Texas Health and Human Services

Form 7259, updated in January 2019, is used by Texas Child Care Licensing (CCL) inspectors to evaluate personnel records during onsite inspections at licensed child care centers. The document helps verify whether each employee’s file includes the mandatory items required by the Texas Administrative Code, Chapter 746. Although the form is completed by state inspectors—not by the child care center itself—it is crucial for directors and administrators to understand what information must be kept on file and why it matters.

The TX HHS Form 7250, Staff Training Record, helps child care providers document their annual training hours and content. This form ensures that all staff members complete the required training, as mandated by their role. The form is typically completed by staff or a designee to record the completion of annual training requirements.

The TX HHS Form 7243, Emergency Telephone Numbers, is a crucial document that helps organizations post essential emergency contact information as required by Texas Administrative Code. This form is typically filled out by childcare providers, healthcare facilities, or other entities that require posting of emergency phone numbers.

The TX HHS Form 6520, Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for the DBMD Program Service Provider Training, is a crucial document that helps ensure service providers in Texas have received necessary training to support individuals with deaf-blindness and multiple disabilities. This form is typically used by program directors, case managers, and other service providers who work with clients with deaf-blindness and multiple disabilities.

The TX HHS Form 6519, Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for General Orientation Training, is a crucial document that helps ensure service providers in Texas have completed the necessary training to work with individuals who are deaf-blind with multiple disabilities. This form is typically used by service providers, such as case managers, employment assistance specialists, and individualized skills trainers, to demonstrate their completion of general orientation training.

The TX HHS Form 6518, Deaf Blind with Multiple Disabilities (DBMD) Record of Completion for Person-Specific Training, is a crucial document that helps ensure service providers are equipped to meet the unique needs of individuals with deaf-blindness and multiple disabilities. This form is typically used in situations where service providers need to demonstrate their understanding of an individual's specific needs, including methods of communication, adaptive aids, and managing challenging behavior.

The TX HHS Form 6517, Individual Program Plan (IPP) Service Review, is a crucial document that helps healthcare providers evaluate the effectiveness of services delivered to individuals with disabilities. This form is typically used in situations where an individual's needs are being assessed and services are being reviewed for authorization or continuation.

The TX HHS Form 6515, CLASS or DBMD Nursing Assessment, is a crucial tool for healthcare professionals to assess the needs of individuals with disabilities. This form helps solve the problem of identifying the individual's nursing requirements, which enables caregivers to provide personalized care and support.

The TX HHS Form 6510, Decline of Offer for DBMD Program Enrollment, is a crucial document that helps individuals who have received information about the Deaf Blind with Multiple Disabilities (DBMD) Program to formally decline participation in the program. This form is typically used by applicants or their legally authorized representatives (LARs) who have decided not to enroll in the DBMD services.

The TX HHS Form 6509, CLASS/DBMD Coordination of Care, is an addendum designed to facilitate the coordination of care between a Registered Nurse (RN) and the Service Planning Team (SPT). This form helps ensure that individualized services are planned and delivered according to the unique needs of individuals with Community Living Assistance and Support Services (CLASS) or Deaf Blind with Multiple Disabilities (DBMD).