltines Croissants Waffles Dumplings soda Tortillas Spoon bread Hush puppies melba toast Prepared cereals Muffins Rice zweiback Sweet rolls Appendix IV GDCH Page 48 DHR 5-85 Breakfast or AM Snack EXAMPLE MEAL PATTERN The following meal pattern is an aid to menu planning. This distribution of food is not required as long as the total required servings are met during the day. Possible Food Choices Milk/Milk Product Bread/Cereal Lunch Milk and/or Milk Product Protein Vegetable 1 Vegetable 2 Bread PM Snack Fruit or Fruit Juice Breakfast or AM Snack Milk Cereal 1/2 cup 1 slice or 1 ounce 3/4 cup 1 1/2 ounces 1/4 cup 1/4 cup 1 slice 1/4 cup Example Menu Following Meal Pattern Lunch Milk Roast Beef New Potatoes Spinach Whole Wheat Bread PM Snack Orange Juice Appendix V gDCH Pa a 49 DHE -85 'APPENDIX\V ALTERNATIVES TO PHYSICAL PUNISHMENT 1. Children should have good behavior recog- nized and encouraged. 2. Children should be taught by example through the use of fair and consistent rules. The atmosphere should be relaxed. Discipline should be relevant to the behavior involved. 3. Children should be supervised by people showing an attitude of understanding and firmness. 4. Children should be given clear directions and guidance on the child's level of understanding. 5. Children should be held firmly if their behavior will harm themselves or others. 6. Children should be redirected by stating alternatives when their behavior is unacceptable. (Example: "Blocks are for building, not throwing — try throwing this ball.') 7. Children should be helped to understand why their conduct is unacceptable and what is acceptable in a given situation. Influenza 1.3 days Rapid onset of fever, headache, sore throat, cough Yes When fever subsides Yes Vaccine available, but only recommended for children with certain chronic diseases Measles (Rubeola) 7.14 days Runny nose, watery eyes, fever, cough Blotchy Appendix VI Yes Vaccine available Report suspect cases imme- red rash appears on 4th day In an outbreak, unimmunized children diately to health department or by calling the GDCH should also be excluded for at least 4 Texas Immunization Hot Line 1.800-252.9152 days after last case occurs Page 51 Slight cold, swollen tender glands at back of Yes Aller 5 days from appearance of rash. Yes Vaccine available Report suspect cases immedi. (Rubella) _ neck Changeable pink rash DHR 5-85 COMMUNICABLE DISEASE CHART FOR SCHOOLS AND CHILD-CARE CENTERS Your Health Department: Phone: EXCLUDE FROM REPORTABLE CONDITION INCUBATION PERIOD EARLY SIGNS OF ILLNESS ATTENDANCE' READMISSION CRITERIA" DISEASE NOTES FOR PREVENTION Athlete's Foot Unknown Blisters and cracking of the skin of the feet. No No Teach importance of hygienic care of feet usually between the toes. Chickenpox 10.21 days Fever and rash consisting of blisters that Yes When all blisters have crusted over Yes No vaccine available. may appear first on head. then spread to body (but not longer than 1 week alter onset Usually 2 or 3 crops of new blisters that heal of rash) leaving scabs Common Cold 13 days Runny nose, watery eyes. general tired feeling No, unless fever is When fever subsides No Teach importance of washing hands and covering present (See Fever) mouth when coughing or sneezing Diphtheria 2-5 days Sore throat and fever, rapidly progressing to Yes See Footnote 2(A B) Yes Vaccine available If you suspect this disease, difficulty breathing and swallowing. immediately consult a physician Fever Oral temperature of 30*C (100.4 •F) or greater Yes When fever subsides No Gastroenteritis. Variable, usually 2.7 days Stomachache, nausea, diarrhea (6 or more Yes When diarrhea subsides No Teach importance of hand washing Adult should Viral watery loose stools per day) supervise hand washing of preschool -age children Giardiasis 4.14 days Gradual onset of stomachache, bloating, and No No Treatment is recommended. Teach importance of diarrhea May recur several times over a period hand washing Can spread quickly in child-care of weeks centers Gonorrhea 3-5 days Mala— urethral discharge ("tlnp")with burning No Yes Teach junior and senior high school students on urination about sexually transmitted diseases Report Female — May have no symptoms or may have suspected cases to health department or by vaginal discharge and abdominal pain. 00 calling the VD Hot Line 1.8227.8922 especially with menses Head Lice Eggs hatch in 7.10 days Itching and scratching of scalp Pinpoint white Yes When one medicated shampoo or No Second shampoo or lotion treatment in 7.10days (Pediculosis) eggs (nits) on head that will not flick off lotion treatment has been given is recommended Teach importance of nal sharing combs, hats, and coals Hepatitis, Viral, 15.50 days, average 28 days Gradual onset of slight fever, tired feeling, Yes After 1 week from onset of illness Yes Teach importance of hand washing Gamma type A stomachache. nausea. or vomiting followed by globulin should be given to household contacts jaundice Young children may have mild case of If more than one case occurs in a child-care diarrhea without jaundice center, gamma globulin should be considered for all children and parents involved Hepatitis, Viral, 60-90 days Gradual onset of fever, tired feeling, loss of No Yes Neither cases nor carvers excluded from type B appetite, followed by jaundice attendance Teach importance of good hygiene and avoid contact with blood of recent cases or chronic carriers Herpes, Oral First infection, 2.12 days Blisters on or near lips that open and become No No Teach importance of good hygiene Avoid direct (cold sores) covered with dark crust Recurrences are common contact with sores Impetigo Variable Blisters on skin that open and become covered Yes When treatment begun No Keep lesions covered while in school Teach with yellowish crust No fever importance of hand washing and keeping fingernails clean Influenza 1.3 days Rapid onset of fever, headache, sore throat, cough Yes When fever subsides Yes Vaccine available, but only recommended for children with certain chronic diseases Measles (Rubeola) 7.14 days Runny nose, watery eyes, fever, cough Blotchy Yes After 4 days from appearance of rash Yes Vaccine available Report suspect cases imme- red rash appears on 4th day In an outbreak, unimmunized children diately to health department or by calling the should also be excluded for at least 4 Texas Immunization Hot Line 1.800-252.9152 days after last case occurs German Measles 1421 days Slight cold, swollen tender glands at back of Yes Aller 5 days from appearance of rash. Yes Vaccine available Report suspect cases immedi. (Rubella) _ neck Changeable pink rash atelyto health department or by calling the Texas Immunization Hot Line 1.800.2529152 Appendix VI GDCH Page 52 DHR 5-85 Meningitis, Bacterial 2 10 days Sudden onset of high fever, headache, and stiff Yes See Footnote 2(A -8I Yes Depending on which bacteria are causing the iii. neck, usually with some vomiting nese, prophylactic antibiotics may be recom mended for family members Occasionally, close contacts at a childcare center are also treated Meningitis, Viral 2 10 days Sudden onset of fever, headache, usually with Yes See Footnote 2(A B) Yes Teach importance of hand washing Prophylactic Some vomiting antibiotics of no value Mumps 12 26 days Swelling over law in front of one or both ears Yes After 9 days from the onset of swelling Yes Vaccine available Pain in cheeks made worse be chewing Pink Eye 1 3 days Red eyes, usually with some discharge or Yes See Footnote 2(A -B) No Teach importance of hand washing allergic 'Conjunct vd is) crust on eyelids conjunctivitis is not contagious Pinworms Variable, may be as long as Perianal itching No No Teach importance of hand washing 3-6 weeks Poliomyelitis 3-21 days Fever, headache, stomachache, stiff neck, Yes See Footnote 2(A B) Yes Vaccine available Report cases immediately to (Polio) usually with some vomiting Often followed by health department or by calling the Texas paralysis Immunization Hot Line 1-800-252-9152 Rocky Mountain 3-10 days Sudden onset of fever, chills. and severe head. No Yes Transmitted by tick bites If you suspect this Spotted Fever ache Rash consists of red spots beginning on disease, immediately consult a physician wrists or ankles, progressing to the chest, palms, and soles Ringworm of the body 4.10 days Slowly spreading flat, scaly ring-shaped spots No No Treatment is recommended Keep lesions on skin The margins may be reddish and covered While in school slightly raised Ringworm of the scalp 10-21 days Slowly spreading. balding patches on scalp Yes When treatment begun No Teach importance of not sharing combs. hats, with broken -off hairs and coats Salmonellosis 13days Sudden onset of fever, abdominal pain, dear Yes When diarrhea subsides Yes Teach importance of hand washing Frequentlya rhea, sometimes vomiting foodborne infection Scabies First infection 1 month Small raised, red bumps or blisters on skin with Yes When treatment begun No Careful examination of close contacts required Repeat infection 2 5 days severe itching to identify early infection Shigellosis 1 7 days Sudden onset of fever, vomiting, and diarrhea Yes When diarrhea subsides Yes Teach importance of hand washing Can spread quickly in child-care centers Streptococcal Sore 1 3 days Fever, sore throat, often with enlarged tender Yes After 24 hours from date antibiotic Yes Teach importance of covering mouth when Throat and Scarlet Fever lymph nodes in neck Scarlet fever -producing treatment begun coughing or sneezing strains of bacteria cause a fine red rash that appears 1 3 days alter onset of sore throat Tetanus 4-21 days Painfulmuscular contractions — primarily of No Yes Transmitted by contamination of a wound with law and neck muscles No fever bacterial spores Vaccine available If you suspect this disease, immediately consult a physician Tuberculosis. 4 1 weeks Gradual onset, tiredness, loss of appetite. Yes After antibiotic treatment begun, AND Yes All classroom contacts should have TS skin tests Pulmonary slight lever, failure to gain weight, cough a physician's certificate or health Antibiotic prophylaxis indicated for newly pose. authority permit obtained live reactors Whooping Cough 7 21 days Low grade fever, runny nose, and cough lasting (Pertussis) about 2 weeks, followed by paroxysmal coughing spells and "whoop" on inspiration 'The major criterion for exclusion from attendance is the condition s probability of spread from person to -person A child may have a nonexcludable illness yet require care at home or in a hospital 'Children excluded from a school or childcare center for a communicable disease may be readmitted by any one of the following methods (A) A written certificate from a physician (B) A permit issued by the local health authority (C) Fulfilling criteria listed under "Readmission Criteria " TEXAS DEPARTMENT OF HEALTH Yes After 7 days from date antibiotic Yes Vaccine available Unimmunized contacts should treatment begun be immunized and receive antibiotic prophylaxis Report suspect cases immediately to health department or by calling the Texas Immunization Hot Line 1-800.252.9152 'A school or childcare center administrator may require a note from a parent or physician for readmission regardless of the reason for the absence Adopted by the undersigned pursuant to 25 TAC 97 SCX3) this 12th day of December 1983. / 1A /✓ �� �i 63o vuu RobertBernstein, M D, F A C P Commissioner of Health Appendix VII GDCH Page 53 DHR 5-85 APPENDIX VII SANITIZING PROCEDURES FOR FOOD SERVICE EQUIPMENT Reusable food service equipment, including infant feeding equipment, must be properly washed and sanitized by one of the following methods: Utensils must be completely immersed in hot water and maintained at a temperature of 170 ° F for not less than three minutes or 180"F for two minutes. One and 1/4 teaspoons of chlorine bleach must be used for each gallon of water at lukewarm temperature during the final rinse. One-half teaspoon iodine must be used for each gallon of water at lukewarm temperature. Quaternary ammonium compounds or acid sanitizer compounds must be used according to directions on the officially approved label. If utensils are machine washed, final rinse water must be at least 180 ° F. Other methods may be used if approved by the local health department or the Texas Depart- ment of Health. Appendix VIII Page 55 DHR 5-85 APPENDIX VIII CRIMINAL OFFENSES, FROM THE TEXAS PENAL CODE The following constitute criminal offenses included in the Texas Penal Code: Title 5. Offenses Against the Person Murder Capital murder Voluntary manslaughter Involuntary manslaughter Criminally negligent homicide False imprisonment Kidnapping Aggravated kidnapping Rape Aggravated rape Sexual abuse Aggravated sexual abuse Homosexual conduct Public lewdness Indecent exposure Rape of a child Sexual abuse of a child Indecency with a child Assault Sexual assault Aggravated assault Aggravated sexual assault Deadly assault on a peace officer Injury to a child or an elderly individual Reckless conduct Terroristic threat Aiding suicide Tampering with consumer products Title 6. Offenses Against the Family Bigamy Incest Interference with child custody Enticing a child Criminal nonsupport Sale or purchase of a child Solicitation of a child Harboring a runaway child Violation of a court order Title 43. Public Indecency Prostitution Promotion of prostitution Aggravated promotion of prostitution Compelling prostitution Obscene display or distribution Obscenity Sale, distribution or display of harmful material to a minor Sexual performance by a child U D MOAO IMEM Day-care Centers May 1995 i Stock Code 20310-0000 I i s Texas Department of Human Services John H. Winters Human Services Center • 701 West 51st Street Mailing Address: P.O. Box 2960 • Austin, Texas 78769 COMMISSIONER MARLIN W JOHNSTON February 8, 1985 Dear Licensee: BOARD MEMBERS J LIVINGSTON KOSBERG Chairman, Houston VICKI GARZA Corpus Christi SIDNEY STAHL Dallas The following are the revised minimum standards which are effective May 1, 1985. The State Advisory Committee on Child Care Facilities was established by the child care licensing law It is composed of parents, guardians, or custodians of children using child care facilities; members of child advocacy groups; operators of child care facilities; and experts in various professional fields related to child care and development. The Advisory Committee members carefully studied drafts of the minimum standards that Licensing Branch staff of the Texas Department of Human Resources submitted for their consider- ation. Based on their recommendations and the directions of the Texas Board of Human Resources, the proposed revisions to the standards were published in the Texas Register. All sets of standards went through a 60 -day public review period during August and Sep- tember of 1984 to allow interested individuals to comment and make suggestions on them. Public hearings on the proposed minimum standards were held in Austin, San Antonio, Cor- pus Christi, McAllen, Tyler, Nacogdoches, Beaumont, Houston, Arlington, Wichita Falls, Abilene, Waco, Lubbock, Amarillo, Midland, and EI Paso. Members of the Advisory Commit- tee were present at the public hearings. The following were members of the State Advisory Committee on Child Care Facilities: Dr. Wilbur E. Crenwelge, Fredericksburg Mr. Joe E. Fogle, Dallas Ms. Sue Gainer, Dallas Mr. Hernan Gonzales, Alamo Dr. A. J. Green, Jr., Beeville Ms. Rose Ann Grissett, Austin Ms. Pat Henson, San Antonio Ms. Gail Laubenthal, Wichita Falls Mr. Buddy Owens, Mission Ms. Harriet Simburger, Dickinson Dr. Tom Slatton, Amarillo Mr. Alan Sowders, Quinlan Mr. David C. Winship, Houston Mr. Charles Campise, Driftwood Mr. Russell Herrington, Odessa Mr. Charles E. Long, Tyler Ms. Martha McDonald, Houston Ms. Sherry Workman, Austin An Equal Opportunity Employer I Page 2 Based on the oral and written comments the department received and the recommenda- tions of two ad hoc committees composed of for profit and nonprofit providers, parents, interested professionals, and the Advisory Committee, the proposed changes to the stand- ards were submitted to the Board for approval on December 13, 1984, at its meeting in Lub- bock. The Board is composed of Mr. J. Livingston Kosberg, Chairman, Houston Ms. Vicki Garza, Member, Corpus Christi Mr. Thomas M. Dunning, Member, Dallas After the Board approved the minimum standards, they were filed with the Secretary of State. Many Texas citizens have been involved in the effort to develop reasonable minimum stand- ards for child care facilities. The department appreciates their help and support in our mutual goal of ensuring safe child care for Texas children. Sincerely, Ra4(iN to. 4� Marlin W. Johnston MWJ:lm Attachment MINIMUM STANDARDS FOR DAY CARE CENTERS A day care center is a child care facility that provides care less than 24 hours a day for more than 12 children under age 14. A MINIMUM STANDARDS FOR DAY CARE CENTERS Page INTRODUCTION ....................................... 1 1000 ORGANIZATION AND ADMINISTRATION ................ 3 1100 Organization........................................................ 3 1200 General Administration .............................................. 4 1300 Enrollment......................................................... 5 1400 Records............................................................ 7 2000 PERSONNEL ..................................... 8 2100 Director Qualifications ............................................... 8 2200 Director Responsibilities.............................................. 9 2300 Staff Qualifications and Responsibilities ................................. 9 2400 Training...........................................................11 2500 Staff -Child Ratio....................................................11 3000 BUILDING, GROUNDS, AND EQUIPMENT ................15 3100 Space.............................................................15 3200 Furnishings........................................................15 3300 Equipment.........................................................16 3400 Toilet Facilities......................................................16 3500 Use of Facility......................................................16 4000 FIRE, SANITATION, AND SAFETY......................17 4100 Fire...............................................................17 4200 Sanitation..........................................................18 4300 Safety.............................................................19 5000 PHYSICAL HEALTH................................21 5100 Health Requirements for Children......................................21 5200 Illness or Injury .....................................................22 5300 Medications........................................................23 5400 Emergency Phone Numbers...........................................24 5500 Animals...........................................................24 6000 FOOD SERVICE AND NUTRITION ......................25 6100 Food Service........................................................25 6200 Nutrition..........................................................25 R Page 7000 ACTIVITIES______________________________ 9R 7100 Operation..........................................................26 7200 Discipline and Guidance..............................................27 7300 Infant and Toddler Care..............................................28 7400 Children with Need for Special Care.....................................29 7500 Night Care.........................................................29 7600 Water Activities.....................................................29 7700 Transportation......................................................30 GLOSSARY...........................................33 APPENDIX I Human Resources Code, Chapter 42 Child Care Licensing Law...................................................39 APPENDIX II Excerpts from the Texas Family Code (Amended)...............................47 APPENDIX III Child Care Facility Immunization Requirements (from the Texas Department of Health) September1979...........................................................51 APPENDIX IV FoodCharts..............................................................53 APPENDIX V Alternatives to Physical Punishment.........................................57 APPENDIX VI Communicable Disease Chart................................................59 APPENDIX VII Sanitizing Procedures for Food Service Equipment..............................61 APPENDIX VIII Criminal Offenses from the Texas Penal Code..................................63 INTRODUCTION Minimum Standards Minimum standards for regulating child care facilities are developed by the Texas Department of Human Resources (DHR) with the assistance of child care providers, par- ents, lawyers, doctors, child care professionals, and experts in fire, sanitation, and safety. The child care licensing law sets guidelines for what must be included in the standards and requires that minimum standards be reviewed and commented on by the State Advi- sory Committee on Child Care Facilities. The licensing law requires that proposed stand- ards be distributed to providers for a 60 -day review and comment period before adopting the proposed standards as rules. The Administrative Procedure and Texas Register Act also requires that proposed standards be published for a public comment period before adoption as rules. The department considers recommendations from providers, other interested groups, and individuals in formulating the final draft, which is filed as rules with the Secretary of State. Standards are a product of input from many people and groups and are designed to reflect what the citizens of Texas consider reasonable and minimum. Exceptions to Minimum Standards The child care licensing law authorizes the department to grant waivers and variances for specific standards. A waiver is official permission not to meet a specific standard. It is granted only for economic reasons. A variance is official permission to meet the intent of a specific standard in a way other than as stated in the standard. It may be granted for good and just cause when a particular standard is not applicable for a facility. A facility may request a waiver or variance when applying for a license, certificate, or registration or during the time the facility is regulated. The child care facility's licensing representative receives the request and makes a recommendation about it to state office staff. State office staff members make the decision on the request for a waiver or vari- ance primarily by considering the risk to the health, safety, and well-being of the children in care. Informal Administrative Reviews An applicant, a licensee, a certificate holder, or a person registered with the department has the right to request an informal review if he disagrees with a licensing representa- tive's decision. Child care providers are encouraged to first talk over the situation with the licensing representative. If this does not solve the problem, a day care provider may contact the day care licensing supervisor or the program director for day care licensing in the area. The licensing representative provides the name, address, and telephone number of the person to contact. Introduction DCC Page 2 The child care provider may request the review orally or in writing. He explains the dis- agreement and tells the department if he plans to have an attorney present. A member of the department's licensing staff conducts the review. The reviewer examines the facts and then makes a recommendation to uphold or change the licensing representative's decision. The child care provider is promptly informed of the decision. Appeals and Court Challenges If the department denies an application or revokes a license, certification, or registration, the provider is notified in writing what standards or provisions of the law are being vio- lated. He is given information about how to request an appeal. The child care provider may request an appeal of the decision within 30 days of notification. If a request for appeal is granted, the assistant commissioner for licensing appoints an advisory review board which includes people who hold the same kind of license as the person appealing the denial or revocation. A hearing is also scheduled. After an appeal hearing, the advisory review board makes recommendations to the assistant commissioner for licensing. A committee reviews the materials and makes a decision on the appeal. The committee is composed of the assistant commissioner for licensing, a person from the Licensing Branch who develops standards, and a depart- ment representative in the region where the facility is located. If a person who appeals a denial or revocation does not agree with the decision on the appeal, he may challenge it within 30 days after notification of the decision. This is done by filing suit in a district court in Travis County or in the county where the facility is located. Section 1000 DCC Page 3 DHR 5-85 ORGANIZATION AND ADMINISTRATION 1100 ( §81.401) Organization 1. A center must have a governing body (see Glossary) that is responsible for the center's policies. The governing body must assure that the center operates in compliance with the "Minimum Standards for Day Care Centers" and the child care licensing law, Chapter 42, Human Resources Code (see Appendix I). The governing body must inform the department of the name and mailing address of the sole proprietor, the partners, or its chief executive officer. 2. A corporation operating a day care center must make one of the following available to the department for review: a. the Articles of Incorporation, b. the Certificate of Incorporation, or c. a copy of the Certificate of Authority (for an out-of-state corporation). 3. A corporation or church must make available to the department a copy of the resolution authorizing the operation of the center unless the authorization is included in the document required in item 2. 4. The governing body must notify the department and apply for a new license before changing the loca- tion of the center. 5. The governing body must notify the department in writing of a. any planned addition or reduction to indoor or outdoor space before using the changed area, and b. the addition of a swimming or a fixed wading pool before using the pool. 6. The governing body must notify the department by telephone or in writing before, if possible, or within five workdays of any occurrence affecting the operation of the center. This includes, but is not limited to, the following: a. change of the governing body or ownership, b. change of center director, Section 1000 DCC Page 4 DHR 5-85 c. change of board chairman of a corporate center or other chief executive officer of the governing body, d. change of governing body designee (see Glossary), e. going out of business, f. change in hours of operation, and g. change in age range of children in care. If any change would violate the restrictions on the license, the governing body must request that the license be amended. It must wait until the department changes the restriction before making the change in operation. 1200 081.402) General Administration 1. The center must display the following in a prominent place where staff, parents, and others may review them: a. its license, b. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the center (if the notification includes a requirement for posting), c. current menus, and d. a department form stating that the items required in standard 1200, 2 are available. 2. The center must have available for review on request a. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the center (if the notification does not include a requirement for posting); b. a current copy of the department's "Minimum Standards for Day Care Centers"; and c. the center's most recent (1) fire inspection report, Section 1000 DCC Page 5 DHR 5-85 (2) sanitation inspection report, and (3) gas pipe inspection report. 3. The center must immediately notify the department of any serious occurrences affecting the day care operation. These include, but are not limited to, the following. a. fire, and b. death, serious accident, serious injury, or serious communicable disease of a child or staff. 4. The center must report suspected child abuse or neglect as required by the Texas Family Code (see Appendix II) to a. the nearest DHR child protective services office, and b. a local or state law enforcement agency. 5. The center must ensure that a person who is indicted or the subject of an official criminal complaint accepted by a county or district attorney alleging he committed any of the offenses listed below must not be at the center while children are in care and must not have contact with the children in care until the charges are resolved. The offenses (see Appendix VIII) are as follows: a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, and c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. The center must notify the department of an indictment or complaint within 24 hours or on the next workday. 1300 081.403) Enrollment 1. Before a child is enrolled, the center must inform parents about the center's activities and policies. 2. The center must obtain enrollment information for each child before admission. The center must keep this information as long as the child is in care. The parent must sign a form that contains the follow- ing: a. the child's name, birth date, home address, and home telephone number; b. the school telephone number for a school-age child; c. date of admission (see Glossary); Section 1000 DCC Page 6 DHR 5-85 d. name and address of parents and telephone numbers at which parents can be reached while the child is in care; e. names of people to whom the child may be released; f. hours the child will be in care (not to exceed 12 hours); g. name, address, and telephone number of the child's physician; h. a statement of the child's special problems or needs. This includes allergy, existing illness, pre- vious serious illness and injuries, hospitalizations during the past 12 months, and any medication prescribed for long-term, continuous use; i. transportation permission, if transportation is provided; j. permission for participation in water activities, if any; and k. emergency medical authorization. 3. The center must a. give the parent of each child in care a copy of the department booklet, "A Parent's Guide to Day Care," and b. keep on file a copy of the receipt to show that the parent was given the booklet and discussed it with the center. 4. The center must not racially discriminate against any child. Section 1000 DCC Page 7 DHR 5-85 1400 081.404) Records. 1. The center must have records of daily attendance of children and staff for the previous three months. The hours staff worked must be recorded. 2. The center must maintain personnel records for all staff and ensure that each staff's record includes a. the date on which the staff began work at the center; b. a statement from the staff providing information about all felony and misdemeanor convictions and all pending criminal charges, including deferred adjudication; c. a record of a tuberculosis examination no earlier than 12 months before beginning the position; and d. a copy of an application or other document showing how the staff meets the requirements in standard 2300, 1 and 2. 3. All required records must be available at the center for the department to inspect during hours of operation. Section 2000 DCC Page 8 DHR 5-85 PERSONNEL 2100 081.405) Director Qualifications 1. The on-site director of a day care center must be at least 21 years old and have a high school diploma or its equivalent and one of the following: a. a bachelor's degree from an accredited college or university with at least 12 credit hours of child development or early childhood education and one year of experience in a center; b. a Child Development Associate credential; c. an associate of arts degree in child development or a closely related area and one year of experience in a center; d. a day care administrator's credential issued by a professional organization or an educational insti- tution and recognized by the Licensing Branch and one year of experience in a center (the experi- ence may have been part of the credential requirements); or e. three years of experience as a director or staff in a licensed child care facility and six credit hours in child care, child development, or early childhood education and six credit hours in business man- agement from an accredited college or university. Five continuing education units (see Glossary) may be substituted for each three credit hours. Documentation showing how the director meets the above qualifications must be available at the center. A person who was director of a center on May 1, 1985, has three years from that date to comply if he remains in the same position. 2. The director of a day care center licensed for 35 or more children must meet the requirements in standard 2100, 1. He also must have two years experience as a director or staff in a licensed day care facility. This may include experience toward meeting the requirements in standard 2100, 1. A person who was a director of a center licensed for 35 or more children on May 1, 1985, has three years from that date to comply if he remains in the same position. 3. No one may serve as director of a center who has been convicted of any of the following offenses (see Appendix VIII): a. a felony or misdemeanor classified as an offense against the person or family, Section 2000 DCC Page 9 DHR 5-85 b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 4. The director must send the department the following on a department form: a. a record of training and experience; b. information about all felony and misdemeanor convictions; and c. information about all pending criminal charges, including deferred adjudication. 2200 081.406) Director Responsibilities 1. An on-site director must administer the center's daily operation in compliance with minimum stand- ards. If the director is absent from the center, an adult staff must be designated in charge and given the authority to administer the center. During the director's absence, the designated staff must administer the center in compliance with minimum standards. 2. The director must provide the staff's assignments and supervise the staff. 2300 081.407) Staff Qualifications and Responsibilities Staff working with children must be age 18 or older. The center, however, may include in the staff - child ratio a person 16 or 17 years old who works under the direct supervision of a qualified adult staff and a. has graduated from high school, or b. is enrolled in a career program related to child care approved by the Texas Education Agency or in other state or federally approved programs. At least one qualified adult staff must be included in the staff -child ratio of the group when children are in activities away from the center. 2. Each staff employed after May 1, 1985, must have a high school diploma or its equivalent except when meeting the requirements in standard 2300, Lb. 3. Staff must show competency, good judgment, and self-control in working with children. 4. Staff must relate to the children with courtesy, respect, acceptance, and patience. Section 2000 DCC Page 10 DHR 5-85 5. Effective January 1, 1986, a person certified in first aid and a person certified in cardiopulmonary resuscitation of children must be present at the center during all hours of operation. The center must have current certificates attesting to the training. 6. People at the center must not abuse, neglect, or sexually molest children (see Glossary). 7. A person convicted of any of the following offenses (see Appendix VIII) must not be at the center while children are in care and must not serve in any capacity where there is contact with children in care: a. a felony or misdemeanor classified- as an offense against the person or the family, b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 8. People whose behavior or health appears to endanger the health, safety, or well-being of children must not be at the center. 9. People must not smoke in the children's presence or consume alcohol when children are at the center. People who appear to be under the influence of alcohol or other drugs must not be in the center when children are present. 10. Staff must supervise (see Supervision in Glossary) children at all times. 11. People working with children and counted in the staff -child ratio must be free from other duties except those directly involving the care and supervision of children. These responsibilities include keeping the group's area clean. Administrative and clerical functions (see Glossary) that take the staff's attention away from the chil- dren, meal preparation, or janitorial duties must not be included in the responsibilities of staff while the staff is counted in the staff -child ratio. 12. The center must ensure that children are not out of control. 13. The center must ensure that a child is released only to a parent or an adult designated by the parent. 14. If a parent calls to authorize the emergency release of a child, the center must verify that the caller is actually the parent. 15. The center must have and follow a plan to verify the identity of a person authorized to pick up a child but not known to the staff. For example: view the picture identification on the person's driver's license or DPS identification card and record the person's name and card number. The center keeps identifying information for 24 hours. L Section 2000 DCC Page 11 DHR 5-85 16. If one staff leaves and another staff is given responsibility for the children (as in a shift change), the staff leaving must provide the incoming staff with a. any significant information he has about a child, and b. a list of children present in the group. This may be the class roll sheet. 2400 081.408) Training 1. The center must orient new staff members in understanding children and in job expectations when they begin work. The center must have documentation that each staff has been oriented in a. the requirements in the "Minimum Standards for Day Care Centers" and the licensing law; b. the center's child care policies, including discipline, guidance, and the release of children; c. recognition of symptoms of child abuse, neglect, and sexual molestation and the responsibility and procedure for reporting these; and d. the procedures to follow in handling emergencies (after the center has explored its environment for external hazards and formulated training plans accordingly). Emergencies include, but are not lim- ited to, fire, explosion, tornado, toxic fume, or other chemical release. 2. If volunteers are counted in the staff -child ratio for special activities only, the center must a. ensure that each volunteer receives relevant orientation, and b. obtain from each volunteer the statement required in standard 1400, 2.b. 3. Staff must participate yearly in at least 15 clock hours of training (see Glossary) in understanding children and improving job performance. The director must participate yearly in at least 20 clock hours of training. At least six clock hours must be in staff supervision or management and at least six clock hours must be in child development or early childhood education. The training must be documented in the staff's record at the center. A year is defined as 12 months from the date of employment. 2500 081.409) Staff -Child Ratio 1. In a center, the number of children must not exceed the following: Infants Age of Youngest Child Maximum Number Number of Staff in Group of Children 0-11 months 5 1 0-11 months 12 2 12-17 months 6 1 12-17 months 14 2 Section -2000 DCC Page 12 DHR 5-85 When a child in the group is younger than 18 months old, the oldest child in the group must not be more than 18 months older than the youngest child except as in item d of this standard. Preschool and School-age Children Maximum Number of Age of Youngest Number of Children Children to be Supervised by Child in Group of Youngest Age One Staff 18 months If four or more children 9 are under 2 years old 18 months If no more than three 10 children are under 2 years old 2 years If there are five or more 11 2 -year-olds 2 years If there are no more than 13 four 2 -year-olds 3 years If there are seven or more 15 3 -year-olds 3 years If there are no more than 17 six 3 -year-olds 4 years If there are 11 or more 18 4 -year-olds 4 years If no more than 10 children 20 are 4 years old 5 years If there are 13 or more 22 5 -year-olds 5 years If no more than 12 children 24 are 5 years old 6 years 26 and older Section 2000 DCC Page 13 DHR 5-85 a. If the youngest child in the group is younger than 18 months old, the maximum group size is 14 children. If the youngest child in the group is 18 through 23 months old, the maximum group size is 18 children. Up to 35 children may be in regular classroom activities if (1) the staff -child ratio is maintained, and (2) the youngest child is age 2 or older. b. The center may combine more than 35 children 2 years old or older for joint activities of limited duration (not to exceed 30 minutes) as long as the staff -child ratio is maintained. If all children in the group are 5 years old or older, the center may extend the duration to a maximum of one and a half hours. c. In determining the staff -child ratio, the following apply: (1) The center must use the developmental or emotional age of mentally retarded or emotionally disturbed children, as determined by a qualified consultant (see Consultation Services for Chil- dren with Need for Special Care in Glossary), and (2) The center must maintain staff -child ratios as stated in standard 2500, 1 except during the fol- lowing times: (a) nap times. Children over 18 months old may be under the supervision of 50% of the staff - child ratio if 75% of the staff -child ratio is maintained in the building. (This does not apply during evening or night care.) For any group with one or more infant, the center must main- tain the full staff -child ratio. In determining the 50% or 75%, the center does not count staff caring for a group with an infant. It also does not count children in a group with an infant. Section 2000 DCC Page 14 DHR 5-85 (b) transportation. (See section 7700.) (c) water activities. (See section 7600.) (d) field trips. (See standard 7100, 2.) (e) forty-five minutes after opening and 45 minutes before closing. The center may regroup children older than 18 months without reference to age. The staff -child ratio for regrouped children must be one staff to a maximum of 18 children. d. If 11 or fewer children are in care at the center, one of the following groupings is the maximum number of children permitted in the care of one staff: (1) If one infant is cared for, no more than six preschool and four older children may be in care. (2) If two infants are cared for, no more than five preschool and three older children may be in care. (3) If three infants are cared for, no more than two preschool children and one older child may be in care. (4) If four infants are cared for, no children older than 18 months may be in care. Preschool children are ages 18 months to 4 years. Older children are from 4 to 14 years old. 2. Each child must have a staff who is responsible for him and who is aware of details of the child's habits, interests, and any special problems. Staff must know the child's name and have information showing his age. Section 3000 DCC Page 15 DHR 5-85 BUILDING, GROUNDS, AND EQUIPMENT 3100 (§81.410) Space 1. There must be at least 30 square feet of indoor activity space, measured wall-to-wall on the inside, for each child in the center. The measurement does not include single -use areas (see Glossary). 2. The center must have an outdoor play space of at least 80 square feet for each child using the area at one time. 3. All outdoor play areas regularly used by children must be accessible by a safe route and enclosed by a building or fence at least 4 feet high and with at least two exits. An entrance to the building may count as one exit, but one exit must be away from the building. Staff must be able to open exits imme- diately in an emergency. 3200 081.411) Furnishings The center must ensure the following: 1. a working telephone with a listed number. 2. preschool children have individual cots, beds, or mats at least 1 inch thick that are waterproof or washable. The center must ensure that all sleeping equipment and furnishings are clean and sanitary (see Glossary). Linens must be washed before a different child uses them and when soiled. 3. school-age children have comfortable arrangements for rest when they are in care more than seven hours. 4. children have storage available for personal belongings. 5. comfortable seating is available for the children. Section 3000 DCC Page 16 DHR 5-85 3300 081.412) Equipment The center must provide indoor and outdoor equipment and materials (see Glossary) appropriate to the developmental needs, individual interests, and ages of the children. There must be a sufficient amount of equipment and materials to avoid excessive competition among the children or long waits for materials. 3400 (§81.413) Toilet Facilities 1. The center must have inside toilets located and equipped so children can use them independently and staff can supervise as needed. Bathroom doors must have no locks within the children's reach. Chil- dren must have privacy in the use of the bathroom as needed. 2. There must be one flush toilet for every 17 children. a. Urinals may be counted in the ratio of children to toilets, but they must not exceed 50% of the total number of toilets. Bathrooms that contain urinals must also have flush toilets. b. Potty chairs may be used, but they must not be counted in the ratio of children to toilets. They must be sanitized after each use. 3. There must be one lavatory for every 17 children. 3500 081.414) Use of Facility If programs not subject to regulation use the same facilities, the center must not use any space at the same time another program is using that space. Section 4000 DCC Page 17 DHR 5-85 FIRE, SANITATION, AND SAFETY 4100 081.415) Fire 1. In case of fire or danger of fire or explosion, the center's first responsibility is to evacuate the children to a designated safe area. a. The center must supervise children until the fire department determines the building is safe to re- enter or until the children are picked up by their families. b. The center must contact the fire department in case of fire or danger of fire, explosion, toxic fume, or other chemical release. 2. The center must have an annual fire inspection with a written report by a local or state fire marshal. The center must make any corrections called for in the report and must comply with any restrictions imposed by the fire inspector. 3. The center must have at least one fire extinguisher approved by the fire marshal. The center must mount the extinguisher on the wall by the hanger or bracket provided so that all staff can reach and use the extinguisher. The center must make the extinguisher readily available for immediate use by the staff. The center must inspect the fire extinguisher monthly, record the date, and ensure the extin- guisher is serviced when required. 4. By January 1, 1986, the center must ensure the building is equipped with smoke detectors installed and maintained according to the manufacturer's instructions and in compliance with requirements of the local fire code. 5. The center must have emergency evacuation and relocation plans posted in each room the children use. The plan must show two exit paths from each room unless the room opens directly to the out- doors at ground level. The center must practice a fire drill every three months; it must practice any other emergency procedures once each year. 6. The center must have a flashlight or other battery -powered lighting available to use in case of electri- cal failure. 7. The center must ensure that all children and staff are able to exit safely from the building within three minutes in an emergency. a. A center must not provide child care on any level above or below the ground floor unless the center obtains from a fire marshal specific written approval for care on other levels. Section 4000 DCC Page .18 DHR 5-85 b. A center must have at least two exits to the outside located in distant parts of the building. An exit through a kitchen or other hazardous area cannot be one of the required exits unless specifi- cally approved in writing by the fire marshal. c. If any doors open into a fenced yard, children must be able to open the doors easily from inside the center. The center must not have any locked doors between rooms while children are present. d. The center must not have any blocked doors or pathways. 8. The center must ensure that heating devices and areas near heat sources are not fire hazards and present no hazard to children. a. If the center has gas appliances, the center must ensure that the appliances have metal tubing and connections unless approved in writing by the fire marshal. b. Open flame space heaters are prohibited. Space heaters must be enclosed and have the seal of approval of a test laboratory approved by the fire marshal. The center must safeguard floor and wall furnace grates so that children do not have access to them. c. If the center has liquid or gas fuel heaters, the center must properly vent them to the outside. Unvented liquid or gas fuel heaters are prohibited. d. If the center uses a fireplace or wood -burning stove, the center must properly vent it to the out- side. The center must install a rigid screen or guard to prevent children from falling into the fire or against the stove. 