The purpose of this article is to implement the provisions of
Chapter 260, Texas Health and Safety Code, as amended, which allows
the city to establish regulations for the protection of the health
and safety of persons residing in boarding home facilities. In the
event of a conflict, this article must be construed so as to comply
with Chapter 260, Texas Health and Safety Code. It is the intent and
purpose of the city to administer and enforce this article to ensure
quality care and the protection of the health and safety of boarding
home facility residents by establishing standards, requiring permits
and requiring boarding home facilities operating within the city limits
to comply with these regulations.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
This article applies to all boarding home facilities within
the City of Brenham. This article does not apply to:
(1) Home
and community support services licensed under Chapter 142 of the Texas
Health and Safety Code;
(2) Convalescent
and nursing homes and related institutions licensed under Chapter
242 of the Texas Health and Safety Code;
(3) Continuing
care facilities licensed under Chapter 246 of the Texas Health and
Safety Code;
(4) Assisted
living facilities licensed under Chapter 247 of the Texas Health and
Safety Code;
(5) Intermediate
care facilities for the mentally retarded licensed under Chapter 252
of the Texas Health and Safety Code;
(6) A person
that provides home health, hospice, or personal assistance services
only to persons enrolled in a program funded wholly or partly by the
Texas Department of State Health Services (DSHS) or the Texas Department
of Aging and Disability Services (DADS) or their designated local
authorities in accordance with state standards;
(7) An establishment
conducted by or for the adherents of a well-recognized church or religious
denomination for the purpose of providing facilities for the care
or treatment of the sick who depend exclusively on prayer or spiritual
means for healing, without the use of any drug or material remedy,
if the establishment complies with safety, sanitary, and quarantine
laws and rules;
(10) A
child-care facility as defined by Section 42.002 of the Texas Human
Resources Code;
(11) Family
violence shelter center as defined by Section 51.002 of the Texas
Human Resources Code;
(12) A
sorority or fraternity house or other dormitory associated with an
institution of higher education; or
(13) A
hotel as defined by Section 156.001, Texas Tax Code.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
[The following words, terms and phrases, when used in this article,
shall have the meanings ascribed to them in this section, except where
the context clearly indicates a different meaning:]
Abuse, neglect and exploitation.
Is defined in the Texas Human Resource Code Section 48.002
as the following:
(1)
Abuse means:
a.
The negligent or willful infliction of injury, unreasonable
confinement, intimidation, or cruel punishment with resulting physical
or emotional harm or pain to an elderly or disabled person by the
person’s caretaker, family member, or other individual who has
an ongoing relationship with the person; or
b.
Sexual abuse of an elderly or disabled person, including any involuntary or nonconsensual sexual conduct that would constitute an offense under Section 21.08, Penal Code (indecent exposure) or Chapter
22, Penal Code (assaultive offenses), committed by the person’s caretaker, family member, or other individual who has an ongoing relationship with the person.
(2)
Exploitation means the
illegal or improper act or process of a caretaker, family member,
or other individual who has an ongoing relationship with the elderly
or disabled person using the resources of an elderly or disabled person
for monetary or personal benefit, profit, or gain without the informed
consent of the elderly or disabled person.
(3)
Neglect means the failure
to provide for one’s self the goods or services, including medical
services, which are necessary to avoid physical or emotional harm
or pain or the failure of a caretaker to provide such goods or services.
An injury, incident or unusual accident.
Is an event that resulted in a change in the resident’s
physical or mental status that occurred in the boarding home facility
or on the grounds of the boarding home facility that requires intervention
by a private or public entity responsible for physical or mental health
services, or an event that requires the facility taking resident safety
and protection measures including:
(1)
An allegation of abuse, neglect, or exploitation;
(3)
A resident’s absence from the facility when circumstances
place the resident’s health, safety or welfare at risk;
(6)
Altercations between residents.
Assistance with self-administration of medication.
Assisting a resident by reminding the resident to take medication,
opening and removing medications from a container, placing medication
in a resident’s hand or in/on a clean surface such as a pill
cup or a medication reminder box and reminding the resident when a
prescription medication needs to be refilled.
Boarding home facility.
An establishment that:
(1)
Furnishes, in one (1) or more buildings, lodging to three (3)
or more persons with disabilities or elderly persons who are unrelated
to the owner of the establishment by blood or marriage; and
(2)
Provides community meals, light housework, meal preparation,
transportation, grocery shopping, money management, laundry services,
or assistance with self-administration of medication but does not
provide personal care services to those persons.
“Boarding home facility” is a separate term unrelated to the terms “boardinghouse,” “lodginghouse,” and “roominghouse” as defined and used in the zoning ordinance, set out in appendix A of the city’s Code of Ordinances.
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Person with a disability.
A person with a mental, physical, or developmental disability
that substantially impairs the person’s ability to provide adequately
for the person’s care or protection and:
(1)
Who is eighteen (18) years of age or older; or
(2)
Under eighteen (18) years of age and who has had the disabilities
of minority removed.
Personal care services
means:
(1)
Assistance with meals, dressing, movement, bathing, or other
personal needs or maintenance;
(2)
The administration of medication by a person licensed to administer
medication or the assistance with or supervision of medication; or
(3)
General supervision or oversight of the physical and mental
well-being of a person who needs assistance to maintain a private
and independent residence in an assisted living facility or who needs
assistance to manage the person’s personal life, regardless
of whether a guardian has been appointed for the person.
