In this manual, references to DARS now refer to TWC. The manual includes both links to public content and links to content available only to staff.

Chapter 4: Implementing Consumer Expectations

4.1 Purpose

CCRC is a training facility, and students must attend class regularly in order to successfully complete the program. This chapter provides the implementation plans and expectations for attendance, training progress, student illness, and guide dog teams.

4.2 Attendance

4.2.1 Policy

CCRC staff members explain attendance requirements to students who receive services at the center. A student may be dismissed for excessive absences. Staff members document attendance in the CCRC Attendance Database. When excessive absences occur, staff members must

4.2.2 Responsibilities

Technology Teachers

Technology teachers must

Counseling Staff Members

Counseling staff members must

Manager of Counseling and Vocational Training

The manager of Counseling and Vocational Training must

4.2.3 Procedures

Staff members use the following procedure to process attendance at CCRC:

  1. Teachers verify that the student is on time for class and documents his or her attendance.
  2. Teachers use the Attendance Database Procedures to document if a student is absent from class.
  3. The student notifies the instructor and the assigned counselor if he or she must miss a class.
  4. After the student's third absence from class, the technology instructor notifies the student, assigned counselor, technology supervisor, and manager of Counseling and Vocational Training.
  5. After the student's fifth absence from class, the technology instructor and assigned counselor provide a recommendation regarding the student's continuation in class to the manager of Counseling and Vocational Training.
  6. The manager of Counseling and Vocational Training determines whether the student is removed from the class.
  7. The student is permitted to submit a request to remain in class to the manager of Counseling and Vocational Training.
  8. If the student submits a request to remain in training, the Manager of Vocational Training considers the request during the decision-making process.

4.3 Consumer Training Progress

4.3.1 Definitions

Progress Training Meeting (PTM)—a meeting scheduled by counselors once every seven to eight weeks to evaluate training progress and make a plan for future training.

Progress Training Report (PTR)—a student progress report that is completed by instructors, shared with the student, and summarized and posted by the counselor in ReHabWorks.

4.3.2 Policy

DARS provides training through CCRC to meet the student's IPE needs. VR field counselors refer students to CCRC because it meets the training needs on their IPE.

Students are expected to make progress in their training program at CCRC. Information regarding their training program is documented in ReHabWorks. Students are expected to participate in the training classes and learn skills in the residence hall and cafeteria. If a student successfully completes the program, he or she receives a completion on the last progress training report. However, if a student is dismissed from the training program before completing it, he or she receives an incomplete on the last progress training report.

4.3.3 Responsibilities

Staff Members

Staff members must

4.3.4 Procedures

Staff members use the following procedure to refer a prospective student to the CCRC and to monitor the student's progress:

  1. The VR field counselor and prospective student determine if CCRC services meet the training needs on the IPE vocational goal.
  2. The VR field counselor completes the referral for CCRC.
  3. The student completes the CCRC tour if able to arrange it.
  4. The student is accepted for services in CCRC and completes orientation and intake.
  5. The student begins the training program, and CCRC staff members evaluate ongoing progress with the student and the field counselor.

For information on progress training assessments and meetings, see Scheduling Consumer Program Meetings.

4.4 Student Illness

4.4.1 Definitions

Student illness—any medical situation, other than an injury.

4.4.2 Policy

DARS ensures that CCRC staff members support students' decisions and needs related to their health while they are residential students. Staff members ensure that each student has on file a signed DARS2051, CCRC Medical Authorization Form. If a student becomes ill, CCRC staff members must assess the situation and gather information as quickly as possible.

Health emergencies that occur at CCRC or in another location during a CCRC activity or training program must be reported on an HHS-4740 Security Incident Report. Staff members must immediately call 9-1-1 and the HHSC first responders at (512) 532-4911 (if available) for assistance if the student

A student's illness is evaluated by medical personnel through a CCRC or student referral to determine if it

Within 24 hours of a student's evaluation by medical personnel, the student must inform the CCRC counselor of his or her treatment protocol. If the student has an illness that does not meet the above level of seriousness, the student is responsible for his or her own care and treatment with medication.

