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Appendix II: Facilities and Jurisdictions

APS April 2019

Introduction

APS staff members use this appendix to determine which state agency has jurisdiction (authority) to investigate allegations of abuse, neglect, or exploitation in certain settings.

This appendix provides the following information about various types of settings:

  •   Services or Care Provided: The types of services or care that they provide.

  •   Subject to Licensure: Whether, or under what circumstances, they are required to be licensed by a state agency.

  •   Jurisdiction and Phone Number: Which state agency or program has jurisdiction over them, and its phone number. Some types of facilities have more than one agency or program listed; in this case, additional factors apply.

Additional Resource

Also refer to the Texas Health and Human Services Commission (HHSC) Long-Term Care Provider Search website.

APS uses this site to help determine which state agency has jurisdiction over a particular setting.

This site can accept searches by the following:

  •   Type of facility

  •   Name of facility

  •   Location

It may be necessary to leave out some information in order to get a result. (This is similar to how IMPACT works.) For example, a search should not include terms such as the following:

  •   Drive, Street, or Road in the address.

  •   Inc. in the facility name.

Types of Facilities in This Appendix

Use the links below to quickly find each type of facility.

Nursing Facilities

Day Activity and Health Services (Adult Day Care)

Adult Foster Care

Assisted Living Facilities

Boarding Homes

Retirement Centers

Home and Community Support Service Agency (HCSSA)

State of Texas Access Reform + Plus (STAR+PLUS) Home and Community-Based Services (HCBS) Waiver

Deaf Blind Multiple Disabilities (DBMD), Community Living Assistance and Support Services (CLASS), Medically Dependent Children Program (MDCP), Home and Community-Based Services (HCS), and Texas Home Living Waiver (TxHmL) Programs

Hospitals, Centers, Facilities, and Clinics

Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID)

State Hospitals, State-Supported Living Centers, State Center, Community Centers, and Local Authorities for Mental Health and Intellectual Disabilities and Contracted Services

Texas Juvenile Justice Department (TJJD)

Criss Cole Rehabilitation Center (CCRC)

Texas School for the Blind and Visually Impaired

Texas School for the Deaf

Drug and Alcohol Treatment Centers

Child Day Care Facilities

Residential Child Care Facilities

Nursing Facilities

This includes the following:

  •   Nursing homes

  •   Skilled nursing facilities

  •   Long-term care facilities

  •   Hospice facilities

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

  •   Skilled nursing

  •   Physician services

  •   Dietary services

  •   Pharmaceutical (medication) services

  •   Activity services

Yes.

HHSC

Call: 1-800-458-9858

Day Activity and Health Services (Adult Day Care)

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

  •   Health, social, and related support services to meet the needs of people age 65 or older or adults with disabilities.

  •   No overnight care.

Yes.

HHSC

Call: 1-800-458-9858

Adult Foster Care

Four or more residents served are unrelated to the owner:

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Room, meals, and help with one or more personal care services, such as the following:

  •   Meals

  •   Dressing

  •   Movement

  •   Bathing and grooming

  •   Medication

  •   General oversight of physical and mental well-being

Yes, if the facility serves four or more residents unrelated to the owner (Type C).

HHSC

This still applies when the facility does not have a license but meets the criteria to have one (four or more residents).

Call: 1-800-458-9858

Three or fewer residents served are unrelated to the owner:

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Room, meals, and help with one or more personal care services, such as the following:

  •   Meals

  •   Dressing

  •   Movement

  •   Bathing and grooming

  •   Medication

  •   General oversight of physical and mental well-being

This includes Veterans Affairs (VA) medical foster care homes.

No, if the facility serves three or fewer residents unrelated to the owner. (Example: A facility that serves the owner’s grandmother plus three unrelated residents does not require a license.)

Adult foster care homes for three or fewer residents may be either of the following:

  •   Contracted through HHSC.

  •   Neither licensed nor contracted.

APS, if the adult foster care home is not required to be licensed, regardless of whether it is contracted.

Call: 1-800-252-5400

 

HHSC, if the facility’s capacity (number of beds) is four or more, even if the facility is not currently full.