Resident.
A person who is residing in a boarding home facility.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Within one hundred and twenty (120) days after the effective
date of this article, no person shall operate a boarding home facility,
as defined in this article, without first obtaining a permit from
the city and paying the established fee for such permit. The office
of the city secretary is the responsible department for issuance of
a permit. A permit issued under this article shall authorize the permittee
to engage in the operation of a boarding home facility, provided that
the permittee is in compliance with all other provisions of this article.
Permit fees collected shall be used for the administration of
the city’s permitting program, to include permitting, renewal
of the permit and inspections, or for purposes directly related to
providing boarding facility services or other assisted living facility
services to elderly persons or persons with disabilities.
As part of the boarding home facility operational permitting
process, boarding home facility owners/operators will be required
to provide documentation of any applicable building construction or
remodeling permits issued after the effective date of this article.
All permits received from the city must be prominently displayed
in the boarding home facility.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
A boarding home facility shall at all times maintain a minimum
supervisor/resident ratio of at least one (1) supervisor per three
(3) residents.
After the effective date of this article, a boarding home facility
may not be established within one-half-mile of an existing boarding
home facility.
Except as otherwise provided by municipal ordinance, the residents
of a boarding home facility may not keep for the use of the residents
of the facility, either on the premises of the facility or on a public
right-of-way adjacent to the facility, motor vehicles in numbers that
exceed the number of bedrooms in the boarding home facility.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
A boarding home facility must pass all required inspections
and the owner/operator must keep a current file of reports and other
documentation needed to demonstrate compliance with applicable laws
and regulations. The inspections must be signed, dated, and free of
any outstanding corrective actions. Proof that all required inspections
have been completed must be provided to the office of the city secretary
prior to the issuance of a permit. The following inspections are required:
(1) Annual
fire inspection by the local fire marshal, or his designee.
(2) Annual
boarding home inspection by the local health inspector.
(3) Annual
inspection of liquefied petroleum gas systems by an inspector certified
by the Texas Railroad Commission, if applicable.
The city may conduct any inspection, survey, or investigation
that it considers necessary and may enter the premises of a boarding
home facility at reasonable times to make an inspection, survey, or
investigation. The city is entitled to access to books, records, and
other documents maintained by or on behalf of a boarding home facility
to the extent necessary to enforce the standards and provisions of
this article.
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(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Each owner/operator of a boarding home facility must ensure
the residents’ health, safety, comfort and protection through
the following standards that address the construction or remodeling
of a boarding home facility, including plumbing, heating, lighting,
ventilation and other housing conditions.
Each facility must meet the following applicable codes and regulations:
local zoning and building codes; state and local fire codes; state
and local health and safety codes; and federal and state accessibility
regulations:
(1) Mobile
homes and manufactured homes shall not be permitted for use as boarding
home facilities or additions to existing boarding home facilities.
(2) Interior
doors to living spaces, bedrooms, bathrooms and toilet rooms must
fit the openings in which they are hung, be properly equipped with
hardware, and be maintained in good working condition. Doors with
locking devices must be provided where necessary to provide privacy
and protection of the resident.
a. Every
closet door latch will be such that it can be readily opened from
the inside in case of an emergency.
b. Every
bathroom door or door lock must permit the opening of the locked door
in case of an emergency.
(3) Locks
that can be easily opened manually from the inside must be provided
on all exterior doors.
(4) Public
pathways and stairways in buildings must maintain a minimum unobstructed
width concurrent with applicable fire codes and must be provided with
convenient light switches controlling an adequate lighting system.
(5) Boarding
home facilities must be supplied with electric service and fixtures
that are properly installed and maintained in safe working condition
and connected to a source of electrical power.
(6) Every
boarding home facility must have heating and cooling equipment that
are properly installed, vented, and maintained in a safe, good working
condition. The temperature of rooms intended for human occupancy will
remain at a temperature between sixty-eight (68) and eighty-two (82)
degrees Fahrenheit.
(7) Every
boarding home facility must have water heating facilities that are
properly installed, vented, in good working condition, and are properly
connected with hot and cold water lines. The temperature of water
drawn at every required sink, lavatory basin, bathtub or shower will
remain at a temperature between one hundred ten (110) and one hundred
twenty (120) degrees Fahrenheit.
(8) Every
habitable room must have at least one window that can be easily opened,
or such other device as will ventilate the room. All windows must
be capable of being opened without tools. The window opening must
meet local codes for emergency egress. The bottom of the window opening
must not be more than forty-four (44) inches above the floor.
