(a) The following personal restraint techniques are prohibited:
  (1) Restraints that impair the child's breathing by putting pressure on the child's torso, including restraints that obstruct the child's lungs from expanding such as leaning a child forward during a seated restraint;
  (2) Restraints that obstruct the child's airway, including procedures that place anything in, on, or over the child's mouth, nose, or neck;
  (3) Restraints that obstruct a caregiver's ability to view the child's face;
  (4) Restraints that interfere with the child's ability to communicate or vocalize distress; or
  (5) Restraints that twist or place the child's limb(s) behind the child's back.
(b) Prone and supine restraints are prohibited except:
  (1) As a transitional hold that lasts no longer than one minute;
  (2) As a last resort when other less restrictive interventions have proven to be ineffective; and
  (3) When an observer meeting the following qualifications ensures the child's breathing is not impaired:
    (A) Trained to identify risks associated with positional, compression, or restraint asphyxia;
    (B) Trained to identify risks associated with prone and supine holds; and
    (C) Not involved in the restraint. General residential operations and residential treatment centers with a capacity of 16 or fewer children are exempt from meeting this requirement.

Source Note: The provisions of this §748.2605 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909