9. The center must ensure that gas pipes are tested annually for leaks. 4200 081.416) Sanitation 1. The center must have an annual sanitation inspection with a written report by a local or state sanita- tion official. The center must make any corrections and must comply with any restrictions stated in the report. 2. The center must keep its building, grounds, and equipment cleaned, repaired, and maintained to pro- tect the health of the children. 3. The center must have adequate light, ventilation, and heat. 4. The center must have an adequate supply of water meeting the standards of the Texas Department of Health for drinking water. If possible, the source of water must be a public drinking water system. Section 4000 DCC Page 19 DHR 5-85 5. The center must ensure that drinking water is always available to children. The center must supply the water in a safe and sanitary manner. 6. The center must ensure that the temperature of hot water available to children is controlled by a thermostat so the water cannot scald Ino higher than 120 degrees Fahrenheit). 7. The center must have adequate and safe flush toilets and sewage systems. If possible, the center must be connected to a public sewage system. If public sewers are not available, the center must have treatment facilities that meet the standards of the Texas Department of Health and that are approved by the local health authority. 8. The center must keep all garbage in containers with tight lids. Garbage must be kept away from areas used by children. The center must remove garbage from the building daily and from the center at least once a week. 9. The center must take measures to keep the center free of insects and rodents. 10. Staff and children must wash their hands with soap and running water after using the toilet and before eating. Staff must wash hands with soap and running water before and after changing a dia- per, assisting a child with toileting, feeding a child or handling food, and caring for a child with symptoms of a communicable disease. 11. If children use washcloths or cloth towels, the center must ensure that each child has a clean individ- ual cloth. If paper towels or facial tissues are furnished, the center must provide a clean individual paper towel for each child. 4300 081.417) Safety 1. The center must keep its building, grounds, and equipment repaired and maintained to protect the safety of children. a. The center must have child -proof covers or safety outlets for electrical outlets accessible to chil- dren younger than 5 years old. If 220 -volt electrical connections are within the children's reach, the center must cover them with a screen or guard. b. The center's air conditioners, electric fans, and heaters must be mounted out of the children's reach or have safeguards that keep children from being injured. c. The center must equip stairs, porches, and platforms more than 2 feet above the ground with rail- ings the children can reach. d. The center must keep its play area free from standing water and sharp objects. The center must keep tanks, ponds, open wells, drainage ditches, sewage pipes, dangerous machinery, and other hazards fenced to keep the children out. The center must not have garbage cans or highly flamma- ble material in the play area. Covered trash cans are permitted (see Glossary). Section 4000 DCC Page 20 DHR 5-85 2. Indoor and outdoor equipment and supplies used both at and away from the center must be safe for the children. a. Outdoor play equipment must be placed away from busy areas in the yard and securely anchored unless portable by design. b. The center must not allow toys that explode (such as caps) or that shoot things (such as darts or BBs). c. The center must ensure that both indoors and outdoors children do not have access to toxic sub- stances. d. All swing seats must be constructed of durable, lightweight, relatively pliable material, such as rubber or nylon webbing. e. All heavy equipment must be installed in a manner to prevent tipping over or collapsing. f. The center must not allow children to use (1) climbing equipment or swings on concrete or asphalt, or (2) swings with concrete or asphalt in the fall zone (see Glossary). g. The center must ensure that no equipment has openings or angles that could entrap (see Glossary) a child's head. h. The center must ensure that no pinch, crush, or shear points are on equipment (such as exposed or open gears on rotating devices) or underneath equipment (such as axle assemblies on rotating devices). 3. The center must have first aid supplies (see Glossary) readily available to staff in a designated loca- tion and out of the children's reach. The center must have an immediately accessible guide to first aid and emergency care. Section 5000 DCC Page 21 DHR 5-85 PHYSICAL HEALTH 5100 081.418) Health Requirements for Children 1. Within one week of admission, the center must have on file evidence that each preschool child is phys- ically able to take part in the day care program. Any of the following constitutes compliance: a. a written statement from a licensed physician who has examined the child within the past year; b. a copy of the medical screening form of the Early and Periodic Screening, Diagnosis and Treat- ment (EPSDT) Program if no referral for further diagnosis and treatment is indicated; c. a form or written statement from a health service or clinic, such as (1) Head Start physical exam, (2) well-child conferences or clinics, (3) maternity and infant programs, or (4) children and youth programs; or d. a signed statement from the parent (1) giving the name and address of a licensed physician who has examined the child within the past year and states that the child is able to participate in the program. This must be followed within 12 months by a document as described in a, b, or c; (2) giving the name and address of the physician with whom an appointment for examination has been made or the address of the EPSDT screening site where the examination will take place. Following the examination, the parent must submit a document as described in a, b, or c; or (3) stating that medical diagnosis and treatment are against the parent's religion. 2. The center must keep current immunization records for each child at the center. (See Appendix III for immunization requirements.) The center must ensure that each child's immunization record includes the child's birth date, the number of doses and type, and the dates (month, day, and year) the child received each immunization. The center's compliance with this standard is measured by one or more of the following for each child in care: a. a dated record that the child has been immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella. There must be (1) a record with a rubber stamp or signature of the physician or he Section 5000 DCC Page 22 DHR 5-85 (2) a machine or handwritten copy of 'the immunization record. Staff copying the information must sign the handwritten copies. b. a dated statement from a licensed physician or other authorized health personnel that immuniza- tions against at least one of the diseases in standard 5100, 2.a. have begun. The immunization cycle must be completed as soon as is medically feasible. The center must have a current immuni- zation record on file. c. a certificate signed by a licensed physician stating that the required immunization would be injuri- ous to the health and well-being of the child or a member of the child's family or household. d. an affidavit (notarized statement) signed by the parent that the immunization conflicts with the parent's religious beliefs and practices. e. a dated statement signed by the parent that the child's immunization record is current and is on file at the school the child attends. The parent must include the name of the school in the state- ment. 3. The center must have a record showing that the child has been tested for tuberculosis according to recommendations of the Texas Department of Health if the local health authorities or the regional office of the Texas Department of Health recommends a test. A dated statement signed by the parent that the child's tuberculosis test record is current and is on file at the school the child attends also complies. The parent must include the name of the school in the state- ment. 5200 081.419) Illness or Injury 1. A child who appears ill must not be admitted to the center unless approved in writing by health per- sonnel (see Glossary). 2. The center must handle illness or injury to protect the health of all children in the center. a. The center must provide an ill or injured child with a bed, cot, or mat away from the other children. The center must call the child's parent immediately. The child must be supervised until he leaves the center. Section 5000 DCC Page 23 DHR 5-85 b. The center must plan for providing emergency care for an injured child, a child with symptoms of acute illness, and a child who is choking or not breathing. The planning must include the continued supervision of other children in care. c. Staff must give the child first aid or cardiopulmonary resuscitation, if needed. In the case of a criti- cal illness or injury, the center must call the physician named by the parent, take the child to the nearest emergency room or minor emergency clinic, or call for an emergency vehicle. 3. The center must follow the recommendations of the Texas Department of Health concerning the admission or readmission of any child after a communicable disease (see Appendix VI). 5300 081.420) Medications 1. If a center agrees to administer medications, the center must administer the medication to the child as follows: a. Prescription medications must be in the original container labeled with the child's name, a date, directions, and the physician's name. The center must administer the medication as stated on the label directions. The center must not administer medication after the expiration date. b. The center must ensure that nonprescription medication is labeled with the child's name and the date the medication was brought to the center. Nonprescription medication must be in the original container. The center must administer it according to label directions if approved in writing by health personnel or the child's parent (see Glossary). c. The center must document each dose of medication administered showing the child's name; the name of the medicine; date, time, and amount administered; and the name of the staff administer- ing the medicine. The record must be kept for two weeks. 2. The center must keep medications out of children's reach or in locked storage. 3. The center must keep medications requiring refrigeration separate from food. 4. The center must return medications when no longer needed to the child's parent. The center must dis- pose of medications when a child withdraws from the center or when the medicine is out of date. Section 5000 DCC Page 24 DHR 5-85 5400 1§81.421) Emergency Phone Numbers 1. The center must post the following emergency telephone numbers by a telephone accessible to all staff. This telephone must not be a pay phone. a. Ambulance service or emergency medical services (EMS). b. Police or sheriff's department. c. Fire department. d. Poison control center. e. Local DHR children's protective services office or child abuse hotline. f. The center (with address). 2. The center must keep the following telephone numbers in a place accessible to the telephone and to all staff: a. numbers at which parents may be reached, and b. numbers of the physicians designated by the parents. 5500 081.422) Animals 1. The center must ensure that animals on the premises have been vaccinated according to a licensed veterinarian's recommendations. The center must have documentation of the vaccinations. 2. The center must keep the center and play yard free of stray animals. The center must not allow chil- dren to play with stray animals. Section 6000 DCC Page 25 DHR 5-85 FOOD SERVICE AND NUTRITION 6100081.423) Food Service 1. The center must ensure that all food and drink served are of safe quality and are stored, prepared, dis- tributed, and served under sanitary and safe conditions. The center must wash and sanitize food ser- vice equipment (see Apendix VII). 2. The center must practice good hygiene when handling food. Staff with open or infected wounds must not work in the food preparation area. No one may smoke in any of the food areas. 3. The center must discard single -service napkins, bibs, dishes, and utensils after use. Washable nap- kins, bibs, and tablecloths must be cleaned after each use. 4. The center must encourage, but not force, children to eat. The center must discuss recurring eating problems with the child's parent. 5. Cleaning supplies must be clearly marked, kept separate from food, and kept inaccessible to children. 6200 081.424) Nutrition 1. The center must ensure that food is nutritious and is served in variety and amounts adequate to ensure growth and development (see Appendix IV for required amounts). a. The center must maintain the daily menus for all meals and snacks prepared and served in the cen- ter. The center must ensure that any substitution is of comparable food value and is recorded on the menu. The center must keep the menus for 30 days. b. All children must have regular meals and morning and afternoon snacks. c. The center must ensure that children in the center for six or more hours per day have food availa- ble that meets at least one-half of their daily food needs. This does not apply to children arriving after the evening meal and leaving before the morning meal. d. The center must have the written approval of a physician or a registered or licensed dietician for special or therapeutic diets. Section 7000 DCC Page 26 DHR 5-85 ACTIVITIES 7100 081.425) Operation 1. The center must provide activities for each group according to the children's ages, interests, and abili- ties. The activities must be appropriate to each child's health, safety, and well-being. The activities also must be flexible and promote each child's physical, emotional, social, and mental growth. a. The center must provide physical care routines appropriate to each child's developmental needs. These must include a supervised rest period after the noon meal. Rest periods must not last longer than three hours. After two hours, the center must allow children who are awake to get up and par- ticipate in quiet activities. The rest area must be adequately lighted to allow visual supervision at all times. b. The center must ensure that indoor and outdoor time periods include (1) alternating active and quiet activities, (2) opportunity for individual and group activities, and (3) outdoor time each day that weather permits. 2. The center must ensure the children's safety on field trips and excursions and during any transporta- tion provided by or for the center. Transportation includes, but is not limited to, transportation pro- vided between home and the center and between the center and school (see section 7700 for additional transportation standards). a. At least 48 hours before a field trip, the center must post in a prominent place a notice showing the group of children who will be on the trip and where and when they will go. The center must ensure that the notice remains posted until the group returns to the center. b. Staff supervising children must have immediate access to emergency medical forms and emer- gency contact information for each child in the group. c. Staff must have a written list of the children in the group and must check the roll frequently. d. Staff must have first aid supplies (see Glossary) available on field trips. e. When children are on a field trip in an enclosed, controlled area, the center must maintain the staff - child ratio as outlined in standard 2500, 1. An example would be an event planned for a group including, but not limited to, skating, dancing, or gymnastic classes; library story time; or tours. Section 7000 DCC Page 27 DHR 5-85 f. When children are on a field trip and mixing with other children or adults, the adult -child ratio must be as follows: Maximum Number of Children Age of Youngest to be Supervised Child in Group by One Adult 0-23 months 2 2 years 6 3 years 8 4 years 9 5 years 11 6 years and older 15 Examples of this situation include trips to shopping centers, the circus, or amusement parks and other activities in areas open to the general public. (1) The number of regular staff supervising this type of field trip must be at least equal to the number required in standard 2500, 1. The number may be supplemented by parents or volun- teers trained in the center's field trip procedures. (2) Children must have name tags or other identification listing the name and phone number of the center. g. Staff supervising a field trip must have transportation or a plan for transportation at the field trip location in case of emergency. 7200 081.426) Discipline and Guidance 1. The center must ensure that discipline and guidance are consistent, are based on an understanding of individual needs and development, and promote self-discipline and acceptable behavior. 2. There must be no cruel, harsh, or unusual punishment or treatment. a. Staff must not shake, bite, or hit the children. No child under 5 years old must ever be spanked. The center must not put anything in or on a child's mouth as punishment. b. If the governing body believes that it is necessary to spank children who have passed their fifth birthday, the center must have a statement on file that it is the center's policy to permit physical punishment. The statement of the rules that the center has adopted concerning the administration of physical punishment must include that spanking be done only with a staff's open hand on a child's buttocks. Each incident must be witnessed by another staff and documented in the center's records. The center must inform parents of the policy in writing and must have the parents' signed approval. (See Appendix V for alternative methods of discipline.) c. The center may use brief, supervised separation from the group if necessary, but the center must not place children in a locked room or in a dark room with the door closed. Section 7000 DCC Page 28 DHR 5-85 d. The center must not humiliate or subject children to abusive or profane language. It must not associate punishment with food, naps, or toilet training. The center must ensure that bed wetters are not shamed or punished. 7300 081.427) Infant and Toddler Care 1. The center must provide infants with an indoor and outdoor environment that is safe and physically, mentally, emotionally, and socially stimulating. The center must care for infants in rooms and outdoor play areas separate from older children (unless 11 or fewer children are present) and according to infant groupings stated in standard 2500, 1. 2. An infant who is not yet climbing must have an individual crib with a waterproof mattress covered by a clean crib sheet. A mobile infant may sleep on a low cot or mat. 3. Staff must talk to, hold, and play with the infants. 4. The center must allow each infant to explore outside the crib or playpen each morning and after- noon. 5. Infants, while awake, may remain in their cribs for up to one hour as long as they stay content and responsive. 6. A staff must always be in the room with the infants. 7. The center must ensure that bottles are clearly. marked with the child's name. 8. The center must ensure that infants up to 6 months old are held while being bottle fed. Infants over 6 months old must be held, if needed. Bottles must never be propped. The child or an adult must hold the bottle. 9. The center must ensure that an infant not yet ready for table food is fed an infant formula or diet approved in writing by the child's physician or parent. The center must obtain feeding instructions, dated and signed by the parent, and updated as changes are made. 10. Infants no longer being held for feeding must be fed in a manner that ensures their safety and com- fort. 11. The center must ensure that staff promptly change soiled or wet diapers and other clothing in a sani- tary and safe manner. The center must ensure that staff members a. place the child on a clean, washable surface disinfected after each use. The center may also use a surface with a clean, disposable covering that is changed after each use. Section 7000 DCC Page 29 DHR 5-85 b. use individual washcloths and towels or disposable towelettes to thoroughly cleanse and dry the child at each diaper change. c. place all used diapers in a moisture -proof bag or store them in a covered container that is cleaned daily. 12. If a center has a diaper flush, the center may subtract the number of infants under 18 months old from the total number of children in the center when determining the child -toilet ratio. One diaper flush may serve 17 infants. Effective January 1, 1986, all centers providing infant care must have a lavatory in the infant area and in all other areas where staff changes children's diapers. 7400 081.428) Children with Need for Special Care The center must ensure that children who need special care at the center because of disabling or limiting conditions are given the care and activities qualified psychologists, physicians, or other experts recom- mend. 7500 081.429) Night Care 1. A center offering night care must comply with any applicable fire and safety requirements for this type of care. 2. The center must have visible exits. This may be provided by exit lights or by lighted exits. 3. Staff must be awake at all times. The center must ensure that activities and routines meet the unique needs of children in night care. 4. The center must ensure that each child, including a school-age child, has a cot, bed, or mat that com- plies with standard 3200, 2. 7600 081.430) Water Activities 1. When a center uses a splashing or a wading pool with less than 2 feet of water, the following apply: a. The center must meet the staff -child ratio for wading: Age of Youngest Child in Group 6 months -23 months 2 years 3 years 4 years 5 years 6 years and older Number of Staff Maximum Number of Children 6 11 13 18 22 26 Section 7000 DCC Page 30 DHR 5-85 b. When a child under 4 years old is in the'water, two staff members must supervise. c. When the pool is not in use, the center must keep it out of the children's reach. Pools that can be drained must be drained; those that cannot must meet the requirements in standard 7600, 2.a. 2. When the center uses a swimming pool (more than 2 feet of water), the following apply: a. At the center, the pool must be enclosed by a fence at least 6 feet high and built so children cannot easily climb over it. The center must keep the gate locked when the pool is not in use. b. One lifesaving device must be available for each 2,000 square feet of water surface with a mini- mum of two for each pool. c. A certified lifeguard must be on duty at all times. This person must not be counted in the staff - child ratio if people other than the children from the center are swirnm;ng. d. Staff must be able to see clearly all parts of the pool, including the bottom. 3. The center must ensure that all drain grates are in place, are in good repair, and cannot be removed without using tools. 4. The adult -child ratio for swimming is as follows: Age of Youngest Number of Maximum Number Child in Group Staff of Children 6 months - 23 months 1 1 2 years 1 6 3 years 1 8 4 years 1 12 5 years 1 15 6 years and older 1 18 a. The number of regular staff supervising swimming activities must be at least equal to the number required in standard 2500, 1. The number may be supplemented by parents or volunteers trained in toe center's procedures for supervising swimming. b. Adults included in the staff -child ratio for swimming must be able to swim and must constantly supervise the swimming activity. c. When four or more children are swimming, two adults must be present. 5. When children are in a pool that has a pump and filtering system, an adult who is able to turn off the system immediately must be present. Section 7000 DCC Page 31 DHR 5-85 6. The center must ensure that pool chemicals are inaccessible to children and that machinery rooms are locked. 7. All pools the center uses must be maintained as stated in the standards of the Texas Department of Health and local regulations. 7700 081.431) Transportation 1. Effective July 1, 1985, if a center provides transportation, each child being transported must ride in an infant carrier, a child seat, or a seat belt, as appropriate to the child's age and size. This requirement applies to all transportation including, but not limited to, transportation to and from the center, to and from school, and on field trips. This requirement applies to any vehicle used by or for the center to provide transportation, regardless of whether owned by the center and regardless of the type of vehicle - automobile, van, school bus, or other. a. Appropriateness is determined as follows: (1) The center must ensure that an infant who cannot sit up without support is properly restrained in a dynamically crash -tested infant carrier designed as a child passenger restraint device and manufactured according to federal standards. The carrier must be placed in a semi -reclining position facing the back of the car. The carrier must be held in the seat by the standard fixed seat belt. (2) The center must ensure that each child under 2 years old who can sit alone is properly seated in a child seat that is a dynamically crash -tested child passenger restraint device manufactured according to federal standards. (3) The center must ensure that each child age 2 or older rides in either a child seat that is a dynamcially crash -tested passenger restraint device manufactured according to federal stand- ards or in a seat belt. Only one person may use each seat belt. (4) A child may ride in a shoulder harness and seat belt if the shoulder harness goes across the child's chest and not across the child's face or neck. b. The center must properly anchor each restraint device and use the device according to the manu- facturer's specifications. c. If a parent provides equipment for the center to use for transporting the child, the equipment must meet the specifications stated in this standard. Section 7000 DCC Page 32 DHR 5-85 2. Effective July 1, 1985, the driver and all adult passengers in a vehicle transporting day care children must be properly restrained by a seat belt when the vehicle is in motion. 3. The center must load and unload children at the curb side of the vehicle or in a protected parking area or driveway. The center must ensure that children do not -cross a street unsupervised after leaving a vehicle. 4. The center must keep first aid supplies (see Glossary) in all center vehicles transporting children. 5. The center must equip all center vehicles used for transporting children with a minimum of one 6-13C portable fire extinguisher. The fire extinguishers must be installed in the passenger compartment of the vehicle and must be accessible to the adult occupants. 6. The staff -child ratio for transporting children must be met. a. One adult in addition to the driver must be present for each group of four children under 2 years old. b. For children 2 years old or older, the staff -child ratio is established by any of the options outlined in standard 2500, 1. If there are children under 4 years old, at least two adults must be present. Glossary DCC Page 33 DHR 5-85 GLOSSARY Glossary (§81.432) Abuse — Nonaccidental infliction or threat of infliction of physical, emotional, or mental harm to a child. Activity Space — Area or rooms used for children's activity including those separate from a group's classroom (see also Single -use Area). Administrative Functions — Functions which involve the management of a day care center, such as bookkeeping, enrolling children, answering the telephone, and collecting fees. Admission — The process of entering a child in a day care center. The date of admission is the first day on which the child is actually present in care in the center. Adult — A person 18 years old or older. Application — The form the department furnishes to gather information about and to document the intent of the governing body to set up a day care program. The application also includes all material required to be submitted to the department. Attendance — Children actually present in the day care center at any given time. (Not to be confused with enrollment.) Child — A person who has not reached his eighteenth birthday. Child Development Associate Credential — A credential which is highly desirable for staff working directly with young children; based on assessed competency in several areas of child care and child devel- opment. Child development training is available in the public community and junior college system as well as in four-year colleges, either in regular child development, vocational programs, or through adult continuing education courses. Children with Need for Special Care — Children with disabling or limiting conditions which prevent or limit participation in the normal activities of the center and which may require additional supervision. Disabling or limiting conditions include visual impairment or deafness, other physical disabilities, men- tal retardation, emotional disturbance, or learning disabilities. Consultation Services for Children with Need for Special Care — Qualified consultants include psycholo- gists, special education counselors, educational diagnosticians, special education supervisors, teachers certified by the Texas Education Agency to teach mentally retarded or emotionally disturbed children, pediatricians, licensed registered nurses, child psychiatrists, and MSW social workers skilled in assess- ing normal and unusual developmental problems in children. Such consultants may be found in state schools and hospitals, MHMR centers, human development centers, public school special education departments, university psychology or special education depart- ments, and the state listing of certified psychologists. (Copies of "Roster - Texas State Board of Exam- iners of Psychologists" can be found in local DHR offices or can be ordered from the state office Business Management Bureau.) Glossary DCC Page 34 DHR 5-85 Continuing Education Unit (CEU) — A certificate granted by an educational institution to a person who has completed a training course. (One CEU is granted for 10 clock hours of formal training.) Day Care — The care, supervision, and guidance of a child or children unaccompanied by a parent, guardian, or custodian on a regular basis, for a period of less than 24 hours per day, and in a place other than the child's or children's own home or homes. Day Care Area — That area specifically licensed for use by the day care program. This may include a spe- cific portion or portions of the building and grounds of a larger facility or one or more buildings at the same location. That area, both indoor and outdoor, designated in the plan of operation. Day Care Center — Any facility, whether or not known or incorporated under such descriptive title or name as "Nursery School," "Kindergarten," "Play School," "Child Development Center," "Early Child- hood Center," and the like, which receives 13 or more children for day care. This term applies to program, buildings, grounds, furnishings, and equipment. Day Care Location — The street address of the center; the lot or lots on which the building or buildings are located. Day Care Program — Those services and activities provided by a center: the daily schedule. Department (DHR) — Used in this document to refer only to the Texas Department of Human Resources. Direct Child Care — The supervision, guidance, and care of children as compared to food service, janito- rial functions, or administrative functions. Director — That person the governing body designates to assume daily on-site responsibility for the operation of a center, including maintenance of minimum standards. In multiple day care centers under a chief administrative officer, the director is the person physically present at each center. Enrollment — The list of names of children registered with the center. (Not to be confused with attend- ance.) Entrapping Equipment — A component or group of components on play equipment that forms angles or openings that could trap a child's head by being (1) too small to allow the child to withdraw his head eas- ily and (2) placed so that the child would be unable to support his weight by means other than his head or neck. Equipment and Materials — Include, but are not limited to, books; art materials; music materials; manipulative materials; blocks and block accessories; dramatic play materials, including homemaking materials and dolls; science materials; and climbing equipment. Facility — Includes people, administration, governing body, activities (on or off the premises), opera- tions, buildings, grounds, equipment, furnishings, and materials. Glossary DCC Page 36 DHR 5-85 (I) State operated — Operated by, under the direct jurisdiction of, and responsible to an agency of the State of Texas. (J) Other political subdivision — Operated by and under the jurisdiction of a county municipality, school district, or other political entity. Governing Body Designee — The person named on the application as the designated representative of a governing body that is not a sole proprietorship or partnership. Group — A specific number of children assigned to specific staff; each child in any group has the follow- ing in common with every other child in his group: (1) the same staff responsible for the child's basic needs, and (2) the same classroom or activity space. Group Child Care — Care for seven or more children when at least one of the children is not related to the caregiver. Handwashing — Rubbing hands together with soap under running water. Health Personnel — A licensed physician, a licensed registered nurse, or a person providing preventive, diagnostic, or therapeutic medical care to individuals in the community. Infant — A child younger than 18 months old. Janitorial Functions — Those services which involve cleaning and maintenance above that which is required for the continuation of the day care program, such as cleaning carpets, washing cots, and the like. Sweeping after an activity or mopping up spills may be necessary for continued use of the class- room, but total sweeping, vacuuming, or mopping of a classroom is a janitorial function. License — A complete document issued to the governing body of a center authorizing the licensee to operate at a specified location according to the provisions of the license, the law, and the rules and regu- lations of the Texas Department of Human Resources. Neglect — Nonaccidental failure or threatened failure to provide a child with the physical and emotional requirements for life, growth, and development. Night Care — Care given to children who are starting or continuing their night sleep or to children who spend the night at the center. Parent — Used in this document to refer to parent, legal guardian, or managing conservator. Plan of Operation — The form the department furnishes on which the governing body outlines the plans for operating the center. Probation — A sanction placed on a center instead of revocation. Under probation, the center may remain open and continue to provide day care. Glossary DCC DHR 5-85 Page 35 Fall Zone — An area extending 4 feet from climbing structures; 5 feet from the bottom of a slide (other parts of the slide are climbing structures): 7 feet plus the length of the chain from a swing's point of sus- pension; and 7 feet from a merry-go-round and other revolving device. First Aid Supplies — Required supplies include multi -size adhesive bandages, gauze pads, tweezers, cot- ton balls, hydrogen peroxide, syrup of ipecac, and a thermometer. Food Service — The preparation or serving of meals or snacks. Garbage — Waste food or items which, when deteriorating, cause offensive odors and attract rodents, insects, and the like. Governing Body — The entity with ultimate authority and responsibility for the overall operation of the center. All governing bodies will be one of the following types: (A) Sole proprietorship — Owned by an individual with the legal right and responsibility to possess, operate, sell, and otherwise deal with the facility. May include a facility owned in common by husband and wife. (B) Partnership — A combination by contract of two or more people who use their money, labor, and skill to carry on a continuing business, dividing the profits and sharing the losses in an agreed manner. Includes general and limited partnerships. (C) Corporation — An intangible entity created by individuals to operate for profit but to limit individ- ual liability. Organized according to the Texas Business Corporation Act or similar act of another state as evidenced by its Articles of Incorporation. (D) Nonprofit corporation — Equivalent of "not for profit corporation." None of the income is distrib- uted to members, directors, or officers. Organized under the Texas Non -Profit Corporation Act. (E) Nonprofit corporation with religious affiliation — Has nonprofit corporation status and is operated by, responsible to, or associated with an organization of individuals devoted to religious purposes. Does not include those whose relationship with a religious organization is only for business, such as those who only lease space. (F) Association — A combination of individuals and interests of some kind without IRS tax-exempt status. Not organized under the Texas Business Corporation Act. (G) Nonprofit association — A combination of individuals and interests of some kind, synonymous with "society," with operations devoted to charitable, benevolent, religious, patriotic, or educational pur- poses. Not organized under the Texas Business Corporation Act. (H) Nonprofit association with religious affiliation — A combination of individuals and interests of some kind, synonymous with "society," with operations devoted to religious purposes. Not organized under the Texas Business Corporation Act. Operated by, responsible to, or associated with an organiza- tion of individuals devoted to religious purposes. Does not include those whose relationship with a reli- gious organization is only for business, such as those who only lease space. Glossary DCC Page 37 DHR 5-85 Provisional License — A license the department issues to a center whose plans meet the department requirements but which is (1) not currently operating, (2) not licensed for the location stated in the appli- cation, or (3) changing ownership. Sanitary Sleeping Furnishings — Linens which have been laundered since a different person slept on them and after being soiled. School-age Care — Care offered to children between the ages of 5 (before September of that school year) and 18. Sexual Abuse or Sexual Molestation — Any sexually oriented act or practice involving staff or another adult and a child in care. Examples include, but are not limited to, fondling, sexual intercourse, sexual stimulation, sodomy, incest, rape, and using a child in sexually explicit films or pictures. Single -use Areas — Include, but are not limited to, bathrooms, hallways, storage rooms, cooking areas of kitchens, and indoor swimming pools. Staff — Any person responsible for working in contact with children whether paid or unpaid. Supervision — Care for a child or group of children. This includes awareness of and responsibility for the ongoing activity of each child. It requires physical presence, knowledge of activity requirements and children's needs, and accountability for their care. This includes staff being near enough to children to intervene when needed. Training — Time spent in workshops; conferences of child care, early childhood, or educational associa- tions; formal schooling; self -instructional material; or planned learning opportunities provided by a director, other staff, or consultants. Training must be in subject areas such as child care, child develop- ment, and early childhood education. Training for directors may also be in supervision of staff or pro- gram administration. Trash/Litter — Paper products, plastic, cloth, and the like. Water Activities — Related to the use of splashing pools, wading pools, swimming pools, or other bodies of water. Appendix I DCC Page 39 DHR 5-85 INTRODUCTION The Child Care Licensing Act of 1975, formerly Texas Revised Civil Statues Annotated, Article 695a- 3, is now Chapter 42 of the Human Resources Code. The correct citation is Human Resources Code, Chap- ter 42. CHAPTER 42, REGULATION OF CHILD-CARE FACILITIES SUBCHAPTER A. GENERAL PROVISIONS Sec. 42.001. PURPOSE Sec. 42.001. DEFINITIONS (Sections 42.003-42.020 reserved for expansion) SUBCHAPTER B. ADMINISTRATIVE PROVISIONS Sec. 42.021. DIVISION DESIGNATED Sec. 42.022. STATE ADVISORY COMMITTEE Sec. 42.023. ANNUAL REPORT Sec. 42.024. ADMINISTRATIVE PROCEDURE Sec. 42.047. (Sections 42.025-42.040 Sec. 42.048. reserved for expansion) SUBCHAPTER C. REGULATION OF LICENSING CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE Sec. 42.042. RULES AND STANDARDS Sec. 42.043. RULES FOR IMMUNIZATIONS Sec. 42.044. INSPECTIONS Sec. 42.045. RECORDS Sec. 42.046. LICENSE APPLICATION Sec. 42.047. CONSULTATIONS Sec. 42.048. ADVISORY OPINIONS Sec. 42.049. LICENSING Sec. 42.050. LICENSE RENEWAL Sec. 42.051. PROVISIONAL LICENSE Sec. 42.052. CERTIFICATION AND REGISTRATION Sec. 42.053. AGENCY HOMES (Sections 42.054-42.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PROBATION Sec. 42.072. LICENSE DENIAL OR REVOCA- TION Sec. 42.073. CLOSING A FACILITY Sec. 42.074. INJUNCTIVE RELIEF Sec. 42.075. CIVIL PENALTY Sec. 42.076. CRIMINAL PENALTIES Appendix I DCC Page 40 DHR 5-85 SUBCHAPTER A. GENERAL PROVISIONS Sec. 42.001. PURPOSE. The purpose of this chap- ter is to protect the health, safety, and wellbeing of the children of the state who reside in childcare facili- ties by establishing statewide minimum standards for their safety and protection and by regulating the facilities through a licensing program. It is the policy of the state to ensure the protection of all children under care in child-care facilities and to encourage and assist in the improvement of childcare programs. It is also the intent of the legislature that freedom of religion of all citizens is inviolate, and nothing in this chapter gives a governmental agency authority to regulate, control, supervise, or in any way be involved in the form, manner, or content of religious instruction or the curriculum of a school sponsored by a religious organization. Sec. 42.002. DEFINITIONS. In this chapter: (1) "Child" means a person under 18 years of age. (2) "Division" means the division designated by the department to carry out the provisions of this chapter. (3) "Child-care facility" means a facility that pro- vides care, training, education, custody, treatment, or supervision for a child who is not related by blood, marriage, or adoption to the owner or operator of the facility, for all or part of the 24-hour day, whether or not the facility is operated for profit or charges for the services it offers. (4) "Child-care institution" means a child-care facil- ity that provides care for more than 12 children for 24 hours a day, including facilities known as children's homes, halfway houses, residential treatment camps, emergency shelters, and training or correctional schools for children. (5) "Foster group home" means a facility that pro- vides care for 7 to 12 ,children for 24 hours a day. (6) "Foster family home" means a facility that pro- vides care for not more than six children for 24 hours a day. (7) "Day-care center" means a facility that pro- vides care for more than 12 children under 14 years of age for less than 24 hours a day. (8) "Group day-care home" means a facility that provides care for 7 to 12 children under 14 years of age for less than 24 hours a day. (9) "Registered family home" means a facility that regularly provides care in the caretaker's own resi- dence for not more than six children under 14 years of age, excluding the caretaker's own children, and that provides care after school hours for not more than six additional elementary school siblings of the other children given care, but the total number of children, including the caretaker's own, does not exceed 12 at any given time. (10) "Family day home" means a facility that pro- vides care for not more than six children under 14 years of age for less than 24 hours a day not in the caretaker's own residence nor in the residence of one or more of the children. (11) "Agency home" means a private home that provides care for not more than six children, that is used only by a licensed child -placing agency, and that meets division standards. (12) "Child -placing agency" means a person other than the natural parents or guardian of a child who plans for the placement of or places a child in an insti- tution, agency home, or adoptive home. (13) "Facilities" includes child-care facilities and child -placing agencies. (14) "State of Texas" or "state" does not include political subdivisions of the state. (Sections 42.003-42.020 reserved for expansion) SUBCHAPTER B. ADMINISTRATIVE PROVISIONS Sec. 42.021. DIVISION DESIGNATED. (a) The department shall designate a division within the department to regulate and license child-care facili- ties and child -placing agencies. The division shall enforce the provisions of this chapter and the rules and standards adopted by the department under this chapter and shall carry out other responsibilities the department may delegate or assign. (b) The commissioner of the department shall appoint as director of the division a person who: (1) meets the qualifications required of a child- care administrator by Chapter 43 of this code; (2) holds a graduate degree in social science or law and has five years' administrative experience in a field related to child care; or (3) has 10 years' experience in a field related to child care, at least 5 of which must be administrative. (c) The department shall employ sufficient person- nel and provide training for the personnel to carry out the provisions of this chapter. (d) The director may divide the state into regions for the purpose of administering this chapter. Sec. 42.022. STATE ADVISORY COMMITTEE. (a) The State Advisory Committee on Child-care Facili- ties is composed of 15 citizens of this state appointed by the commissioner. (b) Members of the committee serve for terms of two years. (c) The members must represent the following groups: (1) parents, guardians, or custodians of children who use the facilities; (2) child advocacy groups; (3) operators of the facilities; and (4) experts in various professional fields that are relevant to child care and development. (d) At least three members of the division staff shall meet with the committee, and the division shall provide staff necessary for the committee. (e) The committee shall review rules and minimum standards for child-care facilities and child -placing agencies promulgated by state agencies, and shall advise the department, the division, the council, and state agencies on problems of childcare facilities and child -placing agencies. (f) The committee shall receive and review the annual report of the division. (g) The committee shall meet twice a year, and the members shall receive their actual travel expenses and the state per diem. Sec. 42.023. ANNUAL REPORT. (a) The division shall send an annual report of its activities to the gov- ernor, lieutenant governor, and members of the legis- lature. (b) The annual report shall include: (1) a report by regions of applications for licen- sure or certification, of provisional licenses issued, denied, or revoked, of emergency closures and injunc- tions, and of the compliance of state -operated agen- cies with certification requirements; (2) a summary of the amount and kind of inser- vice training and other professional development opportunities provided for division staff, (3) a summary of training and other professional development opportunities offered to facilities' staffs; and (4)a report of new administrative procedures, of the number of staff and staff changes, and of plans for the coming year. (c) Copies of the annual report shall be available to any state citizen on request. Appendix I DCC Page 41 DHR 5-85 Sec. 42.024. ADMINISTRATIVE PROCEDURE. The Administrative Procedure and Texas Register Act (Article 6252-13a, Vernon's Texas Civil Statutes) applies to all procedures under this chapter except where it is contrary to or inconsistent with the provi- sions of this chapter. (Sections 42.025-42.045 reserved for expansion) SUBCHAPTER C. REGULATION OF CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE. (a) No person may operate a child-care facility or child -placing agency without a license issued by the division. (b) This section does not apply to: (1) a state -operated facility; (2) an agency