BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 892|
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                                 THIRD READING


          Bill No:  SB 892
          Author:   Alquist (D)
          Amended:  4/27/10
          Vote:     21

           
           SENATE PUBLIC SAFETY COMMITTEE  :  5-0, 4/20/10
          AYES:  Leno, Cedillo, Hancock, Steinberg, Wright
          NO VOTE RECORDED:  Cogdill, Huff

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8 


           SUBJECT  :    Care facilities

           SOURCE  :     Author


           DIGEST  :    This bill adds additional specified crimes to  
          the Department of Social Services statutes governing  
          residential care facilities for the elderly.

           ANALYSIS  :    Existing law requires a criminal record check  
          of applicants for a license, special permit, or certificate  
          of approval to operate a residential care facility for the  
          elderly, or for other persons, including nonclients who  
          reside in those facilities and staff and employees.   
          Existing law requires that an application be denied if it  
          is found that the applicant or any of the other designated  
          persons has been convicted of a crime, other than a minor  
          traffic violation.  Existing law authorizes the Director of  
          Social Services to grant an exemption from disqualification  
          under these provisions, but prohibits the director from  
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          granting an exemption in the case of certain crimes.

          This bill adds additional specified crimes with respect to  
          which the director is prohibited from granting an  
          exemption.  This bill also adds specified crimes with  
          respect to which the director is prohibited from granting  
          an exemption within 10 years of either the date the person  
          was convicted of the offense or the date the person was  
          released from incarceration for the offense, whichever is  
          later.

           Comments
           
          According to the author's office:

               On March 18, 2010, the California Senate Office of  
               Oversight and Outcomes issued a report,  Dangerous  
               Caregivers:  State Failed to Cross-Check Backgrounds,  
               Exposing Elderly to Abusive Workers  , which was  
               completed at my request as Chair of the Senate  
               Subcommittee and Aging and Long-Term Care.

               This report highlighted the problem of dangerous  
               caregivers being allowed to work in long-term care  
               facilities for the elderly and disabled because  
               different State departments have different standards  
               for approving care workers and do not share helpful  
               background check information with each other.

               Specifically, nurse assistants with a history of a  
               serious criminal conviction or administrative action,  
               who had been decertified by the Department of Public  
               Health (DPH) to work in skilled nursing facilities,  
               are getting approved by the Department of Social  
               Services (DSS) to work in residential care facilities  
               for the elderly.

               Oftentimes, this happens because current law differs  
               with respect to the non-exemptible crimes barring work  
               in residential care facilities for the elderly, as  
               licensed by the DSS, and the non-exemptible crimes  
               barring work in skilled nursing facilities, as  
               licensed by the DPH. 








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               For example, existing law (Health and Safety code  
               section 1569.17) allows DSS to approve (or "exempt")  
               caregivers to work in residential care facilities for  
               the elderly even though they have been convicted of  
               serious crimes like assault with a deadly weapon or  
               unlawful use of a debit or credit card, among others.   
               These serious criminal convictions, however, are  
               non-exemptible under DPH's nurse assistant  
               certification law (Health and Safety code section  
               1337.9), thus requiring DPH's denial or revocation of  
               a nurse assistant's certificate to work in a nursing  
               home.

               SB 892 will protect vulnerable seniors and disabled  
               adults living in residential care facilities for the  
               elderly with the same principles governing the  
               protection of nursing home residents.

               Specifically, SB 892 will change the DSS's list of  
               non-exemptible crimes for approved caregivers to work  
               in residential care facilities for the elderly to more  
               closely match the DPH's non-exemptible crimes for  
               nurse assistants to work in skilled nursing  
               facilities.

               This will bring consistency to the background check  
               process for workers caring for our elderly and  
               disabled in the State's most utilized long-term care  
               facilities:  skilled nursing facilities and  
               residential care facilities for the elderly.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  5/11/10)

          Aging Services of California
          Arc of California
          California Advocates for Nursing Home Reform
          California Assisted Living Association
          California Police Chiefs Association
          Congress of California Seniors
          Crime Victims United of California
          Disability Rights California







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          Long-Term Care Services of Ventura County, Inc.
          Ombudsman & HICAP Services of Northern California
          OWL (Older Women's League of California)
          Pathways
          Service Employees International Union


           ARGUMENTS IN SUPPORT  :    According to the author's office:   


               By adding more crimes to the DSS statute governing  
               residential care facilities for the elderly (RCFEs),  
               SB 892 will protect vulnerable seniors and disabled  
               adults living in these facilities with the same  
               principles governing the protection of skilled nursing  
               facility residents.  Specifically, SB 892 would add  
               those crimes that DPH considers as non-exemptible to  
               work as a certified nurse assistant in a skilled  
               nursing facility to DSS's list of non-exemptible  
               crimes to work in RCFEs.  For less serious criminal  
               convictions, SB 892 would allow DSS to exempt someone  
               to work in an RCFE only after 10 years from the date  
               of conviction or the date of release from prison,  
               whichever is later.  This bill would bring greater  
               consistency to the two departments that oversee direct  
               care workers in the State's most utilized long-term  
               care facilities: skilled nursing facilities and  
               residential care facilities for the elderly. 


          RJG:nl  5/12/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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