(a) Initial screening. Before permitting a potential resident to move into a boarding home facility, the licensee shall ask each potential resident whether he or she:
(1) has the ability to comply with the requirements of being a resident at the boarding home facility, including:
(A) paying rent or other fees in accordance with the service agreement between the operator and the resident, unless the payment of rent or other fees is excused under the service agreement or by law;
(B) complying with the rules for the boarding home facility established by the licensee;
(C) paying for any damage to the boarding home facility caused by the resident; and
(D) timely vacating the premises when the service agreement, including any extension, expires or is terminated;
(2) is qualified to reside at the boarding home facility if the boarding home facility is available only to persons with disabilities or to persons with a particular type of disability;
(3) is currently an illegal abuser or addict of a controlled substance;
(4) is currently on probation or parole;
(5) is currently using any prescription drugs; or
(6) has been convicted of the illegal manufacture or distribution of a controlled substance.
(b) Individualized assessment.
(1) Before allowing an individual to reside at a boarding home facility, the licensee shall conduct an individualized assessment of that individual to determine if the individual would constitute a direct threat. The assessment must consider:
(A) any prior criminal or violent acts of the person;
(B) the amount of time that has elapsed since the commission of any such acts; and
(C) any actions taken by the person or other circumstances that may have eliminated the direct threat.
(2) In the case of any male resident or potential male resident who has been convicted of an offense requiring registration with any sex offender registry, the individualized assessment must include an assessment of risk performed by a Licensed Sex Offender Treatment Provider ("LSOTP") licensed under the Texas Occupations Code Title 3.110, Subchapters A and G, as amended. The assessment of risk must be obtained from the resident's or potential resident's current or former LSOTP. If there is no current LSOTP, or if the former LSOTP's assessment of risk is more than three years old, a new psycho-sexual evaluation and assessment of risk must be obtained to evaluate the resident's or potential resident's risk in the boarding home facility setting. A letter from the LSOTP summarizing his or her assessment of risk is sufficient documentation for the purposes of verifying compliance with the requirements of this paragraph.
(3) The licensee shall ensure that any resident that has been convicted of an offense requiring registration with any sex offender registry is registered with the proper authorities.
(4) Prior to the occupancy of any boarding home facility and at least quarterly thereafter, the licensee shall certify in a sworn affidavit to the director that, based on the individualized assessment performed for each resident, no person will or does reside in the boarding home facility whose tenancy would likely constitute a direct threat to the health or safety of that person or other individuals or whose tenancy would result in substantial physical damage to the property of others.
(c) Persons who may not reside in a boarding home facility. The licensee shall not allow the following individuals to reside at a boarding home facility:
(1) An individual convicted within the last 10 years of the illegal manufacture or distribution of a controlled substance.
(2) An individual who, based upon an individualized assessment, is likely to constitute a direct threat to the health or safety of the individual or other individuals or whose tenancy would likely result in substantial damage to the property of others.
(3) An individual who requires the provision of personal care services unless the personal care services are provided by outside professionals.
(d) Illegal drug use.
(1) All residents in a boarding home facility shall completely abstain from using controlled substances. The licensee shall expel as promptly as possible under state law any resident who uses a controlled substance, whether on or off the premises, and shall not readmit the resident to any boarding home facility under the control of the licensee for a period of at least 60 days following the violation. However, nothing contained in this subsection may be construed to prohibit a resident from taking a prescription drug for which that resident has a valid and current prescription.
(2) If the boarding home facility has one or more residents who are recovering from an addiction to alcohol or a controlled substance, the licensee must develop a written plan for ensuring that the residents continue to refrain from using alcohol or controlled substances, including any and all rules by which residents must abide, and must provide such plan to the director at his request.
(e) Duty to document. The licensee shall document the following:
(1) A resident’s illegal use of a controlled substance.
(2) A resident who poses a direct threat to the health or safety of other individuals.
(3) A resident who poses a direct threat of substantial damage to the property of others.
(f) Log. If a resident with dementia is currently taking a prescription medication, or if a resident is taking a controlled substance or a psychotropic medication pursuant to a current and valid prescription, the licensee shall note in a written log whether the resident has taken, or been reminded to take, his or her medication. The log must provide the resident's name, the name of the medication, and the date and time that the resident took the medication or was reminded by the licensee to take the medication. Unless prohibited by law, the licensee shall make copies of the log available to the director for inspection upon request.
(g) Injuries, incidents, and unusual accidents.
(1) The licensee shall notify a resident’s legal guardian, resident’s legally authorized representative, or a family member designated by the resident, the legal guardian, or the legally authorized representative of any injury, incident, or unusual accident involving the resident.
(2) The licensee shall investigate and document on a form provided by the director any injuries, incidents, or unusual accidents to a resident by providing the following information:
(A) The resident's name.
(B) The date and time the injury, incident, or unusual accident occurred.
(C) Description of the injury, incident, or unusual accident.
(D) Description of any medical or mental health treatment the licensee sought for the resident.
(E) Steps taken by the owner or operator to prevent future injuries, incidents, or unusual accidents if a problem at the boarding home facility resulted in the injury, incident, or unusual accident.