Call: 1-800-458-9858

Assisted Living Facilities

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Room, meals, and help with one or more personal care services, such as the following:

  •   Meals

  •   Dressing

  •   Movement

  •   Bathing and grooming

  •   Medication

  •   General oversight of physical and mental well-being

May be licensed as Type A or Type B.

Yes.

HHSC, if there are allegations of abuse, neglect, or financial exploitation by another person that occurred at the facility.

Call: 1-800-458-9858

 

APS, if the allegation has either of the following characteristics:

  •   It is self-neglect.

  •   It occurred away from the facility.

Call: 1-800-252-5400

Boarding Homes

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Includes all of the following:

  •   A room

  •   Meals

  •   Laundry services

  •   Transportation

  •   Help for residents with taking their own medication

Does not include personal care services.

No.

APS, if the alleged perpetrator is one whom APS investigates

Call: 1-800-252-5400

Retirement Centers

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Provides the following:

  •   A room (Residents rent or own the room or apartment.)

  •   A common dining area

Does not provide the following:

  •   Personal care

  •   Help with medication (but individual residents may hire providers to come in).

No.

APS

Call: 1-800-252-5400

Home and Community Support Service Agency (HCSSA)

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Health care services provided in the client’s home, such as the following:

  •   Nursing care

  •   Help with activities of daily living (ADLs)

  •   Physical therapy

  •   Hospice

Yes.

APS does as follows:

  •   Investigates allegations of abuse, neglect, or financial exploitation by HCSSA employees providing non-Medicaid services.

  •   Sends any licensing concerns to HHSC.

Call: 1-800-252-5400

 

HHSC Provider Investigations (PI) investigates allegations of abuse, neglect, or exploitation by HCSSA employees when one of the following applies:

  •   The employee was providing Medicaid long-term services and supports (LTSS) to a victim of any age.

  •   The victim is younger than 18 years old, regardless of how the services were funded.

Call: 1-800-252-5400

State of Texas Access Reform + PLUS (STAR+PLUS) Home and Community-Based Services (HCBS) Waiver

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Home and community-based services and supports for adults who have chosen to remain in the community but qualify for admission to one of the following:

  •   A nursing facility.

  •   Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID).

No.

The HCSSA providing services through the program is required to be licensed. DFPS sends HCSSA licensing concerns to HHSC.

HHSC PI does as follows:

  •   Investigates allegations of abuse, neglect, or financial exploitation by HCSSA employees.

  •   Sends any licensing concerns to HHSC long-term care regulatory services.

Call: 1-800-252-5400

Deaf Blind Multiple Disabilities (DBMD), Community Living Assistance and Support Services (CLASS), Medically Dependent Children Program (MDCP), Home and Community-Based Services (HCS), and Texas Home Living Waiver (TxHmL) Programs

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Community-based services and supports, including home health and provider services for the following people:

  •   Children with special medical needs.

  •   Adults who qualify for admission to a nursing facility or ICF-IID but have chosen to remain in the community.

HCS services may occur in the following places:

  •   In the client’s own home.

  •   With family.

  •   At a contracted foster care provider.

  •   In a group home serving no more than four clients.

TxHmL offers the following services to people who live in their own homes or with their families:

  •   Respite (rest or relief for caretakers)

  •   Community support

  •   Day habilitation, including rehabilitation

  •   Other therapies

No.

The HCSSA providing services through the program is required to be licensed. DFPS sends HCSSA licensing concerns to HHSC.

HHSC certifies HCS and TxHmL settings through the Medicaid waiver program.

HHSC PI investigates allegations of abuse, neglect, or financial exploitation by HCSSA employees providing Medicaid long-term services and supports (LTSS), including allegations with victims under 18 years old.

HHSC PI also investigates if the client does either of the following:

  •   Hires the alleged perpetrator using consumer directed services funds.

  •   Lives in an HCS group home with three or four beds. (The agency providing the services owns or leases the home.)

