(a) The
purpose of this article is to implement the provisions of V.T.C.A.,
Health and Safety Code ch. 260, 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 V.T.C.A.,
Health and Safety Code ch. 260. 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.
(b) The
city intends that this chapter fully comply with the Federal Fair
Housing Amendments Act of 1988 ("FHAA"), the Americans with Disabilities
Act of 1990 ("ADA"), and the Americans with Disabilities Amendments
Act of 2008, and all other applicable state and federal legislation.
It is the express intent of the city that this chapter be construed
in a manner consistent with the FHAA, the ADA, and all other applicable
state and federal legislation at all times.
[Ord. No. 1258-13, § 1, 11-5-2013]
This article applies to all boarding home facilities within
the City of Richland Hills. This article does not apply to:
(1) Home
and community support services licensed under V.T.C.A., Health and
Safety Code ch. 142;
(2) Convalescent
and nursing homes and related institutions licensed under V.T.C.A.,
Health and Safety Code ch. 242;
(3) Continuing
care facilities licensed under V.T.C.A., Health and Safety Code ch.
246;
(4) Assisted
living facilities licensed under V.T.C.A., Health and Safety Code
ch. 247;
(5) A facility
that provides personal care services only to persons in a program
that is funded in whole or in part by a state department or agency
and that is monitored by a state department or agency or its designated
local mental retardation authority in accordance with standards set
by the state department or agency, as defined in V.T.C.A., Health
and Safety Code § 247.004(4);
(6) Intermediate
care facilities for the mentally retarded licensed under V.T.C.A.,
Health and Safety Code ch. 252;
(7) 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;
(8) 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;
(11) A
child-care facility as defined by V.T.C.A., Human Resources Code §
42.002;
(12) Family
violence shelter center as defined by V.T.C.A., Human Resources Code
§ 51.002;
(13) A
sorority or fraternity house or other dormitory associated with an
institution of higher education; or
(14) A
hotel as defined by V.T.C.A., Tax Code § 156.001.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) "Abuse,
neglect and exploitation"
is defined in the V.T.C.A.,
Human Resources Code § 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 V.T.C.A., Penal Code § 21.08 (indecent exposure), or V.T.C.A., Penal Code ch.
22 (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.
(b) "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.
(c) "Assistance
with self-administration of medication"
means 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.
(d) "Boarding
home facility"
means an establishment that:
(1) Furnishes, in one or more buildings, lodging to three 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.
(e) "Elderly
person"
means a person who is 65 years of age or older.
(f) "Person
with a disability"
means 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 18 years of age or older; or
(2) Under 18 years of age and who has had the disabilities of minority
removed.
(g) "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.
(h) "Resident"
means a person who is residing in a boarding home facility.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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, as provided in subsection
(b). 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.
(b) The
fee for a permit to operate a boarding home facility is $100.00 per
bedroom, not to exceed $1,000.00. Permit fees collected shall be used
for the administration of the city's permitting program, to include
permitting, inspections, or purposes directly related to providing
boarding facility services or other assisted living facility services
to elderly persons or persons with disabilities.
(c) To
obtain a permit to operate a boarding home facility, a person must
submit an application that contains, at a minimum, the following:
(1) The name, address, and existing zoning classification of the boarding
home facility;
(2) The name, address, email address, phone number, fax number, date
of birth, and driver's license number of the owner/operator of the
boarding home facility;
(3) The name, address, email address, phone number, fax number, date
of birth, and driver's license number of the property owner, if not
the property owner the owner/operator;
(4) The total number of buildings in the facility including square footage
of each building;
(5) The maximum number of residents that will reside at the boarding
home facility;
(6) The number of bedrooms at the boarding home facility;
(7) The number of employees at the boarding home facility;
(8) The names and contact information for each employee;
(9) Approved background checks for each employee;
(10) A description of the services that will be provided to the residents
by the owner/operator and/or staff;
(11) A statement regarding whether meals will be prepared by the owner/operator
and/or staff;
(12) Hours when residents will be supervised by the owner/operator and/or
staff.
(d) 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.
(e) All
permits received from the city must be prominently displayed in the
boarding home facility.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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.
(c) Whenever
a boarding home facility is inspected and a violation of this article
is discovered, the building or premises will, after the expiration
of any time limit for compliance given in the notice or order issued
because of the violation, be reinspected to determine that the violation
has been eliminated. The fee for a reinspection under this section
is $100.00.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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 68 and 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 110 and 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 44 inches above the floor.