home; (3) a facility that is operated in connection with a shopping center, business, religious organization, or establishment where children are cared for during short periods while parents or persons responsible for the children are attending religious services, shop- ping, or engaging in other activities on or near the premises, including but not limited to retreats or classes for religious instruction; (4) a school or class for religious instruction that does not last longer than two weeks and is conducted by a religious organization during the summer months; (5) a youth camp licensed by the Texas Depart- ment of Health; (6) a hospital licensed by the Texas Department of Mental Health and Mental Retardation or the Texas Department of Health; (7) an educational facility accredited by the Cen- tral Education Agency or the Southern Association of Colleges and Schools that operates primarily for educational purposes in grades kindergarten and above; (8) an educational facility that operates solely for educational purposes in grades kindergarten through at least grade two, that does not provide custodial care for more than one hour during the hours before or after the customary school day, and that is a mem- ber of an organization that promulgates, publishes, and requires compliance with health, safety, fire, and sanitation standards equal to standards required by state, municipal, and county codes; Appendix I DCC Page 42 DHR 5-85 (9) a kindergarten or preschool educational pro- gram that is operated as part of a public school or a private school accredited by the Central Education Agency, that offers educational programs through grade six, and that does not provide custodial care during the hours before or after the customary school day; and (10) a registered family home. (11) an educational facility that is integral to and inseparable from its sponsoring religious organiza- tion or an educational facility both of which do not provide custodial care for more than two hours maxi- mum per day, and that offers educational programs for children age five and above in one or more of the following: kindergarten through at least grade three, elementary, or secondary grades. (c) A single license that lists addresses and the appropriate facilities may be issued to a child-care institution that operates noncontiguous facilities that are nearby and that are demonstrably a single operation as indicated by patterns of staffing, finance, administrative supervision, and programs. (d) A person operating or desiring to operate a child-care facility that is exempt from the provisions of Subsection (a) of this section may apply to the divi- sion for a license as provided in Section 42.046 of this code The division may not deny an exempt facility a license on the ground that it is exempt from Subsec- tion (a) of this section. A facility exempt from the pro- visions of Subsection (a) of this section that desires to receive or participate in federal or state funding shall be required to comply with all other provisions of this Act and with all regulations promulgated thereunder. (e) The exemptions provided by Subsection (b) of this section do not affect the authority of local, regional, or state health department officials, the state fire marshal, or local fire prevention officials to inspect child-care facilities. Sec. 42.042. RULES AND STANDARDS. (a) The department shall make rules to carry out the provi- sions of this chapter. (b) The department shall conduct a comprehensive review of all rules and standards at least every six years. (c) The department shall provide a standard proce- dure for receiving and recording complaints and a standard form for recording complaints. (d) The department shall provide standard forms for applications and inspection reports. (e) The department shall promulgate minimum standards for child-care facilities covered by this chapter that will: (1) promote the health, safety, and welfare of chil- dren attending a facility; (2) promote safe, comfortable, and healthy physi- cal facilities for children; (3) ensure adequate supervision of children by capable, qualified, and healthy personnel; (4) ensure adequate and healthy food service where food service is offered; (5) prohibit racial discrimination by child-care facilities; and (6) require procedures for parental and guardian consultation in the formulation of children's educa- tional and therapeutic programs. (f) In promulgating minimum standards for child- care facilities, the department shall recognize the var- ious categories of facilities, including facilities offering specialized care, and the various categories of children and their particular needs. Standards for child-care institutions must require an intake study before a child is placed in an institution. The intake study may be conducted at a community mental health and mental retardation center. (g) In promulgating minimum standards, the department may recognize and treat differently the following child-care facilities: child -caring institu- tions, foster homes, day-care centers, group daycare homes, family day homes, registered family homes, and agency homes. (h) The department shall promulgate minimum standards for child -placing agencies. (i) Before adopting minimum standards, the divi- sion shall present the proposed standards to the State Advisory Committee on Child -Care Facilities for review and comment, and shall send a copy of the proposed standards to each licensee covered by the proposed standards at least 60 days before the stand- ards take effect to provide the licensee an opportu- nity to review and to send written suggestions to the council and the department. (j) The department may waive compliance with a minimum standard in a specific instance if it deter- mines that the economic impact of compliance is suf- ficiently great to make compliance impractical. (k) The department may not regulate or attempt to regulate or control the content or method of any orga- nization or curriculum of a school sponsored by a reli- gious organization. Sec. 42.043. RULES FOR IMMUNIZATIONS. (a) The department shall make rules for the immuni- zation of children admitted to facilities. (b) The department shall require that each child at an appropriate age have a test for tuberculosis and be immunized against diptheria, tetanus, poliomyelitis, rubella, and rubeola. The immunization must be effective on the date of first entry into the facility. However, a child may be provisionally admitted if the required immunizations have begun and are com- pleted as rapidly as medically feasible. (c) The Texas Department of Health shall make rules for the provisional admission of children to facil- ities and may modify or delete any of the immuniza- tions listed in Subsection (b) of this section or require additional immunizations as a requirement for admis- sion to a facility. (d) No immunization may be required for admission to a facility if a person applying for a child's admis- sion submits one of the following affidavits: (1) an affidavit signed by a licensed physician stating that the immunization would be injurious to the health and well-being of the child or a member of the child's family or household; or (2) an affidavit signed by the child's parent or guardian stating that the immunization conflicts with the tenets and practices of a recognized religious organization of which the applicant is an adherent or a member. (e) Each facility shall keep an individual immuniza- tion record for each child admitted, and the records shall be open for inspection by the division at all rea- sonable times. (f) The Texas Department of Health shall provide the immunizations required by this section to chil- dren in areas where there is no local provision of these services. Sec. 42.044. INSPECTIONS. (a) An authorized rep- resentative of the division may visit a facility during operating hours to investigate, inspect, and evaluate. (b) The division shall inspect all licensed or certified facilities at least once a year and may inspect other facilities as necessary. At least one of the annual vis- its must be unannounced and all may be unan- nounced. (c) The division must investigate a facility when a complaint is received. The division representative must notify the facility's director or authorized repre- sentative when a complaint is being investigated and report in writing the results of the investigation to the director or the director's authorized representa- tive. (d) The division may call on political subdivisions and governmental agencies for assistance within their authorized fields. Appendix I DCC Page 43 DHR 5-85 Sec. 42.045. RECORDS. (a) A person who operates a licensed or certified facility shall maintain individ- ual child development records, individual health records, statistical records, and complete financial records. (b) A person who operates a licensed facility shall have an annual audit by a certified public accountant of the facility's books. A copy of the accountant's statement of income and disbursements must accom- pany an application for a license. This subsection does not apply to a facility that provides care for less than 24 hours a day or to an agency home. (c) If a child -placing agency terminates operation as a child -placing agency, it shall, after giving notice to the department, transfer its files and records con- cerning adopted children, their biological families, and their adoptive families to the department or to a facility licensed by the department to place children for adoption. Sec. 42.046. LICENSE APPLICATION. (a) An appli- cant for a license to operate a child-care facility or child -placing agency shall submit to the divison a completed application on a form provided by the divi- sion. (b) The division shall supply the applicant the application form and a copy of the appropriate mini- mum standards. (c) After receiving an application, the division shall investigate the applicant and the plan of care for chil- dren. (d) The division shall complete the investigation and decide on an application within two months after the date the division receives an application. Sec. 42.047. CONSULTATIONS. (a) The depart- ment shall offer consultation to potential applicants, applicants, and license and certification holders about meeting and maintaining standards for licens- ing and certification and achieving programs of excel- lence in child care. (b) The department shall offer consultation to pro- spective and actual users of facilities. Sec. 42.048. ADVISORY OPINIONS. (a) The direc- tor of the division may give an advisory opinion on whether or not a planned facility or a planned change in an existing facility complies with the division's rules and minimum standards. Appendix I DCC Page 44 DHR 5-85 (b) A written opinion authorized by Subsection (a) of this section is binding on the division as a declara- tory order if it is signed by the division director and the division representative administering this chap- ter in a division region, and if an applicant or license holder has acted in reliance on the opinion. Sec. 42.049. LICENSING. (a) The division shall issue a license after determining that an applicant has satisfied all requirements. (b) When issuing a license, the division may impose restrictions on a facility, including but not limited to the number of children to be served and the type of children to be served. (c) The division may grant a variance of an individ- ual standard set forth in the applicable standards for good and just cause. (d) A license holder must display a license issued under this chapter in a prominent place at the facility. (e) A license issued under this chapter is not trans- ferable and applies only to the operator and facility location stated in the license application. A change in location or ownership automatically revokes a license. (f) A biennial license must be issued if the division determines that a facility meets all requirements. The evaluation shall be based on a specified number of visits to the facility and a review of all required forms and records. Sec. 42.050. LICENSE RENEWAL. (a) A license holder may apply for a new license in compliance with the requirements of this chapter and the rules promulgated by the division. (b) The application for a new license must be com- pleted and decided on by the division before the expi- ration of the license under which a facility is operating. (c) The division shall evaluate the application for a new license to determine if all licensing requirements are met. The evaluation must include a specified number of visits to the facility and a review of all required visits to the facility and a review of all required forms and records. Sec. 42.051. PROVISIONAL LICENSE. (a) The divi- sion shall issue a provisional license when a facility's plans meet the department's licensing requirements and one of the following situations exists: Co (1) the facility is not currently operating; (2) the facility is not licensed for the location stated in the application; or (3) there is a change in ownership of the facility. (b) A provisional license is valid for six months from the date it is issued and is not renewable. Sec. 42.052. CERTIFICATION AND REGISTRATION. (a) A state -operated child-care facility or child -placing agency must receive certification of approval from the division. The certification of approval must be renewed every two years. (b) To be certified, a facility must comply with the department's rules and standards and any provisions of this chapter that apply to a licensed facility of the same category. The operator of a certified facility must display the certification in a prominent place at the facility. (c) A registered family home must be registered with the division. (d) To be registered with the division, a registered family must comply with the department's rules and standards and any provision of this chapter that applies to a registered family home. (e) The certification requirements of this section do not apply to a Texas Youth Council facility or a facil- ity providing services solely for the Texas Youth Council. Sec. 42.053. AGENCY HOMES. (a) An agency home is considered part of the child -placing agency that operates the agency home for purposes of licens- ing. (b) The operator of a licensed agency shall display a copy of the license in a prominent place in the agency home used by the agency. (c) An agency home shall comply with all provi- sions of this chapter and all department rules and standards that apply to a child-care facility caring for a similar number of children for a similar number of hours each day. (d) The division shall revoke or suspend the license of a child -placing agency if an agency home operated by the licensed agency fails to comply with Subsec- tion (c) of this section. (Sections 42.054-42.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PROBA- TION. (a) The division may suspend the license of a facility that has temporarily ceased operation but has definite plans for starting operations again within the time limits of the issued license. (b) The division may suspend a facility's license for a definite period rather than deny or revoke the license if the division finds repeated noncompliance with standards that do not endanger the health and safety of children. To qualify for license suspension under this subsection, a facility must suspend its operations and show that standards can be met within the suspension period. (c) The division may place a facility on probation for a definite period not to extend beyond the expira- tion date of the license rather than suspend or revoke the license. The division may revoke the license of the facility during the probationary period if the facility does not meet the conditions of probation. (d) The division shall revoke the license of a facility that does not comply with standards at the end of a license suspension or probation. Sec. 42.072. LICENSE DENIAL OR REVOCATION. (a) The division may deny or revoke the license or cer- tification of approval of a facility that does not comply with the requirements of this chapter, the standards and rules of the department, or the specific terms of the license or certification. (b) The division shall notify the person operating or proposing to operate a facility of the reasons for the denial or revocation and of the person's right to appeal the decision within 30 days after receiving the notice. (c) A person who wishes to appeal a license denial - or revocation shall notify the director by certified mail within 30 days after receiving the notice required in Subsection (b) of this section. The person shall send a copy of the notice of appeal to the assigned division representative. (d) Within 14 days after the date the appeal notifi- cation was mailed, the director shall appoint an advi- sory review board to hear the appeal or notify the person requesting the appeal that the request is denied. (e) Within 14 days after notifying a person that an advisory review board will hear the case, the director shall appoint five of the person's peers to the board and set a date for the hearing. The date for the hear- ing must be within 28 days after the date the board Appendix I DCC Page 45 DHR 5-85 members are appointed. (f) The advisory review board shall hear the appeal and render its opinion to the director within seven days after the last day of the hearing. The board members shall receive actual travel expenses and the state per diem for each day of the hearing. (g) A committee composed of the director, the divi- sion representative responsible for establishing standards, and the division representative adminis- tering this chapter in the region where the facility in question is located shall review the opinion. The com- mittee shall make a decision within 14 days after receiving the opinion and shall notify, by certified mail, the person who appealed. (h) A person whose license has been denied or revoked may challenge the committee's decision by filing a suit in a district court of Travis County or the county in which the person's facility is located within 30 days after receiving the committee's decision. The trial shall be de novo. (i) Records of the department's hearing shall be kept for one year after a committee decision is ren- dered. On request, and at the person's own expense, the division shall supply a copy of the verbatim tran- script of the advisory board hearing to a person appealing a license denial or revocation in district court. 0) A person may continue to operate a facility dur- ing an appeal of a license denial or revocation unless the division has sought injunctive relief under Sec- tion 42.074 or civil penalties under Section 42.075 of this code. Sec. 42.073. CLOSING A FACILITY. (a) The division may close the facility and place the children attend- ing the facility in another facility if the division finds violations of this chapter or violations of the depart- ment's rules and standards that create an immediate danger for children. (b) A division representative who finds conditions described in Subsection (a) of this section shall imme- diately notify the director and request an immediate inspection of the facility by the director or the direc- tor's designee. (c)' The division shall report to the governor and the commissioner of the department when a stateopera- ted facility is found in violation of this chapter or the department's rules and standards and the violation threatens serious harm to the children in the facility. Appendix I DCC Page 46 DHR 5-85 (d) Closing a facility under this section is an emer- gency measure. The division shall seek an injunction against continued operation of the facility after clos- ing a facility under this section. Sec. 42.074. INJUNCTIVE RELIEF. (a) When it appears that a person has violated, is violating, or is threatening to violate the licensing, certification, or registration requirements of this chapter or the department's licensing, certification, or registration rules and standards, the division may file a suit in a district court in Travis County or in the county where the facility is located for assessment and recovery of civil penalties under Section 42.075 of this code, for injunctive relief, including a temporary restraining order, or for both injunctive relief and civil penalties. (b) The district court shall grant the injunctive relief the facts may warrant. (c) At the division's request, the attorney general shall conduct a suit in the name of the State of Texas for injunctive relief, to recover the civil penalty, or for both injunctive relief and civil penalties as authorized by Subsection (a) of this section. Sec. 42.075. CIVIL PENALTY. (a) A person is sub- ject to a civil penalty of not less than $50 nor more than $100 for each day of violation and for each act of violation if the person: (1) threatens serious harm to a child in a facility by violating a provision of this chapter or a depart- ment rule or standard; (2) violates a provision of this chapter or a department rule or standard three or more times within a 12 -month period; or (3) places a public advertisement for an unli- censed facility. (b) The civil penalty authorized by this section is cumulative and in addition to the criminal penalties and injunctive relief provided by this chapter. Sec. 42.076. CRIMINAL PENALTIES. (a) A person who operates a child-care facility or childplacing agency without a license commits a Class B misde- meanor. (b) A person who places a public advertisement for an unlicensed facility commits a Class C misde- meanor. CHAPTER 17. EMERGENCY PROCEDURES IN SUIT BY GOVERNMENTAL ENTITY Section 17.03. Taking Possession of a Child Without a Court Order. (a) An authorized representative of the Texas Department of Human Resources, a law enforce- ment officer, or a juvenile probation officer may take pos- session of a child without a court order under the following conditions and no others: (1) upon discovery of a child in a situation of danger to the child's physical health or safety when the sole purpose is to deliver the child without unnecessary delay to the parent, managing conservator, possessory con- servator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (2) upon the voluntary delivery of the child by the parent, managing conservator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (3) upon personal knowledge of facts which would lead a person of ordinary prudence and caution to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code; or (4) upon information furnished by another which has been corroborated by personal knowledge of facts and all of which taken together would lead a person of ordinary prudence and caution to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code. (See the full text of Section 17.03 for specifics on the court hearings which follow taking possession of a child in an emergency.) CHAPTER 34. REPORT OF CHILD ABUSE Section 34.01. Persons Required to Report Section 34.011. Form Section 34.02. Contents of Report: To Whom Made Section 34.03. Immunities Appendix II DCC Page 47 DHR 5-85 APPENDIX II EXCERPTS FROM THE TEXAS FAMILY CODE (AMENDED) Section 34.04. Privileged Communications Section 34.05. Investigation and Report of Receiving Agency Section 34.06. Central Registry Section 34.07. Failure to Report: Penalty Section 34.08. Confidentiality Section 34.01. Persons Required to Report. Any per- son having cause to believe that a child's physical or men- tal health or welfare has been or may be adversely affected by abuse or neglect shall report in accordance with Section 34.02 of this code. Section 34.011. Form. The Texas Department of Human Resources shall promulgate a form and cause a sample to be distributed for the reporting of suspected occurrences of child abuse as required by Section 34.01 of this code. Copies of the form shall be distributed to all licensed hospitals in this state to be available for use with- out charge by hospital employees, physicians, patients, and other persons. The form shall include a statement that child abuse reports are confidential and that information contained in the reports, including the name of the person making the report, may be used only for the purposes con- sistent with the investigation of child abuse. The form shall give the address of the Texas Department of Human Resources. Hospital employees, physicians, patients, and other persons must complete the form and return it to the Texas Department of Human Resources. Section 34.02. Contents of Report: To Whom Made. (a) Nonaccusatory reports reflecting the reporter's belief that a child has been or will be abused or neglected, or has died of abuse or neglect, has violated the compulsory school attendance laws on three or more occasions, or has, on three or more occasions, been voluntarily absent from his home without the consent of his parent or guardian for a substantial length of time or without the intent to return shall be made to any local or state law enforcement agency, and in addition shall be made to: (1) the Texas Department of Human Resources; or (2) the agency designated by the court to be responsible for the protection of children. Appendix II DCC Page 48 DHR 5-85 (b) All reports must contain the name and address of the child, the name and address of the person responsible for the care of the child, if available, and any other perti- nent information. (c) All reports received by any local or state law enforcement agency shall be referred to the Texas Depart- ment of Human Resources or to the agency designated by the court to be responsible for the protection of children. The department or designated agency immediately shall notify the appropriate state or local law enforcement agency of any report it receives, other than from a law enforcement agency, that concerns the suspected abuse or neglect of a child or death of a child from abuse or neglect. (d) An oral report shall be made immediately on learning of the abuse or neglect as prescribed in Subsection (a) of this section, and a written report shall be made within five days to the same agency or department. Anon- ymous reports, while not encouraged, will be received and acted on in the same manner as acknowledged reports. Section 34.03. Immunities. Any person reporting pur- suant to this chapter is immune from liability, civil or crim- inal, that might otherwise be incurred or imposed. Immunity extends to participation in any judicial proceed- ing resulting from the report. Persons reporting in bad faith or malice are not protected by this section. Section 34.04. Privileged Communications. In any proceeding regarding the abuse or neglect of a child or the cause of any abuse or neglect, evidence may not be excluded on the ground of privileged communication except in the case of communications between attorney and client. Section 34.05. Investigation and Report of Receiving Agency. (a) The Texas Department of Human Resources or the agency designated by the court to be responsible for the protection of children shall make a thorough investiga- tion promptly after receiving either the oral or written report. The primary purpose of the investigation shall be the protection of the child. (b) In the investigation the department or agency shall determine: (1) the nature, extent, and cause of the abuse or neglect; (2) the identity of the person responsible for the abuse or neglect; (3) the names and conditions of the other children in the home; (4) an evaluation of the parents or persons responsi- ble for the care of the child; (5) the adequacy of the home environment; (6) the relationship of the child to the parents or persons responsible for the care of the child; (7) all other pertinent data. (c) The investigation shall include a visit to the child's home, a physical examination of all the children in that home, and an interview with the subject child. The inves- tigation may include a psychological or psychiatric exami- nation of all the children in the home. If admission to the home, school, or any place where the child may be, or per- mission of the parents or persons responsible for the child's care for the physical examination cannot be obtained, then the juvenile court, or the district court, upon cause shown, shall order the parents or the persons responsible for the care of the children, or the person in charge of any place where the child may be, to allow entrance for the interview, the physical examination, and investigation. If the parents or persons responsible for the child's care does not consent to a psychological or psychiat- ric examination of the child that is requested by the department or agency, the juvenile court or district court, upon cause shown, shall order the examination to be made at the times and places designated by the court. The parent or person responsible for the child's care is entitled to notice and a hearing when the department or agency seeks a court order to allow a psychological or psychiatric examination. (d) If, before the investigation is complete, the opin- ion of the investigators is that immediate removal is neces- sary to protect the child from further abuse or neglect, the investigators shall file a petition pursuant to Chapter 17 of this code for temporary care and protection of the child. (e) The agency designated by the court to be responsi- ble for the protection of children or the department shall make a complete written report of the investigation. The report, together with its recommendations, shall be sub- mitted to the juvenile court of the district court, the dis- trict attorney, and the appropriate law enforcement agency if sufficient grounds for the institution of a suit affecting the parent-child relationship are found. (f) On the receipt of the report and recommendation required by Subsection (e) of this section, the court may direct the investigator to file a petition seeking appropriate relief under Subtitle A of this title. Appendix II DCC Page 49 DHR 5-85 Section 34.06. Central Registry. The Texas Depart- ment of Human Resources shall establish and maintain in Austin, Texas, a central registry of reported cases of child abuse or neglect. The department may adopt rules and regulations as are necessary in carrying out the provisions of this section. The rules shall provide for cooperation with local child service agencies, including hospitals, clinics, and schools, and cooperation with other states in exchang- ing reports to effect a national registration system. Section 34.07. Failure to Report: Penalty. (a) A per- son commits an offense if the person has cause to believe that a child's physical or mental health or welfare has been or may be further adversely affected by abuse or neglect and knowingly fails to report in accordance with Section 34.02 of this code. (b) An offense under this section is a Class B misde- meanor. Section 34.08. Confidentiality. The reports, records, and working papers used or developed in an investigation made under this chapter are confidential and may be dis- closed only for purposes consistent with the purposes of this code under regulations adopted by the investigating agency. Appendix III DCC Page 51 DHR 5-85 APPENDIX III CHILD CARE FACILITY IMMUNIZATION REQUIREMENTS Age Group Required Immunization and Number of Doses Under 2 mos. No immunizations required. 2 mos. to 4 mos. 1 dose of oral polio vaccine (OPV). 1 dose of diphtheria -tetanus -pertussis (DTP) vaccine. 4 mos: to 6 mos. 2 doses of OPV. 2 doses of DTP vaccine. 6 mos. to 18 mos. 2 doses of OPV. 3 doses of DTP vaccine. 18 mos. to 5 yrs. 3 doses each of OPV and DTP vaccine. 1 dose each of measles', rubella', and mumps' vaccines. 5 yrs. and older 3 doses each of OPV` and DTP' vaccine. 1 dose each of measles', rubella', and mumps' vaccines. NOTES: 'Measles: Measles vaccine is required for each child 18 months old or older. The vaccination date for the measles vaccine must be during the calendar month of or after the first birthday and since January 1, 1968. A written physician -verified history of measles disease which shows the date of the illness will sub- stitute for the measles vaccine requirements. 'Rubella: Rubella vaccine is not required after the 12th birthday. A history of rubella illness is not accept- able. Appendix III DCC Page 52 DHR 5-85 'Mumps: As a part of the child's immunization record, a written physician -verified history of mumps disease which shows the date of the illness will substitute for the vaccine requirement. Effective September 1, 1984, children less than 13 years old are required to have received mumps vaccine or provide a written physician -verified history of mumps illness. On September 1 each fol- lowing year, children one year older must also meet this requirement. By September 1, 1990, all children through 18 years old will be included. See the table below. Mumps Vaccine Requirements by Effective Dates for Children 18 Months through 18 Years of Age In Child Care Facilities Effective Dates Ages in Years* September 1, 1984 Thru 12 September 1, 1985 Thru 13 September 1, 1986 Thru 14 September 1, 1987 Thru 15 September 1, 1988 Thru 16 September 1, 1989 Thru 17 September 1, 1990 Thru 18 *Ages of children in child care facilities on the effective date. 'Polio: At least three doses of oral polio vaccine (OPV) are required for all children, provided at least one dose has been received on or after the 4th birthday. A dose of OPV given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. No further doses of OPV are required. Some children or students may be enrolled who have received inactivated polio vaccine (IPV). These students are in full compliance when an initial series of four doses are completed and a booster dose within five years of the fourth dose has been received. A booster dose is required every five years thereafter. SDiptheria - Tetanus - Pertussis/Tetanus - Diphtheria: DPT/TD vaccine is required for all children. At least three doses of DTP and/or Td vaccine are required, provided at least one dose has been received on or after the 4th birthday. A dose of DTP or Td given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. Besides the minimum of three DTP or Td doses with one dose since the 4th birthday, children 12 years old and older must have a last dose within the past 10 years. (A Td booster is required 10 years after the administration of the immunization that meets the requirement for the "dose since the 4th birthday." Example: If the last dose of DTP was received at age five, the 10 -year Td booster is due at age 15.) 'An Annual Report of the Immunization Status by age group of all children must be submitted on the request of the Texas Department of Health. Amounts of Foods to be Served to Meet Nutritional Needs Kinds of Food 1. Milk or Milk Products Milk or Cheese 2. Bread and Cereal Products Bread or Cereal 3. Vegetables and Fruits including 1/4 cup vitamin C -rich fruit or vegetable each day and 1/4 cup vitamin A -rich fruit or vegetable 3 times each week 4. Protein Meat, Fish, Poultry (cooked) or Eggs or Cooked Dried Beans or Peas or Cheese One tablespoon peanut butter can be substituted for 1 tablespoon of meat. Appendix IV DCC Page 53 DHR 5-85 Total Amount To Meet 1/2 of Daily Need 1 1/4 cups 2 ounces 2 slices 1 cup 3/4 cup 3 tablespoons or 1 1/2 ounces 1 egg 3/8 cup 1 1/2 ounces Appendix IV DCC Page 54 DHR 5-85 Examples of Kinds of Foods To Be Served To Meet Nutritional Needs 1) Milk or Milk Products Milk Whole Low Fat Skim Non Fat Dry Buttermilk +Double serving is required. Cheese* Cheddar American Cottage+ Monterey Jack Swiss Mozzarella Ricotta+ *Do not count the same slice of cheese as both milk and meat. 2) Vegetables and Fruits Food made with required amounts of milk, such as custards or puddings a) Vitamin A Foods b) Other Vegetables c) Vitamin C Foods VEGETABLES VEGETABLES FRUITS FRUITS Bean sprouts (mung) Bean sprouts Broccoli Beans Apples Orange juice Carrots lima, green, wax, Avocados Oranges Greens pinto, kidney Bananas Grapefruit chard, lambsquarter, garbanzo, mung, Blackberries Grapefruit juice chicory, dandelion, great northern, Blueberries Mangos collards, mustard soy, navy Cherries Strawberries kale, turnip Beets Cranberries Tangerines Spinach Celery Boysenberries Cantaloupe Squash, winter Corn Dates Sweet potatoes Cucumbers Figs VEGETABLES Eggplant Fruit Cocktail Bean sprouts (mung) FRUITS Lettuce Grapes Broccoli Mushrooms Olives Green peppers Apricots Okra Peaches Brussel sprouts Cantaloupe Onions Pears Cauliflower Purple plums (canned) Peas Pineapple Kohlrabi Mangos green, blackeye, Plums Greens Persimmons Radishes Raspberries lambsquarter, kale, Prunes, dry, uncooked Rutabaga Raisins spinach, mustard Squash, summer Rhubarb Tomatoes Parsnips Watermelon Cabbage Juice Potatoes apple, grape, pineapple, cranberry *Do not count the same slice of cheese as both milk and meat. Appendix IV DCC Page 55 DHR 5-85 3) Protein Meat -canned, dried, fresh, and frozen Beef Lamb Pork Veal Luncheon meats Liver and other organ meats Chicken Turkey Fish/shellfish *Cheese Peanut butter Eggs Dry beans Dry peas Lentils Vegetable protein *Do not count the same slice of cheese as both milk and meat. 4) Breads and Cereals All of the following must be enriched or whole grain. Sliced Breads French, raisin, rye, soy, white, whole wheat Bread sticks Rolled wheat or oats Spaghetti Barley Boston brown bread Biscuits Macaroni Grits Fruit breads Cornbread Noodles Bulgar Crackers English muffins Sopaipillas Rolls graham Soft pretzels Pancakes Farina saltines Croissants Waffles Dumplings soda Tortillas Spoon bread Hush puppies melba toast Prepared cereals Muffins Rice zweiback Sweet rolls Appendix IV DCC Page 56 DHR 5-85 Breakfast or AM Snack EXAMPLE MEAL PATTERN The following meal pattern is an aid is not required as long as the total rE Possible Food Choices Milk/Milk Product Bread/Cereal Lunch Milk and/or Milk Product Protein Vegetable 1 Vegetable 2 Bread PM Snack Fruit or Fruit Juice Example Menu Following Meal Patten Breakfast or AM Snack Lunch Milk Milk Cereal Roast Be( New Pota Spinach Whole W] Bread Appendix V DCC Page 57 DHR 5-85 APPENDIX V ALTERNATIVES TO PHYSICAL PUNISHMENT 1. Children should have good behavior recog- nized and encouraged. 2. Children should be taught by example through the use of fair and consistent rules. The atmosphere should be relaxed. Discipline should be relevant to the behavior involved. 3. Children should be supervised by people showing an attitude of understanding and firm- ness. 4. Children should be given clear directions and guidance on the child's level of understanding. 5. Children should be held firmly if their behavior will harm themselves or others. 6. Children should be redirected by stating alternatives when their behavior is unacceptable. (Example: "Blocks are for building, not throwing — try throwing this ball.") 7. Children should be helped to understand why their conduct is unacceptable and what is acceptable in a given situation. Appendix VI DCC Page 59 COMMUNICABLE DISEASE CHART FOR SCHOOLS AND CHILD-CARE CENTERS DHR 5-85 Your Health Department: EXCLUDE FROM REPORTABLE CONDITION INCUBATION PERIOD EARLY SIGNS OF ILLNESS ATTENDANCE READMISSION CRITERIA" DISEASE NOTES FOR PREVENTION Athlete's Foot Unknown Blisters and cracking of the skin of the feet, No No Teach importance of hygienic care of feet usually between the toes Chickenpox 10.21 days Fever and rash consisting of blisters that Yes When all blisters have crusted over Yes No vaccine available may appear first on head, !hen spread to body (but not longer than 1 week after onset Usually 2 or 3 crops of new blisters that heal of rash) leaving scabs Common Cold 1 3 days Runny nose, watery eyes, general tired feeling No, unless lever is When fever subsides No Teach importanceof washing hands and covering present (See Fever) mouth when coughing or sneezing Diphtheria 2-5 days Sore throat and fever, rapidly progressing to Yes See Footnote 2(A -B) Yes Vaccine available If you suspect this disease, difficulty breathing and swallowing ,m mediately consult a physician Fever Oral temperature of 38'C (100 4'F) or greater Yes When fever subsides No Gastroenteritis, Variable, usually 2.7 days Stomachache, nausea, diarrhea (6 or more Yes When diarrhea subsides No Teach importance of hand washing Adult should Viral watery loose stools per day) supervise hand washing of preschool age children Giardiasis 4-14 days Gradual onset of stomachache, bloating, and No No Treatment is recommended Teach importance of diarrhea May recur several limes over a period hand washing Can spread quickly in child-care of weeks centers Gonorrhea 3.5 days Mala — urethral discharge ("drip")with burning No Yes Teach junior and senior high school students on urination about sexually transmitted diseases Report Famala — May have no symptoms or may have suspected cases to health department or by vaginal discharge and abdominal pain, calling the VD Hot Line 1-800-2278922 especially with menses Head Lice Eggs hatch in 7 10 days Itching and scratching of scalp Pinpoint white Yes When one medicated shampoo or No Second shampooer lotion treatment in 710 days (Pediculosis) eggs (nits) on head that will not flick off lotion treatment has been given is recommended Teach importance of not sharing combs, hats. and coats Hepatitis. Viral, 15-50 days, average 28 days Gradual onset of slight fever, tired feeling, Yes After 1 week from onset of illness, Yes Teach importance of hand washing Gamma type A stomachache. nausea, or vomiting followed by globulin should be given to household contacts jaundice Young children may have mild case of If more than one case occurs in a child-care diarrhea without jaundice center, gamma globulin should be considered for all children and parents involved Hepatitis, Viral, 6090 days Gradual onset of fever, tired feeling, loss of No Yes Neither cases nor carriers excluded from type B appetite. followed by jaundice attendance Teach importance of good hygiene and avoid contact with blood of recent cases or chronic carriers Herpes, Oral First infection, 2 12 days Blisters on or near lips that open and become No No Teach importance of good hygiene Avoid direct (cold sores) covered with dark crust Recurrences are common contact with sores Impetigo Variable Blisters on skin that open and become covered Yes When treatment begun No Keep lesions covered while in school Teach with yellowish crust No fever importance of hand washing and keeping fingernails clean Influenza 1.3 days Rapid onset of fever, headache, sore throat, Yes When fever subsides. Yes Vaccine available, but only recommended for cough children with certain chronic diseases Measles (Rubeola) 714 days Runny nose, watery eyes, fever, cough Blotchy Yes After 4 days from appearance of rash Yes Vaccine available Report suspect cases imme. red rash appears On 4th day In an outbreak, unimmunized children diately to health department or by calling the should also be excluded for at least 4 Texas Immunization Hot Line 1-800.2529152 days after last case occurs German Measles 1421 days Slight cold, swollen tender glands at back of Yes After 5 days from appearance of rash Yes Vaccine available Report suspect cases immedi- (Rubella) neck Changeable pink rash ately to health department or by calling the Texas Immunization Hot Line 1-800-2529152 Appendix VI nonexcludable illness yet require care at home or in a hospital 'Children excluded from a school or child care center for a communicable disease may be readmitted by any one of the following methods (A) A written certificate from a physician (B) A permit Issued by the local health authority (C) Fulfilling criteria listed under 'Readmission Criteria " TEXAS DEPARTMENT OF HEALTH -A ecnool or cnno care center aominlstralor may require a note Trom a parent or pnysician Tor readmission regardless or the reason for the absence Adopted by the undersigned pursuant to 25 TAC 97 5(c)(3) this 12th day of December 1983 i 630 114184 /Robert Bernstein, M D F R C P Commissioner Of Health DCC - Page 60 DHR 5-85 Meningitis, Bacterial 2 10 days Sudden onset of high fever, headache, and stiff Yes See Foutnote 2(A-8) Yes Depending on which baueria are c4usuig the no - f a neck, usually with some vomiting ness, prophylactic antibiotics may be recom mended for lamely members Occasionally, close E contacts at a ch Id -care center are also treated Meningitis, Viral 210 days Sudden onset OI fever, headache, usually with Yes See Footnote 2(A -B) Yes Teach importanceof hand washing Prophylactic some vomiting antibiotics of no value Mumps 1226 days Swelling over jaw in front of one or both ears Yes After9daysfrom lheonset ofswelling Yes Vaccine available Pain in cheeks made worse be chewing Pink Eye 13 days Red eyes, usually with some discharge or Yes See Footnote 2(A-8) No Teach importance of hand washing allergic (Conjunct ivlt is) crust on eyelids conjunctivitis is not contagious Pinworms Variable, may be as long as Perianal itching No No Teach importance of hand washing 3.6 weeks Poliomyelitis 3.21 days Fever, headache, stomachache, still neck, Yes See Footnote 2(A-8) Yes Vaccine available Report cases immediately to (Polio) usually with some vomiting Often followed by health department or by calling the Texas paralysis Immunization Hot Line 1 600 252 9152 Rocky Mountain 3.10 days Sudden onset of fever, chills, and severe head- No Yes Transmitted by tick bites It you suspect This Spotted Fever ache Rash consists of red spots beginning on disease. Immediately consult a physician wrists or ankles, progressing to the chest, palms, and soles Ringworm of the body 410 days Slowly spreading flat, scaly ring shaped spots No No Treatment is recommended Keep lesions on skin The margins may be reddish and covered while In school slightly raised Ringworm of the scalp 1021 days Slowly spreading, balding patches on scalp Yes When treatment begun No Teach importance of not sharing combs, hats with broken -off hairs and coats Salmonellosis 1-3 days Sudden onset of lever. abdominal pain. diar- Yes When diarrhea subsides Yes Teach importance of hand washing Frequentlya rhea, sometimes vomiting food borne infection Scabies First infection 1 month Small raised, red bumps or blisters on skin with Yes When treatment begun No Careful examination of close contacts required Repeat infection 2-5 days severe itching to Identify early Infection Shigellosis 1 7 days Sudden onset of fever, vomiting. and diarrhea Yes When diarrhea subsides Yes Teach importance of hand washing Can spread quickly in child care centers Streplococcal Sore 13 days Fever, sore throat, often with enlarged tender Yes After 24 hours from date antibiotic Yes Teach importance of covering mouth when Throat and Scarlet Fever lymph nodes in neck Scarlet fever producing treatment begun coughing or sneezing strains of bacteria cause a fine red rash that appears 13 days after onset of sore throat Tetanus 4 21 days Painful muscular contractions — primarily of No Yes Transmitted by contamination of a wound with jaw and neck muscles No lever bacterial spores Vaccine available If you suspect this disease, immediately consult a physician Tuberculosis, 4-12 weeks Gradual onset, tiredness loss of appetite, Yes After antibiotic treatment begun, AND Yes All classroom contacts should have TO skin tests Pulmonary slight fever, failure to gain weight, cough a physicians certificate or health Antibiotic prophylaxis indicated for newly pose authority permit obtained live reactors Whooping Cough 721 days Low grade fever runny nose, and cough lasting Yes After 7 days from date antibiotic Yes Vaccine available Ummmumzed contacts should (Pertussis) about 2 weeks, followed by paroxysmal treatment begun be immunized and receive antibiotic prophylaxis coughing spells and "whoop" on Inspiration Report suspect cases Immediately to health department or by calling the Texas Immunization Hot Line 1 600 252 9152 nonexcludable illness yet require care at home or in a hospital 'Children excluded from a school or child care center for a communicable disease may be readmitted by any one of the following methods (A) A written certificate from a physician (B) A permit Issued by the local health authority (C) Fulfilling criteria listed under 'Readmission Criteria " TEXAS DEPARTMENT OF HEALTH -A ecnool or cnno care center aominlstralor may require a note Trom a parent or pnysician Tor readmission regardless or the reason for the absence Adopted by the undersigned pursuant to 25 TAC 97 5(c)(3) this 12th day of December 1983 i 630 114184 /Robert Bernstein, M D F R C P Commissioner Of Health Appendix VII DCC Page 61 DHR 5-85 APPENDIX VII SANITIZING PROCEDURES FOR FOOD SERVICE EQUIPMENT Reusable food service equipment, including infant feeding equipment, must be properly washed and sanitized by one of the following meth- ods: Utensils must be completely immersed in hot water and maintained at a temperature of 170°F for not less than three minutes or 180°F for two minutes. One and 1/4 teaspoons of chlorine bleach must be used for each gallon of water at lukewarm temperature during the final rinse. One-half teaspoon iodine must be used for each gallon of water at lukewarm temperature. Quaternary ammonium compounds or acid sanitizer compounds must be used according to directions on the officially approved label. If utensils are machine washed, final rinse water must be at least 180'F Other methods may be used if approved by the local health department or the Texas Department of Health. Appendix VIII DCC Page 63 DHR 5-85 APPENDIX VIII CRIMINAL OFFENSES FROM THE TEXAS PENAL CODE The following constitute criminal offenses included in the Texas Penal Code: Title 5. Offenses Against the Person Murder Capital murder Voluntary manslaughter Involuntary manslaughter Criminally negligent homicide False imprisonment Kidnapping Aggravated kidnapping Rape Aggravated rape Sexual abuse Aggravated sexual abuse Homosexual conduct Public lewdness Indecent exposure Rape of a child Sexual abuse of a child Indecency with a child Assault Sexual assault Aggravated assault Aggravated sexual assault Deadly assault on a peace officer Injury to a child or an elderly individual Reckless conduct Terroristic threat Aiding suicide Tampering with consumer products Title 6. Offenses Against the Family Bigamy Incest Interference with child custody Enticing a child Criminal non support Sale or purchase of a child Solicitation of a child Harboring a runaway child Violation of a court order Title 43. Public Indecency Prostitution Promotion of prostitution Aggravated promotion of prostitution Compelling prostitution Obscene display or distribution Obscenity Sale, distribution, or display of harmful material to a minor Sexual performance by a child May 1995 Stock Code 20319-0000 Kindergartens and Nursery Schools May 1995 Stock Code 20319-0000 Ott E Op Texas Department of Human Resources > John H. Winters Human Services Center • 701 West 51st Street Mailing Address: P.O. Box 2960 • Austin, Texas 78769 COMMISSIONER BOARD MEMBERS MARLIN W JOHNSTON J LIVINGSTON KOSBERG Chairman, Houston VICKI GARZA February 8, 1985 Corps Christi THOMAS M DUNNING Dallas Dear Licensee: The following are the revised minimum standards which are effective May 1, 1985. The State Advisory Committee on Child Care Facilities was established by the child care licensing law. It is composed of parents, guardians, or custodians of children using child care facilities; members of child advocacy groups; operators of child care facilities; and experts in various professional fields related to child care and development. The Advisory Committee members carefully studied drafts of the minimum standards that Licensing Branch staff of the Texas Department of Human Resources submitted for their consider- ation. Based on their recommendations and the directions of the Texas Board of Human Resources, the proposed revisions to the standards were published in the Texas Register. All sets of standards went through a 60 -day public review period during August and Sep- tember of 1984 to allow interested individuals to comment and make suggestions on them. Public hearings on the proposed minimum standards were held in Austin, San Antonio, Cor- pus Christi, McAllen, Tyler, Nacogdoches, Beaumont, Houston, Arlington, Wichita Falls, Abilene, Waco, Lubbock, Amarillo, Midland, and EI Paso. Members of the Advisory Commit- tee were present at the public hearings. The following were members of the State Advisory Committee on Child Care Facilities: Dr. Wilbur E. Crenwelge, Fredericksburg Mr. Joe E. Fogle, Dallas Ms. Sue Gainer, Dallas Mr. Hernan Gonzales, Alamo Dr. A. J. Green, Jr., Beeville Ms. Rose Ann Grissett, Austin Ms. Pat Henson, San Antonio Ms. Gail Laubenthal, Wichita Falls Mr. Buddy Owens, Mission Ms. Harriet Simburger, Dickinson Dr. Tom Slatton, Amarillo Mr. Alan Sowders, Quinlan Mr. David C. Winship, Houston Mr. Charles Campise, Driftwood Mr. Russell Herrington, Odessa Mr. Charles E. Long, Tyler Ms. Martha McDonald, Houston Ms. Sherry Workman, Austin An Equal Opportunity Employer Page 2 Based on the oral and written comments the department received and the recommenda- tions of two ad hoc committees composed of for profit and nonprofit providers, parents, interested professionals, and the Advisory Committee, the proposed changes to the stand- ards were submitted to the Board for approval on December 13, 1984, at its meeting in Lub- bock. The Board is composed of Mr. J. Livingston Kosberg, Chairman, Houston Ms. Vicki Garza, Member, Corpus Christi Mr. Thomas M. Dunning, Member, Dallas After the Board approved the minimum standards, they were filed with the Secretary of State. Many Texas citizens have been involved in the effort to develop reasonable minimum stand- ards for child care facilities. The department appreciates their help and support in our mutual goal of ensuring safe child care for Texas children. Sincerely, oj,*� W 0 )04046� Marlin W. Johnston MWJ:lm Attachment MINIMUM STANDARDS FOR KINDERGARTENS AND NURSERY SCHOOLS A kindergarten or nursery school is a child care facility offering a program four hours or less per day for children who have passed their second birthday but who are under seven years old. MINIMUM STANDARDS FOR KINDERGARTENS AND NURSERY SCHOOLS Page INTRODUCTION ....................................... 