(9) Sleeping
rooms must have:
a. At least
seventy (70) square feet of floor space in single-occupancy rooms;
b. At least
sixty (60) square feet of floor space for each occupant in multi-occupancy
rooms;
c. Beds
spaced at least three (3) feet apart when placed side by side or end-to-end;
d. At least
a seven-foot, six-inch ceiling height;
e. Required
accessibility for nonambulatory residents and residents with conditions
that substantially limit ambulation and/or mobility;
f. Beds
at least six (6) feet long and three (3) feet wide equipped with supportive
springs in good condition and a clean supportive mattress in good
condition, and a mattress cover that prevents bodily fluids from soiling
the mattress;
g. At least
one (1) pillow with a clean pillowcase, two (2) clean sheets, and
a cover such as a blanket or quilt, in good condition, per bed, cleaned
weekly or more often if soiled;
h. Extra
bed linens, including sheets, pillowcase and blankets must be available
to each resident;
i. At least
one (1) chest of drawers or equivalent, in good condition having a
sufficient number of drawers or other areas to contain all necessary
items of clothing and personal belongings of each resident that can
be locked/secured;
j. At least
one (1) chair in good condition in each sleeping room;
k. At least
one (1) end table in good condition located adjacent to each bed in
each sleeping room;
l. Sufficient
closet space to allow clothes not stored in drawers to be hung. Clothing
cannot be stored on the floor;
m. Bath
towels, washcloths, soap, individual comb and toothbrush must be available
at all times and in quantity sufficient to meet the needs of the residents;
and
n. Access
to emergency exit without passing through another sleeping room.
(10) All
equipment, fixtures, furniture, and furnishings, including windows,
draperies, curtains, and carpets, must be kept clean and free of dust,
dirt, vermin, and other contaminants, and must be maintained in good
order and repair.
(11) Water
closets, lavatories, and bathtubs or showers must be:
a. Available
on each floor when not provided in each individual room;
b. Provided
in the ratio of one (1) toilet and one (1) lavatory, and one (1) bathtub
or shower for every six (6) residents, or fraction thereof; and
c. Accessible
to the residents without going outside of the building or without
going through a sleeping room of another resident.
(12) A
telephone must be available, twenty-four (24) hours per day, must
be easily accessible, and must afford privacy for use by residents.
a. A listing
of emergency telephone numbers, including the numbers of the local
police, fire department, ambulance, the office of the local governmental
entity that issued the boarding house permit, the Texas Department
of Family and Protective Services (DFPS), the local mental health
authority, and the Texas Information and Referral Network must be
placed in plain view on or next to the telephone and accessible to
persons who are visually or hearing impaired, as needed.
(13) Each
boarding home facility must provide:
a. A washer
and dryer for every ten (10) residents, or fraction thereof that is
properly vented to the outside. Washer or dryer must be in a utility
room/area that are not in the kitchen area.
b. A sitting/communal/recreational
room for the common use of all residents. Furniture must include comfortable
chairs and tables, and lamps in good repair and appearance.
c. A dining
room located on the same floor as the communal kitchen and must:
1. Be
as nearly adjacent to the communal kitchen as practicable;
2. Be
accessible to the residents, without going through a sleeping room
or sleeping dormitory of another resident;
3. Contain
not less than seventy (70) square feet of floor area; and
4. Be
supplied with one (1) dining chair and two (2) linear feet of dining
table space for each resident of a boarding home facility.
d. A kitchen
that:
1. Is
accessible to the residents sharing the use without going through
a sleeping room of another resident;
2. Has
a food preparation area with a total of not less than six (6) square
feet;
3. Contains
a minimum floor space of sixty (60) square feet for dining area or,
each kitchen with dining attached must be at least one hundred (100)
square feet;
4. Has
a minimum two (2) compartment sink for manual dishwashing;
5. Has
a cooking stove fueled by gas or electricity;
6. Contains
at least one (1) cabinet of adequate size, suitable for storage of
food and utensils; and
7. Is
properly equipped to allow for the preparation of meals.
(14) Fire
precautions must include:
a. Providing
suitable fire escapes/exits that must be kept in good repair and accessible
at all times;
b. Having
a written fire and evacuation plan that sets forth responsibilities
and steps to be taken by staff and residents in the event of fire
or other emergency;
c. Posting
an emergency evacuation plan throughout the facility; and
d. Not
storing gasoline operated maintenance equipment, lawn care equipment,
and flammable supplies inside the boarding home facility.
(15) Fire
precautions must also include the following:
a. At
least one (1) all-purpose dry chemical fire extinguisher rated no
less than 2A:10B:C must be properly installed in each dwelling unit,
checked at least monthly by the owner/operator of the boarding home
facility, and must be inspected annually by a service provider who
is properly licensed by the state fire marshal to perform fire extinguisher
installation and maintenance.
b. All
fire protection measures must be in accordance with requirements of
the local fire authority.
c. In
new boarding home facilities or in existing dwellings newly converted
to boarding home facility use, functional hard-wired smoke detectors
shall be present in each bedroom, in corridors or hallways on each
floor, and in laundry and basement areas. Such smoke detectors shall
be powered by the building’s electrical system and inter-connected
so that any active detector will activate all of the detectors simultaneously,
providing an audible alarm from each detector. Excepted from this
rule are existing boarding home facilities using single-station, battery-powered
smoke detectors, providing the detectors are installed in each location
listed above and each detector is fully functional.
d. If
a boarding home facility has a resident who is hearing impaired, a
boarding home facility owner/operator must install a visual smoke
detector that is capable of alerting a person with a hearing impairment
of the presence of fire or smoke.
e. At
least one (1) functional carbon monoxide detector shall be installed
in each dwelling unit, and located near sleeping areas, with one exception:
all-electric dwellings with no natural gas or LP gas service to the
building are exempt from this requirement.