(9) Sleeping rooms must have:
a. At least 70 square feet of floor space in single-occupancy rooms;
b. At least 60 square feet of floor space for each occupant in multi-occupancy
rooms;
c. Beds spaced at least three feet apart when placed side by side or
end-to-end;
d. At least a seven feet, six inches ceiling height;
e. Required accessibility for non-ambulatory residents and residents
with conditions that substantially limit ambulation and/or mobility;
f. Beds at least six feet long and three 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 pillow with a clean pillowcase, two 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 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 chair in good condition in each sleeping room;
k. At least one 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 toilet and one lavatory, and one bathtub
or shower for every six 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, 24 hours per day, must be easily accessible,
and must afford privacy for use by residents. 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 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 70 square feet of floor area; and
4. Be supplied with one dining chair and two 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 square
feet;
3. Contains a minimum floor space of 60 square feet for dining area
or, each kitchen with dining attached must be at least 100 square
feet;
4. Has a minimum two compartment sink for manual dishwashing;
5. Has a cooking stove fueled by gas or electricity;
6. Contains at least one 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 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.
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 functional carbon monoxide detector shall be installed
in each dwelling unit, and located near sleeping areas.
(16) All residents must be shown how to use all emergency exits from the
facility within 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. 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 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) Each
owner/operator of a boarding home facility must be responsible for
maintaining the dwelling and premises in a clean and sanitary condition.
(b) 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
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 41 degrees Fahrenheit or below for
foods subject to spoilage;
d. Maintained at 140 degrees Fahrenheit or above at all times for hot
foods ready to serve;
e. Maintained in the freezer at a temperature of 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 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 hot meal per day;
d. With no more than 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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 48 hours of
requesting the records from the owner/operator.
(b) 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 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.
(c) Each
owner/operator shall:
(1) Ensure that each resident has access to a telephone 24 hours per
day that is easily accessible and affords privacy for use by residents.
(2) Ensure that no resident is harassed, retaliated against, threatened
or intimidated at any time for making a report of abuse, neglect or
exploitation.
(3) Provide each resident with a copy of the definitions of abuse, neglect
or exploitation as outlined in V.T.C.A., Human Resources Code ch 48.
(4) 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.
(d) 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.
(e) 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:
(1) Borrowing from or loaning money to residents;
(2) Witnessing wills in which the owner/operator or employee is a beneficiary;
(3) Co-mingling the resident's funds with the owner's/operator's or other
residents' funds; or
(4) Becoming the guardian, conservator or power of attorney for a resident.
(f) If
an owner/operator becomes the representative payee for a resident
or assists a resident with general money management, the owner/operator
shall:
(1) 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 year
after the last calendar day the owner/operator is the resident's representative
payee;
(2) 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;
(3) Maintain receipts for all expenditures in addition to the itemized
documentation;
(4) 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
(5) 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 48 hours
of receiving a request.
(g) 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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.
(c) 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.
(d) 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.
(e) 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.
(f) Medications
labeled for "external use only" must be stored separately within the
locked area.
(g) Poisonous
substances must be labeled, stored safely, and stored separately from
medications within a locked area.
(h) 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.
(i) 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.
(j) 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
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.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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. V.T.C.A., Human Resource Code, ch. 102, rights of the elderly;
b. V.T.C.A., Human Resource Code, ch. 112, developmental disabilities;
c. V.T.C.A., Property Code, ch. 301, fair housing practices; and
d. V.T.C.A., Property Code, ch. 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;
(b) Each
owner/operator and employee is also subject to the following on-going
training requirements:
(1) Updates and changes in any policies and procedures within ten days
of the owner, operator or employee becoming aware of the change;
(2) Orientation specific to the needs of each new resident within one
day of the resident moving into the facility; and
(3) 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 day of the owner, operator,
or employee becoming aware of the change.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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.