1 1000 ORGANIZATION AND ADMINISTRATION ................ 3 1100 Organization........................................................ 3 1200 General Administration .............................................. 4 1300 Enrollment......................................................... 5 1400 Records............................................................ 6 2000 PERSONNEL ..................................... 7 2100 Director Qualifications ............................................... 7 2200 Director Responsibilities.............................................. 8 2300 Staff Qualifications and Pesponsibilities................................. 8 2400 Training........................................................... 9 2500 Staff -Child Ratio....................................,...............10 3000 BUILDINGS, GROUNDS, AND EQUIPMENT ...............12 3100 Space.............................................................12 3200 Furnishings........................................................12 3300 Equipment.........................................................12 3400 Toilet Facilities......................................................13 3500 Use of Facility......................................................13 4000 FIRE, SANITATION, AND SAFETY ......................14 4100 Fire...............................................................14 4200 Sanitation..........................................................15 4300 Safety.............................................................16 5000 PHYSICAL HEALTH................................18 5100 Health Requirements for Children......................................18 5200 Illness or Injury .....................................................19 5300 Medications........................................................20 5400 Emergency Phone Numbers...........................................21 5500 Animals...........................................................21 Page 2 6000 FOOD SERVICE AND NUTRITION ......................22 6100 Food Service........................................................22 7000 ACTIVITIES.....................................23 7100 Operation..........................................................23 7200 Discipline and Guidance..............................................24 7300 Children with Need for Special Care.....................................25 7400 Water Activities.....................................................25 7500 Transportation......................................................26 GLOSSARY...........................................28 APPENDIX I Human Resources Code, Chapter 42 Child Care Licensing Law...................................................33 APPENDIX II Excerpts from the lbxas Family Code (Amended) ...............................41 APPENDIX III Child Care Facility Immunization Requirements (from the lbxas Department of Health) September 1979...........................................................45 APPENDIX IV Alternatives to Physical Punishment.........................................47 APPENDIX V Communicable Disease Chart................................................49 APPENDIX VI Sanitizing Procedures for Food Service Equipment..............................51 APPENDIX VII Criminal Offenses from the 7bxas Penal Code..................................53 INTRODUCTION Minimum Standards Minimum standards for regulating child care facilities are developed by the Texas Department of Human Resources (DHR) with the assistance of child care providers, par- ents, lawyers, doctors, child care professionals, and experts in fire, sanitation, and safety. The child care licensing law sets guidelines for what must be included in the standards and requires that minimum standards be reviewed and commented on by the State Advi- sory Committee on Child Care Facilities. The licensing law requires that proposed stan- dards be distributed to providers for a 60 -day review and comment period before adopt- ing the proposed standards as rules. The Administrative Procedure and Texas Register Act also requires that proposed standards be published for a public comment period before adoption as rules. The department considers recommendations from providers, other interested groups, and individuals in formulating the final draft, which is filed as rules with the Secretary of State. Standards are a product of input from many people and groups and are designed to reflect what the citizens of Texas consider reasonable and minimum. Exceptions to Minimum Standards The child care licensing law authorizes the department to grant waivers and variances for specific standards. A waiver is official permission not to meet a specific standard. It is granted only for economic reasons. A variance is official permission to meet the intent of a specific standard in a way other than as stated in the standard. It may be granted for good and just cause when a particular standard is not applicable for a facility. A facility may request a waiver or variance when applying for a license, certificate, or registration or during the time the facility is regulated. The child care facility's licensing representative receives the request and makes a recommendation about it to state office staff. State office staff members make the decision on the request for a waiver or vari- ance primarily by considering the risk to the health, safety, and well-being of the children in care. Informal Administrative Reviews An applicant, a licensee, a certificate holder, or a person registered with the department has the right to request an informal review if he disagrees with a licensing representa- tive's decision. Child care providers are encouraged to first talk over the situation with the licensing representative. If this does not solve the problem, a day care provider may contact the day care licensing supervisor or the program director for day care licensing in the area. The licensing representative provides the name, address, and telephone number of the person to contact. Introduction Page 2 The child care provider may request the review orally or in writing. He explains the disagreement and tells the department if he plans to have an attorney present. A member of the department's licensing staff conducts the review. The reviewer exam- ines the facts and then makes a recommendation to uphold or change the licensing rep- resentative's decision. The child care provider is promptly informed of the decision. Appeals and Court Challenges If the department denies an application or revokes a license, certification, or registra- tion, the provider is notified in writing what standards or provisions of the law are being violated. He is given information about how to request an appeal. The child care provider may request an appeal of the decision within 30 days of notification. If a request for appeal is granted, the assistant commissioner for licensing appoints an advisory review board which includes people who hold the same kind of license as the person appealing the denial or revocation. A hearing is also scheduled. After an appeal hearing, the advisory review board makes recommendations to the assistant commissioner for licensing. A committee reviews the materials and makes a decision on the appeal. The committee is composed of the assistant commissioner for licensing, a person from the Licensing Branch who develops standards, and a depart- ment representative in the region where the facility is located. If a person who appeals a denial or revocation does not agree with the decision on the appeal, he may challenge it within 30 days after notification of the decision. This is done by filing suit in a district court in Travis County or in the county where the facil- ity is located. Section 1000 K&NS Page 3 DHR 5-85 ORGANIZATION AND ADMINISTRATION 1100 (§81.201) Organization 1. A school must have a governing body (see Glossary) that is responsible for its policies. The governing body must assure that the school operates in compliance with the "Minimum Standards for Kinder- gartens and Nursery Schools" and the child care licensing law, Chapter 42, Human Resources Code (see Appendix I). The governing body must inform the department of the name and mailing address of the sole proprietor, the partners, or its chief executive officer. 2. A corporation operating a school must make one of the following available to the department for review: a. the Articles of Incorporation, b. the Certificate of Incorporation, or c. a copy of the Certificate of Authority (for an out-of-state corporation). 3. A corporation or church must make available to the department a copy of the resolution authorizing the operation of the school unless the authorization is included in the document required in item 2. 4. The governing body must notify the department and apply for a new license before changing the loca- tion of the school. 5. The governing body must notify the department in writing of a: any planned addition or reduction in indoor or outdoor space before using the changed area, and b. the addition of a swimming or a fixed wading pool before using the pool. 6. The governing body must notify the department by telephone or in writing before, if possible, or within five workdays of any occurrence affecting the operation of the school. This includes, but is not limited to, the following- a. ollowinga. change of the governing body or ownership, b. change of school director, c. change of board chairman of a corporate school or other chief executive officer of the governing body, d. change of governing body designee (see Glossary), Section 1000 K&NS Page 4 DHR 5-85 e. going out of business, f. change in hours of operation, and g. change in age range of children in care. If any change would violate the restrictions on the license, the governing body must request that the license be amended. It must wait until the department changes the restriction before making the change in operation. 12001§81.202) General Administration 1. The school must display the following in a prominent place where staff, parents, and others may review them: a. its license; b. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the school (if the notification includes a requirement for posting); and c. a department form stating that the items required in standard 1200, 2 are available. 2. The school must have the following available for review on request: a. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the school (if the notification does not include a requirement for posting); b. a current copy of the department's "Minimum Standards for Kindergartens and Nursery Schools"; and c. the school's most recent (1) fire inspection report, (2) sanitation inspection report, and (3) gas pipe inspection report. 3. The school must immediately notify the department of any serious occurrences affecting its opera- tion. These include, but are not limited to, the following- a. ollowinga. fire, and b. death, serious accident, serious injury, or serious communicable disease of a child or staff. Section 1000 K&NS Page 5 DHR 5-85 4. The school must report suspected child abuse or neglect as required by the Texas Family Code (see Appendix II) to a. the nearest DHR child protective services office, and b. a local or state law enforcement agency. 5. The school must ensure that a person who is indicted or the subject of an official criminal complaint accepted by a county or district attorney alleging he committed any of the offenses listed below must not be at the school while children are in care and must not have contact with the children in care until the charges are resolved. The offenses (see Appendix VII) are as follows: a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, and c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 6. The school must notify the licensing office of the indictment or complaint within 24 hours or on the next workday. 1300 081.203) Enrollment 1. Before a child is enrolled, the school must inform parents about the school's activities and policies. 2. The school must obtain enrollment information for each child before admission. The school must keep this information while the child is in the school. The parents must sign a form that contains a. the child's name, birth date, home address, and home telephone number; b. date of admission (see Glossary); c. name and address of parents and telephone numbers at which parents can be reached while the child is in school; d. the names of people to whom the child may be released; e. hours the child will be in school (not to exceed four hours); f. name, address, and telephone number of the child's physician; g. a statement of the child's special problems or needs. This includes allergy, existing illness, pre- vious serious illness and injuries, hospitalizations during the past 12 months, and any medication prescribed for long-term, continuous use; Section 1000 K&NS Page 6 DHR 5-85 h. transportation permission, if transportation is provided; i. permission for participation in water activities, if any; and j. emergency medical authorization. 3. The school must a. give the parent of each child in care a copy of the department booklet, "A Parent's Guide to Day Care," and b. keep on file a copy of the receipt showing that the parent was given the booklet and discussed it with the school. 4. The school must not racially discriminate against any child. 1400 081.204) Records 1. The school must have records of daily attendance of children and staff for the previous three months. The hours staff worked must be recorded. 2. The school must maintain personnel records for all staff and ensure that each staff's record includes a. the date the staff began work at the school; b. a statement from the staff providing information about all felony and misdemeanor convictions and all pending criminal charges, including deferred adjudication; c. a record of a tuberculosis examination no earlier than 12 months before beginning the position; and d. a copy of the application or other document showing how staff meets the requirements in standard 2300, 1, 2, or 3. 3. All required records must be available at the school for the department to inspect during hours of operation. Section 2000 K&NS Page 7 DHR 5-85 PERSONNEL 2100 081.205) Director Qualifications 1. The on-site director of a kindergarten or nursery school must be at least 21 years old, have a high school diploma or its equivalent, and one of the following: a. a bachelor's degree from an accredited college or university with at least 12 credit hours of child development or early childhood education and one year of experience in a kindergarten or nursery school; b. a Child Development Associate credential; c. an associate of arts degree in child development or a closely related area and one year of experience in a school; d. an administrator's credential issued by a professional organization or educational institution and recognized by the Licensing Branch and one year of experience in a school (the experience may have been part of the credential requirements); or e. three years of experience as a director or staff in a licensed child care facility and at least six credit hours in child development or early childhood education and six credit hours in business manage- ment from an accredited college or university. Five continuing education units (see Glossary) may be substituted for each three credit hours. Documentation showing how the director meets the above qualifications must be available at the school. A person who was director of a kindergarten or nursery school on May 1, 1985, has three years from that date to comply if the person remains in the same position. 2. The director of a kindergarten or nursery school licensed for 35 or more children must meet the requirements in standard 2100, 1. The director also must have two years experience as a director or staff in a licensed day care facility. This may include experience toward meeting the requirements in standard 2100, 1. A person who was a director of a kindergarten or nursery school licensed for 35 or more children on May 1, 1985, has three years from that date to comply if the person remains in the same position. 3. No one may serve as director of a school who has been convicted of any of the following offenses (see Appendix VII): a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. Section 2000 K&NS Page 8 DHR 5-85 4. The director must send the department the following on a department form: a. a record of training and experience; b. information about all felony and misdemeanor convictions; and c. information about all pending criminal charges, including deferred adjudication. 2200 081.206) Director Responsibilities 1. An on-site director must administer the school's daily operation in compliance with minimum stand- ards. If the director is absent from the school, an adult staff must be designated in charge and given the authority to administer the school. During the director's absence, the designated person must administer the school in compliance with minimum standards. 2. The director must provide the staff's assignments and supervise the staff. 2300 081.207) Staff Qualifications and Responsibilities 1. Staff working with children must be age 18 or older. The school, however, may include in the staff - child ratio a person 16 or 17 years old who works under the direct supervision of a qualified adult staff and a. has graduated from high school, or b. is enrolled in a child care related career program approved by the Texas Education Agency or other state or federally approved programs. At least one qualified adult staff must be included in the staff -child ratio when children are away from the school. 2. Each staff employed after May 1, 1985, must have a high school diploma or its equivalent unless meeting the requirements in standard 2300, 1, b. 3. Staff having primary responsibility for and working with a kindergarten class must have a bachelor's degree from an accredited college or university, a valid teacher's certificate, a Child Development Associate credential, or an associate of arts degree in child development or a closely related field. People working with kindergarten children on May 1, 1985, have two years from that date to meet compliance if they remain in the same position. 4. Staff must show competency, good judgment, and self-control in working with children. 5. Staff must relate to the children with courtesy, respect, acceptance, and patience. 6. Effective January 1, 1986, a person trained in first aid and a person trained in cardiopulmonary resus- citation of children must be present at the school during all hours of operation. The school must have current certificates attesting to the training. 7. People at the school must not abuse, neglect, or sexually molest children (see Glossary). Section 2000 K&NS Page 9 DHR 5-85 8. A person convicted of any of the following offenses (see Appendix VII) must not be at the school when children are in care and must not serve in any capacity where there is contact with children in care: a. a felony or misdemeanor classified as an offense against the person or the family, b. a felony or misdemeanor classified as public indecency, and c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 9. People whose behavior or health appears to endanger the health, safety, or well-being of children must not be at the school. 10. People must not smoke in the presence of children or consume alcohol when children are at the school. People who appear to be under the influence of alcohol or other drugs must not be in the school when children are present. 11. Staff must supervise (see Supervision in Glossary) children at all times. 12. People working with children and counted in the staff -child ratio must be free from other duties except those directly involving the teaching, care, and supervision of children. These responsibilities include keeping the group's area clean. Administrative and clerical functions (see Glossary) that take the staff's attention away from the children, meal preparation, or janitorial duties must not be included in the responsibilities of staff while counted in the staff -child ratio. 13. The school must ensure that children are not out of control. 14. The school must ensure that a child is released only to a parent or an adult designated by the parent. 15. If a parent calls to authorize the emergency release of a child, the school must verify that the caller is actually the parent. 16. The school must have and follow a plan to verify the identity of a person authorized to pick up a child but not known to the staff. For example: view the picture on the person's driver's license or D.P.S. identification card and record the name and card number. The school keeps this identifying information for 24 hours. 17. If one staff leaves and another staff is given responsibility for the children, the staff leaving must provide the incoming staff with a. any significant information he has about a child, and b. a list of children present in the group. This may be the class roll sheet. 2400 081.208) Training 1. The school must orient new staff members in understanding children and in job expectations when they begin work. The school must have documentation that each staff was oriented in the following. a. the requirements in the "Minimum Standards for Kindergartens and Nursery Schools" and the licensing law; Section 2000 K&NS Page 10 DHR 5-85 b. the school's policies, including discipline, guidance, and release of children; c. recognition of symptoms of child abuse, neglect, and sexual molestation and the responsibility and procedure for reporting these; and d. procedures to follow in handling emergencies (after the school has explored its environment for external hazards and formulated its training plan accordingly). Emergencies include, but are not limited to, fire, explosion, tornado, toxic fume, or other chemical release. 2. If volunteers are counted in the staff -child ratio for special activities only, the school must a. ensure that each volunteer receives relevant orientation, and b. obtain from each volunteer the statement required in 1400,2.b. 3. Staff must participate yearly in at least 15 clock hours of training (see Glossary) in understanding children and improving job performance. The director must participate yearly in at least 20 clock hours of training. At least six clock hours must be in staff supervision. The training must be documented in the staff's record at the school. A year is defined as 12 months from the date of employment. 2500 081.209) Staff -Child Ratio 1. In a kindergarten or nursery school, the number of children must not exceed the following: Age of Youngest Number of Children of Maximum Number of Children to Child in Group Youngest Age be Supervised by One Staff 2 years If there are five or 11 more 2 -year-olds 2 years If there are no more 13 than four 2 -year-olds 3 years If there are seven or 15 more 3 -year-olds 3 years If there are no more 17 than six 3 -year-olds 4 years If there are 11 or 18 more 4 -year-olds 4 years If no more than 10 20 children are 4 years old 5 years If there are 13 or 24 more 5 -year-olds 5 years If no more than 12 26 children are 5 years old 6 years 28 Section 2000 K&NS Page 11 DHR 5-85 a. Up to 35 children may be in regular classroom activities as long as the staff -child ratio is main- tained. b. The school may combine more than 35 children for joint activities of limited duration (not to exceed 30 minutes) as long as the staff -child ratio is maintained. If all children in the group are age 5 or older, the school may extend the duration to a maximum of one and a half hours. c. In determining the staff -child ratio, the following apply: (1) the school must use the developmental or emotional age of mentally retarded or emotionally disturbed children as determined by a qualified consultant (see Consultation Services for Chil- dren with Need for Special Care in Glossary), and (2) the school must maintain staff -child ratios as stated in standard 2500, 1 except during trans- portation, water activities, and field trips. 2. Each child must have a staff who is responsible for the child and who is aware of details of the child's habits, interests, and any special problems. Staff must know the child's name and have information showing his age. Section 3000 K&NS Page 12 DHR 5-85 BUILDINGS, GROUNDS, AND EQUIPMENT 3100 081.210) Space 1. There must be at least 20 square feet of indoor activity space, measured wall-to-wall on the inside, for each child in the school. The measurement does not include single -use areas (see Glossary). 2. The school must have an outdoor play space of at least 80 square feet for each child using the area at one time. 3. All outdoor play areas regularly used by children must be accessible by a safe route and enclosed by a building or fence at least 4 feet high with at least two exits. An entrance to the building may count as one exit, but one exit must be away from the building. Staff must be able to open exits immediately in an emergency. 3200 081.211) Furnishings The school must ensure the following: 1. a working telephone with a listed number. 2. children have storage available for personal belongings. 3. comfortable seating is available for the children. 3300 (§81.212) Equipment 1. The school must provide indoor and outdoor equipment and materials (see Glossary) appropriate to the developmental needs, individual interests, and ages of the children. These items must correspond to the school's educational goals. There must be a sufficient amount of equipment and materials to avoid excessive competition among the children or long waits for materials. 2. If the school's educational goals do not require the equipment listed in the Glossary, the school must have the following: a. a statement of the instructional goals of each curriculum area and instructional level. The school must give each parent a copy of this statement. The school also must make this statement availa- ble to the department. b. enough materials and a variety of equipment to support the teaching program. (1) Tbachers and children must have access to the materials and equipment. (2) The school must have on file a list of equipment and material that support each instructional goal. Section 3000 K&NS Page 13 DHR 5-85 3400 081.213) Toilet Facilities 1. The school must have inside toilets located and equipped so children can use them independently and staff can supervise as needed. Bathroom doors must have no locks within the children's reach. Chil- dren must have privacy in the use of the bathroom as needed. 2. There must be one flush toilet for every 20 children. a. Urinals may be counted in the ratio of children to toilets, but they must not exceed 50% of the total number of toilets. Bathrooms that contain urinals must also have flush toilets. b. Potty chairs may be used, but they must not be counted in the ratio of children to toilets. They must be sanitized after each use. 3. There must be one lavatory for every 20 children. 3500 081.214) Use of Facility If programs not subject to regulation use the same facilities, the school must not use any space at the same time another program is using that space. Section 4000 K&NS Page 14 DHR 5-85 FIRE, SANITATION, AND SAFETY 4100 081.2151 Fire 1. In case of fire or danger of fire or explosion, the school's first responsibility is to evacuate the children to a designated safe area. a. The school must supervise children until the fire department determines the building is safe to re- enter or until the children are picked up by their families. b. The school must contact the fire department in case of fire or danger of fire, explosion, toxic fume, or other chemical release. 2. The school must have an annual fire inspection with a written report by a local or state fire marshal. The school must make any corrections called for in the report and must comply with any restrictions imposed by the fire inspector. 3. The school must have at least one fire extinguisher approved by the fire marshal. The school must mount the extinguisher on the wall by the hanger or bracket provided so that all staff can reach and use the extinguisher. The school must make the extinguisher readily available for immediate use by the staff. The school must inspect the fire extinguisher monthly, record the date, and ensure the extin- guisher is serviced when required. 4. By January 1, 1986, the school must ensure the building is equipped with smoke detectors installed and maintained according to the manufacturer's instructions and in compliance with requirements of the local fire code. 5. The school must have emergency evacuation and relocation plans posted in each room the children use. The plan must show two exit paths from each room unless the room opens directly to the out- doors at ground level. The school must practice a fire drill every three months and must practice other emergency procedures once each year. 6. The school must have a flashlight or other battery -powered lighting available to use in case of electri- cal failure. 7. The school must ensure that all children and staff are able to exit safely from the building within three minutes in an emergency. a. A school must not allow children on any level above or below the ground floor unless the school obtains the specific written approval of a fire marshal for use of other levels. b. A school must have at least two exits to the outside located in distant parts of the building. An exit through a kitchen or other hazardous area cannot be one of the required exits unless specifi- cally approved in writing by the fire marshal. Section 4000 K&NS Page 15 DHR 5-85 c. If any doors open into a fenced yard, children must be able to open the doors easily from inside the school. The school must not have any locked doors between rooms while children are present. d. The school must not have any blocked doors or pathways. 8. The school must ensure that heating devices and areas near heat sources are not fire hazards and present no hazard to children. a. If the school has gas appliances, the school must ensure that the appliances have metal tubing and connections unless approved in writing by the fire marshal. b. Open flame space heaters are prohibited. Space heaters must be enclosed and have the seal of approval of a test laboratory approved by the fire marshal. The school must safeguard floor and wall furnace grates so that children do not have access to them. c. If the school has liquid or gas fuel heaters, the school must properly vent them to the outside. Unvented liquid or gas fuel heaters are prohibited. d. If the school uses a fireplace or wood -burning stove, the school must properly vent it to the out- side. The school must install a rigid screen or guard to prevent children from falling into the fire or against the stove. 9. The school must ensure that gas pipes are tested annually for leaks 4200 081.216) Sanitation 1. The school must have an annual sanitation inspection with a written report by a local or state sanita- tion official. The school must make any corrections and must comply with any restrictions stated in the report. 2., The school must keep its building, grounds, and equipment cleaned, repaired, and maintained to pro- tect the health of the children. 3. The school must have adequate light, ventilation, and heat. 4. The school must have an adequate supply of water meeting the standards of the Texas Department of Health for drinking water. If possible, the source of water must be a public drinking water system. 5. The school must ensure that drinking water is always available to children. The school must supply the water in a safe and sanitary manner. 6. The school must ensure that the temperature of hot water available to children is controlled by a ther- mostat so the water cannot scald (no higher than 120 degrees Fahrenheit). 7. The school must have adequate and safe flush toilets and sewage systems. If possible, the school must be connected to a public sewage system. If public sewers are not available, the school must have treatment facilities that meet the standards of the Texas Department of Health and that are approved by the local health authority. Section 4000 K&NS Page 16 DHR 5-85 8. The school must keep all garbage in containers with tight lids. The garbage must be kept away from areas used by children. The school must remove garbage from the building daily and from the school at least once a week. 9. The school must take measures to keep the school free of insects and rodents. 10. Staff and children must wash their hands with soap and running water after using the toilet and before eating. Staff must wash hands with soap and running water before and after assisting a child with toileting, handling food, and caring for a child with symptoms of a communicable disease. 11. If children use washcloths or cloth towels, the school must ensure that each child has a clean individ- ual cloth. If paper towels or facial tissues are furnished, the school must provide a clean individual paper towel for each child. 4300 081.217) Safety 1. The school must keep its building, grounds, and equipment repaired and maintained to protect the safety of children. a. The school must have child -proof covers or safety outlets on electrical outlets accessible to chil- dren younger than 5 years old. If 220 -volt electrical connections are within the children's reach, the school must cover them with a screen or guard. b. The school's air conditioners, electric fans, and heaters must be mounted out of children's reach or have safeguards that keep children from being injured. c. The school must equip stairs, porches, and platforms more than 2 feet above the ground with rail- ings the children can reach. d. The school must keep its play area free from standing water and sharp objects. The school must keep tanks, ponds, open wells, drainage ditches, sewage pipes, dangerous machinery, and other hazards fenced to keep the children out. The school must not have garbage cans or highly flamma- ble material in the play area. Covered trash cans are permitted (see Glossary). 2. Indoor and outdoor equipment and supplies used both at and away from the school must be safe for the children. a. Outdoor play equipment must be placed away from busy areas in the yard and securely anchored unless portable by design. b. The school must not allow toys that explode (such as caps) or that shoot things (such as darts or BBs). c. The school must ensure that both indoors and outdoors children do not have access to toxic sub- stances. Section 4000 K&NS Page 17 DHR 5-85 d. All swing seats must be constructed of durable, lightweight, relatively pliable material, such as rubber or nylon webbing. e. All heavy equipment must be installed in a manner to prevent tipping over or collapsing. f. The school must not allow children to use (1) climbing equipment or swings on concrete or asphalt, or (2) swings with concrete or asphalt in the fall zone (see. -Glossary). g. The school must ensure that no equipment has openings or angles that could entrap (see Glossary) a child's head. h. The school must ensure that no pinch, crush, or shear points are on equipment (such as exposed or open gears on rotating devices) or underneath equipment (such as axle assemblies on rotating devices). 3. The school must have first aid supplies (see Glossary) readily available to staff in a designated loca- tion out of the children's reach. The school must have a guide to first aid and emergency care immedi- ately accessible. Section 5000 K&NS Page 18 DHR 5-85 PHYSICAL HEALTH 5100 081.218) Health Requirements for Children 1. The school must have on file within one week of admission evidence that each child is physically able to take part in the school program. Any of the following constitutes compliance: a. A written statement from a licensed physician who has examined the child within the past year; b. A copy of the medical screening form of the Early and Periodic Screening, Diagnosis and Treat- ment (EPSDT) Program if no referral for further diagnosis and treatment is indicated; c. A form or written statement from a health service or clinic, such as (1) Head Start physical exam, (2) well-child conferences or clinics, (3) maternity and infant programs, (4) children and youth programs; or d. A signed statement from a parent (1) giving the name and address of a licensed physician who has examined the child within the past year and states that the child is able to participate in the program. This must be followed within 12 months by a document as described in a, b, or c; (2) giving the name and address of the physician with whom an appointment for examination has been made or the address of the EPSDT screening site where the examination will take place. Following the examination, the parent must submit a document as described in a, b, or c; or (3) stating that medical diagnosis and treatment are against the parent's religion. 2. The school must keep current immunization records for each child. (See Appendix III for immuniza- tion requirements.) The school must ensure that each child's immunization record includes the child's birth date, the number of doses and type, and the dates (month, day, and year) the child received each immunization. The school's compliance with the standard is measured by one or more of the following for each child: a. a dated record that the child has been immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella. There must be (1) a record with a rubber stamp or signature of the physician or health personnel, or (2) a machine or handwritten copy of the immunization record. Staff copying the information must sign the handwritten copies. Section 5000 K&NS Page 19 DHR 5-85 b. a dated statement from a licensed physician or other authorized health personnel that immuniza- tions against at least one of the diseases in standard 5100. 2.a. have begun. The immunization cycle must be completed as soon as is medically feasible. The school must have a current immuni- zation record on file. c. a certificate signed by a licensed physician stating that the required immunization would be injuri- ous to the health and well-being of the child or a member of the child's family or household. d. an affidavit (notarized statement) signed by the parent that the immunization conflicts with the parent's religious beliefs and practices. e. a dated statement signed by the parent that the child's immunization record is current and is on file at a regulated facility the child attends. The parent must include the name of the facility in the statement. 3. The school must have a record showing that the child has been tested for tuberculosis according to recommendations of the Texas Department of Health if the local health authorities or the regional office of the Texas Department of Health recommends a test. A dated statement signed by the parent that the child's tuberculosis test record is current and is on file at a regulated facility the child attends also complies. The parent must include the name of the facility in the statement. 5200 081.219) Illness or Injury 1. A child who appears ill must not be admitted to the school unless approved in writing by health per- sonnel (see Glossary). 2. The school must handle illness or injury to protect the health of all children in the school. a. The school must provide an ill or injured child with a bed, cot, or mat away from the other children. The school must call the child's parent immediately. The child must be supervised until he leaves the school. b. The school must plan how it would provide emergency care for an injured child, a child with symp- toms of acute illness, and a child who is choking or not breathing. The planning must include the continued supervision of other children in care. c. The school must give the child first aid or cardiopulmonary resuscitation, if needed. In the case of a critical illness or injury, the school must call the physician named by the parent, take the child to the nearest emergency room or minor emergency clinic, or call for an emergency vehicle. 3. The school must follow the recommendations of the Texas Department of Health concerning the admission or readmission of any child after a communicable disease (see Appendix V). Section 5000 K&NS Page 20 DHR 5-85 5300 081.220) Medications 1. If a school agrees to administer medications, the school must administer the medication to the child as follows: a. Prescription medications must be in the original container labeled with the child's name, a date, directions, and the physician's name. The school must administer the medication as stated on the label directions. The school must not administer medication after the expiration date. b. The school must ensure that nonprescription medication is labeled with the child's name and the date the medication was brought to the school. Nonprescription medication must be in the original container. The school must administer it according to label directions if approved in writing by health personnel or the child's parent (see Glossary). c. The school must document each dose of medication administered showing the child's name; the name of the medicine; date, time, and amount administered; and the name of the staff administer- ing the medicine. The record must be kept for two weeks. 2. The school must keep medications out of children's reach or in locked storage. 3. The school must keep medications requiring refrigeration separate from food. 4. The school must return medications when no longer needed to the child's parent. The school must dis- pose of medications when a child withdraws from the school or when the medicine is out of date. Section 5000 K&NS Page 21 DHR 5-85 5400 ( §81.221) Emergency Phone Numbers 1. The school must post the following emergency telephone numbers by a telephone accessible to all staff. This telephone must not be a pay phone. a. Ambulance service or emergency medical services (EMS). b. Police or sheriff's department. c. Fire department. d. Poison control center. e. Local DHR children's protective services office or child abuse hotline. f. The school (with address). 2. The school must keep the following telephone numbers in a place accessible to the telephone and to all staff: a. numbers at which parents may be reached, and b. numbers of the physicians designated by the parents. 5500 081.222) Animals 1. The school must ensure that animals on the premises have been vaccinated according to a licensed veterinarian's recommendations. The school must have documentation of the vaccinations. 2. The school must keep the school and play yard free of stray animals. The school must not allow chil- dren to play with stray animals. Section 6000 K&NS Page 22 DHR 5-85 FOOD SERVICE AND NUTRITION 6100 1§81.223) Food Service 1. The school must ensure that all food and drink served are of safe quality and are stored, prepared, dis- tributed, and served under sanitary and safe conditions. The school must wash and sanitize food ser- vice equipment (see Appendix VI). 2. The school must practice good hygiene when handling food. Staff with open or infected wounds must not work in the food preparation area. No one may smoke in any of the food areas. 3. The school must discard single -service napkins, bibs, dishes, and utensils after use. Washable nap- kins, bibs, and tablecloths must be cleaned after each use. 4. The school must encourage, but not force, children to eat. The school must discuss recurring eating problems with the child's parent. 5. Cleaning supplies must be clearly marked, kept separate from food, and kept inaccessible to children. Section 7000 K&NS Page 23 DHR 5-85 ACTIVITIES 7100 081.224) Operation 1. The school must provide activities for each group according to ages, interests, and abilities of the chil- dren -The activities must be appropriate to each child's health, safety, and well-being. The activities also must be flexible and promote each child's physical, emotional, social, and mental growth. a. The school must provide physical care routines appropriate to each child's developmental needs. b. The school must ensure that indoor and outdoor time periods include (1) alternating active and quiet activities, (2) opportunity for individual and group activities, and (3) outdoor time each day that weather permits. 