Call: 1-800-252-5400

 

APS investigates when the client lives in an HCS host home or companion home (formerly known as a foster care home) and is paying privately for HCS waiver services but is not actually a participant in the waiver program.

Call: 1-800-252-5400

Hospitals, Centers, Facilities, and Clinics

This includes the following:

  •   Medical hospitals.

  •   Psychiatric hospitals that are owned or managed by private entities.

  •   Dialysis facilities.

  •   Rural health clinics.

  •   Outpatient facilities for occupational therapy and physical therapy.

  •   Surgical centers for outpatient surgery.

  •   Birthing centers.

  •   Abortion clinics.

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Various medical services and related services.

Yes.

HHSC Health Care Quality

Call: 1-888-973-0022

Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID)

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

A protected setting that provides the following to four or  more people unrelated to the owner:

  •   24-hour supervision.

  •   Food.

  •   Shelter.

  •   Treatment, health care, or rehabilitative services.

Yes.

HHSC PI

Call: 1-800-647-7418

State Hospitals, State-Supported Living Centers, State Center, Community Centers, Local Authorities for Mental Health and Intellectual Disabilities, and Contracted Services:

Contracted services include the following:

  •   Foster care

  •   Day habilitation

  •   Vocational services

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Comprehensive services, some including residential care, for people who have one or more of the following:

  •   Mental illness

  •   Intellectual disabilities

  •   Pervasive developmental disorder

Yes.

HHSC PI, if there is an allegation of abuse or neglect.

Call: 1-800-647-7418

 

Department of State Health Services (DSHS) Consumer Services and Rights Protection office, if there is no allegation of abuse or neglect.

Call:

  •   (800) 252.8154 – Texas only

  •   (512) 206.5760 – Outside Texas

  •   (800) 735.2988 – Relay Texas, Voice

  •   (800) 735.2989 – Relay Texas, TTY

Texas Juvenile Justice Department (TJJD)

This includes the following:

  •   Juvenile detention centers.

  •   Training schools.

  •   Halfway houses.

  •   Foster homes and foster group homes.

  •   Residential contract facilities.

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Various services to teens who have been adjudicated in court (which is the youth equivalent of being put on trial) because of criminal behavior.

Yes.

TJJD

  •   For state institutions, programs, services, or facilities, call: 1-866-477-8354

  •   For community-based programs, services, or facilities, call: 1-877-786-7263

Criss Cole Rehabilitation Center (CCRC)

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Comprehensive vocational rehabilitation training for people with visual impairments.

No.

Texas Workforce Commission (TWC)

Call either of the following:

  •   CCRC Admissions Office, 1-512-377-0300

  •   TWC Vocational Rehabilitation Inquiries, 1-800-628-5115

Texas School for the Blind and Visually Impaired

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Various services to people with visual impairments.

Yes.

Texas School for the Blind and Visually Impaired

Call: 1-512-454-8631 (Ask for the superintendent’s office.)

Texas School for the Deaf

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Various services to people with hearing impairments.

Yes.

Texas School for the Deaf

Call: 1-512-462-5353

Drug and Alcohol Treatment Centers

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Various inpatient and outpatient services to people with substance abuse issues.

Yes.

HHSC Health Care Quality

Call: 1-800-832-9623

Child Day Care Facilities

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Child day care (no residential care).

Yes.

DFPS Child Care Investigations (CCI) investigates allegations of abuse, neglect, and exploitation.

Call: 1-800-252-5400

 

HHSC Child Care Licensing (CCL) addresses violations of its minimum standards.

Call: 1-800-252-5400

Residential Child Care Facilities

This includes the following:

  •   Basic child care institutions.

  •   Residential treatment centers.

  •   Foster homes, including CPS extended care foster homes.

Services or Care Provided

Subject to Licensure

Jurisdiction and Phone Number

Residential care and related services to children.

Yes.

DFPS Child Care Investigations (CCI) investigates allegations of abuse, neglect, and exploitation of alleged victims ages 0-17.

Call: 1-800-252-5400

 

APS investigates allegations of abuse or neglect for alleged victims age 18 and older.

Call: 1-800-252-5400

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