(c) 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 V.T.C.A., Penal Code ch. 19, (criminal homicide);
(2) An offense under V.T.C.A., Penal Code ch. 20 (kidnapping and unlawful
restraint);
(3) An offense under V.T.C.A., Penal Code § 21.02 (continuous sexual
abuse of young child or children), or V.T.C.A., Penal Code §
21.11 (indecency with a child);
(4) An offense under V.T.C.A., Penal Code § 21.011 (sexual assault);
(5) An offense under V.T.C.A., Penal Code § 22.02, (aggravated assault);
(6) An offense under V.T.C.A., Penal Code § 22.04, (injury to a
child, elderly individual, or disabled individual);
(7) An offense under V.T.C.A., Penal Code § 22.041, (abandoning
or endangering child);
(8) An offense under V.T.C.A., Penal Code § 22.08, (aiding suicide);
(9) An offense under V.T.C.A., Penal Code § 25.031, (agreement to
abduct from custody);
(10) An offense under V.T.C.A., Penal Code § 25.08, (sale or purchase
of a child);
(11) An offense under V.T.C.A., Penal Code § 28.02, (arson);
(12) An offense under V.T.C.A., Penal Code § 29.02, (robbery);
(13) An offense under V.T.C.A., Penal Code § 29.03, (aggravated robbery);
(14) An offense under V.T.C.A., Penal Code § 21.08, (indecent exposure);
(15) An offense under V.T.C.A., Penal Code § 21.12, (improper relationship
between educator and student);
(16) An offense under V.T.C.A., Penal Code § 21.15, (improper photography
or visual recording);
(17) An offense under V.T.C.A., Penal Code § 22.05, (deadly conduct);
(18) An offense under V.T.C.A., Penal Code § 22.021, (aggravated
sexual assault);
(19) An offense under V.T.C.A., Penal Code § 22.07, (terroristic
threat);
(20) An offense under V.T.C.A., Penal Code § 33.021, (online solicitation
of a minor);
(21) An offense under V.T.C.A., Penal Code § 34.02, (money laundering);
(22) An offense under V.T.C.A., Penal Code § 35A.02, (Medicaid fraud);
(23) An offense under V.T.C.A., Penal Code § 42.09, (cruelty to animals);
(24) An offense under V.T.C.A., Penal Code § 30.02, (burglary);
(25) An offense under V.T.C.A., Penal Code ch. 31, (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.
(d) 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 non-felony offenses:
(1) An offense under V.T.C.A., Penal Code § 22.01, (assault), that
is punishable as a class A misdemeanor;
(2) An offense under V.T.C.A., Penal Code § 32.45, (misapplication
of fiduciary property or property of a financial institution), that
is punishable as a class A misdemeanor;
(3) An offense under V.T.C.A., Penal Code § 32.46, (securing execution
of a document by deception), that is punishable as a class A misdemeanor;
(4) An offense under V.T.C.A., Penal Code § 37.12, (false identification
as peace officer);
(5) An offense under V.T.C.A., Penal Code §§ 42.01(a)(7), (8)
or (9), (disorderly conduct); or
(6) 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.
(e) 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 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.
(f) 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
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.
(g) 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 calendar days of such
conviction.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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
(c) Elements
of personal care to be assessed by the boarding home facility owner/operator
include the residents' ability to:
(2) Bathe without assistance;
(3) Dress without assistance; and
(4) Move and transfer independently.
(d) 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:
(1) Contacting the department of family and protective services (DFPS)
by phoning the statewide intake division at 1-800-252-5400;
(2) Notifying the resident's guardian or legally authorized representative;
and
(3) 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.
(e) 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
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.
[Ord. No. 1258-13, § 1, 11-5-2013]
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.
[Ord. No. 1258-13, § 1, 11-5-2013]
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.
[Ord. No. 1258-13, § 1, 11-5-2013]
(a) 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.
(b) 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 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 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.
(c) Within
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 business days after
the hearing. The respondent shall be provided written notice, by certified
mail, that the denial, suspension, or revocation has become final.
Such notice shall include a statement advising the respondent of the
right to appeal such decision to a court of competent jurisdiction.
(d) If
after a hearing, the city manager finds that insufficient grounds
exist for the denial, suspension or revocation of a permit, then within
five 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.
(e) When
a decision to deny, suspend, or revoke a permit becomes final, the
owner/operator 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.
(f) 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.
[Ord. No. 1258-13, § 1, 11-5-2013]
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.
[Ord. No. 1258-13, § 1, 11-5-2013]
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 $1.00 and not exceeding $2,000.00; and if such violation shall
continue from day to day, each day's violation shall constitute a
separate offense.
[Ord. No. 1258-13, § 1, 11-5-2013]
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.
[Ord. No. 1258-13, § 1, 11-5-2013]