{"ref":"TX-HH-SG-02","title":"Self-Reported Incidents to HHSC","category":"Safeguarding","summary":"Sets out the Agency’s own self-reporting of alleged abuse, neglect, and exploitation of a patient by an Agency employee, volunteer, or contractor: the Administrator reports to HHSC Complaint and Incident Intake immediately and never later than 24 hours, starts an investigation at once, sends Form 3613 no later than the 10th day after the report, completes the investigation within 30 days, and cooperates with HHSC, including any referral to the Employee Misconduct Registry.","inShort":["When the Agency learns that a staff member may have abused, neglected, or exploited a patient, it reports to HHSC immediately.","The staff member is removed from patient care while the Agency investigates.","The Agency sends HHSC a written investigation report within 10 days of reporting.","Tell the Administrator at once about any allegation, even if you already called HHSC yourself."],"primaryCitation":"26 TAC §558.249","citations":["26 TAC §558.249","26 TAC §558.250","Tex. Hum. Res. Code §48.051(b-1)","Tex. Health & Safety Code §142.018","Tex. Health & Safety Code ch. 253","26 TAC §558.247"],"federalCitations":["42 CFR §484.50(e)","42 CFR §484.65(c)(2)"],"surveyorAsks":["Show me your last self-report: when did you have cause to believe, when did you call HHSC, and when did you send Form 3613?","What did you do with the aide while the allegation was being investigated?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.249)","5. Procedure","6. No Retaliation and No Screening","7. Responsibilities","8. Records and Compliance Monitoring","9. Staff Training","10. References","11. Related Policies and Forms","12. Approval","13. Revision History"],"version":"1.0","sample":false,"pack":"tx-lhhs","state":"Texas","service":"Home health","guides":[{"path":"/guides/abuse-neglect-exploitation-reporting/","h1":"Abuse, neglect and exploitation policies: what each state requires"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}