TX HHS Form 2960 Attachment C. CCR Application for a License to Operate a Residential Child Care Facility

Form 2960 Attachment C is a required supplement to the application for operating a general residential operation (GRO) in Texas that provides treatment services to children with emotional disorders. It outlines the additional operational details necessary for approval by the Texas Health and Human Services (HHS) Child Care Regulation (CCR) division.

Purpose of the Form

This form serves as a detailed operational plan for prospective GROs focusing on treatment for children with emotional disorders. It ensures that the operation has comprehensive strategies in place for community engagement, education, suicide prevention, handling unauthorized absences, and leadership qualifications. The plan must be approved by CCR before a license is granted, as it demonstrates the operation's readiness to provide safe, supportive, and compliant care.

Who Uses the Form and When It Is Needed

The form is used by organizations or governing bodies applying to operate a GRO under Texas regulations, specifically those intending to offer treatment services for children with emotional disorders. It is mandatory as part of the initial application process submitted to HHS. Applicants must complete it fully when seeking licensure for such operations. It is required in situations where the GRO will serve children needing specialized emotional support, ensuring compliance with Texas Administrative Code (TAC) Title 26, Chapter 748, which governs minimum standards for GROs.

Key Sections and Data Requested

The form is divided into several sections, each addressing critical aspects of the operation. Applicants must provide detailed responses, attachments where necessary, and ensure all information is accurate and complete. Below is a breakdown of the main sections:

• Section A – Operation Information: This section collects basic identifying details about the operation and its governing body. It requests the operation name, area code and phone number, street address, city, county, and ZIP code. Similar information is required for the governing body or organization.
• Section B – Community Engagement Plan: Focused on integrating the operation with the local community, this section requires summaries of discussions and plans. Specific questions include:
  • A summary of discussions with local law enforcement about the prospective operation.
  • A summary of discussions with local health and therapeutic resources available to children served.
  • A summary of discussions with local recreational resources available to children.
  • A description of opportunities for social interaction within the community for children.
  • A plan to develop or improve relations between the operation and the local community.
• Section C – Educational Plan: This outlines how educational needs will be met for school-aged children. It asks applicants to select resources (public or private school) and specify where education will be provided (local school, off-site charter, or on-site charter). Additional requirements include:
  • A summary of discussions, plans, and agreements with the relevant school district, private school, or charter school.
  • If enrolling in public school, a statement from the local school district on the impact of child care services, or an explanation if unobtainable, plus descriptions of alternative educational services.
• Section D – Suicide Prevention, Intervention, and Postvention Policy: Applicants must select and attach a policy option: either the model policy per 26 TAC 748.125 or their own custom policy. This ensures protocols are in place for preventing, intervening in, and responding to suicide-related incidents.
• Section E – Trauma Informed Plan to Address Unauthorized Absences: This requires a summary of the operation’s trauma-informed approach to handling unauthorized absences, emphasizing sensitive and supportive methods to address runaways or similar situations.
• Section F – Management and Leadership Professional History: Detailed information on each person in a management or leadership role, including educational leaders if on-site charter schooling is provided. For each individual, the form requests:
  • Name and role at the operation.
  • Qualifications and background.
  • History in child care settings.
  • Compliance history in previous child care settings.

  Applicants can add or remove entries as needed. All listed individuals are considered controlling persons under 26 TAC 745.901.

Requirements and Submission Guidelines

All sections must be completed fully; incomplete forms may lead to denial. Attachments are required where specified, such as policies or school district statements. If questions arise, applicants can email [email protected] for assistance. CCR reviews the plan for completeness and approvability, and no GRO license for emotional disorder treatment services will be issued without an approved Form 2960 Attachment C.

Main Form Details

• Name: General Residential Operations – Additional Operation Plan
• Number: Form 2960 Attachment C
• Region/Organization: Texas Health and Human Services (HHS), Child Care Regulation (CCR)
• Edition Date: January 2023