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 --