2. The school must ensure the children's safety on field trips and excursions and during transportation provided by or for the school. Transportation includes, but is not limited to, transportation provided between home and the school and between the school and day care center. (See section 7700 for addi- tional transportation standards.) a. At least 48 hours before a field trip, the school must post in a prominent place a notice showing which group of children will be on the trip and where and when they will go. The school must ensure that the notice remains posted until the group returns to the school. b. Staff supervising children must have immediate access to emergency medical forms and emer- gency contact information for each child in the group. c. Staff must have a written list of the children in the group and must check the roll frequently. d. Staff must have first aid supplies (see Glossary) available on field trips. e. When children are on a field trip in an enclosed, controlled area, the school must maintain the staff - child ratio as outlined in standard 2500, 1. An example would be an event planned for the group including, but not limited to, skating, dancing, or gymnastic classes; library story time; or tours. Section 7000 K&NS Page 24 DHR 5-85 f. When children are on a field trip and mixing with other children or adults, the adult -child ratio must be as follows: Maximum Number of Children Age of Youngest to be Supervised Child in Group by One Adult 2 years 6 3 years 8 4 years 9 5 years 11 6 years 15 Examples of this situation would be trips to shopping centers, amusement parks, and the circus or other activities in areas open to the general public. (1) The number of regular staff supervising this type of field trip must be at least equal to the number required in standard 2500, 1. Staff may be supplemented by parents or volunteers trained in the school's field trip procedures. (2) Children must have name tags or other identification listing the name and phone number of the school. g. Staff supervising a field trip must have transportation or a plan for transportation at the field trip location in case of emergency. 7200 081.225) Discipline and Guidance 1. The school must ensure that discipline and guidance are consistent, are based on an understanding of individual needs and development, and promote self-discipline and acceptable behavior. 2. There must be no cruel, harsh, or unusual punishment or treatment. a. Staff must not shake, bite, or hit the children. No child under 5 years old must ever be spanked. The school must not put anything in or on a child's mouth as punishment. b. If the governing body believes that it is necessary to spank children who have passed their fifth birthday, the school must have a statement on file that it is the school's policy to permit physical punishment. The statement of the rules that the school has adopted concerning the administration of physical punishment must include that spanking be done only with a staff's open hand on a child's buttocks. Each incident must be witnessed by another staff and documented in the school's records. The school must inform the parents in writing of the policy and must have the parents' signed approval. (See Appendix IV for alternative methods of discipline.) c. The school may use brief, supervised separation from the group if necessary, but the school must not place children in a locked room or in a dark room with the door closed. d. The school must not humiliate or subject children to abusive or profane language. The school must not associate punishment with food, naps, or toilet training. Section 7000 K&NS Page 25 DHR 5-85 7300 081.226) Children with Need for Special Care The school must ensure that children who need special care at school because of disabling or limiting conditions are given the care and activities qualified psychologists, physicians, or other experts recom- mend. 7400 081.227) Water Activities 1. When a school uses a splashing or a wading pool with less than 2 feet of water, the following apply: a. The school must meet the staff -child ratio for wading: Age of Youngest Number of Maximum Number Child in Group Staff of Children 2 years 2 11 3 years 2 13 4 years 1 18 5 years 1 22 6 years 1 25 b. When a child under 4 years old is in the water, two staff members must supervise. c. When the pool is not in use, staff must keep it out of the children's reach. Pools that can be drained must be drained; those that cannot must meet the requirements in standard 7400, 2.a. 2. When a -school uses a swimming pool (more than 2 feet of water), the following apply: a. At the school, the pool must be enclosed by a fence at least 6 feet high and built so children cannot easily climb over it. The school must keep the gate locked when the pool is not in use. b. One lifesaving device must be available for each 2,000 square feet of water surface with a mini- mum of two for each pool. c. A certified lifeguard must be on duty at all times. This person must not be counted in the staff - child ratio if people other than the children from the school are swimming. d. Staff must be able to see clearly all parts of the pool, including the bottom. 3. The school must ensure that all drain grates are in place, are in good repair, and cannot be removed without using tools. Section 7000 K&NS Page 26 DHR 5-85 4. The staff -child ratio for swimming is as follows: Age of Youngest Number of Maximum Number Child in Group Staff of Children 2 years 1 6 3 years 1 8 4 years 1 12 5 years 1 15 6 years 1 18 a. The number of regular staff supervising swimming activities must be at least equal to the number required by standard 2500, 1. The number may be supplemented by parents or volunteers trained in the school's procedures for supervising swimming. b. Adults included in the staff -child ratio for swimming must be able to swim and must constantly supervise the swimming activity. c. When four or more children are swimming, two adults must be present. 5. When children are in a pool which has a pump and filtering system, an adult who is able to turn off the system immediately must be present. 6. The school must ensure that pool chemicals are inaccessible to children and that machinery rooms are locked. 7. All pools the school uses must be maintained as stated in the standards of the Texas Department of Health and local regulations. 7500 081.228) Transportation 1. Effective July 1, 1985, if a school provides transportation, each child being transported must ride in a child seat or a seat belt, as appropriate to the child's age and size. This requirement applies to all transportation including, but not limited to, transportation to and from the school, to and from a day care center, and on field trips. This requirement applies to any vehicle used by or for the school to provide transportation, regard- less of whether owned by the school and regardless of the type of vehicle - automobile, van, school bus, or other. a. Appropriateness is determined as follows: (1) The school must ensure that each child age 2 and older rides in either a child seat that is a dynamically crash -tested child passenger restraint device manufactured according to federal standards or in a seat belt. Only one person may use each seat belt. Section 7000 K&NS Page 27 DHR 5-85 (2) A child may ride in a shoulder harness and seat belt if the shoulder harness goes across the child's chest and not across the child's face or neck. b. The school must properly anchor each restraint device and use the device according to the manu- facturer's specifications. c. If a parent provides equipment for the school to use for transporting the child, the equipment must meet the specifications stated in this rule. 2. Effective July 1, 1985, the driver and all adult passengers in a vehicle transporting school children must be properly restrained by a seat belt when the vehicle is in motion. 3. The school must load and unload children at the curb side of the vehicle or in a protected parking area or driveway. The school must ensure that children do not cross a street unsupervised after leaving a vehicle. 4. The school must keep first aid supplies (see Glossary) in all school vehicles transporting children. 5. The school must equip all school vehicles used for transporting children with a minimum of one 6-13C portable fire extinguisher. The fire extinguisher must be installed in the passenger compartment of the vehicle and must be accessible to the adult occupants. 6. The staff -child ratio in standard 2500, 1 must be met during transportation. The driver is counted in the staff -child ratio. For children ages 2 and 3, at least two adults must be present. K&NS Glossary Page 28 DHR 5-85 GLOSSARY 081.229) Glossary Abuse — Nonaccidental infliction or threat of infliction of physical, emotional, or mental harm to a child. Activity Space — Area or rooms used for children's activity including those separate from a group's classroom. (See also Single -use Area.) Administrative Functions — Functions which involve the management of a kindergarten or a nursery school such as bookkeeping, enrolling children, answering the telephone, and collecting fees. Admission — The process of entering a child in a school. The date of admission is the first day on which the child is actually present in the school. Adult — A person 18 years old or older. Application — The form the department furnishes to gather information about and to document the intent of the governing body to set up a kindergarten or nursery school. The application also includes all material required to be submitted 'to the department. Attendance — Children actually present in the school at any given time. (Not to be confused with enroll- ment.) Child — A person who has not reached his eighteenth birthday. Child Development Associate Credential — A credential which is highly desirable for staff working directly with young children; based on assessed competency in several areas of child care and child devel- opment. Child development training is available in the public community and junior college system as well as in four-year colleges, either in regular child development, vocational programs, or through adult continuing education courses. Children with Need for Special Care — Children with disabling or limiting conditions which prevent or limit participation in the normal activities of the school and which may require additional supervision. Disabling or limiting conditions include visual impairment or deafness, other physical disabilities, men- tal retardation, emotional disturbance, or learning disabilities. Consultation Services for Children with Need for Special Care — Qualified consultants include psycholo- gists, special education counselors, educational diagnosticians, special education supervisors, teachers certified by the Ibxas Education Agency to teach mentally retarded or emotionally disturbed children, pediatricians, licensed registered nurses, child psychiatrists, and MSW social workers skilled in assess- ing normal and unusual developmental problems in children. Such consultants may be found in state schools and hospitals, MHMR centers, human development centers, public school special education departments, university psychology or special education depart- ments, and the state listing of certified psychologists. (Copies of "Roster -Texas State Board of Exam- iners of Psychologists" can be found in local DHR offices or can be ordered from the state office Business Management Bureau.) K&NS Glossary Page 29 DHR 5-85 Continuing Education Unit (CEU) — A certificate granted by an eductional institution to a person who has completed a training course. (One CEU is granted for 10 clock hours of formal training.) Day Care — The care, supervision, and guidance of a child or children unaccompanied by a parent, guardian, or custodian on a regular basis, for a period of less than 24 hours per day, and in a place other than the child's or children's own home or homes. Department (DHR) — Used in this document to refer only to the Texas Department of Human Resources. Direct Child Care or Direct Teaching — The supervision, guidance, and care of children as compared to food service, janitorial functions, or administrative functions. Director — That person the governing body designates to assume daily on-site responsibility for the operation of a kindergarten or nursery school, including maintenance of minimum standards. In multiple facilities under a chief administrative officer, the director is the person physically present at each kinder- garten and nursery school. Enrollment — The list of names of children registered with the school. (Not to be confused with attend- ance.) Entrapping Equipment — A component or group of components on play equipment that forms angles or openings that could trap a child's head by being (1) too small to allow the child to withdraw his head eas- ily, and (2) placed so that the child would be unable to support his weight by means other than his head or neck. Equipment and Materials — Include, but are not limited to, books; art materials; music materials; manipulative materials; blocks and block accessories; dramatic play materials, including homemaking materials and dolls; science materials; and climbing equipment. Facility — Includes people, administration, governing body, activities (on or off the premises), opera- tions, buildings, grounds, equipment, furnishings, and materials. Fall Zone — An area extending 4 feet from climbing structures; 5 feet from the bottom of a slide (other parts of the slide are climbing structures); 7 feet plus the length of the swing's chain from its point of suspension; and 7 feet from a merry-go-round and other revolving devices. First Aid Supplies — Required supplies include multi -size adhesive bandages, gauze pads, tweezers, cot- ton balls, hydrogen peroxide, syrup of ipecac, and a thermometer. Food Service — The preparation or serving of meals or snacks. Garbage — Waste food or items which, when deteriorating, cause offensive odors and attract rodents, insects, and the like. Governing Body — The entity with ultimate authority and responsibility for the overall operation of the kindergarten or nursery school. All governing bodies will be one of the following types: 1. Sole proprietorship — Owned by an individual with the legal right and responsibility to possess, operate, sell, and otherwise deal with the facility. May include a facility owned in common by hus- band and wife. K&NS Glossary Page 30 DHR 5-85 2. Partnership — Combination by contract of two or more people who use their money, labor, and skill to carry on a continuing business, dividing the profits and sharing the losses in an agreed manner. Includes general and limited partnerships. 3. Corporation — An intangible entity created by individuals to operate for profit but to limit indi- vidual liability. Organized according to the Texas Business Corporation Act or similar act of another state as evidenced by its Articles of Incorporation. 4. Nonprofit corporation — Equivalent of "not for profit corporation." None of the income is distrib- uted to members, directors, or officers. Organized under the Texas Non -Profit Corporation Act. 5. Nonprofit corporation with religious affiliation — Has nonprofit corporation status and is oper- ated by, responsible to, or associated with an organization of individuals devoted to religious pur- poses. Does not include those whose relationship with a religious organization is only for business, such as those who only lease space. 6. Association — A combination of individuals and interests of some kind without IRS tax-exempt status. Not organized under the Texas Business Corporation Act. 7. Nonprofit association — Combination of individuals and interests of some kind, synonymous with "society," with operations devoted to charitable, benevolent, religious, patriotic, or educa- tional purposes. Not organized under the Texas Business Corporation Act. 8. Nonprofit association with religious affiliation — Combination of individuals and interests of some kind, synonymous with "society," with operations devoted to religious purposes. Not orga- nized under the Texas Business Corporation Act. Operated by, responsible to, or associated with an organization of individuals devoted to religious purposes. Does not include those whose rela- tionship with a religious organization is only for business, such as those who only lease space. 9. State operated — Operated by, under the direct jurisdiction of, and responsible to an agency of the state of Texas. 10. Other political subdivision — Operated by and under the jurisdiction of a county municipality, school district, or other political entity. Governing Body Designee — The person named on the application as the designated representative of a governing body that is not a sole proprietorship or partnership. Group — A specific number of children assigned to specific staff. Each child in any group has the follow- ing in common with every other child in his group: (1) the same staff responsible for the child's basic needs, and (2) the same classroom or activity space. Group Child Care — Care for seven or more children when at least one of the children is not related to the caregiver. Handwashing — Rubbing hands together with soap under running water. Health Personnel — A licensed physician, a licensed registered nurse, or a person providing preventive, diagnostic, or therapeutic medical care to individuals in the community. K&NS Glossary Page 31 DHR 5-85 Janitorial Functions — Those services which involve cleaning and maintenance above that which is required for the continuation of the program, such as cleaning carpets, washing tables, and the like. Sweeping after an activity or mopping up spills may be necessary for continued use of the classroom, but total sweeping, vacuuming, or mopping of a classroom is a janitorial function. Kindergarten Class — A class planned for children who will be in first grade the next September. Kindergarten or Nursery School Activities — Those services and activities which are provided by a kin- dergarten and nursery school: the daily schedule. Kindergarten or Nursery School Area — That area specifically licensed for use by the kindergarten or nursery school. This may include a specific portion or portions of the building and grounds of a larger facility or one or more buildings at the same location. The indoor and outdoor area designated in the plan of operation. Kindergarten and Nursery School — Any facility whether or not known or incorporated under such descriptive title or name as "Nursery School," "Child Play School," "Child Development School," "Early Childhood School," and the like. Any facility receiving children for care and activities, which has been licensed as a kindergarten or nursery school. This term applies to program, buildings, grounds, fur- nishings, and equipment. Kindergarten and Nursery School Location — The street address where the kindergarten and nursery school is located; the lot or lots on which the building or buildings are located. Kindergarten and Nursery School Program — Those services and activities provided by a school: the daily schedule. License — A complete document issued to the governing body of a school authorizing the licensee to operate at a specified location according to the provisions of the license, the law, and the rules and regu- lations of the Texas Department of Human Resources. Neglect — Nonaccidental failure or threatened failure to provide a child with the physical and emotional requirements for life, growth, and development. Parent — Used in this document to refer to parent, legal guardian, or managing conservator. Plan of Operation — The form the department furnishes on which the governing body outlines the plans for operating the school. Probation — A sanction placed on a school instead of revocation. Under probation, the school may remain open and continue to accept children. Provisional License — A license the department issues to a school whose plans meet the department requirements but which is (1) not currently operating, (2) not licensed for the location stated in the appli- cation, or (3) changing ownership. K&NS Glossary Page 32 DHR 5-85 Sexual Abuse or Sexual Molestation — Any sexually oriented act or practice involving staff or another adult and a child in care. Examples include fondling, sexual intercourse, sexual stimulation, sodomy, incest, rape, and using the child in sexually explicit films or pictures. Single -use Areas — Include, but are not limited to, bathrooms, hallways, storage rooms, cooking areas of kitchens, and indoor swimming pools. Staff — Any person responsible for working in contact with children whether paid or unpaid. Supervision — Care for a child or group of children. This includes awareness of and responsibility for the ongoing activity of each child. It requires physical presence, knowledge of activity require- ments and children's needs, and accountability for their care. This includes staff being near enough to children to intervene when needed. Teaching Staff — People whose primary duties include direct care, supervision, and guidance of children in a kindergarten or nursery school. Training — Time spent in workshops; conferences of child care, early childhood, or educational associations; formal schooling; self -instructional materials; or planned learning opportunities pro- vided by the director, other staff, or consultants. Training must be in subject areas such as child care, child development, and early childhood education. Training for directors may also be in super- vision of staff or program administration. Trash/Litter — Paper products, plastic, cloth, and the like. Water Activities — Related to the use of splashing pools, wading pools, swimming pools, or other bodies of water. K&NS Appendix I Page 33 DHR 5-85 INTRODUCTION The Child Care Licensing Act of 1975, formerly Texas Revised Civil Statues Annotated, Article 695a- 3, is now Chapter 42 of the Human Resources Code. The correct citation is Human Resources Code, Chap- ter 42. CHAPTER 42, REGULATION OF CHILD-CARE FACILITIES SUBCHAPTER A. GENERAL PROVISIONS Sec. 42.001. PURPOSE Sec. 42.001. DEFINITIONS (Sections 42.003-42.020 reserved for expansion) SUBCHAPTER B. ADMINISTRATIVE PROVISIONS Sec. 42.021. DIVISION DESIGNATED Sec. 42.022. STATE ADVISORY COMMITTEE Sec. 42.023. ANNUAL REPORT Sec. 42.024. ADMINISTRATIVE PROCEDURE Sec. 42.047. (Sections 42.025-42.040 Sec. 42.048. reserved for expansion) SUBCHAPTER C. REGULATION OF LICENSING CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE Sec. 42.042. RULES AND STANDARDS Sec. 42.043. RULES FOR IMMUNIZATIONS Sec. 42.044. INSPECTIONS Sec. 42.045. RECORDS Sec. 42.046. LICENSE APPLICATION Sec. 42.047. CONSULTATIONS Sec. 42.048. ADVISORY OPINIONS Sec. 42.049. LICENSING Sec. 42.050. LICENSE RENEWAL Sec. 42.051. PROVISIONAL LICENSE Sec. 42.052. CERTIFICATION AND REGISTRATION Sec. 42.053. AGENCY HOMES (Sections 42.05442.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PROBATION Sec. 42.072. LICENSE DENIAL OR REVOCA- TION Sec. 42.073. CLOSING A FACILITY Sec. 42.074. INJUNCTIVE RELIEF Sec. 42.075. CIVIL PENALTY Sec. 42.076. CRIMINAL PENALTIES K&NS Appendix I Page 34 DHR 5-85 SUBCHAPTER A. GENERAL PROVISIONS Sec. 42.001. PURPOSE. The purpose of this chap- ter is to protect the health, safety, and wellbeing of the children of the state who reside in childcare facili- ties by establishing statewide minimum standards for their safety and protection and by regulating the facilities through a licensing program. It is the policy of the state to ensure the protection of all children under care in child-care facilities and to encourage and assist in the improvement of childcare programs. It is also the intent of the legislature that freedom of religion of all citizens is inviolate, and nothing in this chapter gives a governmental agency authority to regulate, control, supervise, or in any way be involved in the form, manner, or content of religious instruction or the curriculum of a school sponsored by a religious organization. Sec. 42.002. DEFINITIONS. In this chapter: (1) "Child" means a person under 18 years of age. (2) "Division" means the division designated by the department to carry out the provisions of this chapter. (3) "Child-care facility" means a facility that pro- vides care, training, education, custody, treatment, or supervision for a child who is not related by blood, marriage, or adoption to the owner or operator of the facility, for all or part of the 24-hour day, whether or not the facility is operated for profit or charges for the services it offers. (4) "Child-care institution" means a child-care facil- ity that provides care for more than 12 children for 24 hours a day, including facilities known as children's homes, halfway houses, residential treatment camps, emergency shelters, and training or correctional schools for children. (5) "Foster group home" means a facility that pro- vides care for 7 to 12 children for 24 hours a day. (6) "Foster family home" means a facility that pro- vides care for not more than six children for 24 hours a day. (7) "Day-care center" means a facility that pro- vides care for more than 12 children under 14 years of age for less than 24 hours a day. (8) "Group day-care home" means a facility that provides care for 7 to 12 children under 14 years of age for less than 24 hours a day. (9) "Registered family home" means a facility that regularly provides care in the caretaker's own resi- dence for not more than six children under 14 years of age, excluding the caretaker's own children, and that provides care after school hours for not more than six additional elementary school siblings of the other children given care, but the total number of children, including the caretaker's own, does not exceed 12 at any given time. (10) "Family day home" means a facility that pro- vides care for not more than six children under 14 years of age for less than 24 hours a day not in the caretaker's own residence nor in the residence of one or more of the children. (11) "Agency home" means a private home that provides care for not more than six children, that is used only by a licensed child -placing agency, and that meets division standards. (12) "Child -placing agency" means a person other than the natural parents or guardian of a child who plans for the placement of or places a child in an insti- tution, agency home, or adoptive home. (13) "Facilities" includes child-care facilities and child -placing agencies. (14) "State of Texas" or "state" does not include political subdivisions of the state. (Sections 42.003-42.020 reserved for expansion) SUBCHAPTER B. ADMINISTRATIVE PROVISIONS Sec. 42.021. DIVISION DESIGNATED. (a) The department shall designate a division within the department to regulate and license child-care facili- ties and child -placing agencies. The division shall enforce the provisions of this chapter and the rules and standards adopted by the department under this chapter and shall carry out other responsibilities the department may delegate or assign. (b) The commissioner of the department shall appoint as director of the division a person who: (1) meets the qualifications required of a child- care administrator by Chapter 43 of this code; (2) holds a graduate degree in social science or law and has five years' administrative experience in a field related to child -are; or (3) has 10 years' experience in a field related to child care, at least 5 of which must be administrative. (c) The department shall employ sufficient person- nel and provide training for the personnel to carry out the provisions of this chapter. (d) The director may divide the state into regions for the purpose of administering this chapter. Sec. 42.022. STATE ADVISORY COMMITTEE. (a) The State Advisory Committee on Child-care Facili- ties is composed of 15 citizens of this state appointed by the commissioner. (b) Members of the committee serve for terms of two years. (c) The members must represent the following groups: (1) parents, guardians, or custodians of children who use the facilities; (2) child advocacy groups; (3) operators of the facilities; and (4) experts in various professional fields that are relevant to child care and development. (d) At least three members of the division staff shall meet with the committee, and the division shall provide staff necessary for the committee. (e) The committee shall review rules and minimum standards for child-care facilities and child -placing agencies promulgated by state agencies, and shall advise the department, the division, the council, and state agencies on problems of childcare facilities and child -placing agencies. (f) The committee shall receive and review the annual report of the division. (g) The committee shall meet twice a year, and the members shall receive their actual travel expenses and the state per diem. Sec. 42.023. ANNUAL REPORT. (a) The division shall send an annual report of its activities to the gov- ernor, lieutenant governor, and members of the legis- lature. (b) The annual report shall include: (1) a report by regions of applications for licen- sure or certification, of provisional licenses issued, denied, or revoked, of emergency closures and injunc- tions, and of the compliance of state -operated agen- cies with certification requirements; (2) a summary of the amount and kind of inser- vice training and other professional development opportunities provided for division staff; (3) a summary of training and other professional development opportunities offered to facilities' staffs; and (4)a report of new administrative procedures, of the number of staff and staff changes, and of plans for the coming year. (c) Copies of the annual report shall be available to any state citizen on request. K&NS Appendix I Page 35 DHR 5-85 Sec. 42.024. ADMINISTRATIVE PROCEDURE. The Administrative Procedure and Texas Register Act (Article 6252-13a, Vernon's Texas Civil Statutes) applies to all procedures under this chapter except where it is contrary to or inconsistent with the provi- sions of this chapter. (Sections 42.025-42.045 reserved for expansion) SUBCHAPTER C. REGULATION OF CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE. (a) No person may operate a child-care facility or child -placing agency without a license issued by the division. (b) This section does not apply to: (1) a state -operated facility; (2) an agency home; (3) a facility that is operated in connection with a shopping center, business, religious organization, or establishment where children are cared for during short periods while parents or persons responsible for the children are attending religious services, shop- ping, or engaging in other activities on or near the premises, including but not limited to retreats or classes for religious instruction; (4) a school or class for religious instruction that does not last longer than two weeks and is conducted by a religious organization during the summer months; (5) a youth camp licensed by the Texas Depart- ment of Health; (6) a hospital licensed by the Texas Department of Mental Health and Mental Retardation or the Texas Department of Health; (7) an educational facility accredited by the Cen- tral Education Agency or the Southern Association of Colleges and Schools that operates primarily for educational purposes in grades kindergarten and above; (8) an educational facility that operates solely for educational purposes in grades kindergarten through at least grade two, that does not provide custodial care for more than one hour during the hours before or after the customary school day, and that is a mem- ber of an organization that promulgates, publishes, and requires compliance with health, safety, fire, and sanitation standards equal to standards required by state, municipal, and county codes; K&NS Appendix I Page 36 DHR 5-85 (9) a kindergarten or preschool educational pro- gram that is operated as part of a public school or a private school accredited by the Central Education Agency, that offers educational programs through grade six, and that does not provide custodial care during the hours before or after the customary school day; and (10) a registered family home. (11) an educational facility that is integral to and inseparable from its sponsoring religious organiza- tion or an educational facility both of which do not provide custodial care for more than two hours maxi- mum per day, and that offers educational programs for children age five and above in one or more of the following: kindergarten through at least grade three, elementary, or secondary grades. (c) A single license that lists addresses and the appropriate facilities may be issued to a child-care institution that operates noncontiguous facilities that are nearby and that are demonstrably a single operation as indicated by patterns of staffing, finance, administrative supervision, and programs. (d) A person operating or desiring to operate a child-care facility that is exempt from the provisions of Subsection (a) of this section may apply to the divi- sion for a license as provided in Section 42.046 of this code The division may not deny an exempt facility a license on the ground that it is exempt from Subsec- tion (a) of this section. A facility exempt from the pro- visions of Subsection (a) of this section that desires to receive or participate in federal or state funding shall be required to comply with all other provisions of this Act and with all regulations promulgated thereunder. (e) The exemptions provided by Subsection (b) of this section do not affect the authority of local, regional, or state health department officials, the state fire marshal, or local fire prevention officials to inspect child-care facilities. Sec. 42.042. RULES AND STANDARDS. (a) The department shall make rules to carry out the provi- sions of this chapter. (b) The department shall conduct a comprehensive review of all rules and standards at least every six years. (c) The department shall provide a standard proce- dure for receiving and recording complaints and a standard form for recording complaints. (d) The department shall provide standard forms for applications and inspection reports. (e) The department shall promulgate minimum standards for child-care facilities covered by this chapter that will: (1) promote the health, safety, and welfare of chil- dren attending a facility; (2) promote safe, comfortable, and healthy physi- cal facilities for children; (3) ensure adequate supervision of children by capable, qualified, and healthy personnel; (4) ensure adequate and healthy food service where food service is offered; (5) prohibit racial discrimination by child-care facilities; and (6) require procedures for parental and guardian consultation in the formulation of children's educa- tional and therapeutic programs. (f) In promulgating minimum standards for child- care facilities, the department shall recognize the var- ious categories of facilities, including facilities offering specialized care, and the various categories of children and their particular needs. Standards for child-care institutions must require an intake study before a child is placed in an institution. The intake study may be conducted at a community mental health and mental retardation center. (g) In promulgating minimum standards, the department may recognize and treat differently the following child-care facilities: child -caring institu- tions, foster homes, day-care centers, group daycare homes, family day homes, registered family homes, and agency homes. (h) The department shall promulgate minimum standards for child -placing agencies. (i) Before adopting minimum standards, the divi- sion shall present the proposed standards to the State Advisory Committee on Child -Care Facilities for review and comment, and shall send a copy of the proposed standards to each licensee covered by the proposed standards at least 60 days before the stand- ards take effect to provide the licensee an opportu- nity to review and to send written suggestions to the council and the department. 6) The department may waive compliance with a minimum standard in a specific instance if it deter- mines that the economic impact of compliance is suf- ficiently great to make compliance impractical. (k) The department may not regulate or attempt to regulate or control the content or method of any orga- nization or curriculum of a school sponsored by a reli- gious organization. Sec. 42.043. RULES FOR IMMUNIZATIONS. (a) The department shall make rules for the immuni- zation of children admitted to facilities. (b) The department shall require that each child at an appropriate age have a test for tuberculosis and be immunized against diptheria, tetanus, poliomyelitis, rubella, and rubeola. The immunization must be effective on the date of first entry into the facility. However, a child may be provisionally admitted if the required immunizations have begun and are com- pleted as rapidly as medically feasible. (c) The Texas Department of Health shall make rules for the provisional admission of children to facil- ities and may modify or delete any of the immuniza- tions listed in Subsection (b) of this section or require additional immunizations as a requirement for admis- sion to a facility. (d) No immunization may be required for admission to a facility if a person applying for a child's admis- sion submits one of the following affidavits: (1) an affidavit signed by a licensed physician stating that the immunization would be injurious to the health and well-being of the child or a member of the child's family or household; or (2) an affidavit signed by the child's parent or guardian stating that the immunization conflicts with the tenets and practices of a recognized religious organization of which the applicant is an adherent or a member. (e) Each facility shall keep an individual immuniza- tion record for each child admitted, and the records shall be open for inspection by the division at all rea- sonable times. (f) The Texas Department of Health shall provide the immunizations required by this section to chil- dren in areas where there is no local provision of these services. Sec. 42.044. INSPECTIONS. (a) An authorized rep- resentative of the division may visit a facility during operating hours to investigate, inspect, and evaluate. (b) The division shall inspect all licensed or certified facilities at least once a year and may inspect other facilities as necessary. At least one of the annual vis- its must be unannounced and all may be unan- nounced. (c) The division must investigate a facility when a complaint is received. The division representative must notify the facility's director or authorized repre- sentative when a complaint is being investigated and report in writing the results of the investigation to the director or the director's authorized representa- tive. (d) The division may call on political subdivisions and governmental agencies for assistance within their authorized fields. K&NS Appendix I Page 37 DHR 5-85 Sec. 42.045. RECORDS. (a) A person who operates a licensed or certified facility shall maintain individ- ual child development records, individual health records, statistical records, and complete financial records. (b) A person who operates a licensed facility shall have an annual audit by a certified public accountant of the facility's books. A copy of the accountant's statement of income and disbursements must accom- pany an application for a license. This subsection does not apply to a facility that provides care for less than 24 hours a day or to an agency home. (c) If a child -placing agency terminates operation as a child -placing agency, it shall, after giving notice to the department, transfer its files and records con- cerning adopted children, their biological families, and their adoptive families to the department or to a facility licensed by the department to place children for adoption. Sec. 42.046. LICENSE APPLICATION. (a) An appli- cant for a license to operate a child-care facility or child -placing agency shall submit to the divison a completed application on a form provided by the divi- sion. (b) The division shall supply the applicant the application form and a copy of the appropriate mini- mum standards. (c) After receiving an application, the division shall investigate the applicant and the plan of care for chil- dren. (d) The division shall complete the investigation and decide on an application within two months after the date the division receives an application. Sec. 42.047. CONSULTATIONS. (a) The depart- ment shall offer consultation to potential applicants, applicants, and license and certification holders about meeting and maintaining standards for licens- ing and certification and achieving programs of excel- lence in child care. (b) The department shall offer consultation to pro- spective and actual users of facilities. Sec. 42.048. ADVISORY OPINIONS. (a) The direc- tor of the division may give an advisory opinion on whether or not a planned facility or a planned change in an existing facility complies with the division's rules and minimum standards. K&NS Appendix I Page 38 DHR 5-85 (b) A written opinion authorized by Subsection (a) of this section is binding on the division as a declara- tory order if it is signed by the division director and the division representative administering this chap- ter in a division region, and if an applicant or license holder has acted in reliance on the opinion. Sec. 42.049. LICENSING. (a) The division shall issue a license after determining that an applicant has satisfied all requirements. (b) When issuing a license, the division may impose restrictions on a facility, including but not limited to the number of children to be served and the type of children to be served. (c) The division may grant a variance of an individ- ual standard set forth in the applicable standards for good and just cause. (d) A license holder must display a license issued under this chapter in a prominent place at the facility. (e) A license issued under this chapter is not trans- ferable and applies only to the operator and facility location stated in the license application. A change in location or ownership automatically revokes a license. (f) A biennial license must be issued if the division determines that a facility meets all requirements. The evaluation shall be based on a specified number of visits to the facility and a review of all required forms and records. Sec. 42.050. LICENSE RENEWAL. (a) A license holder may apply for a new license in compliance with the requirements of this chapter and the rules promulgated by the division. (b) The application for a new license must be com- pleted and decided on by the division before the expi- ration of the license under which a facility is operating. (c) The division shall evaluate the application for a new license to determine if all licensing requirements are met. The evaluation must include a specified number of visits to the facility and a review of all required visits to the facility and a review of all required forms and records. Sec. 42.051. PROVISIONAL LICENSE. (a) The divi- sion shall issue a provisional license when a facility's plans meet the department's licensing requirements and one of the following situations exists: (1) the facility is not currently operating; -(2) the facility is not licensed for the location stated in the application; or (3) there is a change in ownership of the facility. (b) A provisional license is valid for six months from the date it is issued and is not renewable. Sec. 42.052. CERTIFICATION AND REGISTRATION. (a) A state -operated child-care facility or child -placing agency must receive certification of approval from the division. The certification of approval must be renewed every two years. (b) To be certified, a facility must comply with the department's rules and standards and any provisions of this chapter that apply to a licensed facility of the same category. The -operator of a certified facility must display the certification in a prominent place at the facility. (c) A registered family home must be registered with the division. - (d) To be registered with the division, a registered family must comply with the department's rules and standards and any provision of this chapter that applies to a registered family home. (e) The certification requirements of this section do not apply to a Texas Youth Council facility or a facil- ity providing services solely for the Texas Youth Council. Sec. 42.053. AGENCY HOMES. (a) An agency home is considered part of the child -placing agency that operates the agency home for purposes of licens- ing. (b) The operator of a licensed agency shall display a copy of the license in a prominent place in the agency home used by the agency. (c) An agency home shall comply with all provi- sions of this chapter and all department rules and standards that apply to a child-care facility caring for a similar number of children for a -similar number of hours each day. (d) The division shall revoke or suspend the license of a child -placing agency if an agency home operated by the licensed agency fails to comply with Subsec- tion (c) of this section. (Sections 42.054-42.