(a) The Intense Service Level consists of a high degree of structure, preferably in a family, to limit the child's access to environments as necessary to protect the child. The caregivers have specialized training to provide services to help the child keep, learn or improve skills and functioning for daily living as well as intense therapeutic supports and interventions with limited outside access, including:
  (1) 24-hour supervision to ensure the child's safety and sense of security, which includes frequent one-to-one monitoring with the ability to provide immediate on site response;
  (2) affection, reassurance, and involvement in therapeutic activities appropriate to the child's age and development to promote the child's well-being;
  (3) contact, in a manner that is deemed in the best interest of the child, with siblings, family members and other persons significant to the child, to maintain a sense of identity and culture;
  (4) provision of services to help the child keep, learn or improve skills and functioning for daily living, as well as therapeutic and medical intervention and guidance that is frequently scheduled and professionally designed and supervised to help the child attain functioning more appropriate to the child's age and development; and
  (5) consistent and frequent attention, direction, and assistance to help the child attain stabilization and connect appropriately with the child's environment.
(b) In addition to the description in subsection (a) of this section, a child with intellectual or developmental disabilities needs professionally directed, designed, and monitored interventions to enhance mobility, communication, sensory, motor, and cognitive development, and self-help skills.
(c) In addition to the description in subsection (a) of this section, a child with primary medical needs or who requires services to help the child keep, learn or improve skills and functioning for daily living or requires frequent and consistent interventions. The child may be dependent on people or technology for accommodation and require interventions designed, monitored, or approved by an appropriately constituted interdisciplinary team.

Source Note: The provisions of this §700.2361 adopted to be effective March 1, 2004, 29 TexReg 1416; amended to be effective October 15, 2015, 40 TexReg 7105