March 30th, 2023
Review of this important section in 9.174 Service Delivery
9.174 (23) (concerning HH/CC, RSS, SL on-site expectations including locks on bedrooms and hot water temps in the home)
(23) ensure that, for an individual receiving host home/companion care, residential support, or supervised living:
(A) the individual lives in a home that is a typical residence within the community;
(B) the residence, neighborhood, and community meet the needs and choices of the individual and provide an environment that ensures the health, safety, comfort, and welfare of the individual;
(C) there is a sufficient supply of hot water at sinks and in bathing facilities to meet the needs of individuals;
(D) the temperature of the hot water at sinks and bathing facilities does not exceed 120 degrees Fahrenheit unless the program provider, in accordance with subsection (i) of this section, conducts a competency-based skills assessment evidencing that all individuals in the residence can independently regulate the temperature of the hot water from the sinks and bathing facilities; (see hot water assessment form from HHSC)
(E) unless contraindications are documented with justification by the service planning team, the individual lives near family and friends and needed or desired community resources consistent with the individual’s choice, if possible;
(F) the individual or LAR is involved in planning the individual’s residential relocation, except in the case of an emergency;
(G) unless contraindications are documented with justification by the service planning team, the individual has a door lock on the inside of the individual’s bedroom door, if requested by the individual or LAR; and
(H) the door lock installed in accordance with subparagraph (G) of this paragraph:
(i) is a single-action lock;
(ii) can be unlocked with a key from the outside of the door by the program provider; and
(iii) is not purchased and installed at the individual’s or LAR’s expense;
