Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS
Subchapter G - ENFORCEMENT
Section 550.1408 - Administrative Penalties

Universal Citation: 26 TX Admin Code ยง 550.1408

Current through Reg. 49, No. 38; September 20, 2024

(a) The following words and terms, when used in this section, have the following meanings unless the context clearly indicates otherwise.

(1) Actual harm--A negative outcome that compromises a minor's physical, mental, or emotional well-being.

(2) Immediate threat to the health or safety of a minor--A situation that causes, or is likely to cause, serious injury, harm, or impairment to or the death of a minor.

(3) Isolated--A very limited number of minors are affected and a very limited number of staff are involved, or the situation has occurred only occasionally.

(4) Pattern of violation--Repeated, but not widespread in scope, failures of a center to comply with THSC Chapter 248A or a rule, standard, or order adopted under THSC Chapter 248A that:
(A) result in a violation; and

(B) are found throughout the services provided by the center or that affect or involve the same minor or center employees.

(5) Potential for minimal harm--A violation that has the potential for causing no more than a minor negative impact on a minor.

(6) Widespread in scope--A violation that:
(A) is pervasive throughout the services provided by the center; or

(B) represents a systemic failure by the center that affects or has the potential to affect a large portion of or all of the minors of the center.

(b) Assessing penalties. HHSC may assess an administrative penalty against a person who violates:

(1) THSC, Chapter 248A; or

(2) a provision in this chapter for which a penalty may be assessed.

(c) Criteria for assessing penalties. HHSC assesses an administrative penalty based on the scope and severity of a violation in accordance with the table in this section. Within an established range, HHSC determines the amount of an administrative penalty based on the following criteria:

(1) the seriousness of the violation, including the nature, circumstances, extent, and gravity of the violation;

(2) the threat to the health or safety caused by the violation;

(3) any previous violations;

(4) the amount necessary to deter future violations;

(5) efforts made by the violator to correct the violation; and

(6) any other matters that justice may require.

(d) Penalty calculation and assessment. The table in this section sets forth the ranges for administrative penalties that HHSC assesses, based on the scope and severity of a violation. An administrative penalty may not exceed $500 for each violation. Each day a violation continues or occurs is a separate violation for purposes of imposing a penalty.

(e) Schedule of appropriate and graduated penalties.

(f) The penalty range for a Severity Level A violation is $400 - $500 per violation.

(g) A Severity Level A violation is a violation that results in immediate threat to a minor's health or safety.

(h) The penalty range for a Severity Level B violation is $300 - $400 per violation.

(i) A Severity Level B violation is a violation that results in actual harm that is not considered an immediate threat.

(j) The penalty range for a Severity Level C violation is $200 - $300 per violation.

(k) A Severity Level C violation is a violation with no actual harm with potential for more than minimal harm.

(l) The penalty range for a Severity Level D violation is $100 - $200 per violation.

(m) A Severity Level D violation is a violation with no actual harm with potential for minimal harm.

Attached Graphic

(n) Proposal of administrative penalties. If HHSC assesses an administrative penalty, HHSC provides a written notice of violation letter to a center. The notice includes:

(1) a brief summary of the violation;

(2) the amount of the proposed penalty; and

(3) a statement of the center's right to a formal administrative hearing on the occurrence of the violation, the amount of the penalty, or both the occurrence of the violation and the amount of the penalty.

(o) A center may accept HHSC's determination and recommended penalty not later than 20 days after the date on which the center receives the notice of violation letter, including the proposed penalty, or make a written request for a formal administrative hearing on the occurrence of the violation, the amount of the penalty, or both.

(1) If a center that is notified of a violation accepts HHSC's determination and recommended penalty or fails to respond to the notice, the executive commissioner or designee issues an order approving the determination and ordering that the center pay the proposed penalty.

(2) If a center that is notified of a violation does not accept HHSC's determination, the center must submit to HHSC a written request for a formal administrative hearing on the determination and must not pay the proposed penalty. Remittance of the penalty to HHSC is deemed acceptance by the center of HHSC's determination, is final, and waives the center's right to a formal administrative hearing.

(3) If a center requests a formal administrative hearing, the hearing is held in accordance with THSC § 248A.255.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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