4.4.3 Responsibilities

Staff Members

Staff members must

Center Leadership Team

The CLT must

CCRC Risk Manager

CCRC risk manager must

4.4.4 Procedures

Staff members use the following procedure if a student has a health emergency during the time he or she is a student at CCRC:

  1. Staff members immediately call at 9-1-1, CCRC Security, and HHS first responders if a student
    • is unconscious,
    • has difficulty breathing,
    • has severe nausea,
    • has chest pain,
    • speaks incoherently,
    • has severe trauma, or
    • has other serious symptoms.
  2. Staff members notify the CLT and assigned counselor of the student's illness and of EMS' being called.
  3. Within 24 hours, staff members complete an HHS-4740 Security Incident Report and forward it by email to the CCRC distribution list.
  4. CLT members review and forward the report to the center director.
  5. The center director or designee reviews the report and forwards it by email to
  6. IMT members review all findings, including any police report, to make recommendations for appropriate response.
  7. The center director determines if the reported incident and police response are grounds for student dismissal from the CCRC residence hall, training program, or both.
  8. The center director notifies the DBS assistant commissioner of the results after the medical emergency.

If the student has an illness that is not a health emergency, the student is responsible for his or her own care and treatment with over-the-counter medication.

For more procedures and policy related to consumer illness, see the following information.

For more procedures, see Consumer Illness.

For additional information on confidentiality of HIV status, see

For information on consumer records, see BPM, Chapter 20: Confidentiality and Use of Consumer Records and Information.

4.5 Guide Dog

4.5.1 Definitions

Guide Dog—The ADA defines a service animal as any guide dog, signal dog, or other animal individually trained to provide assistance to an individual with a disability. If they meet this definition, animals are considered service animals under the ADA whether or not they have been licensed or certified by a state or local government. CCRC is not an accredited dog guide school.

Guide Dog team—a team that consists of the person who is blind or visually impaired (guide dog user) and the guide dog.

Orientation and Mobility (O&M) Specialist—a professional who trains people who are blind or visually impaired to travel safely and independently with or without a cane or other mobility aids in indoor and outdoor environments.

Park or Relieve—terms used to indicate when the guide dog user is letting the guide dog go to the bathroom.

Working dog—a guide dog that is wearing a harness. When the guide dog is working, only the guide dog user should communicate with and touch the guide dog.

4.5.2 Policy

A student is allowed to bring a guide dog to CCRC. Staff members must ensure that the student follows the guidelines related to guide dogs found in the http://www.twc.state.tx.us/jobseekers/criss-cole-rehabilitation-center#publications">CCRC Student Handbook. Staff members must ensure that each student guide dog user is responsible for the guide dog and

Staff members are required to counsel and direct each student guide dog user to ensure that the guide dog has current vaccinations. The student must provide the vaccination record to CCRC. Admissions verifies the vaccination records and retains them in the student's file.

4.5.3 Responsibilities

Staff Members

Staff members must

Orientation and Mobility Instructors

Orientation and Mobility instructors must

4.5.4 Procedures

Staff Member Instruction for Students

Staff members use the following procedure when students bring guide dogs with them to training.

  1. Staff members provide the following information in the student's preferred media:
    • the "Guide Dogs" section from the http://www.twc.state.tx.us/jobseekers/criss-cole-rehabilitation-center#publications">CCRC Student Handbook and "Guide Dogs Guidelines" from its Appendix, and
    • information on Dog Guide Exercise Run Rules.
  2. Staff members provide, if requested, an O&M department evaluation while the student travels with his or her guide dog.
  3. Staff members provide, if requested, training during O&M while the student travels with his or her guide dog.
  4. At the student's request, a trainer from the guide dog's school will come to CCRC to assist with travel training.
  5. If circumstances warrant, a student may be asked to remove the guide dog from CCRC if the dog becomes disruptive to training.
  6. If circumstances warrant, students may be asked to work with the guide dog's school if there is potential abuse or the dog requires additional training.

Disposing of Dog Excrement

Staff members ensure that students who bring guide dogs with them to training properly clean up the dog excrement. To safely dispose of dog excrement, students

  1. relieve the dog in the designated area;
  2. use plastic bags to pick up fecal matter;
  3. remove fecal matter from all surfaces—grass, sidewalks, and streets; and
  4. tie the bag and place it in the identified trash receptacle.