Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS
Subchapter I - ADMISSION, SERVICE PLANNING, AND DISCHARGE
Division 1 - ADMISSION
Section 748.1205 - What information must I document in the child's record at the time of admission?
Universal Citation: 26 TX Admin Code § 748.1205
Current through Reg. 50, No. 13; March 28, 2025
(a) You must include the following in the child's record at the time of admission:
(1) The child's name, gender, race, religion,
and date of birth;
(2) The name,
address, and telephone number of the managing conservator, the primary
caregivers for the child, any person with whom the child is allowed to leave
the operation, and any other individual who has the legal authority to consent
to the child's medical care;
(3)
The names, addresses, and telephone numbers of biological or adoptive parents,
unless parental rights have been terminated;
(4) The names, addresses, and telephone
numbers of siblings;
(5) The date
of admission;
(6) Medication the
child is taking;
(7) The child's
immunization record;
(8) Allergies,
such as food, medication, sting, and skin allergies;
(9) Chronic health conditions, such as asthma
or diabetes;
(10) Known
contraindications to the use of restraint;
(11) Identification of the child's treatment
needs, if applicable, and any additional treatment services or programmatic
services the child is receiving;
(12) Identification of the child's high-risk
behaviors, if applicable, and the safety plan staff and caregivers will
implement related to the behaviors;
(13) If a suicide risk screening is required
at admission and the child is screened as having a high or potential risk of
suicide:
(A) The identification of any risk
factors or warning signs of suicide, if applicable, and not already identified
in paragraph (12) of this subsection; and
(B) The safety plan staff and caregivers will
implement related to the risk factors and warning signs;
(14) The results of the suicide screening at
admission, if required;
(15) A copy
of the placement agreement, if applicable; and
(16) Documentation of the attempt to notify
the parent of the child's location as required by §
748.1211(c)(3)
of this title (relating to What information must I share with the parent at the
time of placement?), if applicable.
(b) If you admit a child for emergency care services, you must document the information:
(1) Regarding the reason for admission in the
child's record upon admission; and
(2) In subsection (a) of this section within
72 hours after you admit the child. If any information is not available within
that time frame, you must document in the child's record reasonable efforts
made to obtain the information.
(c) For emergency admissions, as opposed to a child receiving emergency care services, you must meet the requirements in Division 2 of this subchapter (relating to Emergency Admission).
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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