26 Tex. Admin. Code § 558.521 - Requirements for an Initial Survey
(a) No later than six months after the
effective date of an agency's initial license, an agency must:
(1) admit and provide services to clients as
described in subsection (b) of this section; and
(2) except as provided in subsection (f) of
this section, submit a written request for an initial licensure survey to the
designated survey office, as described in subsection (c) of this
section.
(b) Before
submitting a written request to HHSC for an initial licensure survey, an agency
must admit clients and provide services as described in this subsection. The
categories of service on an initial license may include licensed home health
services (LHHS), LHHS with home dialysis designation, hospice services, and
personal assistance services (PAS).
(1) When
an initial license includes only one category of service, an agency must admit
and provide services to at least one client.
(2) When an initial license includes the LHHS
and the PAS categories, an agency must admit and provide LHHS to at least one
client.
(3) When an initial license
includes the LHHS and the LHHS with home dialysis designation categories, with
or without the PAS category, an agency must admit and provide LHHS with home
dialysis designation to at least one client.
(4) When an initial license includes the
hospice services and the PAS categories, an agency must admit and provide
hospice services to at least one client.
(5) When an initial license includes the LHHS
and the hospice services categories, with or without the PAS category, an
agency must admit and provide LHHS services to at least one client and admit
and provide hospice services to at least one client.
(6) When an initial license includes the
LHHS, the LHHS with home dialysis designation, and the hospice services
categories, with or without the PAS category, an agency must admit and provide
LHHS with home dialysis designation to at least one client. The agency must
also admit and provide hospice services to at least one client.
(c) The agency's written request
for an initial survey must be submitted to the designated survey office using
HHSC Form 2020 Notification of Readiness for Initial Survey. The written
request must include the name, date of admission, and the category of service
provided to each client admitted for services to demonstrate that the agency
has admitted clients and provided services as described in subsection (b) of
this section.
(d) An agency must
have the following information available and ready for review by a surveyor
upon the surveyor's arrival at the agency:
(1) a list of clients who are receiving
services or who have received services from the agency for each category of
service licensed. The list must comply with the requirements of § 558.293
of this chapter (relating to Client List and Services);
(2) the client records for each client
admitted during the licensing period before the initial survey;
(3) all agency policies as required by this
chapter; and
(4) all personnel
records of agency employees.
(e) HHSC may propose to deny an application
to renew, or revoke or suspend, an initial license for the reasons specified in
§ 558.15(c) of this chapter (relating to Issuance of an Initial
License).
(f) An agency is not
required to request an initial survey in accordance with subsection (a)(2) of
this section if the agency is exempt from the survey as specified in §
558.503 of this subchapter (relating to Exemption From a Survey). To
demonstrate that it is exempt, the agency must send the accreditation
documentation from the accreditation organization to the HHSC designated survey
office no later than six months after the effective date of its
license.
(g) If an agency receives
written notice of accreditation from the accreditation organization after the
agency submits a written request to HHSC for an initial licensure survey, the
agency may demonstrate that it is exempt from the survey by sending the
accreditation documentation to the HHSC designated survey office before HHSC
arrives at the agency to conduct an initial survey.
Notes
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