(16) All
residents must be shown how to use all emergency exits from the facility
within twenty-four (24) hours of arrival to the facility.
(17) The
boarding home facility and associated site must pass all required
inspections and the owner/operator must keep a current file of reports
and other documentation on-site needed to demonstrate compliance with
applicable laws and regulations. The inspections must be signed, dated,
and free of any outstanding corrective actions. The following inspections
are required:
a. Annual
inspection by the local fire marshal, or his designee;
b. Where
a full fire detection and alarm system is installed, the fire alarm
system shall be inspected annually by a service provider who is licensed
by the state fire marshal to perform installation and maintenance
of fire alarm systems;
c. Annual
health inspection by the local health inspector;
d. Gas
pipe pressure test once every three (3) years by a licensed plumber;
e. Annual
inspection and maintenance of fire extinguishers by a service provider
who is licensed by the state fire marshal to perform these duties;
and
f. Annual
inspection of liquefied petroleum gas systems by an inspector certified
by the Texas Railroad Commission, if applicable.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Each owner/operator of a boarding home facility must be responsible
for maintaining the dwelling and premises in a clean and sanitary
condition.
Every boarding home facility must be kept in good repair, and
so maintained as to promote the health, comfort, safety and well-being
of residents.
(1) Interior
walls, ceilings and floors must be capable of affording privacy and
must be maintained free of holes, cracks, loose or deteriorated material,
or any other condition that constitutes a hazard to the residents
or is a harborage for insects, pests or vermin.
(2) Every
window, exterior door and basement hatchway must be weather tight,
watertight, insect and rodent-proof and must be kept in good working
condition.
(3) The
water supply must be of safe, sanitary quality, suitable for use,
and adequate in quantity and pressure. The water must be obtained
from a water supply system approved by the Texas Commission on Environmental
Quality (TCEQ).
(4) Every
plumbing fixture, water pipe and waste pipe must be properly installed
and maintained in good sanitary working condition, free from defects,
leaks and obstructions and properly connected to an approved sewage
disposal system.
(5) Every
boarding home facility utilizing well water must provide water samples
at least annually to the permit issuing entity. If the sample results
show coliform present, a resample must be taken within seven (7) days
of receipt of the results.
(6) All
garbage and refuse must be kept in watertight, covered containers.
The garbage and refuse area must be kept in a clean and sanitary condition.
A sufficient number of garbage receptacles must be provided by the
boarding home facility. All garbage, trash and refuse must be removed
from the premises frequently to prevent nuisance and unsightly conditions.
(7) Each
owner/operator must be responsible for the extermination of any insects,
rodents or other pests in the rooms occupied by residents, storage
areas, attics or on the premises and yard.
(8) Water
closets, lavatories, and bathtubs or showers must be:
a. Kept
clean and in good repair and must be well-lighted and ventilated;
b. Adequately
supplied with toilet paper, soap, and hand towels for each bathroom;
and
c. Supplied
with non-slip surfaces in bathtub or shower, and curtains or other
safe enclosures for privacy.
(9) Each
kitchen in a boarding home must:
a. Be kept
in a clean and sanitary condition;
b. Have
a food preparation area with a surface area that is smooth, impermeable,
free of cracks and easily cleanable, that shall not be used for eating;
and
c. Have
a refrigerator that is equipped with a thermometer and is maintained
in an operational, clean and sanitary condition that is adequate to
maintain foods at the required temperature.
(10) Each
facility shall meet all applicable state and local sanitary codes.
(11) All
linens and laundry shall be:
a. Bagged
or placed in a hamper before being transported to the laundry area;
b. Properly
identified to prevent loss; and
c. If
soiled, not transported through, sorted, processed, or stored in kitchens,
food preparation areas, or food storage areas.
(12) Poisonous,
toxic, and flammable materials shall:
a. Be
stored and maintained away from bed linens, towels, or kitchen equipment;
b. Be
prominently and distinctly labeled for easy identification of contents;
and
c. Not
be used in a way that contaminates food equipment or utensils, or
in a way that constitutes a hazard to employees or residents.
(13) After
each usage, all eating and drinking utensils shall be thoroughly washed
and sanitized in hot water containing a suitable soap or synthetic
detergent and rinsed in clean hot water. In the event a mechanical
dishwasher is used, dish detergent is required.
(14) All
food and drink shall be:
a. Clean,
free from spoilage, pathogenic organisms, toxic chemicals, and other
harmful substances;
b. Prepared,
stored, handled, and served so as to be safe for human consumption;
c. Maintained
at a temperature of forty-one (41) degrees Fahrenheit or below for
foods subject to spoilage;
d. Maintained
at one hundred thirty-five (135) degrees Fahrenheit or above at all
times for hot foods ready to serve;
e. Maintained
in the freezer at a temperature of zero (0) degrees Fahrenheit or
below for foods stored as frozen; and
f. Stored
in food containers that are appropriately labeled, dated, and protected
from flies, insects, rodents, dust, and moisture.
(15) Meals
provided by the facility shall be nutritionally balanced and shall
provide the United States Department of Agriculture’s (USDA’s)
recommended daily allowances of vitamins, minerals and calories.