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PROBA- TION. (a) The division may suspend the license of a facility that has temporarily ceased operation but has definite plans for starting operations again within the time limits of the issued license. (b) The division may suspend a facility's license for a definite period rather than deny or revoke the license if the division finds repeated noncompliance with standards that do not endanger the health and safety of children. To qualify for license suspension under this subsection, a facility must suspend its operations and show that standards can be met within the suspension period. (c) The division may place a facility on probation for a definite period not to extend beyond the expira- tion date of the license rather than suspend or revoke the license. The division may revoke the license of the facility during the probationary period if the facility does not meet the conditions of probation. (d) The division shall revoke the license of a facility that does not comply with standards at the end of a license suspension or probation. Sec. 42.072. LICENSE DENIAL OR REVOCATION. (a) The division may deny or revoke the license or cer- tification of approval of a facility that does not comply with the requirements of this chapter, the standards and rules of the department, or the specific terms of the license or certification. (b) The division shall notify the person operating or proposing to operate a facility of the reasons for the denial or revocation and of the person's right to appeal the decision within 30 days after receiving the notice. (c) A person who wishes to appeal a license denial or revocation shall notify the director by certified mail within 30 days after receiving the notice required in Subsection (b) of this section. The person shall send a copy of the notice of appeal to the assigned division representative. (d) Within 14 days after the date the appeal notifi- cation was mailed, the director shall appoint an advi- sory review board to hear the appeal or notify the person requesting the appeal that the request is denied. (e) Within 14 days after notifying a person that an advisory review board will hear the case, the director shall appoint five of the person's peers to the board and set a date for the hearing. The date for the hear- K&NS Appendix I Page 39 DHR 5-85 ing must be within 28 days after the date the board members are appointed. (f) The advisory review board shall hear the appeal and render its opinion to the director within seven days after the last day of the hearing. The board members shall receive actual travel expenses and the state per diem for each day of the hearing. (g) A committee composed of the director, the divi- sion representative responsible for establishing standards, and the division representative adminis- tering this chapter in the region where the facility in question is located shall review the opinion. The com- mittee shall make a decision within 14 days after receiving the opinion and shall notify, by certified mail, the person who appealed. (h) A person whose license has been denied or revoked may challenge the committee's decision by filing a suit in a district court of Travis County or the county in which the person's facility is located within 30 days after receiving the committee's decision. The trial shall be de novo. (i) Records of the department's hearing shall be kept for one year after a committee decision is ren- dered. On request, and at the person's own expense, the division shall supply a copy of the verbatim tran- script of the advisory board hearing to a person appealing a license denial or revocation in district court. (j) A person may continue to operate a facility dur- ing an appeal of a license denial or revocation unless the division has sought injunctive relief under Sec- tion 42.074 or civil penalties under Section 42.075 of this code. Sec. 42.073. CLOSING A FACILITY. (a) The division may close the facility and place the children attend- ing the facility in another facility if the division finds violations of this chapter or violations of the depart- ment's rules and standards that create an immediate danger for children. (b) A division representative who finds conditions described in Subsection (a) of this section shall imme- diately notify the director and request an immediate inspection of the facility by the director or the direc- tor's designee. (c) The division shall report to the governor and the commissioner of the department when a stateopera- ted facility is found in violation of this chapter or the department's rules and standards and the violation threatens serious harm to the children in the facility. K&NS Appendix I Page 40 DHR 5-85 (d) Closing a facility under this section is an emer- gency measure. The division shall seek an injunction against continued operation of the facility after clos- ing a facility under this section. Sec. 42.074. INJUNCTIVE RELIEF. (a) When it appears that a person has violated, is violating, or is threatening to violate the licensing, certification, or registration requirements of this chapter or the department's licensing, certification, or registration rules and standards, the division may file a suit in a district court in Travis County or in the county where the facility is located for assessment and recovery of civil penalties under Section 42.075 of this code, for injunctive relief, including a temporary restraining order, or for both injunctive relief and civil penalties. (b) The district court shall gfant the injunctive relief the facts may warrant. (c) At the division's request, the attorney general shall conduct a suit in the name of the State of Tbxas for injunctive relief, to recover the civil penalty, or for both injunctive relief and civil penalties as authorized by Subsection (a) of this section. Sec. 42.075. CIVIL PENALTY. (a) A person is sub- ject to a civil penalty of not less than $50 nor more than $100 for each day of violation and for each act of violation if the person: (1) threatens serious harm to a child in a facility by violating a provision of this chapter or a depart- ment rule or standard; (2) violates a provision of this chapter or a department rule or standard three or more times within a 12 -month period; or (3) places a public advertisement for an unli- censed facility. (b) The civil penalty authorized by this section is cumulative and in addition to the criminal penalties and injunctive relief provided by this chapter. Sec. 42.076. CRIMINAL PENALTIES. (a) A person who operates a child-care facility or childptacing agency without a license commits a Class B misde- meanor. (b) A person who places a public advertisement for an unlicensed facility commits a Class C misde- meanor. CHAPTER 17. EMERGENCY PROCEDURES IN SUIT BY GOVERNMENTAL ENTITY Section 17.03. Taking Possession of a Child Without a Court Order. (a) An authorized representative of the Texas Department of Human Resources, a law enforcement officer, or a juvenile probation officer may take possession of a child without a court order under the following conditions and no oth- ers: (1) upon discovery of a child in a situation of danger to the child's physical health or safety when the sole purpose is to deliver the child with- out unnecessary delay to the parent, managing conservator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (2) upon the voluntary delivery of the child by the parent, managing conservator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (3) upon personal knowledge of facts which would lead a person of ordinary prudence and cau- tion to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code; or (4) upon information furnished by another which has been corroborated by personal knowl- edge of facts and all of which taken together would lead a person of ordinary prudence and caution to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code. (See the full text of Section 17.03 for specifics on the court hearings which follow taking possession of a child in an emergency.) CHAPTER 34. REPORT OF CHILD ABUSE Section 34.01. Persons Required to Report Section 34.011. Form Section 34.02. Contents of Report: To Whom Made Sermon 34.03. Immunities K&NS Appendix II Page 41 DHR 5-85 APPENDIX II EXCERPTS FROM THE TEXAS FAMILY CODE (AMENDED) Section 34.04. Privileged Communications Section 34.05. Investigation and Report of Receiving Agency Section 34.06. Central Registry Section 34.07. Failure to Report: Penalty Section 34.08. Confidentiality Section 34.01. Persons Required to Report. Any person having cause to believe that a child's physi- cal or mental health or welfare has been or may be adversely affected by abuse or neglect shall report in accordance with Section 34.02 of this code. Section 34.011. Form. The Texas Department of Human Resources shall promulgate a form and cause a sample to be distributed for the reporting of suspected occurrences of child abuse as required by Section 34.01 of this code. Copies of the form shall be distributed to all licensed hospitals in this state to be available for use without charge by hos- pital employees, physicians, patients, and other persons. The form shall include a statement that child abuse reports are confidential and that infor- mation contained in the reports, including the name of the person making the report, may be used only for the purposes consistent with the investigation of child abuse. The form shall give the address of the Texas Department of Human Resources. Hospital employees, physicians, patients, and other persons must complete the form and return it to the Texas Department of Human Resources. Section 34.02. Contents of Report: To Whom Made. (a) Nonaccusatory reports reflecting the reporter's belief that a child has been or will be abused or neglected, or has died of abuse or neglect, has violated the compulsory school attendance laws on three or more occasions, or has, on three or more occasions, been voluntarily absent from his home without the consent of his parent or guardian for a substantial length of time or without the intent to return shall be made to any local or state law enforcement agency, and in addition shall be made to: (1) the Texas Department of Human Resources; or (2) the agency designated by the court to be responsible for the protection of children. K&NS Appendix II Page 42 DHR 5-85 (b) All reports must contain the name and address of the child, the name and address of the person responsible for the care of the child, if avail- able, and any other pertinent information. (c) All reports received by any local or state law enforcement agency shall be referred to the Texas Department of Human Resources or to the agency designated by the court to be responsible for the protection of children. The department or desig- nated agency immediately shall notify the appro- priate state or local law enforcement agency of any report it receives, other than from a law enforce- ment agency, that concerns the suspected abuse or neglect of a child or death of a child from abuse or neglect. (d) An oral report shall be made immediately on learning of the abuse or neglect as prescribed in Subsection (a) of this section, and a written report shall be made within five days to the same agency or department. Anonymous reports, while not encouraged, will be received and acted on in the same manner as acknowledged reports. Section 34.03. Immunities. Any person reporting pursuant to this chapter is immune from liability, civil or criminal, that might otherwise be incurred or imposed. Immunity extends to participation in any judicial proceeding resulting from the report. Persons reporting in bad faith or malice are not protected by this section. Section 34.04. Privileged Communications. In any proceeding regarding the abuse or neglect of a child or the cause of any abuse or neglect, evidence may not be excluded on the ground of privileged communication except in the case of communica- tions between attorney and client. Section 34.05. Investigation and Report of Receiving Agency. (a) The Texas Department of Human Resources or the agency designated by the court to be responsible for the protection of children shall make a thorough investigation promptly after receiving either the oral or written report. The primary purpose of the investigation shall be the protection of the child. (b) In the investigation the department or agency shall determine: (1) the nature, extent, and cause of the abuse or neglect; (2) the identity of the person responsible for the abuse or neglect; (3) the names and conditions of the other children in the home; (4) an evaluation of the parents or persons responsible for the care of the child; (5) the adequacy of the home environment; (6) the relationship of the child to the parents or persons responsible for the care of the child; (7) all other pertinent data. (c) The investigation shall include a visit to the child's home, a physical examination of all the chil- dren in that home, and an interview with the sub- ject child. The investigation may include a psychological or psychiatric examination of all the children in the home. If admission to the home, school, or any place where the child may be, or per- mission of the parents or persons responsible for the child's care for the physical examination can- not be obtained, then the juvenile court, or the dis- trict court, upon cause shown, shall order the parents or the persons responsible for the care of the children, or the person in charge of any place where the child may be, to allow entrance for the interview, the physical examination, and investi- gation. If the parents or persons responsible for the child's care does not consent to a psychological or psychiatric examination of the child that is requested by the department or agency, the juve- nile court or district court, upon cause shown, shall order the examination to be made at the times and places designated by the court. The par- ent or person responsible for the child's care is entitled to notice and a hearing when the depart- ment or agency seeks a court order to allow a psy- chological or psychiatric examination. (d) If, before the investigation is complete, the opinion of the investigators is that immediate removal is necessary to protect the child from fur- ther abuse or neglect, the investigators shall file a petition pursuant to Chapter 17 of this code for temporary care and protection of the child. (e) The agency -designated by the court to be responsible for the protection of children or the department shall make a complete written report of the investigation., The report, together with its recommendations, shall be submitted to the juve- nile court of the district court, the district attor- ney, and the appropriate law enforcement agency if sufficient grounds for the institution of a suit affecting the parent-child relationship are found. (f) On the receipt of the report and recommen- dation required by Subsection (e) of this section, the court may direct the investigator to file a peti- tion seeking appropriate relief under Subtitle A of this title. K&NS Appendix II Page 43 DHR 5-85 Section 34.06. Central Registry. The Texas Depart- ment of Human Resources shall establish and maintain in Austin, Texas, a central registry of reported cases of child abuse or neglect. The department may adopt rules and regulations as are necessary in carrying out the provisions of this section. The rules shall provide for cooperation with local child service agencies, including hospi- tals, clinics, and schools, and cooperation with other states in exchanging reports to effect a national registration system. Section 34.07. Failure to Report: Penalty. (a) A person commits an offense if the person has cause to believe that a child's physical or mental health or welfare has been or may be further adversely affected by abuse or neglect and knowingly fails to report in accordance with Section 34.02 of this code. (b) An offense under this section is a Class B misdemeanor. Section 34.08. Confidentiality. The reports, records, and working papers used or developed in an investigation made under this chapter are confi- dential and may be disclosed only for purposes consistent with the purposes of this code under regulations adopted by the investigating agency. K&NS Appendix III Page 45 DHR 5-85 APPENDIX III CHILD CARE FACILITY IMMUNIZATION REQUIREMENTS Age Group Required Immunization and Number of Doses Under 2 mos. No immunizations required. 2 mos. to 4 mos. 1 dose of oral polio vaccine (OPV). 1 dose of diphtheria -tetanus -pertussis (DTP) vaccine. 4 mos. to 6 mos. 2 doses of OPV. 2 doses of DTP vaccine. 6 mos. to 18 mos. 2 doses of OPV. 3 doses of DTP vaccine. 18 mos. to 5 yrs. 3 doses each of OPV and DTP vaccine. 1 dose each of measles', rubella', and mumps' vaccines. 5 yrs. and older 3 doses each of OPV and DTPS vaccine. 1 dose each of measles', rubella', and mumps' vaccines. NOTES: 'Measles: Measles vaccine is required for each child 18 months old or older. The vaccination date for the measles vaccine must be during the calendar month of or after the first birthday and since Jan- uary 1, 1968. A written physician -verified history of measles disease which shows the date of the illness will substitute for the measles vaccine requirements. 'Rubella: Rubella vaccine is not required after the 12th birthday. A history of rubella illness is not acceptable: K&NS Appendix III Page 46 DHR 5-85 'Mumps: As a part of the child's immunization record, a written physician -verified history of mumps disease which shows the date of the illness will substitute for the vaccine requirement. Effective September 1, 1984, children less than 13 years old are required to have received mumps vaccine or provide a written physician -verified history of mumps illness. On September 1 each fol- lowing year, children one year older must also meet this requirement. By September 1, 1990, all children through 18 years old will be included. See the table below. Mumps Vaccine Requirements by Effective Dates for Children 18 Months through 18 Years of Age In Child Care Facilities Effective Dates Ages in Years* September 1, 1984 Thru 12 September 1, 1985 Thru 13 September 1, 1986 Thru 14 September 1, 1987 Thru 15 September 1, 1988 Thru 16 September 1, 1989 Thru 17 September 1, 1990 Thru 18 *Ages of children in child care facilities on the effective date. 'Polio: At least three doses of oral polio vaccine (OPV) are required for all children, provided at least one dose has been received on or after the 4th birthday. A dose of OPV given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. No further doses of OPV are required. Some children or students may be enrolled who have received inactivated polio vaccine (IPV). These students are in full compliance when an initial series of four doses are completed and a booster dose within five years of the fourth dose has been received. A booster dose is required every five years thereafter. SDiptheria - Tetanus - Pertussis/Tetanus - Diphtheria: DPT/TD vaccine is required for all children. At least three doses of DTP and/or Td vaccine are required, provided at least one dose has been received on or after the 4th birthday. A dose of DTP or Td given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. Besides the minimum of three DTP or Td doses with one dose since the 4th birthday, children 12 years old and older must have a last dose within the past 10 years. (A Td booster is required 10 years after the administration of the immunization that meets the requirement for the "dose since the 4th birthday." Example: If the last dose of DTP was received at age five, the 10 -year Td booster is due at age 15.) "An Annual Report of the Immunization Status by age group of all children must be submitted on the request of the Texas Department of Health. K&NS Appendix IV Page 47 DHR 5-85 APPENDIX IV ALTERNATIVES TO PHYSICAL PUNISHMENT 1. Children should have good behavior recog- nized and encouraged. 2. Children should be taught by example through the use of fair and consistent rules. The atmosphere should be relaxed. Discipline should be relevant to the behavior involved. 3. Children should be supervised by people showing an attitude of understanding and firm- ness. 4. Children should be given clear directions and guidance on the child's level of understanding. 5. Children should be held firmly if their behavior will harm themselves or others. 6. Children should be redirected by stating alternatives when their behavior is unacceptable. (Example: "Blocks are for building, not throwing — try throwing this ball.") 7. Children should be helped to understand why their conduct is unacceptable and what is acceptable in a given situation. K&NS Appendix V Page 49 DHR 5-85 COMMUNICABLE DISEASE CHART FOR SCHOOLS AND CHILD-CARE CENTERS Your Health Department: Phone: EXCLUDE FROM REPORTABLE CONDITION INCUBATION PERIOD EARLY SIGNS OF ILLNESS ATTENDANCE' READMISSION CRITERIA 2 1 DISEASE NOTES FOR PREVENTION Athlete's Foot Unknown Blisters and cracking of the skin of the feet. No No Teach importance of hygienic care of feet usually between the toes Chickenpox 1021 days Fever and rash consisting of blisters that Yes When all blisters have crusted over Yes No vaccine available may appear first on head, :hen spread to body (but not longer than 1 week after onset Usually 2 or 3 crops of new blisters that heal of rash) leaving scabs Common Cold 1 3 days Runny nose, watery eyes, general tired feeling No. unless lever is When fever subsides No Teach importanceof washing hands and covering present (See Fever) mouth when coughing or sneezing Diphtheria 2.5 days Sore throat and fever, rapidly progressing to Yes See Footnote 2(A B) Yes Vaccine available It you suspect this disease difficulty breathing and swallowing immediately consult a physician Fever Oral temperature of 38'C (100 4'F) or greater Yes When fever subsides No Gastroenteritis, Variable, usually 2.7 days Stomachache, nausea, diarrhea (6 or more Yes When diarrhea subsides No Teach importance of hand washing Adult should Viral watery loose stools per day) supervise hand washing of preschool age Children Giardiasis 4.14 days Gradual onset of stomachache, bloating, and No No Treatment is recommended Teach importance of diarrhea May recur several times over a period hand washing Can spread quickly in Childcare of weeks centers Gonorrhea 3-5 days Mala— urethral discharge ("drip")with burning No Yes TeaCh junior and senior high school students on urination about sexually transmitted diseases Report Female — May have no symptoms or may have suspected cases to health department or by vaginal discharge and abdominal pain, calling the VD Hot Line 1-800227 8922 especially with menses Head LiceEggs hatch in 7.10 days Itching and scratching of scalp Pinpoint white Yes When one medicated shampoo or No Second shampoo or lotion treatment in 7 10 days (Pediculosis) eggs (nits) on head that will not flick off lotion treatment has been given is recommended Teach importance of not sharing combs, hats, and coats Hepatitis, Viral, 15-50 days, average 28 days Gradual onset of slight fever, tired feeling, Yes Alter t week from onset of illness Yes Teach importance of hand washing Gamma type A stomachache, nausea, or vomiting followed by globulin should be given to household contacts jaundice Young children may have mild case of If more than one case occurs in a child care diarrhea without jaundice center, gamma globulin should be considered for all children and parents involved Hepatitis, Viral, 6090 days Gradual onset of fever, tired feeling, loss of No Yes Neither cases nor carriers excluded from type B appetite, followed by jaundiceattendance Teach importance of good hygiene and avoid contact with blood of recent cases or Chronic carriers Herpes, Oral First infection, 2-12 days Blisters on or near lips that open and become No No Teach importance of good hygiene Avoid direct (cold sores) covered with dark crust Recurrences are common contact with sores Impetigo Variable Blisters on skin that open and become covered Yes When treatment begun. No Keep lesions covered while in school Teach with yellowish crust No lever importance of hand washing and keeping l ingemails clean Influenza 1.3 days Rapid onset of fever, headache, sore throat. Yes When lever subsides Yes Vaccine available, but only recommended for cough children with certain chronic diseases Measles (Rubeola) 7.14 days Runny nose, watery eyes, fever, cough Blotchy Yes After 4 days from appearance of rash Yes Vaccine available Report suspect cases imme. dialely to health department or by calling the • red rash appears on 4th day In an outbreak, unimmunized children shouldalso be excluded for at least 4 Texas Immunization Hol Line 1.800.252.9152 days alter last case occurs. German Measles 14.21 days Slight cold, swollen tender glands at back of Yes Alter 5 days from appearance of rash Yes Vaccine available Report suspect cases immedi. ately to health department or by Calling the Texas (Rubella) neck. Changeable pink rash Immunization Hol Line 1.600252.9152 K&NS Appendix V Page 50 DHR 5-85 Meningitis, Bacterial 2.10 days Sudden onset of high lever, headache, and stiff Yes See Footnote 2(A -B) Yes Depending on which bacteria are —ting the ih- about 2 weeks, followed by paroxysmal live reactors neck, usually with some vomiting 'The major criterion for exclusion from attendance is the condition's probability of spread from person to person A child may have a nonexcludable illness yet require care at home or in a hospital ness, prophylactic antibiotics may be recom. disease may be readmitted by any one of the following methods (A) A written certificate from a physician (B) A permit issued by the local health authority (C) Fulfilling criteria listed under "Readmission Criteria " mended for family members Occasionally, close TEXAS DEPARTMENT OF HEALTH Hot Line 18002529152 contacts at a childcare center are also treated Meningitis, Viral 2.10 days Sudden onset of fever, heatlache, usually with Yes See Footnote 2(A -B) Yes Teach Importance of hand washing Prophylactic some vomiting antibiotics of no value Mumps 1226 days Swelling over jaw in front of one or both ears Yes After9days from theonsel of swelling Yes Vaccine available Pain in cheeks made worse be chewing Pink Eye 1.3 days Red eyes, usually with some discharge or Yes See Footnote 2(A-8) No Teach importance of hand washing allergic (Conjunctivitis) crust on eyelids conjunctivitis Is not Contagious Pinworms Variable, may be as long as Perianal itching No No Teach Importance of hand washing 3.6 weeks Poliomyelitis 3-21 days Fever, headache. stomachache, stiff neck, Yes See Footnote 2(A -B) Yes Vaccine available Report cases immediately to (Polio) usually with some vomiting Often followed by ( health department or by calling the Texas paralysis Immunization Hol Line 1 600252 9152 Rocky Mountain 3.10 days Sudden onset of fever, chills, and severe head. No Yes Transmitted by tick bites If you suspect this Spotted Fever ache Rash consists of red spots beginning on disease, immediately consult a physician wrists or ankles, progressing to the chest, palms, and soles Ringworm of the body 1.10 days Slowly spreading flat, scaly ring-shaped spots No No Treatment Is recommended Keep lesions on skin. The margins may be reddish and covered while in school, slightly rallied. Ringworm of the scalp 1021 days Slowly spreading, balding patches on scalp Yes When treatment begun No Teach importance of not sharing combs, hats, with broken -off hairs and coats. Salmonellosis 13 tlayls Sudden onset of fever, abdominal pain, dor• Yes When diarrhea subsides. Yes Teach Importance of hand washing Frequently a rhea, sometimes vomiting food borne Infection Scabies First infection t month, Small raised, rad bumps or blisters on skin with Yes When treatment begun. No Careful examination of close contacts required Repeat infection, 2d days severe itching to identify early infection Shigellosis 1 7 days Sudden onset of lever, vomiting, and diarrhea Yes When diarrhea subsides. Yes Teach importance of hand washing Can spread quickly in child-care centers Streptococcal Sore 1 3 days Fever, sore throat, often with enlarged tender Yes After 24 hours from date antibiotic Yes Teach importance of covering mouth when Throat and Scarlet Fever lymph nodes in neck Scarlet fever producing treatment begun coughing or sneezing strains of bacteria cause a fine red rash that appears 13 days alter onset of sore throat Tetanus 4 21 days Painful muscular contractions — primarily of No Yes Transmitted by contamination of a woundwith law and neck muscles No lever bacterial spores Vaccine available if you suspect this disease. immediately consult a physician Tuberculosis. 1.12 weeks Gradual onset, tiredness. loss of appetite, Pulmonary slight fever, failure to gain weight, Cough Whooping Cough 721 days Low grade fever, runny nose, and cough lasting (Pertussis) about 2 weeks, followed by paroxysmal live reactors coughing spells and 'whoop" on inspiration 'The major criterion for exclusion from attendance is the condition's probability of spread from person to person A child may have a nonexcludable illness yet require care at home or in a hospital 'Children excluded from a school or child care center for a communicable disease may be readmitted by any one of the following methods (A) A written certificate from a physician (B) A permit issued by the local health authority (C) Fulfilling criteria listed under "Readmission Criteria " - TEXAS DEPARTMENT OF HEALTH Yes After antibiotic treatment begun, AND Yes All classroom contacts should have TB skin tests a physicians certificate or health Antibiotic prophylaxis indicated for newly pose authority permit obtained live reactors Yes After 7 days from dale antibiotic Yes Vaccine available Unimmunized contacts should treatment begun be immunized and receive antibiotic prophylaxis Report suspect cases Immediately to health department or by calling the Texas Immunization Hot Line 18002529152 'A school or child-care center administrator may require a note from a parent or physician for readmission regardless of the reason for the absence Adopted by the undersigned pursuant to 25 TAC 97 5(c)(3) this 12th day of December 1983 /Robert Bernstein, M D. F A C P 630 114184 Commissioner of Health K&NS Appendix VI Page 51 DHR 5-85 APPENDIX VI SANITIZING PROCEDURES FOR FOOD SERVICE EQUIPMENT Reusable food service equipment, including infant feeding equipment, must be properly washed and sanitized by one of the following meth- ods: Utensils must be completely immersed in hot water and maintained at a temperature of 170 ° F for not less than three minutes or 180'F for two minutes. One and 1/4 teaspoons of chlorine bleach must be used for each gallon of water at lukewarm temperature during the final rinse. One-half teaspoon iodine must be used for each gallon of water at lukewarm temperature. Quaternary ammonium compounds or acid sanitizer compounds must be used according to directions on the officially approved label. If utensils are machine washed, final rinse water must be at least 180°F. Other methods may be used if approved by the local health department or the Texas Department of Health. K&NS Appendix VII Page 53 DHR 5-85 APPENDIX VII CRIMINAL OFFENSES FROM THE TEXAS PENAL CODE The following constitute criminal offenses included in the Texas Penal Code: Title 5. Offenses Against the Person Murder Capital murder Voluntary manslaughter Involuntary manslaughter CriminaIly negligent homicide False imprisonment Kidnapping Aggravated kidnapping Rape Aggravated rape Sexual abuse Aggravated sexual abuse Homosexual conduct Public lewdness Indecent exposure Rape of a child Sexual abuse of a child Indecency with a child Assault Sexual assault Aggravated assault Aggravated sexual assault Deadly assault on a peace officer Injury to a child or an elderly individual Reckless conduct Terroristic threat Aiding suicide Tampering with consumer products Title 6. Offenses Against the Family Bigamy Incest Interference with child custody Enticing a child Criminal non support Sale or purchase of a child Solicitation of a child Harboring a runaway child Violation of a court order Title 43. Public Indecency Prostitution Promotion of prostitution Aggravated promotion of prostitution Compelling prostitution Obscene display or distribution Obscenity Sale, distribution, or display of harmful material to a minor Sexual performance by a child O O TI m Schools: Grades Kindergarten and Above May 1985 Stock Code 20322-0000 1 OE"'Texas Department of Human Resources John H. Winters Human Services Center • 701 West 51st Street Mailing Address: P.O. Box 2960 • Austin, Texas 78769 COMMISSIONER BOARD MEMBERS MARLIN W JOHNSTON J LIVINGSTON KOSBERG Chairman, Houston VICKI GARZA Corpus Christi THOMAS M DUNNINGDallas February 8, 1985 Dear Licensee: The following are the revised minimum standards which are effective May 1, 1985. The State Advisory Committee on Child Care Facilities was established by the child care licensing law. It is composed of parents, guardians, or custodians of children using child care facilities; members of child advocacy groups; operators of child care facilities; and experts in various professional fields related to child care and development. The Advisory Committee members carefully studied drafts of the minimum standards that Licensing Branch staff of the Texas Department of Human Resources submitted for their consider- ation. Based on their recommendations and the directions of the Texas Board of Human Resources, the proposed revisions to the standards were published in the Texas Register. All sets of standards went through a 60 -day public review period during August and Sep- tember of 1984 to allow interested individuals to comment and make suggestions on them. Public hearings on the proposed minimum standards were held in Austin, San Antonio, Cor- pus Christi, McAllen, Tyler, Nacogdoches, Beaumont, Houston, Arlington, Wichita Falls, Abilene, Waco, Lubbock, Amarillo, Midland, and EI Paso. Members of the Advisory Commit- tee were present at the public hearings. The following were members of the State Advisory Committee on Child Care Facilities: Dr. Wilbur E. Crenwelge, Fredericksburg Mr. Joe E. Fogle, Dallas Ms. Sue Gainer, Dallas Mr. Hernan Gonzales, Alamo Dr. A. J. Green, Jr., Beeville Ms. Rose Ann Grissett, Austin IVs. Pat Henson, San Antonio Ms. Gail Laubenthal, Wichita Falls Mr. Buddy Owens, Mission Ms. Harriet Simburger, Dickinson Dr. Tom Slatton, Amarillo Mr. Alan Sowders, Quinlan Mr. David C. Winship, Houston Mr. Charles Campise, Driftwood Mr. Russell Herrington, Odessa Mr. Charles E. Long, Tyler Ms. Martha McDonald, Houston Ms. Sherry Workman, Austin An Equal Opportunity Employer Page 2 Based on the oral and written comments the department received and the recommenda- tions of two ad hoc committees composed of for profit and nonprofit providers, parents, interested professionals, and the Advisory Committee, the proposed changes to the stand- ards were submitted to the Board for approval on December 13, 1984, at its meeting in Lub- bock. The Board is composed of Mr. J. Livingston Kosberg, Chairman, Houston Ms. Vicki Garza, Member, Corpus Christi Mr. Thomas M. Dunning, Member, Dallas After the Board approved the minimum standards, they were filed with the Secretary of State. Many Texas citizens have been involved in the effort to develop reasonable minimum stand- ards for child care facilities. The department appreciates their help and support in our mutual goal of ensuring safe child care for Texas children. Sincerely, Marlin W. Johnston MWJ:lm Attachment MINIMUM STANDARDS FOR SCHOOLS: GRADES KINDERGARTEN AND ABOVE A school, grades kindergarten and above, is a child care,facility offering an educational program in- one or more grades for children ages 5 through 13. A school operates only during the customary public school day. I v MINIMUM STANDARDS FOR SCHOOLS: GRADES KINDERGARTEN AND ABOVE Page INTRODUCTION ....................................... 1 1000 ORGANIZATION AND ADMINISTRATION ................ 3 1100 Organization........................................................ 3 1200 General Administration .............................................. 4 1300 Enrollment......................................................... 5 1400 Records ............................... 6 2000 PERSONNEL ..................................... 7 2100 Director Qualifications ............................................... 7 2200 Director Responsibilities.............................................. 7 2300 Staff Qualifications and Responsibilities ................................. 7 2400 Training........................................................... 9 2500 Staff -Child Ratio....................................................11 3000 BUILDING, GROUNDS, AND EQUIPMENT ................12 3100 Space.............................................................12 3200 Furnishings........................................................12 3300 Equipment.........................................................12 3400 Toilet Facilities......................................................12 3500 Use of Facility......................................................12 4000 FIRE, SANITATION, AND SAFETY ......................13 4100 Fire................................................................13 4200 Sanitation..........................................................14 4300 Safety.............................................................15 5000 PHYSICAL HEALTH................................17 5100 Health Requirements for Children......................................17 5200 Illness or Injury .....................................................18 5300 Medications........................................................19 5400 Emergency Phone Numbers...........................................19 5500 Animals...........................................................20 Page 2 6000 FOOD SERVICE AND NUTRITION ......................21 7000 ACTIVITIES.....................................22 7100 Operation..........................................................22 7200 Discipline and Guidance..............................................23 7300 Children with Need for Special Care.....................................24 7400 Water Activities.....................................................24 7500 Transportation......................................................25 GLOSSARY...........................................24 APPENDIX I Human Resources Code, Chapter 42 Child Care Licensing Law...................................................31 APPENDIX II Excerpts from the Texas Family Code (Amended)...............................39 APPENDIX 111 Child Care Facility Immunization Requirements (from the Texas Department of Health) September 1979...........................................................43 APPENDIX IV Alternatives to Physical Punishment.........................................45 APPENDIX V Communicable Disease Chart................................................47 APPENDIX VI Sanitizing Procedures for Food Service Equipment..............................49 APPENDIX VII Criminal Offenses from the Texas Penal Code..................................51 . INTRODUCTION Minimum Standards Minimum standards for regulating child care facilities are developed by the Texas Department of Human Resources (DHR) with the assistance of child care providers, par- ents, lawyers, doctors, child care professionals, and experts in fire, sanitation, and safety. The child care licensing law sets guidelines for what must be included in the standards and requires that minimum standards be reviewed and commented on by the State Advi- sory Committee on Child Care Facilities. The licensing law requires that proposed stand- ards be distributed to providers for a 60 -day review and comment period before adopting the proposed standards as rules. The Administrative Procedure and Texas Register Act also requires that proposed standards be published for a public comment period before adoption as rules. The department considers recommendations from providers, other interested groups, and individuals in formulating the final draft, which is filed as rules with the Secretary of State. Standards are a product of input from many people and groups and are designed to reflect what the citizens of Texas consider reasonable and minimum. Exceptions to Minimum Standards The child care licensing law authorizes the department to grant waivers and variances for specific standards. A waiver is official permission not to meet a specific standard. It is granted only for economic reasons. A variance is official permission to meet the intent of a specific standard in a way other than as stated in the standard. It may be granted for good and just cause when a particular standard is not applicable for a facility. A facility may request a waiver or variance when applying for a license, certificate, or registration or during the time the facility is regulated. The child care facility's licensing representative receives the request and makes a recommendation about it to state office staff. State office staff members make the decision on the request for a waiver or vari- ance primarily by considering the risk to the health, safety, and well-being of the children in care. Informal Administrative Reviews An applicant, a licensee, a certificate holder, or a person registered with the department has the right to request an informal review if he disagrees with a licensing representa- tive's decision. Child care providers are encouraged to first talk over the situation with the licensing representative. If this does not solve the problem, a day care provider may contact the day care licensing supervisor or the program director for day care licensing in the area. The licensing representative provides the name; address, and telephone number of the person to contact. Introduction S:GK&A Page 2 The child care provider may request the review orally or in writing. He explains the dis- agreement and tells the department if he plans to have an attorney present. A member of the department's licensing staff conducts the review. The reviewer examines the facts and then makes a recommendation to uphold or change the licensing representative's decision. The child care provider is promptly informed of the decision. Appeals and Court Challenges If the department,denies an application or revokes a license, certification, or registration, the provider is notified in writing what standards or provisions of the law are being vio- lated. He is given information about how to request an appeal. The child care provider may request an appeal of the decision within 30 days of notification. If a request for appeal is granted, the assistant commissioner for licensing appoints an advisory review board which includes people who hold the same kind of license as the person appealing the denial or revocation. A hearing is also scheduled. After an appeal hearing, the advisory review board makes recommendations to the assistant commissioner for licensing. A committee reviews the materials and makes a decision on the appeal. The committee is composed of the assistant commissioner for licensing, a person from the Licensing Branch who develops standards, and a depart- ment representative in the region where the facility is located. If a person who appeals a denial or revocation does not agree with the decision on the appeal, he may challenge it within 30 days after notification of the decision. This is done by filing suit in a district court in Travis County or in the county where the facility is located. 1100 1 §81.301) Organization 1. A school must have a governing body (see Glossary) that is responsible for its policies. The governing body must assure that the school operates in compliance with the "Minimum Standards for Schools: Grades Kindergarten and Above" and the child care licensing law, Chapter 42; Human Resources Code (see Appendix I). The governing body must inform the department of the name and mailing address of the sole proprietor, the partners, or its chief executive officer. 2. A corporation operating a school must make one of the following available to the department for review: a. the Articles of Incorporation, b. the Certificate of Incorporation, or c. a copy of the Certificate of Authority (for an out-of-state corporation). 3. A corporation or church must make available to the department a copy of the resolution authorizing the operation of the school unless the authorization is included in the document required in item 2. 4. The governing body must notify the department and apply for a new license before changing the loca- tion of the school. 5. The governing body must notify the department in writing of a. any planned addition or reduction in indoor or outdoor space before using the changed area, and b. the addition of a swimming or a fixed wading pool before using the pool. 6. The governing body must notify the department by telephone or in writing before, if possible, or within five workdays of any occurrence affecting the operation of the school. This includes, but is not limited to, the following: a. change of the governing body or.ownership, b. change of school director, c. change of board chairman of a corporate school or other chief executive officer of the governing body, e. going out of business, f. change in hours of operation, and g. change in age range of children in care. If any change would violate the restrictions on the license, the governing body must request that the license be amended. It must wait until the department changes the restriction before making the change in operation. 1200 081.302) General Administration 1. The school must display the following in a prominent place where staff, parents, and others may review them: a. its license; b. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the school (if the notification includes a requirement for posting); c. current menus; and d. a department form stating that the items required in standard 1200, 2 are available. 2. The school must have available for review on request a. the letter or compliance evaluation form that the licensing representative provided at or following the most recent inspection or investigation of the school (if the notification does not include a requirement for posting); b. a current copy of the department's "Minimum Standards for Schools: Grades Kindergarten and Above"; and c. the school's most recent (1) fire inspection report, (2) sanitation inspection report, and (3) gas pipe inspection report. Section 1000 S:GK&A Page 5 DHR 5-85 3. The school must immediately notify the department of any serious occurrences affecting its opera- tion. These include, but are not limited to, the following- a. ollowinga. fine, and b. death, serious accident, serious injury, or serious communicable disease of a child or staff. 4. The school must report suspected child abuse or neglect as required by the Ibxas Family Code (see Appendix II) to a. the nearest DHR child protective services office, and b. a local or state law enforcement agency. 5. The school must ensure that a person who is indicted or the subject of an official criminal complaint accepted by a county or district attorney alleging he committed any of the offenses listed below must not be at the school while children are in school and must not have contact with the children until the charges are resolved. The offenses (see Appendix VII) are as follows: a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, and c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Texas Controlled Substances Act. 6. The school must notify the department of an indictment or complaint within 24 hours or on the next workday. 1300 081.303) Enrollment 1. Before a child is enrolled, the school must inform parents about the school's activities and policies, including curriculum and educational goals. 2. The school must obtain enrollment information for each child before admission. The school must keep this information while the child is in school. The parent must sign a form that contains the following: a. the child's name, birth date, home address, and home telephone number; b. date of admission (see Glossary); c. name and address of parent(s) and telephone numbers at which parent(s) can be reached while the child is in school; d. the names of the people to whom the child may be released; Section 1000 S:GK&A Page 6 DHR 5-85 e. hours the child will be in school; L name, address, and telephone number of the child's physician; g. a statement of the child's special problems or needs. This includes allergy, existing illness, pre- vious serious illness and injuries, hospitalizations during the past 12 months, and any medication prescribed for long-term, continuous use; h. transportation permission, if transportation is provided; i. permission for participation in water activities, if any; and j. emergency medical authorization. 3. The school must a. give the parent of each child in school a copy of the department booklet, "A Parent's Guide to Day Care," and b. keep on file a copy of the receipt showing that the parent was given the booklet and discussed it with the school. 4. The school must not racially discriminate against any child. 1400 (§81.304) Records 1. The school must have records of daily attendance of children and staff for the previous three months. The hours staff worked must be recorded. 2. The school must maintain personnel records for all staff and ensure that each staff's record includes a. the date the staff began work at the school; b. a statement from staff providing information about all felony and misdemeanor convictions and about all pending criminal charges, including deferred adjudication; c. a record of a tuberculosis examination no earlier than 12 months before beginning the position; and d. A copy of an application or other document showing that staff meets the requirements in standard 2300, 1, 2, or 3. 3. All required records must be available at the school for the department to inspect during hours of operation. Section 2000 S:GK&A Page 7 DHR 5-85 PERSONNEL 2100 081.305) Director Qualifications 1. The on-site director of a school must have a bachelor's degree from an accredited college or university with at least 12 credit hours of education or child development. The director also must have had two years of experience in teaching or in school administration or management. Documentation showing how the director meets the qualifications must be available to the department. A person who was director of a school on May 1, 1985, has four years from that date to comply if he remains in the same position. 2. No one may serve as director of a school who has been convicted of any of the following offenses (see Appendix VII): a. a felony or misdemeanor classified as an offense against the person or family, b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the 1bxas Controlled Substances Act. 3. The director must send the department the following on a department form: a. a record of training and experience; b. information about all felony and misdemeanor convictions; and c. information about all pending criminal charges, including deferred adjudication. 2200 081.306) Director Responsibilities 1. An on-site director must administer the school's daily operation in compliance with minimum stand- ards. If the director is absent from the school, an adult staff must be designated in charge and given the authority to administer the school. During the director's absence, the designated person must administer the school in compliance with minimum standards. 2. The director must provide the staff's assignments and supervise the staff. Section 2000 S:GK&A Page 8 DHR 5-85 2300 (481.307) Staff Qualifications and Responsibilities 1. Staff teaching first grade and above who are counted in the staff -child ratio must have a bachelor's degree from an accredited college or university or a valid teaching certificate. a. Proof of meeting the educational requirement must be available to the department. b. A person who was teaching first grade or above on May 1, 1985, has two years from that date to comply if he remains in the same position. 2. Staff who teach kindergarten must have a bachelor's degree from an accredited college or university, a valid teaching certificate, a Child Development Associate credential, or an associate of arts degree in child development or a closely related area. a. Proof of meeting the educational requirement must be available to the department. b. A person who was teaching kindergarten on May 1, 1985, has two years from that date to comply if he remains in the same position. 3. Staff may be assigned as aides to clas3room teachers and may be counted in the staff -child ratio. a. Aides must be at least 18 years old. They must have a high school diploma or its equivalent. b. Aides must work in the same room with and be supervised by classroom teachers. 4. Staff must show competency, good judgment, and self-control in working with children. 5. Staff must relate to the children with courtesy, respect, acceptance, and patience. 6. Effective January 1, 1986, a person certified in first aid and a person certified in cardiopulmonary resuscitation of children must be present at the school during all hours of operation. The school must have current certificates attesting to the training. 7. People at the school must not abuse, neglect, or sexually molest children (see Glossary). 