(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.

Source Note: 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 to be effective April 25, 2021, 46 TexReg 2447; amended to be effective October 25, 2021, 46 TexReg 7218; amended to be effective March 1, 2023, 48 TexReg 933