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