(16) With
the exception of service animals for persons with disabilities, birds,
cats, dogs or other animals are not permitted in areas in which food
is prepared, stored or where utensils are washed or stored.
(17) Meals
shall be served:
a. At
least three (3) times per day;
b. In
sufficient quantity and quality to meet the nutritional needs of the
residents;
c. Daily
at regular hours, with at least one (1) hot meal per day;
d. With
no more than fourteen (14) hours between the beginning of the evening
meal and the beginning of the morning meal; and
e. With
alternative selections for residents on medically prescribed diets.
(18) A
time schedule of meals shall be posted daily.
(19) Employees
or residents engaged in food handling shall:
a. Observe
sanitary methods, including hand washing as appropriate; and
b. Not
be assigned to preparing foods for others at the facility if carrying
a disease that can be transmitted to others.
(20) Regardless
of the number of residents, each boarding home facility shall hold
a valid food establishment permit issued by the applicable local or
state regulatory authority in the name of the owner/operator and for
the specific boarding home facility.
(21) If
preparing meals for residents, staff must have a food-handler’s
permit.
(22) Each
boarding home facility shall maintain a minimum food and water supply
sufficient for all residents as recommended by the American Red Cross.
(23) Each
boarding home facility shall be equipped with a first aid kit as recommended
by the American Red Cross.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Each owner/operator of a boarding home facility must develop
and implement policies and procedures for investigating and documenting
injuries, incidents and unusual accidents that involve residents.
Owners/operators must also establish policies and procedures necessary
to ensure resident health and safety.
(1) Minimum
requirements for the documentation of injuries, incidents or unusual
accidents should include, but are not limited to:
a. Date
and time the injury, incident or unusual accident occurred;
b. Description
of the injury, incident or unusual accident;
c. Description
of any medical or mental health treatment the resident received;
d. When
the residents’ legal guardian or legally authorized representative
was notified about the injury, incident or unusual accident; and
e. Steps
taken by the owner/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.
(2) Residents,
the resident’s guardian, or legally authorized representatives
should be given access to all inspection records within forty-eight
(48) hours of requesting the records from the owner/operator.
In addition to investigating and documenting injuries, incidents
or unusual accidents, an owner/operator must report any allegations
of abuse, neglect or exploitation of an adult age sixty-five (65)
years 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 an elderly adult or adult with a disability
is a Class A misdemeanor. Each owner/operator shall:
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(1)
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Ensure that each resident has access to a telephone twenty-four
(24) hours per day that is easily accessible and affords privacy for
use by residents.
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(2)
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Ensure that no resident is harassed, retaliated against, threatened
or intimidated at any time for making a report of abuse, neglect or
exploitation.
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(3)
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Provide each resident with a copy of the definitions of abuse,
neglect or exploitation as outlined in Chapter 48 of the Human Resources
Code.
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(4)
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Allow law enforcement personnel, emergency medical and fire
personnel access to the boarding home facility when these professionals
are responding to a call at the owner/operator’s facility.
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A boarding home facility must have sufficient staff, either
owner/operator of the boarding home facility or employee, on-site
at all times to promptly assist residents.
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No owner/operator or other employee of a boarding home facility
shall provide services or engage in behavior that constitutes a financial
conflict of interest including but not limited to:
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(1)
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Borrowing from or loaning money to residents;
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(2)
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Witnessing wills in which the owner/operator or employee is
a beneficiary;
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(3)
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Co-mingling the resident’s funds with the owner’s/operator’s
or other residents’ funds; or
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(4)
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Becoming the guardian, conservator or power of attorney for
a resident.
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If an owner/operator becomes the representative payee for a
resident or assists a resident with general money management, the
owner/operator shall:
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(1)
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Maintain separate financial records for each resident for which
the owner/operator is the representative payee for the entire period
of time the owner/operator is the resident’s representative
payee and continue to maintain the resident’s records for at
least one (1) year after the last calendar day the owner/operator
is the resident’s representative payee;
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(2)
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Include in the records an itemized list of expenditures that
the owner/operator has made on behalf of the resident, including the
charges that are assessed by the owner/operator;
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(3)
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Maintain receipts for all expenditures in addition to the itemized
documentation;
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(4)
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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; and
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(5)
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The owner/operator will allow the resident, the resident’s
guardian, or legally authorized representative access to the resident’s
financial records that are maintained by the owner/operator within
forty-eight (48) hours of receiving a request.
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An owner/operator of a boarding home facility shall develop
a written service agreement with each resident and maintain a copy
of the agreement signed by the resident.
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(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Assistance with self-administration of medication may be provided
to adult residents who can identify their medication and know when
their medication should be taken but require assistance with self-administration.
Assistance with self-administration of medication may not be provided
to minors.
Assistance with self-administration of medication is limited
to:
(1) Reminding
the resident to take medication;
(2) Opening
a container, removing medication from a container, and placing medication
in a resident’s hand or in/on a clean surface, such as a pill
cup or medication reminder box, for the resident’s self-administration;
and
(3) Reminding
the resident when a prescription needs to be refilled.
All residents’ medication must be stored in a locked area.
The boarding home facility must provide a central locked storage or
individual locked storage areas for each resident’s medication.