8. A person convicted of any of the following offenses (see Appendix VII) must not be at the school when children are present and must not serve in any capacity where there is contact with children: a. a felony or misdemeanor classified as an offense against the person or the family, b. a felony or misdemeanor classified as public indecency, or c. a felony violation of any law intended to control the possession or distribution of any substance included as a controlled substance in the Tbxas Controlled Substances Act. Section 2000 S:GK&A Page 9 DHR 5-85 9. People whose behavior or health appears to endanger the health, safety, or well-being of children must not be at the school. 10. People must not smoke in the presence of children or consume alcohol when children are at the school. People who appear to be under the influence of alcohol or other drugs must not be in the school when children are present. 11. - Staff must supervise (see Supervision in Glossary) children at all times. 12. People working with children and counted in the staff -child ratio must be free from other duties except those directly involving the care and supervision of children. These responsibilities include keeping the group's area clean. Administrative and clerical functions (see Glossary) that take the staff's attention from the children, meal preparation, or janitorial duties must not be included in responsibilities of staff while counted in the staff -child ratio. 13. The school must ensure that children are not out of control. 14. If a parent calls to authorize the emergency release of a child, the school must verify that the caller is actually the parent. 15. The school must have and follow a plan to verify the identity of a person authorized to pick up a child but not known to the staff. For example: view the picture identification on the person's driver's license or DPS identification card and record the person's name and card number. The school keeps this identifying information for 24 hours. 16. If one staff leaves and another staff is given responsibility for the children, the staff leaving must provide the incoming staff with a. any significant information he has about a child, and b. a list of children present in the group. This may be the class roll sheet. - 2400 (481.308) Training 1. The school must orient new staff members in understanding children and in job expectations when they begin work. The school must have documentation that each staff was oriented in the following- a. ollowinga. the requirements in the "Minimum Standards for Schools: Grades Kindergarten and Above" and the licensing law; b. the school's policies, including discipline, guidance, and release of children; Section 2000 S:GK&A Page 10 DHR 5-85 c. recognition of symptoms of child abuse, neglect, and sexual molestation and the responsibility and procedure for reporting these; and d. procedures to follow in handling emergencies (after the school has explored its environment for external hazards and formulated its training plan accordingly). Emergencies may include, but are not limited to, fire, explosion, tornado, toxic fume, or other chemical release. 2. When volunteers are counted in the staff -child ratio for special activities only, the school must a. ensure that each volunteer receives relevant orientation, and b. obtain from each volunteer the statement required in standard 1400, 2.b. 3. Staff must participate yearly in at least 15 clock hours of training (see Glossary) in understanding children and improving job performance. The director must participate yearly in at least 20 clock hours of training. A least six clock hours must be in staff supervision or management and at least six clock hours must be in child development or child- hood education. The training must be documented in the staff's record at the school. A year is defined as 12 months from the date of employment. Section 2000 S:GK&A Page 11 DHR 5-85 2500 081.309) Staff -Child Ratio 1. In a school, the number of children supervised by one staff must not exceed the following: Grade Number of Children Kindergarten 24 1st — 3rd 28 4th and above 32 a. Up to 60 children may be in regular classroom activities as long as the staff -child ratio is main- tained. b. The school may combine more than 60 children for joint activities of limited duration as long as the staff -child ratio is maintained. c. In determining the staff -child ratio, the following apply: (1) The school must use the developmental or emotional age of mentally retarded or emotionally disturbed children as determined by a qualified consultant (see Consultation Services for Chil- dren with Need for Special Care in Glossary). (2) The school must maintain staff -child ratios as stated in standard 2500, 1 except during water activities and field trips (see section 7000). 2. Each child must have a staff who is responsible for the child and who is aware of details of the child's habits, interests, and any special problems. Staff must know the child's name and have information showing his age. Section 3000 S:GK&A Page 12 DHR 5-85 BUILDING, GROUNDS, AND EQUIPMENT 3100 (§81.310) Space 1. There must be at least 20 square feet of indoor activity space, measured wall-to-wall on the inside, for each child in the school. The measurement does not include single -use areas (see Glossary). 2. The school must have an outdoor play space of at least 80 square feet for each child using the area at one time. 3. All outdoor play areas regularly used by children must be accessible by a safe route. 3200 ( § 81.311) Fumishings The school must ensure the following: 1. a working telephone with a listed number. 2. children have storage available for personal belongings. 3. enough chairs and tables or desks to meet the children's needs. 3300 (§81.312) Equipment The school must provide indoor and outdoor equipment and materials to support the instructional pro- gram and to meet the stated educational goals. The school must ensure that materials are appropriate to the developmental levels and individual interests of the children. There must be a sufficient amount of equipment and materials to avoid excessive competition among the children or long waits for materials. 3400 081.313) Toilet Facilities 1. The school must have inside toilets that are quickly available, convenient, and safe. Children must have privacy in the use of the bathroom as needed. 2. There must be one flush toilet for every 20 children. Urinals may be counted in the ratio of children to toilets, but they must not exceed 50% of the total number of toilets. Bathrooms that contain urinals must also have flush toilets. 3. There must be one lavatory for every 20 children. 3500 081.314) Use of Facility If programs not subject to regulation use the same facilities, the school must not use any space at the same time another program is using that space. Section 4000 S:GK&A Page 13 DHR 5-85 FIRE, SANITATION, AND SAFETY 4100 (481.315) Fire 1. In case of fire or danger of fire or explosion, the school's first responsibility is to evacuate the children to a designated safe area. a. The school must supervise children until the fire department determines the building is safe to re- enter, the children are picked up by their families, or the customary school day ends. b. The school must contact the fire department in case of fire or danger of fire, explosion, toxic fume, or other chemical release. 2. The school must have an annual fire inspection with a written report by a local or state fire marshal. The school must make any corrections called for in the report and must comply with any restrictions imposed by the fire inspector. 3. The school must have at least one fire extinguisher approved by the fire marshal. The school must mount the extinguisher on the wall by the hanger or bracket provided so that staff can reach and use the extinguisher. The school must make the extinguisher readily available for immediate use by the staff. The school must inspect the fire extinguisher monthly, record the date, and ensure the extin- guisher is serviced when required. 4. By January 1, 1986, the school must ensure that the building is equipped with smoke detectors installed and maintained according to the manufacturer's instructions and in compliance with requirements of the local fire code. 5. The school must have emergency evacuation and relocation plans posted in each room the children use. The plan must show two exit paths from each room unless the room opens directly to the out- doors at ground level. The school must practice a fire drill every three months. It must practice other emergency procedures once each year. 6. The school must have a flashlight or other battery -powered lighting available to use in case of electri- cal failure. 7. The school must ensure that all children and staff are able to exit safely from the building within three minutes in an emergency. 0 a. A school must not provide classes on any level above or below the ground floor unless the school obtains the specific written approval of a fire marshal for use on other levels. Section 4000 S:GK&A Page 14 DHR 5-85 b. A school must have at least two exits to the outside located in distant parts of the building. An exit through a kitchen or other hazardous area cannot be one of the required exits unless specifi- cally approved in writing by the fire marshal. c. If any doors open into a fenced yard, children must be able to open the doors easily from inside the school. The school must not have any locked doors between rooms while children are present. d. The school must not have any blocked doors or pathways. 8. The school must ensure that heating devices and areas near heat sources are not fire hazards and present no hazard to children. a. If the school has gas appliances, the school must ensure that the appliances have metal tubing and connections unless approved in writing by the fire marshal. b. Open flame space heaters are prohibited. Space heaters must be enclosed and have the seal of approval of a test laboratory approved by the fire marshal. c. If the school has liquid or gas fuel heaters, the school must properly vent them to the outside. Unvented liquid or gas fuel heaters are prohibited. d. If the school uses a fireplace or a wood -burning stove, the school must properly vent it to the out- side. The school must install a rigid screen or guard to prevent children from falling into the fire or against the stove. 9. The school must ensure that gas pipes are tested annually for leaks. 4200 1481.316) Sanitation 1. The school must have an annual sanitation inspection with a written report by a local or state sanita- tion official. The school must make any corrections and must comply with any restrictions stated in the report. 2. The school must keep its building, grounds, and equipment cleaned, repaired, and maintained to pro- tect the health of the children. 3. The school must have adequate light, ventilation, and heat. 4. The school must have an adequate supply of water meeting the standards of the Texas Department of Health for drinking water. If possible, the source of water must be a public drinking water system. 5. The school must ensure that drinking water is always available to children. The school must supply the water in a safe and sanitary manner. Section 4000 S:GK&A Page 15 DHR 5-85 6. The school must ensure that the temperature of hot water available to children is controlled by a thermostat so the water cannot scald (no higher than 120 degrees Fahrenheit). 7. The school must have adequate and safe flush toilets and sewage systems. If possible, the school must be connected to a public sewage system. If public sewers are not available, the school must have treatment facilities that meet the standards of the Texas Department of Health and that are approved by the local health authority. 8. The school must keep all garbage in containers with tight lids. Garbage must be kept away from areas used by children. The school must remove garbage from the building daily and from the school at least once a week. 9. The school must take measures to keep the school free of insects and rodents. 10. Staff and children must wash their hands with soap and running water after using the toilet and before eating. Staff must wash hands with soap and running water before and after caring for a child with symptoms of a communicable disease and before handling food. 11. If children use washcloths or cloth towels, the school must ensure that each child has a clean individ- ual cloth. If paper towels or facial tissues are furnished, the school must provide a clean individual paper towel for each child. 4300 (481.317) Safety 1. The school must keep its building, grounds, and equipment repaired and maintained to protect the safety of children. a. The school's air conditions, electric fans, and heaters must be mounted out of children's reach or have safeguards that keep children from being injured. b. If 220 -volt electrical connections are within the children's reach, the school must cover them with a screen or guard. c. The school must equip stairs, porches, and platforms more than 2 feet above the ground with rail- ings the children can reach. d. The school must keep its play area free from standing water and sharp objects. The school must keep tanks, ponds, open wells, drainage ditches, sewage pipes, dangerous machinery, and other hazards fenced to keep the children out. The school must not have garbage cans or highly flamma- ble material in the play area. Covered trash cans are permitted (see Glossary). Section 4000 S:GK&A Page 16 DHR 5-85 2. Indoor and outdoor equipment and supplies used both at and away from the school must be safe for the children. a. Outdoor play equipment must be placed away from busy areas in the yard and securely anchored unless portable by design. b. The school must not allow toys that explode (such as caps) or that shoot things (such as darts or BBs). c. The school must ensure that both indoors and outdoors children do not have access to toxic sub- stances. d. All swing seats must be constructed of durable, lightweight, relatively pliable material, such as rubber or nylon webbing. e. All heavy equipment must be installed in a manner to prevent tipping over or collapsing. f. The school must not allow children to use (1) climbing equipment or swings on concrete or asphalt, or (2) swings with concrete or asphalt in the fall zone (see Glossary). g. The school must ensure that no equipment has openings or angles that could entrap (see Glossary) a child's head. h. The school must ensure that no pinch, crush, or shear points are on equipment (such as exposed or open gears on rotating devices) or underneath equipment (such as axle assemblies on rotating devices). 3. The school must have first aid supplies (see Glossary) readily available to staff in a designated loca- tion out of the children's reach. The school must have a guide to first aid and emergency care immedi- ately accessible. - Section 5000 S:GK&A Page 17 DHR 5-85 PHYSICAL HEALTH 5100 1481.318) Health Requirements for Children 1. The school must have on file within one week of admission evidence that each child is physically able to take part in the school program. Any of the following constitutes compliance: a. a written statement from a licensed physician who has examined the child within the past year; b. a copy of the medical screening form of the Early and Periodic Screening, Diagnosis and Treat- ment (EPSDT) Program if no referral for further diagnosis and treatment is indicated; c. a form or written statement from a health service or clinic, such as (1) Head Start physical exam, (2) well-child conferences or clinics, (3) maternity and infant programs, and (4) children and youth programs; or d. a signed statement from a parent (1) giving the name and address of a licensed physician who has examined the child within the past year and states that the child is able to participate in the program. This must be followed within 12 months by a document as described in a, b, or c; (2) giving the name and address of the physician with whom an appointment for examination has been made or the address of the EPSDT screening site where the examination will take place. Following the examination, the parent must submit a document as described in a, b, or c; or (3) stating that medical diagnosis and treatment are against the parent's religion. 2. The school must keep current immunization records for each child at the school. (See Appendix III for immunization requirements.) The school must ensure that each child's immunization record includes the child's birth date, the number of doses and type, and the dates (month, day, and year) the child received each immunization. The school's compliance with the standard is measured by one or more of the following for each child: a. a dated record that the child has been immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella. There must be (1) a record with a rubber stamp or signature of the physician or health personnel, or Section 5000 S:GK&A Page 18 DHR 5-85 (2) a machine or handwritten copy of the immunization record. Staff copying the information must sign the handwritten copies. b. a dated statement from a licensed physician or other authorized health personnel that immuniza- tions against at least one of the diseases in standard 5100,, 2.a. have begun. The immunization cycle must be completed as soon as is medically feasible. The school must have a current immuni- zation record on file. c. a certificate signed by a licensed physician stating that the required immunization would be injuri- ous to the health and well-being of the child or a member of the child's family or household. d. an affidavit (notarized statement) signed by the parent that the immunization conflicts with the parent's religious beliefs and practices. e. a dated statement signed by the parent that the child's immunization record is current and is on file at a regulated facility the child attends. The parent must include the name of the facility in the statement. 3. The school must have a record showing that the child has been tested for tuberculosis according to recommendations of the Texas Department, of Health if the local health authorities or the regional office of the Texas Department of Health recommends a test. A dated statement signed by the parent that the child's tuberculosis test record is current and is on file at a regulated facility the child attends also complies_ The parent must include the name of the facility in the statement. 5200 (481.319), Illness or Injury 1. A child who appears dl must not be admitted to the school unless approved in writing by health per- sonnel (see GIossary). 2. The school must handle illness or injury to protect the health of all children in the school' a. The school must provide an ill or injured child with a bed, cot, or mat away from the other children. The school must call the child's parent immediat* The child must be supervised until he leaves the school b. The school must plan how it would provide emergency care for an injured child, a child with symp- toms of acute illness, and a child who is choking or not breathing. The planning must include the continued supervision of other children in the school. c. The school must give the child first aid or cardiopuhnonary resuscitation, if needed- In the case of a critical illness or injury, the school must call the physician named by the parent, take the child to the nearest emergency room or minor emergency clinic, or call for an emergency vehicle - 3. The school must follow the recommendations of the Texas Department of Health concerning the admission or readmission of any child after a communicable disease (see Appendix VI). Section 5000 S:GK&A Page 19 DHR 5-85 5300 (§81.320) Medications 1. If a school agrees to administer medications, the school must administer the medication to the child as follows: a. Prescription medications must be in the original container labeled with the child's name, a date, directions, and the physician's name. The school must administer the medication as stated on the label directions. The school must not administer medication after the expiration date. b. The school must ensure that nonprescription medication is labeled with the child's name and the date the medication was brought to the school. Nonprescription medication must be in the original container. The school must administer it according to label directions if approved in writing by health personnel or the child's parent (see Glossary). c. The school must document each dose of medication administered showing the child's name; the name of the medicine; date, time, and amount administered; and the name of the staff administer- ing the medicine. The school must keep the record two weeks. 2. The school must keep medications out of children's reach or in locked storage. 3. The school must keep medications requiring refrigeration separate from food. 4. The school must return medications when no longer needed to the child's parent. The school must dis- pose of medications when a child withdraws from the school or when the medicine is out of date. 5400 (§81.321) Emergency Phone Numbers 1. The school must post the following emergency telephone numbers by a telephone accessible to all staff. This telephone must not be a pay phone. a. Ambulance service or emergency medical services (EMS). b. Police or sheriff's department. c. Fire department. d. Poison control center. , Section 5000 S:GK&A Page 20 DHR 5-85 e. Local DHR children's protective services office or child abuse hotline. L The school (with address). 2. The school must keep the following telephone numbers in a place accessible to the telephone and to all staff: a. numbers at which parents may be reached, and b. numbers of the physicians designated by the parents. 5500 081.322) Animals 1. The school must ensure that animals on the premises have been vaccinated according to a licensed veterinarian's recommendations. The school must have documentation of the vaccinations. 2. The school must keep the school and play yard free of stray animals. The school must not allow chil- dren to play with stray animals. Section 6000 S:GK&A Page 21 DHR 5-85 FOOD SERVICE AND NUTRITION 6100 081.323) Food Service 1. The school must ensure that all food and drink served are of safe quality and are stored, prepared, dis- tributed, and served under sanitary and safe conditions. The school must wash and sanitize food ser- vice equipment (see Appendix VI). 2. The school must practice good hygiene when handling food. Staff with open or infected wounds must not work in the food preparation area. No one may smoke in any of the food areas. 3. The school must discard single -service napkins, dishes, and utensils after use. Washable napkins and tablecloths must be cleaned after each use. 4. The school must encourage, but not force, children to eat. The school must discuss recurring eating problems with the child's parent. 5. Cleaning supplies must be clearly marked and kept separate from food. Section 7000 S:GK&A Page 22 DHR 5-85 ACTIVITIES 7100 081.324) Operation 1. The school must provide activities for each group according to ages, interests, and abilities of the chil- dren. The activities must be appropriate to each child's health, safety, and well-being. They also must be flexible and promote each child's physical, emotional, social, and mental growth. a. The school must provide physical care routines appropriate to each child's developmental needs. b. The school must ensure that indoor and outdoor time periods include (1) active and quiet activities, (2) opportunity for individual and group activities, and (3) outdoor time each day that weather permits. 2. The school must ensure the children's safety on field trips and excursions and during any transporta- tion provided by or for the school. Transportation includes, but is not limited to, transportation pro- vided between home and the school and between the school and a day care center. (See section 7700 for additional transportation standards.) a. At least 48 hours before a field trip, the school must post in a prominent place a notice showing which group of children will be on the field trip and where and when the group will go. The school must ensure that the notice remains posted until the group returns to the school. b. Staff supervising children must have immediate access to emergency medical for and emer- gency contact information for each child in the group. c. Staff must have a written list of the children in the group and must check the roll frequently. d. Staff must have first aid supplies (see Glossary) available on field trips. e. When children are on a field trip in an enclosed, controlled area, the school must maintain the staff - child ratio as outlined in standard 2500, 1. An example would be any event planned for the group including, but not limited to, skating, dancing, or gymnastic classes; library story time; or tours. Section 7000 S:GK&A Page 23 DHR 5-85 f. When children are on a field trip and mixing with other children or adults, the adult -child ratio must be as follows: Age of Youngest Maximum Number of Children Child In Group to be Supervised by One Adult 4 years 9 5 years 11 6 years and older 15 Examples of this situation include trips to shopping centers, the circus, or amusement parks or other activities in areas open to the general public. (1) The number of regular staff supervising this type of field trip must be at least equal to the number required by standard 2500, 1. The number may be supplemented by parents or volun- teers trained in the school's field trip procedures. (2) Children must have name tags or other identification listing the name and phone number of the school. g. Staff supervising a field trip must have transportation or a plan for transportation at the field trip location in case of emergency. 7200 081.325) Discipline and Guidance 1. The school must ensure that discipline and guidance are consistent, are based on an understanding of individual needs and development, and promote self-discipline and acceptable behavior. 2. There must be no cruel, harsh, or unusual punishment or treatment. a. Staff must not shake, bite, or hit the children. The school must not put anything in or on a child's mouth as punishment. b. If the governing body believes that it is necessary to spank children, the school must have a state- ment on file that it is the school's policy to permit physical punishment. The statement of the rules that the school has adopted concerning the administration of physical punishment must include that spanking be done only with a staff's open hand on a child's buttocks. Each incident must be witnessed by another staff and documented in the school's records. The school must inform the parents in writing of the policy and must have the parents' signed approval. (See Appendix IV for alternative methods of discipline.) c. The school may use brief, supervised separation from the group if necessary, but it must not place children in a locked room or in a dark room with the door closed. d. The school must not humiliate or subject children to abusive or profane language. The school must not associate punishment with food. 10 Section 7000 S:GK&A Page 24 DHR 5-85 7300 081.326) Children with Need for Special Care The school must ensure that children who need special care at the school because of disabling or limiting conditions are given the care and activities qualified psychologists, physicians, or other experts recom- mend. 7400 (§81.327) Water Activities 1. When a school uses a splashing or a wading pool with less than 2 feet of water, the following staff - child ratio must be maintained: Age of Youngest Number of Maximum Number Child in Group Staff of Children 4 years 1 18 5 years 1 22 6 years and older 1 26 2. When the school uses a swimming pool (more than 2 feet of water), the following apply: a. At the school, the pool must be enclosed by a fence at least 6 feet high and built so children cannot easily climb over it. The school must keep the gate locked when the pool is not in use. b. One lifesaving device must be available for each 2,000 square feet of water surface with a mini- mum of two for each pool. c. A certified lifeguard must be on duty at all times. This person must not be counted in the staff - child ratio if people other than the children from the school are swimming. d. Staff must be able to see clearly all parts of the pool, including the bottom. 3. The school must ensure that all drain grates are in place, are in good repair, and cannot be removed without using tools. 4. The staff -child ratio for swimming is as follows: Age of Youngest Number of Maximum Number Child in Group Staff of Children 4 years 1 12 5 years 1 15 6 years and older 1 18 a. The number of regular staff supervising swimming activities must be at least equal to the number required by standard 2500, 1. The number may be supplemented by parents or volunteers trained in the school's procedures for supervising swimming. Section 7000 S:GK&A Page 25 DHR 5-85 b. Adults included in the staff -child ratio for swimming must be able to swim and must constantly supervise the swimming activity. c. When four or more children are swimming, two adults must be present. 5. When children are in a pool that has a pump and filtering system, an adult who is able to turn off the system immediately must be present. 6. The school must ensure that pool chemicals are inaccessible to children and that machinery rooms are locked. 7. All pools the school uses must be maintained as stated in the standards of the Texas Department of Health and local regulations. 7500 081.328) Transportation 1. Effective July 1, 1985, if a school provides transportation, each child being transported must ride in a seat belt. This requirement applies to all transportation including, but not limited to, transportation to and from the school, to and from a day care center, and on field trips. This requirement applies to any vehicle used by or for the school to provide transportation, regardless of whether owned by the school and regardless of the type of vehicle - automobile, van, school bus, or other. a. Only one person may use each seat belt. b. A child may ride in a shoulder harness and seat belt if the shoulder harness goes across the child's chest and not across the child's face or neck. 2. Effective July 1, 1985, the driver and all adult passengers in a vehicle transporting children must be properly restrained by a seat belt when the vehicle is in motion. 3. The school must load and unload children at the curb side of the vehicle or in a protected parking area or driveway. The school must ensure children are supervised when they cross a street after leaving a vehicle. 4. The school must keep first aid supplies (see Glossary) in all school vehicles transporting children. 5. The school must equip all school vehicles used for transporting children with a minimum of one 6 -BC portable fire extinguisher. The fire extinguisher must be installed in the passenger compartment of the vehicle and must be accessible to the adult occupants. 6. The staff -child ratio must be met during transportation of children (see standard 2500, 1). Glossary S:GK&A Page 26 DHR 5-85 GLOSSARY 081.329) Glossary Abuse — Nonaccidental infliction or threat of infliction of physical, emotional, or mental harm to a child. Activity Space — Area or rooms used for children's activity including those separate from a group's classroom (see also Single -use Area). Administrative Functions — Functions that involve the management of a school such as bookkeeping, enrolling children, answering the telephone, and collecting fees. Admission — The process of entering a child in a school. The date of admission is the first day on which the child is actually present in the school. Adult — A person age 18 or older. Aide — A person involved in direct care, supervision, and guidance of children. An aide works under the direction of the staff who has primary responsibility for the children. Application — The form the department furnishes to gather information about and to document the intent of the governing body to set up a school- The application also includes all material required to be submitted to the department. Attendance — Children actually present in the school at any given time. (Not to be confused with enroll- ment.) Child — A person who has not reached his eighteenth birthday. Child Development Associate Credential — A credential which is highly desirable for staff working directly with young children; based on assessed competency in several areas of child care and child devel- opment. Child development training is available in the public community and junior college system as well as in four-year colleges, either in regular child development, vocational programs, or through adult continuing education courses. Children with Need for Special Care — Children with disabling or limiting conditions which prevent or limit participation in the normal activities of the school and which may require additional supervision. Disabling or limiting conditions include visual impairment or deafness, other physical disabilities, men- tal retardation, emotional disturbance, or Iearning disabilities. Consultation Services for Children with Need for Special Care — Qualified consultants include psycholo- gists, special education counselors, educational diagnosticians, special education supervisors, teachers certified by the lbxas Education Agency to teach mentally retarded or emotionally disturbed children, pediatricians, licensed registered nurses, child psychiatrists, and MSW social workers skilled in assess- ing normal and unusual developmental problems in children. Such consultants may be found in state schools and hospitals, MHMR centers, human development centers, public school special education departments, university psychology or special education depart- ments, and the state listing of certified psychologists. (Copies of "Roster-lbxas State Board of Exam- iners of Psychologists" can be found in local DHR offices or can be ordered from the state office Business Management Bureau.) Glossary S:GK&A Page 27 DHR 5-85 Continuing Education Unit (CEU) — A certificate granted by an educational institution to a person who has completed a training course. (One CEU is granted for 10 clock hours of formal training.) Department (DHR) — Used in this document to refer only to the Texas Department of Human Resources. Direct Teaching — The supervision, guidance, instruction, and care of children as compared to food ser- vice, janitorial functions, or administrative functions. Director — That person the governing body designates to assume daily on-site responsibility for the operation of a school, including maintenance of minimum standards. In multiple schools under a chief administrative officer, the director is the person physically present at each school. Enrollment — The list of names of children registered with the school. (Not to be confused with attend- ance.) Entrapping Equipment — A component or group of components on play equipment that forms angles or openings that could trap a child's head by being (1) too small to allow the child to withdraw his head eas- ily, and (2) placed so that the child would be unable to support his weight by means other than his head or neck. Facility — Includes people, administration, governing body, activities (on or off the premises), opera- tions, buildings, grounds, equipment, furnishings, and materials. Fall Zone — An area extending 4 feet from climbing structures; 5 feet from the bottom of a slide (other parts of the slide are climbing structures); 7 feet plus the length of a swing's chain from the point of its suspension; and 7 feet from a merry-go-round and other revolving devices. First Aid Supplies — Required supplies include multi -size adhesive bandages, gauze pads, tweezers, cot- ton balls, hydrogen peroxide, syrup of ipecac, and a thermometer. Food Service — The preparation or serving of meals or snacks. Garbage — Waste food or items which, when deteriorating, cause offensive odors and attract rodents, insects, and the like. Governing Body — The entity with ultimate authority and responsibility for the overall operation of the school. All governing bodies will be one of the following types: (A) Sole proprietorship — Owned by an individual with the legal right and responsibility to possess, operate, sell, and otherwise deal with the facility. May include a facility owned in common by hus- band and wife. (B) Partnership — Combination by contract of two or more people who use their money, labor, and skill to carry on a continuing business, dividing the profits and sharing the losses in an agreed manner. Includes general and limited partnerships. Glossary S:GK&A Page 28 DHR 5-85 (C) Corporation — An intangible entity created by individuals to operate for profit but to limit indi- vidual liability. Organized according to the Texas Business Corporation Act or similar act of another state as evidenced by its Articles of Incorporation. (D) Nonprofit corporation — Equivalent of "not for profit corporation." None of the income is distrib- uted to members, directors, or officers. Organized under the lbxas Non -Profit Corporation Act. (E) Nonprofit corporation with religious affiliation — Has nonprofit corporation status and is oper- ated by, responsible to, or associated with an organization of individuals devoted to religious pur- poses. Does not include those whose relationship with a religious organization is only for business, such as those who only lease space. (F) Association — A combination of individuals and interests of some kind without IRS tax-exempt status. Not organized under the Texas Business Corporation Act. (G) Nonprofit association — A combination of individuals and interests of some kind, synonymous with "society," with operations devoted to charitable, benevolent, religious, patriotic, or educa- tional purposes. Not organized under the Texas Business Corporation Act. (H) Nonprofit association with religious affiliation — A combination of individuals and interests of some kind; synonymous with "society," with operations devoted to religious purposes. Not orga- nized under the Texas Business Corporation Act. Operated by, responsible to, or associated with an organization of individuals devoted to religious purposes. Does not include those whose rela- tionship with a religious organization is only for business, such as those who only lease space. (I) State operated — Operated by, under the direct jurisdiction of, and responsible to an agency of the state of Texas. (J) Other political subdivision — Operated by and under the jurisdiction of a county municipality, school district, or other political entity. Governing Body Designee — The person named on the application as the designated representative of a governing body that is not a sole proprietorship or partnership. Group — A specific number of children assigned to specific staff. Each child in any group has the follow- ing things in common with every other child in his group: (1) the same staff responsible for the child's basic needs, and (2) the same classroom or activity space. Handwashing — Rubbing hands together with soap under running water. Health Personnel — A licensed physician, a licensed registered nurse, or a person providing preventive, diagnostic, or therapeutic medical care to individuals in the community. Glossary S:GK&A Page 29 DHR 5-85 Janitorial Functions — Those services that involve cleaning and maintenance above that which is required for the continuation of the school program. Sweeping after an activity or mopping up spills may be necessary for continued use of the classroom, but total sweeping, vacuuming, or mopping of a class- room is a janitorial function. Kindergarten Class — A class for children who will be in first grade the next September. License — A complete document issued to the governing body of a school authorizing the licensee to operate at a specified location according to the provisions of the license, the law, and the rules and regu- lations of the Texas Department of Human Resources. Neglect — Nonaccidental failure or threatened failure to provide a child with the physical and emotional requirements for life, growth, and development. Parent — Used in this document to refer to parent, legal guardian, or managing conservator. Plan of Operation — The form the department furnishes on which the governing body outlines the plans for operating the school. Probation — A sanction placed on a school instead of revocation. Under probation, the school may remain open and continue to provide a program for children. Provisional License — A license the department issues to a school whose plans meet the department requirements but which is (1) not currently operating, (2) not licensed for the location stated in the appli- cation, or (3) changing ownership. School — Any facility, whether known or incorporated under such descriptive title or name "School," "Kindergarten," and the like, which receives children for an education program. This term applies to pro- gram, buildings, grounds, furnishings, and equipment. School Area — That area specifically licensed for use by the school program. This may include a specific portion or portions of the building and grounds of a larger facility or one or more buildings at the same location. That area, both indoor and outdoor, designated in the plan of operation. School Location — The street address of the school; the lot or lots on which the building or buildings are located. Glossary S:GK&A Page 30 DHR 5-85 School Program — Those services and activities provided by a school; the daily schedule. Sexual Abuse or Sexual Molestation — Any sexually oriented act or practice involving staff or another adult and a child in care. Examples include, but are not limited to, fondling, sexual intercourse, sexual stimulation, sodomy, incest, rape, and using the child in sexually explicit films or pictures. Single -use Areas — Include, but are not limited to, bathrooms, hallways, storage rooms, cooking areas of kitchens, and indoor swimming pools. Staff — Any person responsible for working in contact with children whether paid or unpaid. Supervision — Caring for or teaching a child or a group of children. This includes awareness of and responsibility for the ongoing activity of each child. It requires physical presence, knowledge of activity requirements and children's needs, and accountability for their care. This includes staff being near enough to children to intervene when needed. Training — Time spent in workshops; conferences of child care, early childhood, or educational associa- tions; formal schooling, self -instructional materials; or planned learning opportunities provided by direc- tors, other staff, or consultants. Training must be in subject areas such as child care, child development, and early childhood education. Training for directors may also be in supervision of staff or program administration. Trash/Litter — Paper products, plastic, cloth, and the like. Water Activities - Related to the use of splashing pools, wading pools, swimming pools, or other bodies of water. S:GK&A Appendix I Page 31 DHR 5-85 INTRODUCTION The Child Care Licensing Act of 1975, formerly Texas Revised Civil Statues Annotated, Article 695a- 3, is now Chapter 42 of the Human Resources Code. The correct citation is Human Resources Code, Chap- ter 42. CHAPTER 42, REGULATION OF CHILD-CARE FACILITIES SUBCHAPTER A. Sec. 42.043. RULES FOR IMMUNIZATIONS GENERAL PROVISIONS Sec. 42.044. INSPECTIONS Sec. 42.045. RECORDS Sec. 42.001. PURPOSE Sec. 42.046. LICENSE APPLICATION Sec. 42.001. DEFINITIONS Sec. 42.047. CONSULTATIONS Sec. 42.048. ADVISORY OPINIONS (Sections 42.003-42.020 Sec. 42.049. LICENSING reserved for expansion) Sec. 42.050. LICENSE RENEWAL Sec. 42.051. PROVISIONAL LICENSE Sec. 42.052. CERTIFICATION AND SUBCHAPTER B. REGISTRATION ADMINISTRATIVE PROVISIONS Sec. 42.053. AGENCY HOMES Sec. 42.021. DIVISION DESIGNATED (Sections 42.054-42.070 Sec. 42.022. STATE ADVISORY COMMITTEE reserved for expansion) Sec. 42.023. ANNUAL REPORT Sec. 42.024. ADMINISTRATIVE PROCEDURE SUBCHAPTER D. REMEDIES (Sections 42.025-42.040 reserved for expansion) Sec. 42.071. LICENSE SUSPENSION AND PROBATION Sec. 42.072. LICENSE DENIAL OR REVOCA- SUBCHAPTER C. REGULATION OF TION CHILD-CARE FACILITIES Sec. 42.073. CLOSING A FACILITY Sec. 42.074. INJUNCTIVE RELIEF Sec. 42.041. REQUIRED LICENSE Sec. 42.075. CIVIL PENALTY Sec. 42.042. RULES AND STANDARDS Sec. 42.076. CRIMINAL PENALTIES S:GK&A Appendix I Page 32 DHR 5-85 SUBCHAPTER A. GENERAL PROVISIONS Sec. 42.001. PURPOSE. The purpose of this chapter is to protect the health, safety, and wellbeing of the chil- dren of the state who reside in childcare facilities by estab- lishing statewide minimum standards for their safety and protection and by regulating the facilities through a licens- ing program. It is the policy of the state to ensure the pro- tection of all children under care in child-care facilities and to encourage and assist in the improvement of childcare programs. It is also the intent of the legislature that free- dom of religion of all citizens is inviolate, and nothing in this chapter gives a governmental agency authority to reg- ulate, control, supervise, or in any way be involved in the form, manner, or content of religious instruction or the curriculum of a school sponsored by a religious organiza- tion. Sec. 42.002. DEFINITIONS. In this chapter: (1) "Child" means a person under 18 years of age. (2) "Division" means the division designated by the department to carry out the provisions of this chapter. (3) "Child-care facility" means a facility that provides care, training, education, custody, treatment, or supervi- sion for a child who is not related by blood, marriage, or adoption to the owner or operator of the facility, for all or part of the 24-hour day, whether or not the facility is oper- ated for profit or charges for the services it offers. (4) "Child-care institution" means a child-care facility that provides care for more than 12 children for 24 hours a day, including facilities known as children's homes, half- way houses, residential treatment camps, emergency shelters, and training or correctional schools for children. (5) "Foster group home" means a facility that provides care for 7 to 12 children for 24 hours a day. (6) "Foster family home" means a facility that provides care for not more than six children for 24 hours a day. (7) "Day-care center" means a facility that provides care for more than 12 children under 14 years of age for less than 24 hours a day. (8) "Group day-care home" means a facility that pro- vides care for 7 to 12 children under 14 years of age for less than 24 hours a day. (9) "Registered family home" means a facility that reg- ularly provides care in the caretaker's own residence for not more than six children under 14 years of age, exclud- ing the caretaker's own children, and that provides care after school hours for not more than six additional elemen- tary school siblings of the other children given care, but the total number of children, including the caretaker's own, does not exceed 12 at any given time. (10) "Family day home" means a facility that provides care for not more than six children under 14 years of age for less than 24 hours a day not in the caretaker's own residence nor in the residence of one or more of the chil- dren. 01) "Agency home" means a private home that pro- vides care for not more than six children, that is used only by a licensed child -placing agency, and that meets division standards. (12) "Child -placing agency" means a person other than the natural parents or guardian of a child who plans for the placement of or places a child in an institution, agency home, or adoptive home. (13) "Facilities" includes child-care facilities and child - placing agencies. (14) "State of Texas" or "state" does not include polit- ical subdivisions of the state. (Sections 42.003-42.020 reserved for expansion) SUBCHAPTER B. ADMINISTRATIVE PROVISIONS Sec. 42.021. DIVISION DESIGNATED. (a) The department shall designate a division within the depart- ment to regulate and license child-care facilities and child - placing agencies. The division shall enforce the provisions of this chapter and the rules and standards adopted by the department under this chapter and shall carry out other responsibilities the department may delegate or assign. (b) The commissioner of the department shall appoint as director of the division a person who: (1) meets the qualifications required of a childcare administrator by Chapter 43 of this code; (2) holds a graduate degree in social science or law and has five years' administrative experience in a field related to child care; or (3) has 10 years' experience in a field related to child care, at least 5 of which must be administrative. (c) The department shall employ sufficient personnel and provide training for the personnel to carry out the pro- visions of this chapter. (d) The director may divide the state into regions for the purpose of administering this chapter. Sec. 42.022. STATE ADVISORY COMMITTEE. (a) The State Advisory Committee on Child-care Facilities is composed of 15 citizens of this state appointed by the commissioner. (b) Members of the committee serve for terms of two years. (c) The members must represent the following groups: (1) parents, guardians, or custodians of children who use the facilities; (2) child advocacy groups; (3) operators of the facilities; and (4) experts in various professional fields that are rele- vant to child care and development. (d) At least three members of the