The PHC Program, CAS Program, and FC Program include the following tasks:     
       (1) assistance with ADLs, including:                (A) bathing, which is:                    (i) drawing water in sink, basin, or tub;                     (ii) hauling or heating water;                     (iii) laying out supplies;                     (iv) assisting in or out of tub or shower;                     (v) sponge bathing and drying;                     (vi) bed bathing and drying;                     (vii) tub bathing and drying; and                     (viii) providing standby assistance for safety;                   (B) dressing, which is:                    (i) dressing the individual;                     (ii) undressing the individual; and                     (iii) laying out clothes;                   (C) meal preparation, which is:                    (i) cooking a full meal;                     (ii) warming up prepared food;                     (iii) planning meals;                     (iv) helping prepare meals; and                     (v) cutting an individual's food for eating;                   (D) feeding/eating, which is:                    (i) spoon-feeding;                     (ii) bottle-feeding;                     (iii) assisting with using eating and drinking utensils and adaptive devices, not including tube feeding; and                     (iv) providing standby assistance or encouragement;                   (E) exercise, which is walking with the individual;                 (F) grooming, shaving, or oral care, which is:                    (i) shaving;                     (ii) brushing teeth;                     (iii) shaving underarms and legs, when requested;                     (iv) caring for nails; and                     (v) laying out supplies;                   (G) routine hair or skin care, which is:                    (i) washing hair;                     (ii) drying hair;                     (iii) assisting with setting, rolling, or braiding hair, not including cutting or chemical processing of hair;                     (iv) combing or brushing hair;                     (v) applying nonprescription lotion to skin;                     (vi) washing hands and face;                     (vii) applying makeup; and                     (viii) laying out supplies;                   (H) assistance with self-administration of medication as defined in 26 TAC §558.2 (relating to Definitions);                 (I) toileting, which is:                    (i) changing diapers;                     (ii) changing colostomy bag or emptying catheter bag;                     (iii) assisting on or off bedpan;                     (iv) assisting with the use of a urinal;                     (v) assisting with feminine hygiene needs;                     (vi) assisting with clothing during toileting;                     (vii) assisting with toilet hygiene, including the use of toilet paper and washing hands;                     (viii) changing external catheter;                     (ix) preparing toileting supplies and equipment, not including preparing catheter equipment; and                     (x) providing standby assistance;                   (J) transfer, which is:                    (i) non-ambulatory movement from one stationary position to another, not including carrying;                     (ii) adjusting or changing the individual's position in a bed or chair (positioning); and                     (iii) assisting in rising from a sitting to a standing position; and                   (K) ambulation, which is:                    (i) assisting in positioning for use of a walking apparatus;                     (ii) assisting with putting on and removing leg braces and prostheses for ambulation;                     (iii) assisting with ambulation or using steps;                     (iv) assisting with wheelchair ambulation; and                     (v) providing standby assistance; and          
       (2) assistance with IADLs, including:                (A) cleaning, including:                    (i) cleaning up after the individual's ADLs;                     (ii) emptying and cleaning the individual's bedside commode;                     (iii) cleaning the individual's bathroom;                     (iv) changing the individual's bed linens and making the individual's bed;                     (v) cleaning floor of living areas used by the individual;                     (vi) dusting areas used by the individual;                     (vii) carrying out the trash and setting out garbage for pick up;                     (viii) cleaning stovetop and counters;                     (ix) washing the individual's dishes; and                     (x) cleaning refrigerator and stove;                   (B) laundry, including:                    (i) doing hand wash;                     (ii) gathering and sorting;                     (iii) loading and unloading machines in residence;                     (iv) using laundromat machines;                     (v) hanging clothes to dry;                     (vi) folding and putting away clothes; and                   (C) shopping, including:                    (i) preparing a shopping list;                     (ii) going to the store and purchasing or picking up items;                     (iii) picking up medication; and                     (iv) storing the individual's purchased items; and                   (D) escorting, including:                    (i) accompanying the individual outside the home to support the individual in living in the community;                     (ii) arranging for transportation, not including direct individual transportation;                     (iii) accompanying the individual to a clinic, doctor's office, or location for medical diagnosis or treatment; and                     (iv) waiting in the doctor's office or clinic with an individual if necessary due to client's condition or distance from home.          
     Source Note:        The provisions of this §47.41 adopted to be effective June 1, 2004, 29 TexReg 5113; amended to be effective June 1, 2009, 34 TexReg  2802; amended to be effective October 1, 2019, 44 TexReg 5138