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If the boarding home facility uses a central medication storage
area, a boarding home facility employee must be available to provide
access at all times and each resident’s medication must be stored
separately from other residents’ medications within the storage
area.
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If a resident’s medication requires refrigeration, the
boarding home facility must provide a refrigerator with a designated
and locked storage area or a refrigerator inside a locked medication
room.
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Medications labeled for “external use only” must
be stored separately within the locked area.
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Poisonous substances must be labeled, stored safely, and stored
separately from medications within a locked area.
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If a boarding home facility stores controlled drugs, the facility
must adopt and enforce a written policy for preventing the diversion
of the controlled drugs.
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A boarding home facility must have staff, either owner/operator
of the boarding home facility or employee, on-site at all times to
promptly assist residents with self-administration of medication.
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Medication that remains in the boarding home facility after
a resident is no longer lodging in the facility must be properly disposed
of by the owner/operator in accordance with applicable legal requirements.
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(Ordinance O-12-21, sec. 1, adopted 9/6/12)
The boarding home facility must prominently and conspicuously
post the following for display in a public area that is readily available
to residents, the operator, employees, and visitors:
(1) The
boarding home permit issued by the city;
(2) A sign
prescribed by the city specifying how ordinance violation complaints
may be registered with the city;
(3) A notice
in a form prescribed by the city stating that inspection and related
reports are available at the facility for public inspection and providing
a telephone number that may be used to obtain information concerning
the boarding home facility;
(4) A concise
summary of the most recent inspection report relating to the boarding
home facility; and
(5) A notice
in a form prescribed by the city that lists the name, location, and
contact information for:
a. The
closest local public health services agency in the proximity of the
boarding home facility; and
b. A local
organization or entity that represents, advocates, or serves elderly
persons or persons with disabilities, including any related toll-free
contact information for reporting emergencies to the organization
or entity.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Each owner/operator and employee is subject to the following
initial training requirements prior to contact with residents:
(1) Employer
rules and policies;
(2) Recognizing
and reporting abuse, neglect and exploitation;
(3) Resident’s
rights, including all applicable rights from the following:
a. Texas
Human Resource Code, Chapter 102, Rights of the Elderly;
b. Texas
Human Resource Code, Chapter 112, Developmental Disabilities;
c. Texas
Property Code, Chapter 301, Fair Housing Practices; and
d. Texas
Property Code, Chapter 92, Residential Tenancies.
(4) Policies
and procedures for contacting emergency personnel when the assistance
of the owner/operator, or on-site staff is insufficient to eliminate
the risk presented to a resident’s health or safety;
(5) Complaint
process specific to the city and the boarding home facility;
(6) Assistance
with self-administration of medication;
(7) Prevention
of injuries, incidents and unusual accidents;
(8) Emergency,
evacuation and disaster plan; and
(9) Service
specific orientation that includes, but is not limited to:
a. Nutrition,
including meal preparation and dietary needs;
d. Housework.
Each owner/operator and employee is also subject to the following
on-going training requirements:
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(1)
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Updates and changes in any policies and procedures within ten
(10) days of the owner, operator or employee becoming aware of the
change;
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(2)
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Orientation specific to the needs of each new resident within
one (1) day of the resident moving into the facility; and
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(3)
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Orientation specific to the needs of a resident whose needs
have changed due to injury, illness, hospitalization or other circumstances
which affect the resident’s needs within one (1) day of the
owner, operator, or employee becoming aware of the change.
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(Ordinance O-12-21, sec. 1, adopted 9/6/12)
A boarding home facility owner/operators permit to operate a
boarding home may be denied, revoked, suspended, or denied for renewal
if the owner/operator has been convicted of a criminal offense listed
in this section, or if the owner/operator has in its employ any person
convicted of a criminal offense listed in this section.
The owner/operator must complete any state or federal request
and release forms that are required to obtain a criminal history report
for the owner/operator. The owner/operator will provide funding to
the appropriate agency in a manner specified by the appropriate agency
to cover any fees imposed by state or federal agencies for the report.
The following histories will disqualify an owner/operator from
obtaining a permit to operate a boarding home facility and will disqualify
a person from being employed by a boarding home facility:
(1) An offense under Chapter
19, Penal Code (criminal homicide);
(2) An offense under Chapter
20, Penal Code (kidnapping and unlawful restraint);
(3) An offense
under Section 21.02, Penal Code (continuous sexual abuse of young
child or children), or Section 21.11, Penal Code (indecency with a
child);
(4) An offense
under Section 22.011, Penal Code (sexual assault);
(5) An offense
under Section 22.02, Penal Code (aggravated assault);
(6) An offense
under Section 22.04, Penal Code (injury to a child, elderly individual,
or disabled individual);
(7) An offense
under Section 22.041, Penal Code (abandoning or endangering child);
(8) An offense
under Section 22.08, Penal Code (aiding suicide);
(9) An offense
under Section 25.031, Penal Code (agreement to abduct from custody);
(10) An
offense under Section 25.08, Penal Code (sale or purchase of a child);
(11) An
offense under Section 28.02, Penal Code (arson);
(12) An
offense under Section 29.02, Penal Code (robbery);
(13) An
offense under Section 29.03, Penal Code (aggravated robbery);
(14) An
offense under Section 21.08, Penal Code (indecent exposure);
(15) An
offense under Section 21.12, Penal Code (improper relationship between
educator and student);
(16) An
offense under Section 21.15, Penal Code (improper photography or visual
recording);
(17) An
offense under Section 22.05, Penal Code (deadly conduct);
(18) An
offense under Section 22.021, Penal Code (aggravated sexual assault);
(19) An
offense under Section 22.07, Penal Code (terroristic threat);
(20) An
offense under Section 33.021, Penal Code (online solicitation of a
minor);
(21) An
offense under Section 34.02, Penal Code (money laundering);
(22) An
offense under Section 35A.02, Penal Code (Medicaid fraud);
(23) An
offense under Section 42.09, Penal Code (cruelty to animals);
(24) An
offense under Section 30.02, Penal Code (burglary);
(25) An
offense under Chapter 31, Penal Code (theft), that is punishable as
a felony; or
(26) A
conviction under the laws of another state, federal law, or the Uniform
Code of Military Justice for an offense containing elements that are
substantially similar to the elements of an offense listed in this
subsection.