division staff shall meet with the committee, and the division shall provide staff necessary for the committee. (e) The committee shall review rules and minimum standards for child-care facilities and child -placing agen- cies promulgated by state agencies, and shall advise the department, the division, the council, and state agencies on problems of childcare facilities and child -placing agen- cies. (f) The committee shall receive and review the annual report of the division. (g) The committee shall meet twice a year, and the members shall receive their actual travel expenses and the state per diem. Sec. 42.023. ANNUAL REPORT. (a) The division shall send an annual report of its activities to the governor, lieu- tenant governor, and members of the legislature. (b) The annual report shall include: (1) a report by regions of applications for licensure or certification, of provisional licenses issued, denied, or revoked, of emergency closures and injunctions, and of the compliance of state -operated agencies with certifica- tion requirements; (2) a summary of the amount and kind of inservice training and other professional development opportunities provided for division staff; (3) a summary of training and other professional development opportunities offered to facilities' staffs; and (4)a report of new administrative procedures, of the number of staff and staff changes, and of plans for the coming year. (c) Copies of the annual report shall be available to any state citizen on request. S:GK&A Appendix I Page 33 DHR 5-85 Sec. 42.024. ADMINISTRATIVE PROCEDURE. The Administrative Procedure and Texas Register Act (Article 6252-13a, Vernon's Texas Civil Statutes) applies to all procedures under this chapter except where it is contrary to or inconsistent with the provisions of this chapter. (Sections 42.025-42.04S reserved for expansion) SUBCHAPTER C. REGULATION OF CHILD-CARE FACILITIES Sec. 42.041. REQUIRED LICENSE. (a) No person may operate a child-care facility or child -placing agency without a license issued by the division. (b) This section does not apply to: (1) a state -operated facility; (2) an agency home; (3) a facility that is operated in connection with a shopping center, business, religious organization, or establishment where children are cared for during short periods while parents or persons responsible for the chil- dren are attending religious services, shopping, or engag- ing in other activities on or near the premises, including but not limited to retreats or classes for religious instruc- tion; (4) a school or class for religious instruction that does not last longer than two weeks and is conducted by a reli- gious organization during the summer months; (5) a youth camp licensed by the Texas Department of Health; (6) a hospital licensed by the Texas Department of Mental Health and Mental Retardation or the Texas Department of Health; (7) an educational facility accredited by the Central Education Agency or the Southern Association of Col- leges and Schools that operates primarily for educational purposes in grades kindergarten and above; (8) an educational facility that operates solely for educational purposes in grades kindergarten through at least grade two, that does not provide custodial care for more than one hour during the hours before or after the customary school day, and that is a member of an organi- zation that promulgates, publishes, and requires compli- ance with health, safety, fire, and sanitation standards equal to standards required by state, municipal, and county codes; S:GK&A Appendix I Page 34 DHR 5-85 (9) a kindergarten or preschool educational program that is operated as part of a public school or a private school accredited by the Central Education Agency, that offers educational programs through grade six, and that does not provide custodial care during the hours before or after the customary school day; and (10) a registered family home. (11) an educational facility that is integral to and inseparable from its sponsoring religious organization or an educational facility both of which do not provide custo- dial care for more than two hours maximum per day, and that offers educational programs for children age five and above in one or more of the following: kindergarten through at least grade three, elementary, or secondary grades. (c) A single license that lists addresses and the appro- priate facilities may be issued to a child-care institution that operates noncontiguous facilities that are nearby and that are demonstrably a single operation as indicated by patterns of staffing, finance, administrative supervision, and programs. (d) A person operating or desiring to operate a child- care facility that is exempt from the provisions of Subsec- tion (a) of this section may apply to the division for a license as provided in Section 42.046 of this code The division may not deny an exempt facility a license on the ground that it is exempt from Subsection (a) of this sec- tion. A facility exempt from the provisions of Subsection (a) of this section that desires to receive or participate in federal or state funding shall be required to comply with all other provisions of this Act and with all regulations promulgated thereunder. (e) The exemptions provided by Subsection (b) of this section do not affect the authority of local, regional, or state health department officials, the state fire marshal, or local fire prevention officials to inspect child-care facilities. Sec. 42.042. RULES AND STANDARDS. (a) The department shall make rules to carry out the provisions of this chapter. (b) The department shall conduct a comprehensive review of all rules and standards at least every six years. (c) The department shall provide a standard procedure for receiving and recording complaints and a standard form for recording complaints. (d) The department shall provide standard forms for applications and inspection reports. (e) The department shall promulgate minimum stan- dards for child-care facilities covered by this chapter that will: (1) promote the health, safety, and welfare of chil- dren attending a facility; (2) promote safe, comfortable, and healthy physical facilities for children; (3) ensure adequate supervision of children by capa- ble, qualified, and healthy personnel; (4) ensure adequate and healthy food service where food service is offered; (5) prohibit racial discrimination by child-care facili- ties; and (6) require procedures for parental and guardian con- sultation in the formulation of children's educational and therapeutic programs. (f) In promulgating minimum standards for childcare facilities, the department shall recognize the various cate- gories of facilities, including facilities offering specialized care, and the various categories of children and their par- ticular needs. Standards for child-care institutions must require an intake study before a child is placed in an insti- tution. The intake study may be conducted at a commu- nity mental health and mental retardation center. (g) In promulgating minimum standards, the depart- ment may recognize and treat differently the following child-care facilities: child -caring institutions, foster homes, day-care centers, group daycare homes, family day homes, registered family homes, and agency homes. (h) The department shall promulgate minimum stan- dards for child -placing agencies. (i) Before adopting minimum standards, the division shall present the proposed standards to the State Advisory Committee on Child -Care Facilities for review and com- ment, and shall send a copy of the proposed standards to each licensee covered by the proposed standards at least 60 days before the standards take effect to provide the licensee an opportunity to review and to send written sug- gestions to the council and the department. (j) The department may waive compliance with a mini- mum standard in a specific instance if it determines that the economic impact of compliance is sufficiently great to make compliance impractical. (k) The department may not regulate or attempt to reg- ulate or control the content or method of any organization or curriculum of a school sponsored by a religious organi- zation. Sec. 42.043. RULES FOR IMMUNIZATIONS. (a) The department shall make rules for the immunization of children admitted to facilities. (b) The department shall require that each child at an appropriate age have a test for tuberculosis and be immu- nized against diptheria, tetanus, poliomyelitis, rubella, and rubeola The immunization must be effective on the date of first entry into the facility. However, a child may be pro- visionally admitted if the required immunizations have begun and are completed as rapidly as medically feasible. (c) The Texas Department of Health shall make rules for the provisional admission of children to facilities and may modify or delete any of the immunizations listed in Sub- section (b) of this section or require additional immuniza- tions as a requirement for admission to a facility. (d) No immunization may be required for admission to a facility if a person applying for a child's admission sub- mits one of the following affidavits: (1) an affidavit signed by a licensed physician stating that the immunization would be injurious to the health and well-being of the child or a member of the child's family or household; or (2) an affidavit signed by the child's parent or guard- ian stating that the immunization conflicts with the tenets and practices of a recognized religious organization of which the applicant is an adherent or a member. (e) Each facility shall keep an individual immunization record for each child admitted, and the records shall be open for inspection by the division at all reasonable times. (f) The Texas Department of Health shall provide the immunizations required by this section to children in areas where there is no local provision of these services. Sec. 42.044. INSPECTIONS. (a) An authorized repre- sentative of the division may visit a facility during operat- ing hours to investigate, inspect, and evaluate. (b) The division shall inspect all licensed or certified facilities at least once a year and may inspect other facili- ties as necessary. At least one of the annual visits must be unannounced and all may be unannounced. (c) The division must investigate a facility when a com- plaint is received. The division representative must notify the facility's director or authorized representative when a complaint is being investigated and report in writing the results of the investigation to the director or the director's authorized representative. (d) The division may call on political subdivisions and governmental agencies for assistance within their autho- rized fields. S:GK&A Appendix I Page 35 DHR 5-85 Sec. 42.045. RECORDS. (a) A person who operates a licensed or certified facility shall maintain individual child development records, individual health records, statistical records, and complete financial records. (b) A person who operates a licensed facility shall have an annual audit by a certified public accountant of the facility's books. A copy of the accountant's statement of income and disbursements must accompany an applica- tion for a license. This subsection does not apply to a facil- ity that provides care for less than 24 hours a day or to an agency home. (c) If a child -placing agency terminates operation as a child -placing agency, it shall, after giving notice to the department, transfer its files and records concerning adopted children, their biological families, and their adop- tive families to the department or to a facility licensed by the department to place children for adoption. Sec. 42.046. LICENSE APPLICATION. (a) An appli- cant for a license to operate a child-care facility or child - placing agency shall submit to the divison a completed application on a form provided by the division. (b) The division shall supply the applicant the applica- tion form and a copy of the appropriate minimum stan- dards. (c) After receiving an application, the division shall investigate the applicant and the plan of care for children. (d) The division shall complete the investigation and decide on an application within two months after the date the division receives an application. Sec. 42.047. CONSULTATIONS. (a) The department shall offer consultation to potential applicants, applicants, and license and certification holders about meeting and maintaining standards for licensing and certification and achieving programs of excellence in child care. (b) The department shall offer consultation to prospec- tive and actual users of facilities. Sec. 42.048. ADVISORY OPINIONS. (a) The director of the division may give an advisory opinion on whether or not a planned facility or a planned change in an existing facility complies with the division's rules and minimum standards. S:GK&A Appendix I Page 36 DHR 5-85 (b) A written opinion authorized by Subsection (a) of this section is binding on the division as a declaratory order if it is signed by the division director and the division representative administering this chapter in a division region, and if an applicant or license holder has acted in reliance on the opinion. Sec. 42.049. LICENSING. (a) The division shall issue a license after determining that an applicant has satisfied all requirements. (b) When issuing a license, the division may impose restrictions on a facility, including but not limited to the number of children to be served and the type of children to be served. (c) The division may grant a variance of an individual standard set forth in the applicable standards for good and just cause. (d) A license holder must display a license issued under this chapter in a prominent place at the facility. (e) A license issued under this chapter is not transfer- able and applies only to the operator and facility location stated in the license application. A change in location or ownership automatically revokes a license. (f) A biennial license must be issued if the division determines that a facility meets all requirements. The eval- uation shall be based on a specified number of visits to the facility and a review of all required forms and records. Sec. 42.050. LICENSE RENEWAL. (a) A license holder may apply for a new license in compliance with the requirements of this chapter and the rules promulgated by the division. (b) The application for a new license must be com- pleted and decided on by the division before the expiration of the license under which a facility is operating. (c) The division shall evaluate the application for a new license to determine if all licensing requirements are met. The evaluation must include a specified number of visits to the facility and a review of all required visits to the facil- ity and a review of all required forms and records. Sec. 42.051. PROVISIONAL LICENSE. (a) The divi- sion shall issue a provisional license when a facility's plans meet the department's licensing requirements and one of the following situations exists: Co (1) the facility is not currently operating; (2) the facility is not licensed for the location stated in the application; or (3) there is a change in ownership of the facility. (b) A provisional license is valid for six months from the date it is issued and is not renewable. Sec. 42.052. CERTIFICATION AND REGISTRATION. (a) A state -operated child-care facility or child -placing agency must receive certification of approval from the division. The certification of approval must be renewed every two years. (b) To be certified, a facility must comply with the department's rules and standards and any provisions of this chapter that apply to a licensed facility of the same category. The operator of a certified facility must display the certification in a prominent place at the facility. (cl A registered family home must be registered with the division. (d) To be registered with the division, a registered fam- ily must comply with the department's rules and stan- dards and any provision of this chapter that applies to a registered family home. (e) The certification requirements of this section do not apply to a Texas Youth Council facility or a facility provid- ing services solely for the Texas Youth Council. Sec. 42.053. AGENCY HOMES. (a) An agency home is considered part of the child -placing agency that oper- ates the agency home for purposes of licensing. (b) The operator of a licensed agency shall display a copy of the license in a prominent place in the agency home used by the agency. (c) An agency home shall comply with all provisions of this chapter and all department rules and standards that apply to a child-care facility caring for a similar number of children for a similar number of hours each day. (d) The division shall revoke or suspend the license of a child -placing agency if an agency home operated by the licensed agency fails to comply with Subsection (c) of this section. (Sections 42.054-42.070 reserved for expansion) SUBCHAPTER D. REMEDIES Sec. 42.071. LICENSE SUSPENSION AND PROBA- TION. (a) The division may suspend the license of a facil- ity that has temporarily ceased operation but has definite plans for starting operations again within the time limits of the issued license. (b) The division may suspend a facility's license for a definite period rather than deny or revoke the license if the division finds repeated noncompliance with standards that do not endanger the health and safety of children. To qual- ify for license suspension under this subsection, a facility must suspend its operations and show that standards can be met within the suspension period. (c) The division may place a facility on probation for a definite period not to extend beyond the expiration date of the license rather than suspend or revoke the license. The division may revoke the license of the facility during the probationary period if the facility does not meet the condi- tions of probation. (d) The division shall revoke the license of a facility that does not comply with standards at the end of a license suspension or probation. Sec. 42.072. LICENSE DENIAL OR REVOCATION. (a) The division may deny or revoke the license or certifi- cation of approval of a facility that does not comply with the requirements of this chapter, the standards and rules of the department, or the specific terms of the license or certification. (b) The division shall notify the person operating or pro- posing to operate a facility of the reasons for the denial or revocation and of the person's right to appeal the decision within 30 days after receiving the notice. (c) A person who wishes to appeal a license denial or revocation shall notify the director by certified mail within 30 days after receiving the notice required in Subsection (b) of this section. The person shall send a copy of the notice of appeal to the assigned division representative. (d) Within 14 days after the date the appeal notification was mailed, the director shall appoint an advisory review board to hear the appeal or notify the person requesting the appeal that the request is denied. (e) Within 14 days after notifying a person that an advi- sory review board will hear the case, the director shall appoint five of the person's peers to the board and set a date for the hearing. The date for the hear- S:GK&A Appendix I Page 37 DHR 5-85 ing must be within 28 days after the date the board mem- bers are appointed. (f) The advisory review board shall hear the appeal and render its opinion to the director within seven days after the last day of the hearing. The board members shall receive actual travel expenses and the state per diem for each day of the hearing. (g) A committee composed of the director, the division representative responsible for establishing standards, and the division representative administering this chapter in the region where the facility in question is located shall review the opinion. The committee shall make a decision within 14 days after receiving the opinion and shall notify, by certified mail, the person who appealed. (h) A person whose license has been denied or revoked may challenge the committee's decision by filing a suit in a district court of Travis County or the county in which the person's facility is located within 30 days after receiving the committee's decision. The trial shall be de novo. (i) Records of the department's hearing shall be kept for one year after a committee decision is rendered. On request, and at the person's own expense, the division shall supply a copy of the verbatim transcript of the advi- sory board hearing to a person appealing a license denial or revocation in district court. (j) A person may continue to operate a facility during an appeal of a license denial or revocation unless the division has sought injunctive relief under Section 42.074 or civil penalties under Section 42.075 of this code. Sec. 42.073. CLOSING A FACILITY. (a) The division may close the facility and place the children attending the facility in another facility if the division finds violations of this chapter or violations of the department's rules and standards that create an immediate danger for children. (b) A division representative who finds conditions described in Subsection (a) of this section shall immedi- ately notify the director and request an immediate inspec- tion of the facility by the director or the director's designee. (c) The division shall report to the governor and the commissioner of the department when a stateoperated facility is found in violation of this chapter or the depart- ment's rules and standards and the violation threatens serious harm to the children in the facility. S:GK&A Appendix I Page 38 DHR 5-85 (d) Closing a facility under this section is an emergency measure. The division shall seek an injunction against continued operation of the facility after closing a facility under this section. Sec. 42.074. INJUNCTIVE RELIEF. (a) When it appears that a person has violated, is violating, or is threatening to violate the licensing, certification, or regis- tration requirements of this chapter or the department's licensing, certification, or registration rules and standards, the division may file a suit in a district court in Travis County or in the county where the facility is located for assessment and recovery of civil penalties under Section 42.075 of this code, for injunctive relief, including a tem- porary restraining order, or for both injunctive relief and civil penalties. (b) The district court shall grant the injunctive relief the facts may warrant. (c) At the division's request, the attorney general shall conduct a suit in the name of the State of Texas for injunc- tive relief, to recover the civil penalty, or for both injunctive relief and civil penalties as authorized by Subsection (a) of this section. Sec. 42.075. CIVIL PENALTY. (a) A person is subject to a civil penalty of not less than $50 nor more than $ 100 for each day of violation and for each act of violation if the person: (1) threatens serious harm to a child in a facility by violating a provision of this chapter or a department rule or standard; (2) violates a provision of this chapter or a depart- ment rule or standard three or more times within a 12 - month period; or (3) places a public advertisement for an unlicensed facility. (b) The civil penalty authorized by this section is cumu- lative and in addition to the criminal penalties and injunc- tive relief provided by this chapter. Sec. 42.076. CRIMINAL PENALTIES. (a) A person who operates a child-care facility or childplacing agency without a license commits a Class B misdemeanor. (b) A person who places a public advertisement for an unlicensed facility commits a Class C misdemeanor. CHAPTER 17. EMERGENCY PROCEDURES IN SUIT BY GOVERNMENTAL ENTITY Section 17.03. Taking Possession of a Child Without a Court Order. (a) An authorized representative of the Texas Department of Human Resources, a law enforcement officer, or a juvenile probation officer may take possession of a child without a court order under the following conditions and no oth- ers: (1) upon discovery of a child in a situation of danger to the child's physical health or safety when the sole purpose is to deliver the child with- out unnecessary delay to the parent, managing conservator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (2) upon the voluntary delivery of the child by the parent, managing conservator, possessory conservator, guardian, caretaker, or custodian who is presently entitled to possession of the child; (3) upon personal knowledge of facts which would lead a person of ordinary prudence and cau- tion to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code; or (4) upon information furnished by another which has been corroborated by personal knowl- edge of facts and all of which taken together would lead a person of ordinary prudence and caution to believe that there is an immediate danger to the physical health or safety of the child and that there is no time to obtain a temporary restraining order or attachment under Section 17.02 of this code. (See the full text of Section 17.03 for specifics on the court hearings which follow taking possession of a child in an emergency.) CHAPTER 34. REPORT OF CHILD ABUSE Section 34.01. Persons Required to Report Section 34.011. Form Section 34.02. Contents of Report: To Whom Made Section 34.03. Immunities S:GK&A Appendix II Page 39 DHR 5-85 APPENDIX II EXCERPTS FROM THE TEXAS FAMILY CODE (AMENDED) Section 34.04. Privileged Communications Section 34.05. Investigation and Report of Receiving Agency Section 34.06. Central Registry Section 34.07. Failure to Report: Penalty Section 34.08. Confidentiality Section 34.01. Persons Required to Report. Any person having cause to believe that a child's physi- cal or mental health or welfare has been or may be adversely affected by abuse or neglect shall report in accordance with Section 34.02 of this code. Section 34.011. Form. The Texas Department of Human Resources shall promulgate a form and cause a sample to be distributed for the reporting of suspected occurrences of child abuse as required by Section 34.01 of this code. Copies of the form shall be distributed to all licensed hospitals in this state to be available for use without charge by hos- pital employees, physicians, patients, and other persons. The form shall include a statement that child abuse reports are confidential and that infor- mation contained in the reports, including the name of the person making the report, may be used only for the purposes consistent with the investigation of child abuse. The form shall give the address of the Texas Department of Human Resources. Hospital employees, physicians, patients, and other persons must complete the form and return it to the Texas Department of Human Resources. Section 34.02. Contents of Report: To Whom Made. (a) Nonaccusatory reports reflecting' the reporter's belief that a child has been or will be abused or neglected, or has died of abuse or neglect, has violated the compulsory school attendance laws on three or more occasions, or has, on three or more occasions, been voluntarily absent from his home without the consent of his parent or guardian for a substantial length of time or without the intent to return shall be made to any local or state law enforcement agency, and in addition shall be made to: (1) the Texas Department of Human Resources; or (2) the agency designated by the court to be responsible for the protection of children. S:GK&A Appendix II Page 40 DHR 5-85 (b) All reports must contain the name and address of the child, the name and address of the person responsible for the care of the child, if avail- able, and any other pertinent information. (c) All reports received by any local or state law enforcement agency shall be referred to the Texas Department of Human Resources or to the agency designated by the court to be responsible for the protection of children. The department or desig- nated agency immediately shall notify the appro- priate state or local law enforcement agency of any report it receives, other than from a law enforce- ment agency, that concerns the suspected abuse or neglect of a child or death of a child from abuse or neglect. (d) An oral report shall be made immediately on learning of the abuse or neglect as prescribed in Subsection (a) of this section, and a written report shall be made within five days to the same agency or department. Anonymous reports, while not encouraged, will be received and acted on in the same manner as acknowledged reports. Section 34.03. Immunities. Any person reporting pursuant to this chapter is immune from liability, civil or criminal, that might otherwise be incurred or imposed. Immunity extends to participation in any judicial proceeding resulting from the report. Persons reporting in bad faith or malice are not protected by this section. Section 34.04. Privileged Communications. In any proceeding regarding the abuse or neglect of a child or the cause of any abuse or neglect, evidence may not be excluded on the ground of privileged communication except in the case of communica- tions between attorney and client. Section 34.05. Investigation and Report of Receiving Agency. (a) The Texas Department of Human Resources or the agency designated by the court to be responsible for the protection of children shall make a thorough investigation promptly after receiving either the oral or written report. The primary purpose of the investigation shall be the protection of the child. (b) In the investigation the department or agency shall determine: (1) the nature, extent, and cause of the abuse or neglect; (2) the identity of the person responsible for the abuse or neglect; (3) the names and conditions of the other children in the home; (4) an evaluation of the parents or persons responsible for the care of the child; (5) the adequacy of the home environment; (6) the relationship of the child to the parents or persons responsible for the care of the child; (7) all other pertinent data. (c) The investigation shall include a visit to the child's home, a physical examination of all the chil- dren in that home, and an interview with the sub- ject child. The investigation may include a psychological or psychiatric examination of all the children in the home. If admission to the home, school, or any place where the child may be, or per- mission of the parents or persons responsible for the child's care for the physical examination can- not be obtained, then the juvenile court, or the dis- trict court, upon cause shown, shall order the parents or the persons responsible for the care of the children, or the person in charge of any place where the child may be, to allow entrance for the interview, the physical examination, and investi- gation. If the parents or persons responsible for the child's care does not consent to a psychological or psychiatric examination of the child that is requested by the department or agency, the juve- nile court or district court, upon cause shown, shall order the examination to be made at the times and places designated by the court. The par- ent or person responsible for the child's care is entitled to notice and a hearing when the depart- ment or agency seeks a court order to allow a psy- chological or psychiatric examination. (d) If, before the investigation is complete, the opinion of the investigators is that immediate removal is necessary to protect the child from fur- ther abuse or neglect, the investigators shall file a petition pursuant to Chapter 17 of this code for temporary care and protection of the child. (e) The agency designated by the court to be responsible for the protection of children or the department shall make a complete written report of the investigation. The report, together with its recommendations, shall be submitted to the juve- nile court of the district court, the district attor- ney, and the appropriate law enforcement agency if sufficient grounds for the institution of a suit affecting the parent-child relationship are found. (f) On the receipt of the report and recommen- dation required by Subsection (e) of this section, the court may direct the investigator to file a peti- tion seeking appropriate relief under Subtitle A of this title. S:GK&A Appendix II Page 41 DHR 5-85 Section 34.06. Central Registry.' The Texas Depart- ment of Human Resources shall establish and maintain in Austin, Texas, a central registry of reported cases of child abuse or neglect. The department may adopt rules and regulations as are necessary in carrying out the provisions of this section. The rules shall provide for cooperation with local child service agencies, including hospi- tals, clinics, and schools, and cooperation with other states in exchanging reports to effect a national registration system. Section 34.07. Failure to Report: Penalty. (a) A person commits an offense if the person has cause to believe that a child's physical or mental health or welfare has been or may be further adversely affected by abuse or neglect and knowingly fails to report in accordance with Section 34.02 of this code. (b) An offense under this section is a Class B misdemeanor. Section 34.08. Confidentiality. The reports, records, and working papers used or developed in an investigation made under this chapter are confi- dential and may be disclosed only for purposes consistent with the purposes of this code under regulations adopted by the investigating agency. Age Group Under 2 mos. 2 mos. to 4 mos. 4 mos. to 6 mos. 6 mos. to 18 mos. 18 mos. to 5 yrs. 5 yrs. and older 1I6g3 APPENDIX III CHILD CARE FACILITY IMMUNIZATION REQUIREMENTS Required Immunization and Number of Doses No immunizations required. 1 dose of oral polio vaccine (OPV). 1 dose of diphtheria -tetanus -pertussis (DTP) vaccine. 2 doses of OPV. 2 doses of DTP vaccine. 2 doses of OPV. 3 doses of DTP vaccine. 3 doses each of OPV and DTP vaccine. 1 dose each of measles', rubella', and mumps' vaccines. 3 doses each of OPVand DTP` vaccine. 1 dose each of measles', rubella', and mumps' vaccines. S:GK&A Appendix III Page 43 DHR -85 'Measles: Measles vaccine is required for each child 18 months old or older. The vaccination date for the measles vaccine must be during the calendar month of or after the first birthday and since January 1, 1968. A written physician -verified history of measles disease which shows the date of the illness will substitute for the measles vac- cine requirements. 'Rubella: Rubella vaccine is not required after the 12th birthday. A history of rubella illness is not acceptable. S:GK&A Appendix III Page 44 DHR 5-85 'Mumps: As a part of the child's immunization record, a written physician -verified history of mumps disease which shows the date of the illness will substitute for the vaccine requirement. Effective September 1, 1984, chil- dren less than 13 years old are required to have received mumps vaccine or provide a written physician -verified history of mumps illness. On September 1 each following year, children one year older must also meet this require- ment. By September 1, 1990, all children through 18 years old will be included. See the table below. Mumps Vaccine Requirements by Effective Dates for Children 18 Months through 18 Years of Age In Child Care Facilities Effective Dates Ages in Years* September 1, 1984 Thru 12 September 1, 1985 Thru 13 September 1, 1986 Thru 14 September 1, 1987 Thru 15 September 1, 1988 Thru 16 September 1, 1989 Thru 17 September 1, 1990 Thru 18 *Ages of children in child rue facilities on the effective date. `Polio: At least three doses of oral polio vaccine (OPV) are required for all children, provided at least one dose has been received on of after the 4th birthday. A dose of OPV given during the calendar month before the 4th birth- day will substitute for the dose on or after the 4th birthday. No further doses of OPV are required. Some children or students may be enrolled who have received inactivated polio vaccine (IPV). These students ate in full compliance when an initial series of four doses are completed and a booster dose within five years of the fourth dose has been received. A booster dose is required every five years thereafter. `Diptheria - Tetanus - Pertussis /Tetanus - Diphtheria: DPT/TD vaccine is required for all children. At least three doses of DTP and/or Td vaccine arc required, provided at least one dose has been received on or after the 4th birthday. A dose of DTP or Td given during the calendar month before the 4th birthday will substitute for the dose on or after the 4th birthday. Besides the minimum of three DTP or Td doses with one dose since the 4th birthday, children 12 years old and older must have a last dose within the past 10 years. (A Td booster is required 10 years after the administration of the immunization that meets the requirement for the "dose since the 4th birthday." Example: If the last dose of DTP was received at age five, the 10 -year Td booster is due at age 15.) 'An Annual Report of the Immunization Status by age group of all children must be submitted on the request of the Texas Department of Health. 1. Children should have good behavior recog- nized and encouraged. 2. Children should be taught by example through the use of fair and consistent rules. The atmosphere should be relaxed. Discipline should be relevant to the behavior involved. 3. Children should be supervised by people showing an attitude of understanding and firm- ness. 4. Children should be given clear directions and guidance on the child's level of understanding. 5. Children should be held firmly if their behavior will harm themselves or others. 6. Children should be redirected by stating alternatives when their behavior is unacceptable. (Example: "Blocks are for building, not throwing — try throwing this ball.") 7. Children should be helped to understand why their conduct is unacceptable and what is acceptable in a given situation. S:GK&A Appendix IV Page 45 DHR 5-85 APPENDIX IV ALTERNATIVES TO PHYSICAL PUNISHMENT S:GK&A Appendix V Page 47 DHR 5-85 COMMUNICABLE DISEASE CHART FOR SCHOOLS AND CHILD-CARE CENTERS Your Health Department: Hepatitis, Viral, 8090days Gradual onset of fever, tired feeling, loss of EXCLUDE FROM REPORTABLE type a CONDITION INCUBATION PERIOD EARLY SIGNS OF ILLNESS ATTENDANCE' READMISSION CRITERIA" DISEASE NOTES FOR PREVENTION Athlete's Foot Unknown Blisters and cracking of the skin of the feet, No (cold sores) No Teach Importance of hygienic care of feet usually between the toes common. Chickenpox 10.21 days Fever and rash consisting of blisters that Yes When all blisters have crusted over Yes No vaccine available No may appear first on head. !hen spread to body with yellowish crust. No fever. (but not longer than 1 week after onset Influenza 1.3 days Usually 2 or 3 crops of new blisters that heal Yes of rash) Yes cough. leaving scabs. Measles (Rubeola) 7.14 days Common Cold 13 days Runny nose, watery eyes, general bred feeling No, unless fever is When fever subsides No Teach importanceof washing hands and covering In an outbreak, unimmunized Children present (Sae Fever) mouth when coughing or sneezing Diphtheria 2.5 days Sore throat and fever, rapidly progressing to Yes See Footnote 2(A B) Yes Vaccine available If you suspect this disease German Measles difficulty breathing and swallowing. Slight Cold, swollen tender glands at back of Yes After 5 days from appearance of rash Immediately consult a physician Fever Oral temperature of 38'C (100 4'F) or greater. Yes When fever subsides. No Gast roenter it is. Variable, usually 2.7 days Stomachache, nausea, diarrhea (8 or more Yes When diarrhea subsides No Teach Importance of hand washing Adult should Viral watery loose stools per day) supervise hand washing of preschool -age children Glardlasls 4.14 days Gradual onset of stomachache, bloating, and No No Treatment is recommended Teach importance of diarrhea. May recur several times over a period hand washing Can spread Quickly In child-care of weeks. centers Gonorrhea 3.5 days Male— urethral discharge ("drip")with burning No Yes Teach junior and senior high school students on urination about sexually transmitted diseases Report Female — May have no symptoms or may have suspected cases to health department or by vaginal discharge and abdominal pain, calling the VD Hot Line 1-800.2278922 especially with menses Head Lice Eggs hatch in 7-10 days. Itching and scratching of scalp Pinpoint white Yes When one medicated shampoo or No Second shampoo or lotion treatment in 7.10 days (Pediculosis) eggs (nits) on head that will not flick off. lotion treatment has been given Is recommended Teach Importance of not sharing combs. hats, and coats Hepatitis, Viral, 15.50 days, average 28 days Gradual onset of slight fever, tired feeling, Yes After 1 week from onset of illness Yes Teach importance of hand washing Gamma type A stomachache, nausea, or vomiting followed by globulin should be given to household contacts jaundice. Young children may have mildcaseof 11 more than one case occurs In a child-care diarrhea without jaundice. center, gamma globulin should be considered for all children and parents Involved Hepatitis, Viral, 8090days Gradual onset of fever, tired feeling, loss of No Yes type a appetite, followed by jaundice Herpes, Oral First infection. 2.12 days Blisters on or near lips that open and become No No (cold sores) covered with dark crust. Recurrences are common. Impetigo Variable Blisters on skin that open and become covered Yes When treatment begun. No with yellowish crust. No fever. Influenza 1.3 days Rapid onset of fever, headache, sore throat, Yes When fever subsides. Yes cough. Measles (Rubeola) 7.14 days Runny nose, watery eyes, fever, cough. Blotchy Yes After 4 days from appearance of rash. Yes red rash appears on 4th day. In an outbreak, unimmunized Children should also be excluded for at least 4 days after last case occurs. German Measles 14.21 days Slight Cold, swollen tender glands at back of Yes After 5 days from appearance of rash Yes (Rubella) neck. Changeable pink rash. attendance Teach importance of good hygiene and avoid contact with blood of recent cases or chronic carriers Teach importance of good hygiene Avoid direct contact with sores Keep lesions covered while in school Teach importance of hand washing and keeping fingernails clean Vaccine available, but only recommended for children with certain chronic diseases Vaccine available Report suspect cases imme- diately to health department or by calling the Texas Immunization Hot Line 1.800252.9152. Vaccine available. Report suspect cases immedi- ately to health department or by calling the Texas Immunization Hot Line 1-000252-9152 S:GK&A Appendix V Page 48 DHR 5-85 ' Meningitis, Bacterial 2.10 days Sudden onset of high fever, headache, and stiff Yes See Footnote 2(A-8) Yes Depending on which bacteria are causerg the oil- rneck, neck.usually with some vomiting note, prophylactic antibiotics may be recoup mendedfor lamely members Occlsionally, close cOnl7ots at a child-care center are also treated Meningitis, Viral 2-10 days Sudden onset of fever, headache, usually with Yes See Footnote 2(A-8) Yes Teach importance of hand washing Prophylactic some vomiting antibiotics of no value Mumps 1226 days Swelling over jaw in front of one or both ears Yes After9daysfrom theonsetol Swelling Yes Vaccine available Pain in cheeks made worse be chewing Pink Eye 1.3 days Red eyes, usually with some discharge or Yes Sao Footnote 2(A-B) No Teach importance of hand washing allergic 4 (Conjunctivitis) crust on eyelids conjunctivitis is not contagious Pinworms Variable, may be as long as Perianal itching No No Teach importance of hand washing 3.6 weeks Poliomyelitis 3.21 days Fever, headache, stomachache. stiff neck. Yes See Footnote 2(A-8) Yes Vaccine available Report cases immediately to (Polio) usually with some vomiting Often followed by health department or by calling the Texas paralysis Immunization Hot Line 1400.252.9152 Rocky Mountain 3.10 days Sudden onset of fever. chills, and severe head- No Yes Transmitted by tick bites 11 you suspect this Spotted Fever ache Rash consists of red spots beginning on disease, immediately consult a physician wrists or ankles, progressing to the chest, palms, and soles Ringworm of the body 4-10 days Slowly spreading flat, scaly ring-shaped Spots No No Treatment is recommended Keep lesions on skin The margins may be reddish and covered while in school slightly raised Ringworm of the scalp 10-21 days Slowly spreading, balding patches on scalp Yes When treatment begun No Teach importance of not sharing combs. hats, with broken-off hairs and coals Salmonellosis 1.3 days Sudden onset Of fever, abdominal pain, diar. Yes When diarrhea subsides Yes Teach importanceof hand washing Frequently a mea. sometimes vomiting food-borne infection Scabies First infection i month Small raised, fed bumps or blisters on skin with Yes When treatment begun No Careful examination of close contacts required Repeat infection 2.5 days severe itching to identify early infection Shigellosis 1.7 days Sudden onset of lever, vomiting, and diarrhea Yes When diarrhea Subsides. Yes Teach importance of hand washing. Can spread quickly in child-care centers Streptococcal Sore 1.3 days Fever, sore Throat, Often with enlarged tender Yes After 24 hours from date antibiotic Yes Teach importance of covering mouth when Throat and Scarlet Fever lymph nodes in neck Scarlet lever-producing treatment begun coughing or Sneezing strains of bacteria cause aline red rash that appears 1.3 days alter onset of sore throal. , Tetanus 4-21 days Painful muscular contractions — primarily of No Yes Transmitted by contamination of a wound with jaw and neck muscles No fever bacterial spores Vaccine available If you suspect this disease, immediately consult a physician Tuberculosis. 4.12 weeks Gradual onset, tiredness, loss of appetite, Yes Alter antibiotic treatment begun, AND Yes All classroom contacts should have TB skin tests Pulmonary slight lever. failure to gain weight, cough a physician's certificate or health Antibiotic prophylaxis indicated for newly posi. authority permit obtained. tive reactors Whooping Cough 7.21 days Low grade fever, runny nose, and cough lasting Yes Alter 7 days from date antibiotic Yes Vaccine vailable Unimmunized contacts should (Pertussis) about 2 weeks, followed by paroxysmal treatment begun be immunized and receive antibiotic prophylaxis coughing spells and "whoop" on inspiration. Report suspect cases immediately to health department or by calling the Texas Immunization Hot Line. I-WO-252.9152 nonexelutlable illness yet require care of home Or in a hospital 'Children excluded from a school or child-care center for a communicable disease may be readmitted by any one of the following methods (A) A written certificate from a physician (B) A permit issued by the local health authority (C) Fulfilling criteria luted under "Readmission Criteria " TEXAS DEPARTMENT OF HEALTH 3A school or childcare center administrator may require a note from a parent or physician for readmission regardless of the reason for the absence Adopted by the undersigned pursuant to 25 TAC 97.5(c)(3) this 121h day of December 1903 630 114164 Robert Bernstein, M.D , F.A.0 P. Commissioner of Health w S:GK&A Appendix VI Page 49 DHR 5-85 APPENDIX VI SANITIZING PROCEDURES FOR FOOD SERVICE EQUIPMENT Reusable food service equipment, including infant feeding equipment, must be properly washed and sanitized by one of the following meth- ods: Utensils must be completely immersed in hot water and maintained at a temperature of 170°F for not less than three minutes or 180°F for two minutes. One and 1/4 teaspoons of chlorine bleach must be used for each gallon of water at lukewarm temperature during the final rinse. One-half teaspoon iodine must be used for each gallon of water at lukewarm temperature. Quaternary ammonium compounds or acid sanitizer compounds must be used according to directions on the officially approved label. If utensils are machine washed, final rinse water must be at least 180•F. Other methods may be used if approved by the local health department or the Texas Department of Health. S:GK&A Appendix VII Page 51 DHR 5-85 APPENDIX VII — CRIMINAL OFFENSES FROM THE TEXAS PENAL CODE The following constitute criminal offenses included in the Texas Penal Code: Title 5. Offenses Against the Penson Murder Capital murder Voluntary manslaughter Involuntary manslaughter Criminally negligent homicide False imprisonment Kidnapping Aggravated kidnapping Rape Aggravated rape Sexual abuse Aggravated sexual abuse Homosexual conduct Public lewdness Indecent exposure Rape of a child Sexual abuse of a child Indecency with a child Assault Sexual assault Aggravated assault Aggravated sexual assault Deadly assault on a peace officer Injury to a child or an elderly individual Reckless conduct lbrroristic threat Aiding suicide Tampering with consumer products Tide 6. Offenses Against the Family Bigamy Incest Interference with child custody Enticing a child Criminal non support Sale or purchase of a child Solicitation of a child Harboring a runaway child Violation of a court order Tide 43. Public Indecency Prostitution Promotion of prostitution Aggravated promotion of prostitution Compelling prostitution Obscene display or distribution Obscenity Sale, distribution, or display of harmful material to a minor Sexual performance by a child