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Amend CSSB 643 (Senate committee printing) in SECTION 12 of 
the bill, in Section 555.059(a), Health and Safety Code, 
immediately following added Subdivision (6) (page 11, line 10), by 
adding the following new Subdivision (7) and renumbering the 
current Subdivision (7) and subsequent subdivisions in that 
subsection accordingly:
		(7)  conduct biennial on-site audits at each state 
developmental center and the ICF-MR component of the Rio Grande 
State Center of:
			(A)  the ratio of direct care employees to 
residents;               
			(B)  the provision and adequacy of training to:                       
				(i)  developmental center employees; and                             
				(ii)  direct care employees; and                                     
			(C)  if the state developmental center serves 
high-risk residents, the provision of specialized training to 
direct care employees;