(F) When the resident's legal guardian, resident's legally authorized representative, or a family member designated by the resident, the legal guardian, or the legally authorized representative was notified about the injury, incident, or unusual accident.
(h) Access to records. Within one business day after a request by a resident, the resident’s guardian, the resident’s legally authorized representative, or a family member designated by the resident, the legal guardian, or the legally authorized representative, the licensee shall allow access to, and provide copies at a reasonable cost of, the records documenting any injury, incident, or unusual accident involving that resident. Upon request, the licensee must explain how to examine the records.
(i) Abuse, neglect, and exploitation.
(1) A licensee shall report and document any allegations of abuse, neglect, or exploitation of a minor, an adult age 65 or older, or an adult with a disability to the Texas Department of Family and Protective Services. Failure to report suspected abuse, neglect, or exploitation of a minor, an elderly adult, or an adult with a disability is a Class A misdemeanor under Texas law.
(2) A licensee shall ensure that no resident is harassed, threatened, or intimidated at any time for making a report of abuse, neglect, or exploitation.
(3) A licensee shall provide each resident with a copy of the definitions of abuse, neglect, or exploitation as outlined in Chapter 48 of the Texas Human Resources Code, as amended.
(4) A licensee shall allow law enforcement, emergency medical, and fire personnel access to the boarding home facility when these professionals are responding to a call at the boarding home facility.
(5) An owner, operator, or employee may not refer a person to the boarding home facility with which he is associated or to any other facility if he knows or reasonably should know that the facility or its services are not appropriate for the condition of the person being referred.
(6) If the licensee or an employee has any medical or mental health professional examine, diagnose, treat, or provide any other medical or mental health services to a resident, the licensee or employee must provide the resident with:
(A) the name, business address, and telephone number of the person who examined, diagnosed, treated, or provided any other service to the resident;
(B) a written explanation of the nature and results of the examination, diagnosis, treatment, or other service if provided to the licensee or employee by the medical or mental health professional; and
(C) a copy of any prescription for any medicine if provided to the licensee or employee by the medical or mental health professional.
(7) No licensee or employee may:
(A) use corporal punishment on a resident;
(B) involuntarily seclude a resident from other residents;
(C) abuse, neglect, or exploit a resident;
(D) receive any referral fees, kickbacks, or other compensation in connection with the placement of residents; or
(E) engage in any coercive practices involving residents' food stamps or disability checks.
(8) Physical and chemical restraints.
(A) No licensee or employee may use a physical restraint or chemical restraint on a resident.
(B) For purposes of Subsection (i)(8)(A), a physical restraint includes a vest, a hand mitt, and a seatbelt, and a chemical restraint includes an anti-psychotic drug and a sedative.
(C) It is a defense to prosecution under Subsection (i)(8)(A) that:
(i) the restraint was authorized by a physician, in writing, for a specified and limited period of time; or
(ii) the licensee or employee is the spouse, legal guardian, or next of kin of the resident or former resident.
(9) Access.
(A) A licensee shall allow a resident's personal physician, nurse, or other health care provider to have immediate access to the resident.
(B) A licensee shall allow the relatives, the guardian, and the legally authorized representative of a resident to have immediate access to the resident during the boarding home facility's visiting hours unless the resident objects.
(j) Conflicts of interests. The purposes of this subsection are to ensure both that residents have the right to manage their own affairs or to choose someone they trust to manage their affairs for them and that licensees and employees do not abuse their positions of power and trust for their own private gain.
(1) A licensee or employee of a boarding home facility shall not:
(A) borrow money from or loan money to residents;
(B) be a beneficiary of a current or former resident's will or life insurance;
(C) co-mingle a resident's funds with the funds of the licensee, employee, or another resident;
(D) employ a resident;
(E) require a resident to perform any kind of work for any person or entity;
(F) go into business with a resident;
(G) serve as an employee or independent contractor of a resident;
(H) have sexual relations with a resident; or
(I) have a power of attorney for a resident's affairs for any purpose.
(2) It is a defense to prosecution:
(A) under Paragraph (1) that the licensee or employee is the spouse, legal guardian, or next of kin of the resident or former resident;
(B) under Paragraph (1)(D) that the licensee or employee pays the resident, either as a monetary payment or as an in-kind contribution towards lodging, food, or services provided by the boarding home facility, at least the federal minimum wage for each hour of work performed;
(C) under Paragraph (1)(E) that the licensee or employee does not receive any direct or indirect monetary payment, kickback, or in-kind compensation from any person or entity in connection with the resident's work and ensures that the resident receives, either as a monetary payment or as an in-kind contribution towards lodging, food, or services provided by the boarding home facility, an hourly wage that exceeds the federal minimum wage by at least $3.00 for each hour of work performed by the resident;
(D) under Paragraph (1)(E) that the work required is limited to chores or other routine housekeeping activities; and
(E) under Paragraph (1)(I) that the licensee or employee is assisting the resident to establish eligibility for a federal or state program that provides financial assistance for medical services, such as Medicaid, or other services needed by the resident.
