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  By: Carona  S.B. No. 344
         (In the Senate - Filed January 26, 2007; February 14, 2007,
  read first time and referred to Committee on Health and Human
  Services; March 12, 2007, reported adversely, with favorable
  Committee Substitute by the following vote:  Yeas 8, Nays 0;
  March 12, 2007, sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 344 By:  Deuell
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to the additional exit conference required following
  inspection, survey, or investigation of certain facilities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 142.009, Health and Safety Code, is
  amended by amending Subsections (f) and (g) and adding Subsection
  (g-1) to read as follows:
         (f)  At the conclusion of a survey or complaint
  investigation, the [The] department shall fully inform the person
  who is in charge of the home and community support services agency
  of the preliminary findings of the survey at an exit conference and
  shall give the person a reasonable opportunity to submit additional
  facts or other information to the department's authorized
  representative in response to those findings.  The response shall
  be made a part of the record of the survey for all purposes.  The
  department's representative shall leave a written list of the
  preliminary findings with the agency at the exit conference.
         (g)  After a survey of a home and community support services
  agency by the department, the department shall provide to the chief
  executive officer of the agency:
               (1)  specific and timely written notice of the official 
  [preliminary] findings of the survey, including:
                     (A)  the specific nature of the survey;
                     (B)  any alleged violations of a specific statute
  or rule;
                     (C)  the specific nature of any finding regarding
  an alleged violation or deficiency; and
                     (D)  if a deficiency is alleged, the severity of
  the deficiency;
               (2)  information on the identity, including the
  signature, of each department representative conducting,
  reviewing, or approving the results of the survey and the date on
  which the department representative acted on the matter; and
               (3)  if requested by the agency, copies of all
  documents relating to the survey maintained by the department or
  provided by the department to any other state or federal agency that
  are not confidential under state law.
         (g-1)  If the department or the department's authorized
  representative discovers any additional violations during the
  review of field notes or preparation of the official statement of
  deficiencies for a home and community support services agency, the
  department or the department's representative shall conduct an
  additional exit conference regarding the additional violations.  
  The additional exit conference must be held in person and may not be
  held over the telephone, by e-mail, or by facsimile transmission.
         SECTION 2.  Subsections (b) and (c), Section 242.0445,
  Health and Safety Code, are amended to read as follows:
         (b)  At the conclusion of an inspection, survey, or
  investigation under Section 242.043 or 242.044, the department or
  the department's representative conducting the inspection, survey,
  or investigation shall discuss the violations with the facility's
  management in an exit conference. The department or the
  department's representative shall leave a written list of the
  violations with the facility at the time of the exit conference. If
  the department or the department's representative discovers any
  additional violations during the review of field notes or
  preparation of the official final list, the department or the
  department's representative shall give the facility an additional
  exit conference regarding the additional violations.  An additional
  exit conference must be held in person and may not be held by
  telephone, e-mail, or facsimile transmission.
         (c)  The facility shall submit a plan to correct the
  violations to the regional director not later than the 10th working
  day after the date the facility receives the final official
  statement of violations.
         SECTION 3.  Section 247.0271, Health and Safety Code, is
  amended by amending Subsection (c) and adding Subsection (d) to
  read as follows:
         (c)  If, after the initial exit conference, additional
  violations are cited, the inspector shall conduct an additional
  exit conference regarding the newly identified violations. An
  additional exit conference must be held in person and may not be
  held by telephone, e-mail, or facsimile transmission.
         (d)  The assisted living facility shall submit a plan of
  correction to the regional director with supervisory authority over
  the inspector not later than the 10th working day after the date the
  facility receives the final official statement of violations.
         SECTION 4.  Subsections (b) and (c), Section 252.044, Health
  and Safety Code, are amended to read as follows:
         (b)  At the conclusion of an inspection, survey, or
  investigation under this chapter, the department or the
  department's representative conducting the inspection, survey, or
  investigation shall discuss the violations with the facility's
  management in an exit conference. The department or the
  department's representative shall leave a written list of the
  violations with the facility and the person designated by the
  facility to receive notice under Section 252.066 at the time of the
  exit conference. If the department or the department's
  representative discovers any additional violations during the
  review of field notes or preparation of the official final list, the
  department or the department's representative shall give the
  facility an additional exit conference regarding the additional
  violations. An additional exit conference must be held in person
  and may not be held by telephone, e-mail, or facsimile
  transmission.
         (c)  The facility shall submit a plan to correct the
  violations to the regional director not later than the 10th working
  day after the date the facility receives the final official
  statement of violations.
         SECTION 5.  This Act takes effect September 1, 2007.
 
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