(a) You must notify the Department of State Health Services (DSHS) after you become aware that a person in your care, a person who resides at your operation, an employee, a contract service provider, or a volunteer has contracted a communicable disease that the law requires you to report to the DSHS as specified in 25 TAC 97, Subchapter A (relating to Control of Communicable Diseases).
(b) If a person in your care or a person who resides at your operation has symptoms of a communicable disease that is reportable to the Department of State Health Services, you must:
  (1) Consult a health-care professional about the person's treatment;
  (2) Follow the treating physician's orders, which may include separating the person from others;
  (3) Notify the person's parent, if applicable; and
  (4) Sanitize all items used by the sick person before another person uses one of them.
(c) If a health-care professional diagnoses a person in your care or a person who resides at your operation with a communicable disease that is reportable to DSHS, a health-care professional must authorize the person's participation in any routine activities at your operation. The authorization must:
  (1) Be in the person's record, if the person is in care at your operation;
  (2) Include a written statement that the person will not pose a serious threat to the health of the others; and
  (3) Include any specific instructions and precautions to be taken for the protection of others, if necessary.
(d) If an employee, contract service provider, or volunteer has a communicable disease that is reportable to DSHS, you must obtain written authorization from a health-care professional for the person to be present at the operation. The written authorization must include a statement that the person will not pose a serious threat to the health of the others.
(e) You must follow any written instructions and precautions specified by a health-care professional.

Source Note: The provisions of this §748.1581 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909