Policies Comply with Rules
CriticalDuring the monitoring inspection the parent handbook was viewed and the following information was missing: (11) Immunization requirements for children, including tuberculosis screening and testing if required by your regional Texas Department of State Health Services or local health authority (13) Enrollment procedures, including how and when parents will be notifiedof policy changes (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan) [Medium]; your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (G)A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. (20) Parent rights that are consistent with the rules in Division 5 of this subchapter (relating to Parent Rights) (23) Instructions on how a parent may access the: (A) Minimum standards online; (B) Texas Abuse and Neglect Hotline; and (C) HHSC website. (26) Preventing and responding to abuse and neglect of children, including: (A) Required annual training for employees; (B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect; (C) Methods for increasing employee and parent awareness ofprevention techniques for child abuse and neglect; (D) Strategies for coordination between the center and appropriate community organizations]; and (E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect (28) Information on vaccine-preventable diseases for employees, unless your center is in the home of the permit holder. The policy must address the requirements outlined in ?746.3611 of this chapter (relating to What must a policy for protecting children from vaccine-preventable diseases include?) (29) If your operation maintains and administers unassigned epinephrine auto- injectors to use when a child in care has an emergency anaphylaxis reaction, policies for maintenance, administration, and disposal of unassigned epinephrine auto-injectors that comply with the unassigned epinephrine auto- injector requirements set by the Texas Department of State Health Services, as specified in 25 TAC Chapter 40, Subchapter C (relating to Epinephrine Auto- Injector Policies in Youth Facilities) and in Texas Health and Safety Code ?773.0145.
State verification recorded Jul 21, 2026.
Standard 746.201(1) · Policies Comply with Rules
- State severity
- High
- Corrected at visit
- No
- Correction reported
- Jul 7, 2026
- Technical assistance
- Recorded
- Finding source ID
- 1025889458
- Visit source ID
- 905558246
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