BILL ANALYSIS Ó SENATE HUMAN SERVICES COMMITTEE Senator Carol Liu, Chair BILL NO: AB 1928 A AUTHOR: Cook B VERSION: May 10, 2012 HEARING DATE: June 12, 2012 1 FISCAL: Yes 9 2 CONSULTANT: Sara Rogers 8 SUBJECT Foster Homes: residential capacity of specialized foster homes SUMMARY Clarifies existing law regarding the conditions under which the number of foster children residing in a specialized foster care home may be increased from two to three. Clarifies existing residential capacity requirements for small family homes operating as specialized foster homes. ABSTRACT Current law 1.Provides for the licensure of foster family homes and small family homes by the Department of Social Services or a county child welfare services agency. Provides for the certification of certified family homes by a DSS-licensed foster family agency. 2.Requires the Department of Social Services (DSS) to Continued--- STAFF ANALYSIS OF ASSEMBLY BILL 1928 (Cook) Page 2 develop a program to establish specialized foster care homes for foster children with special health care needs. 3.Defines "child with special health care needs" as a child or non-minor dependent who has a medical condition which can rapidly deteriorate resulting in permanent injury or death, or who has a medical condition requiring specialized in-home care, as defined. 4.Defines "specialized foster care home" as a licensed foster family home, a certified family home under certain conditions, or a small family home where the foster parents reside in the home and have been trained to provide specialized in-home health care to foster children. 5.Requires, prior to the placement of a child with special health care needs, an individualized health care plan to be prepared, in-home health support services to be arranged, if needed, and foster parents to be trained by health care professionals. 6.Provides that no more than two foster children shall reside in a specialized foster care home, except that a third child may be placed in the home if no other placement is available and the child's placement worker and the individualized health care plan team has documented that the psychological and social needs of the child will be met in the home. 7.Provides that a small family home may exceed the placement limit, up to the licensed capacity of the home, under certain conditions. 8.Provides that the individualized health care plan is reassessed at least every six months during the time that the child is placed in a specialized foster care home. STAFF ANALYSIS OF ASSEMBLY BILL 1928 (Cook) Page 3 9.Provides that no community care facility may provide specialized health care services without a valid special permit issued by DSS. This bill 1.Clarifies that a specialized foster care home may exceed the two-child limit and accept a third foster child, with or without special health care needs, in accordance with the licensing capacity of the home and if other conditions are met. 2.Requires the individualized health care plan team responsible for each child to consider the number of adoptive, biological, and foster children, and children in guardianship living in the home, and determined that the two-child limit may be exceeded without jeopardizing the health and safety of that child. 3.Clarifies that a small family home may exceed the two-child placement limit and accept children up to their licensed capacity if certain conditions are met for all foster child placed and if other conditions are met. 4.Finds and declares that this bill is declaratory of existing law. FISCAL IMPACT Assembly Appropriations committee determined that costs associated with this legislation should be minor and absorbable within existing resources. BACKGROUND AND DISCUSSION According to the author, existing law has led to confusion regarding whether the two child placement limit, and the provisional exception, should be applied solely to the number of foster children residing in the home, or whether also biological, guardianship and adoptive children also STAFF ANALYSIS OF ASSEMBLY BILL 1928 (Cook) Page 4 should count toward the limit. Existing law provides that no more than two foster children may reside in a specialized foster care home, and provides that a third child may be placed under certain conditions. According to the Alliance of Child and Family Services, the absence of the word "foster" before "child" in the description of the provisional exception, has led some counties to refuse consideration of homes as specialized foster care homes if there are two or more biological, guardianship or adoptive children already residing in the home. This bill clarifies that a third foster child may reside in the home, in accordance with the stated provisions of the exception. Additional biological, guardianship or adoptive children would count toward the licensing capacity of the home, which in the case of a specialized foster home is six or fewer children, but would not count toward the limit of two children with specialized health care needs or its provisional exception. The provisions of this bill are largely reflective of a DSS Community Care Licensing Information Release dated February 4, 2011. Prior Legislation AB 2268 (Chapter 1437, Statutes of 1989) - Required DSS and county child welfare services agencies to develop a program to establish specialized foster care homes for children with special health care needs. POSITIONS Support: California Alliance for Child and Family Services California State Association of Counties County Welfare Directors Association Oppose: None recieved STAFF ANALYSIS OF ASSEMBLY BILL 1928 (Cook) Page 5 -- END --