A person may not own or operate a boarding home facility or
be employed in a position that involves direct contact with a resident
in a boarding home facility before the fifth anniversary of the date
the person is convicted of any felony offense not listed in this section
or any of the following nonfelony offenses:
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(1)
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An offense under Section 22.01, Penal Code (assault), that is
punishable as a Class A misdemeanor;
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(2)
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An offense under Section 32.45, Penal Code (misapplication of
fiduciary property or property of a financial institution), that is
punishable as a Class A misdemeanor;
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(3)
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An offense under Section 32.46, Penal Code (securing execution
of a document by deception), that is punishable as a Class A misdemeanor;
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(4)
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An offense under Section 37.12, Penal Code (false identification
as peace officer);
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(5)
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An offense under Section 42.01(a)(7), (8), or (9), Penal Code
(disorderly conduct); or
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(6)
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A conviction under the laws of another state, federal law, or
the Uniform Code of Military Justice for an offense containing elements
that are substantially similar to the elements of an offense listed
in this subsection.
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The owner/operator must ensure that all employees (or volunteers
who are not residents) who are hired or begin volunteering for the
facility after the effective date of this article, have had a background
check of conviction records, pending charges and disciplinary board
decisions completed no more than thirty (30) days prior to their date
of employment or date they began volunteering at the facility and
is repeated annually thereafter, and that the individual is not disqualified
under the provisions of this section.
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The owner/operator must ensure that all existing employees or
volunteers who are working for or volunteering at the facility on
the effective date of this article shall have a background check or
conviction records, pending charges and disciplinary board decisions
completed within sixty (60) days after the effective date of this
article, and is repeated annually thereafter, and that the individual
is not disqualified under the provisions of this section.
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The owner/operator or each boarding home facility shall submit
an affidavit to the city with its original application and annual
renewal certifying that the owner has performed criminal history background
check on each owner/operator, employee and volunteer, and that no
owner/operator, employee or volunteer has been convicted of a disqualifying
criminal offense set forth in this section. The owner/operator will
immediately discharge any employee or volunteer whose criminal history
check reveals conviction of a criminal offense that bars employment
or volunteer service with the boarding home facility. Further, if
an owner/operator, employee, or volunteer is convicted of a disqualifying
criminal offense during the period that a permit is in effect; the
owner/operator must report such conviction to the city within ten
(10) calendar days of such conviction.
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(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Owners/operators of a boarding home facility or their designee
will complete and document an annual assessment and conduct periodic
monitoring to ensure that a resident is capable of self-administering
medication and completing basic elements of personal care as listed
in this section. The assessment will be used as a tool to determine
if the needs of the resident can be addressed in a boarding home facility
or if the resident needs personal care services and/or medication
administration that cannot be provided by the boarding home facility.
Elements of the self-administration of medication to be assessed
by the boarding home facility owner/operator or designee include the
ability to perform each of the following tasks with little assistance:
(1) Identifying
the name of the medication;
(2) Providing
a reason for the medication (the owner/operator cannot force the resident
to disclose a health condition that is the basis for the medication
if the resident refuses);
(3) Distinguishing
color or shape;
(4) Preparing
correct number of pills (dosage);
(5) Confirming
the time to take medication(s); and
(6) Reading
labels.
Elements of personal care to be assessed by the boarding home
facility owner/operator include the residents’ ability to:
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(1)
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Eat independently;
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(2)
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Bathe without assistance;
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(3)
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Dress without assistance; and
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(4)
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Move and transfer independently.
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As a result of an assessment, if an owner/operator finds that
a resident is in a state of possible self-neglect due to no longer
being able to perform basic elements of personal care as listed in
this section and believes that a higher level of care is needed, the
owner/operator is responsible for the following:
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(1)
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Contacting the Department of Family and Protective Services
(DFPS) by phoning the Statewide Intake Division at 1-800-252-5400;
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(2)
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Notifying the resident’s guardian or legally authorized
representative; and
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(3)
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Contacting the appropriate health or human services authority
to advise that the resident requires services beyond what can be provided
by the boarding home facility.
