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Texas Health and Human Services provides new guidance to child care facilities

The new guidance includes updated screening requirements and temperature checks.

AUSTIN, Texas — Texas Health and Human Services (HHS) is issuing updated guidance to the 17,000 regulated child care operations throughout Texas, including new screening requirements for staff and visitors, as it continues to monitor updates concerned with coronavirus, or COVID-19.

“Protecting the health and safety of children in the settings we regulate is paramount,” said David Kostroun, HHS deputy executive commissioner of regulatory services. “We are taking these proactive measures to limit the spread of COVID-19 and safeguard children and their families.”


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Beginning Monday, all current child care providers are required to implement the following guidance, consistent with new requirements in accordance with state law, federal guidance, and Gov. Greg Abbott’s disaster declaration:

  • "Prohibit any person except the following from accessing an operation: operation staff; persons with legal authority to enter, including law enforcement officers, HHSC Child Care Licensing staff, and Department of Family and Protective Services staff; professionals providing services to children; children enrolled at the operation; and parents or legal guardians who have children enrolled and present at the operation.
  • Require pick-up and drop-off of children outside of the operation, unless it's determined that there is a legitimate need for the parent to enter an operation.
  • Before allowing entry into the operation, screen all individuals listed above, including taking the temperature of each person upon arrival at the operation each day, and deny entry to any person who meets any of the following criteria:
  1. A temperature of 100.4°F or above;
  2. Signs or symptoms of a respiratory infection, such as a cough, shortness of breath, sore throat, and low-grade fever;
  3. In the previous 14 days has had contact with someone with a confirmed diagnosis of COVID-19; is under investigation for COVID-19; or is ill with a respiratory illness; or
  4. In the previous 14 days has traveled internationally to countries with widespread, sustained community transmission. For updated information on affected countries, visit: https://www.cdc.gov/coronavirus/2019-nCoV/travelers/index.html.
  • Ensure that each child is provided individual meals and snacks. Do not serve family-style meals."

Because the situation is changing every day, child care providers are encouraged to contact the Child Care Licensing (CCL) team at MSC@hhsc.state.tx.us. CCL can answer questions, provide technical assistance and grant regulatory flexibility to operations when needed to protect children in care.

For more information, visit the HHS COVID-19 page.


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