Section 746.307 - What emergency or medical situations must I notify parents about?(a) You must notify the parent of a child immediately if there is an allegation that the child has been abused, neglected, or exploited, as defined in Texas Family Code § 261.001, while in your care.(b) After you ensure the safety of the child, you must notify the parent of the child immediately after the child:(1) Is injured and the injury requires medical treatment by a health-care professional or hospitalization;(2) Shows signs or symptoms of an illness that requires hospitalization;(3) Has had an emergency anaphylaxis reaction that required administration of an unassigned epinephrine auto-injector;(4) Has been involved in any non-routine situation that placed, or may have placed, the child at risk for injury or harm. For example, a caregiver forgetting the child in a center vehicle or failing to prevent the child from wandering away from the child-care center unsupervised; or(5) Has been involved in any situation that renders the child-care center unsafe, such as a fire, flood, or damage to the child-care center as a result of severe weather.(c) You must notify the parent of less serious injuries when the parent picks the child up from the child-care center. Less serious injuries include minor cuts, scratches, and bites from other children requiring first-aid treatment by employees.(d) You must provide written notice to the parent of each child attending the child-care center within 48 hours of becoming aware that a child in your care or an employee has contracted a communicable disease deemed notifiable by the Texas Department of State Health Services, as specified in 25 TAC Chapter 97, Subchapter A (relating to Control of Communicable Diseases).(e) You must provide written notice to the parent of each child in a group within 48 hours when there is an outbreak of lice or other infestation in the group. You must either post this notice in a prominent and publicly accessible place where parents can easily view it or send an individual note to each parent.26 Tex. Admin. Code § 746.307
The provisions of this §746.307 adopted to be effective September 1, 2003, 28 TexReg 1402; amended to be effective December 1, 2010, 35 TexReg 10238; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909; amended by Texas Register, Volume 46, Number 15, April 9, 2021, TexReg 2448, eff. 4/11/2021; amended to be effective April 25, 2021, 46 TexReg 2447; amended by Texas Register, Volume 46, Number 43, October 22, 2021, TexReg 7218, eff. 10/25/2021; Amended by Texas Register, Volume 48, Number 07, February 17, 2023, TexReg 0940, eff. 3/1/2023