(3) No licensee or employee may be a representative payee for a resident or assist a resident with general money management unless the Social Security Administration, the resident, the resident's guardian, the resident's legally authorized representative, or a family member designated by the resident, the legal guardian, or the legally authorized representative authorizes in writing the licensee or employee to be a representative payee or assist the resident with general money management.
(4) If a licensee or employee becomes the representative payee for a resident or assists a resident with general money management, the licensee or employee shall do the following:
(A) Maintain separate financial records for each resident for which the licensee or employee is the representative payee or assists with general money management for the entire period of time the licensee or employee acts in that capacity and continue to maintain the resident's records for one year past the last calendar day the licensee or employee is the resident's representative payee or assists with money management.
(B) Include in the records an itemized list of expenditures that the licensee or employee has made on behalf of the resident, including the charges that are assessed by the licensee or employee.
(C) Maintain receipts for all expenditures in addition to the itemized documentation.
(D) Develop a budget with the resident outlining routine expenditures and ensure that expenditures that are not routine are discussed with the resident before the resident's funds are expended.
(E) Within one business day after receiving a request, allow the resident, the resident's guardian, the resident's legally authorized representative, or a family member designated by the resident, the legal guardian, or the legally authorized representative access to the resident's financial records that are maintained by the licensee or employee.
(F) Furnish the director a surety bond.
(i) The bond must be in an amount that is enough to cover the average monthly amount of money the licensee or employee manages or handles for all residents based on the following:
Amount of Resident Money Managed/Handled Per Month | Amount of Bond |
$750 or less | $1,000 |
$751 to $1,500 | $2,000 |
$1,501 to $2,500 | $3,000 |
Every additional increment of $1,000 or fraction thereof | Additional $1,000 |
(ii) The bond must be issued by a bank or bonding company authorized to do business in the State of Texas.
(iii) The bond must provide that all residents, residents' guardians, residents' legally authorized representatives, or family members designated by the resident, the legal guardian, or the legally authorized representative have the right to directly sue upon the surety bond until the amount of the bond has been exhausted.
(iv) The bond must cover embezzlement or theft by the licensee or employee.
(G) Immediately cease acting as a representative payee once a resident moves out of a boarding home facility or no longer wants the licensee or employee to be his representative payee.
(H) Document the termination of the licensee's or employee's role as representative payee for a resident or former resident and the actions taken by the licensee or employee to ensure that the Social Security Administration recognizes this termination.
(5) A licensee or employee who employs a resident or requires a resident to perform any kind of work for any person or entity pursuant to Sections 8A-34(j)(2)(B) or (C) must maintain documentation of the dates and hours worked by each resident, the type and amount of compensation received by each resident, and the name, address, and telephone number of the person or entity for whom each resident worked. At least monthly, the licensee or employee must also give a signed copy of this documentation to the resident, the resident's guardian, or the resident's legally authorized representative.
(k) Service agreement.
(1) A licensee shall develop a service agreement with each resident and maintain a copy of the agreement signed by the resident, the resident’s guardian, or the resident’s legally authorized representative. The licensee shall give a copy of the signed agreement to the resident, the resident’s guardian, or the resident’s legally authorized representative.
(2) The service agreement must specify the following:
(A) The length of the contract.
(B) The amount of rent charged and the date upon which rent is due.
(C) If service is accepted in lieu of rent, the dollar amount the rent is reduced per hour of service.
(D) The amounts of other fees or fines charged, an explanation of what those fees and fines are for, when they are charged, and why.
(E) The party responsible for paying the monthly rent and other fees.
(F) Any services to be provided or that could be provided by the boarding home facility.
(G) If the resident has a guardian, legally authorized representative, or a family member designated by the resident, the legal guardian, or the legally authorized representative, that person’s name, address, e-mail address, and telephone number.
(H) The rules and regulations of the boarding home facility.
(I) That a resident will be expelled if the owner or operator determines that the resident:
(i) has used a controlled substance within the past 30 days without a valid prescription;
(ii) has violated the rules of the boarding home facility if those rules require the expulsion for the violation;
(iii) poses a direct threat to the health or safety of other individuals; or
(iv) poses a direct threat of substantial damage to the property of others.
(J) If the resident earns any income from the licensee or an employee of the boarding home facility that exceeds the monthly rent owed, the licensee or employee’s plan to allocate the income or system of disbursement of that income.
(l) Disclosure of charges and fees to resident. No licensee or employee may charge a resident for a service or item unless the licensee or employee has previously disclosed in writing that providing the service or item will incur an additional fee and the amount of that fee.
(m) Visitors. Operators, employees, and volunteers of the boarding home facility shall not have visitors on the premises, except for visitation necessary for the operation of the facility, for emergencies, or by family members of an operator, employee, or a volunteer.
(n) Privacy policy. Each boarding home facility must adopt a privacy policy to ensure the confidentiality of residents' financial, health, and medical information. The owner, operator, or licensee shall give a copy of the privacy policy to the resident, the resident's guardian, or the resident's legally authorized representative. (Ord. Nos. 28706; 29753)