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A state of self-neglect does not exist if the resident receives
outside professional services that meet the resident’s need
for personal care or self-administration of medication. In these cases,
the resident can remain in the boarding home facility provided that
all needs for personal care and self-administration of medication
are met.
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(Ordinance O-12-21, sec. 1, adopted 9/6/12)
With the exception of the year this article is adopted, each
year thereafter, prior to September 30, the city secretary shall submit
a report to the health and human services commission. The report shall
contain the following information:
(1) The
total number of boarding home facilities permitted during the preceding
state fiscal year (September 1–August 31);
(2) The
total number of boarding home facility applications denied permitting,
including a summary of cause for denial;
(3) The
total number of boarding home facility permits active on August 31
of the preceding state fiscal year;
(4) The
total number of residents reported housed in each boarding home facility
reported;
(5) The
total number of inspections conducted at each boarding home facility
by the city;
(6) The
total number of permits revoked or suspended as a result of an inspection;
and
(7) A summary
of the outcome for the residents displaced by revocation or suspension
of a permit.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
At least sixty (60) days prior to the expiration date of a boarding
home facility permit, the owner/operator shall submit to the city
secretary’s office a permit renewal application and associated
fees. An owner/operator that fails to timely renew its permit shall
forfeit the right to operate the boarding home facility within the
city until such time as the renewal is approved.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
All complaints related to a boarding home facility shall be
submitted in writing to the code enforcement officer on a form prescribed
by the city. The code enforcement officer shall investigate each complaint
to the extent he or she deems necessary. The code enforcement officer
shall report any violations to the city secretary for further action
in accordance with this article.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
The city secretary shall issue a written notice of intent to
suspend, deny or revoke a boarding home facility permit if it is determined
that an owner/operator has:
(1) Violated
or is not in compliance with any provision of this article; or
(2) Refused
or failed to allow an inspection of the boarding home facility as
authorized by this article.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
If the city secretary determines that facts exist for denial,
suspension or revocation of a permit under this article, he/she shall
notify the owner/operator (respondent) in writing of the intent to
deny, suspend or revoke the permit, including the grounds therefor,
by personal delivery, or by certified mail.
The notification shall be directed to the owner/operator at
the most current business address of the boarding home facility on
file with the city. Within five (5) business days of receipt of such
notice, the respondent may provide to the city secretary, in writing,
a response that shall include a statement of reasons why the permit
should not be denied, suspended or revoked. Within ten (10) business
days of the receipt of respondent’s written response, the city
secretary shall notify respondent in writing of the hearing date on
respondent’s denial, suspension or revocation proceeding.
Within fifteen (15) business days of the city secretary’s
receipt of respondent’s written response, the city manager shall
conduct a hearing at which respondent shall have the opportunity to
be represented by counsel and present evidence and witnesses on his
or her behalf. If a response is not received by the city secretary
in the time stated above or, if after the hearing, the city manager
finds that grounds as specified in this article exist for denial,
suspension or revocation, then such denial, suspension, or revocation
shall become final five (5) business days after the hearing unless
within that time the city manager sends, by certified mail, written
notice that the permit has been denied, suspended, or revoked or if
the permit will be issued or allowed to remain in effect. If the permit
is denied, suspended or revoked such notice shall include a statement
advising the applicant or permittee of the right to appeal such decision
to a court of competent jurisdiction.
If after a hearing, the city manager finds that insufficient
grounds exist for the denial, suspension or revocation of a permit,
then within five (5) business days after the hearing, the city manager
shall withdraw the intent to deny, suspend or revoke the permit, and
shall so notify the respondent in writing of such action by certified
mail and shall contemporaneously issue the permit or allow the permit
to remain in effect, as applicable.
When a decision to deny, suspend, or revoke a permit becomes
final, the applicant or permittee (aggrieved party) whose application
for a permit has been denied, or whose permit has been suspended or
revoked, shall have the immediate right to appeal such action to a
court of competent jurisdiction. Until the court of competent jurisdiction
issues its final judgment, the decision to deny, suspends or revoke
a permit shall remain in effect and be enforced.
A boarding home facility which is directly or indirectly a part
of civil litigation, an administrative hearing, or procedures regarding
the denial, suspension or revocation of the permit, such permit shall
not be transferred, sold or given to another person during the pendency
of the judicial or administrative processes.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
A person commits a violation if the person transfers a permit
or permits to another person the operation of a boarding home facility
under the authority of a permit at any place other than the address
designated on the permit. A transfer of a permit is deemed to have
occurred if there is a transfer of ownership or control of the boarding
home facility.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
Any person who shall violate any provision of this article shall
be deemed guilty of a misdemeanor and punished by a fine not less
than one dollar ($1.00) and not exceeding two thousand dollars ($2,000.00);
and if such violation shall continue from day to day, each day’s
violation shall constitute a separate offense.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)
The city shall provide to the boarding home written notice of
each alleged violation of this article. The notice may be sent by
certified mail, return receipt requested, to the owner/operator at
the business address of the boarding home facility as it appears on
its permit application, to the attention of the permittee, as it appears
on the permit application, or may be personally delivered to the permittee.
Failure of the city to provide such notice is not a violation of this
article, and shall not affect or invalidate any subsequent prosecution
of a violation of this article.
(Ordinance O-12-21, sec. 1, adopted 9/6/12)