TX HHS Form 1594. Individualized Skills Assessment for Regulating Water Temperature

The TX HHS Form 1594, Individualized Skills Assessment for Regulating Water Temperature, is a crucial tool for ensuring the safety and independence of individuals residing in homes. This form helps solve the problem of assessing an individual's ability to regulate water temperature without assistance or guidance, which is essential in various situations such as bathing or washing hands.

The program provider must complete this assessment at least annually for each individual residing in the home, ensuring the validity and accuracy of the results. The assessment must be completed by a staff person other than a service provider who works or lives in the residence. Key features of this form include evaluating an individual's cognitive ability to judge water temperature and physical ability to independently turn on hot and cold water, adjust the temperature, and regulate it safely without assistance.

This form is typically filled out by program providers working with individuals receiving Home and Community-based Services (HCS) support. The assessment results must be documented and kept in the residence, ensuring that necessary follow-up actions can be taken to support the individual's independence and safety. Key points to note include:

• The form must be completed annually for each individual residing in the home.
• The assessment must be done by a staff person other than a service provider who works or lives in the residence.
• The results of the assessment must be documented and kept in the residence.