BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 1089                                     
          S
          AUTHOR:        Liu                                         
          B
          VERSION:       March 19, 2012
          HEARING DATE:  April 10, 2012                              
          1
          FISCAL:        Yes                                         
          0
                                                                     
          8
          CONSULTANT:    Mareva Brown                                
          9

                                        

                                     SUBJECT
                                         
                           Child Day Care Facilities

                                     SUMMARY  

          Prohibits the exclusion of entities whose primary purpose 
          is to provide behavior programming, as specified, from 
          child care licensing statutes, unless they are under the 
          jurisdiction of specified county- or state-operated 
          agencies. 

                                         
                                    ABSTRACT  

           Current law

              1)   Establishes under the California Child Day Care 
               Facilities Act various licensing and regulation 
               requirements for child day care facilities.

             2)   Exempts from child care licensing statutes the 
               following licensed or license-exempt programs: 

                  a.        Health facilities
                                                         Continued---



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                  b.        Clinics
                  c.        Community care facilities
                  d.        Family day care homes providing for the 
                    care of the children of only one family in 
                    addition to the operator's own children
                  e.        Cooperative child care arrangements, as 
                    specified
                  f.        Child care provided by a relative
                  g.        A public recreation program, as specified
                  h.        Extended day care programs operated by 
                    public or private schools
                  i.        School parenting program or adult 
                    education programs, as specified
                  j.        Child care programs that operate one day 
                    per week for no longer than four hours 
                  aa.       Child care programs offering temporary 
                    child care services, as specified
                  bb.       Programs that provide instructional 
                    activities in a classroom-like setting, as 
                    specified
                  cc.       Programs administered by the California 
                    Department of Corrections and Rehabilitation, as 
                    specified
                  dd.       Crisis nurseries, as specified, until 
                    January 1, 2014

             3)   Defines as a juvenile delinquent under Welfare and 
               Institutions Code 601 a minor under age 18 who 
               displays behavior including:

                  a.        Persistently or habitually refuses to 
                    obey the reasonable and proper orders or 
                    directions of his or her parents, guardian, or 
                    custodian
                  b.        Is beyond the control of that parent, 
                    guardian or custodian
                  c.        Violates any ordinance of any city or 
                    county establishing a curfew based solely on age
                  d.        Has four or more truancies within one 
                    school year, as defined, or a school attendance 
                    review board or probation officer determines that 
                    the available public and private services are 
                    insufficient or inappropriate to correct the 
                    habitual truancy of the minor, or to correct the 
                    minor's persistent or habitual refusal to obey 




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                    the reasonable and proper orders or directions of 
                    school authorities
                  e.        Fails to respond to directives of a 
                    school attendance review board or probation 
                    officer or to services provided

             4)   Requires the director of the Department of Public 
               Health to establish minimum standards for organized 
               camps and directs local health officers to enforce 
               these standards.  

           
          This bill

              1)   Prohibits the exclusion of entities from the list 
               of exempted child care licensing categories if that 
               entity's primary purpose is to provide behavioral 
               programming to address conduct described in WIC 
               Section 601.

             2)   Exempts from this requirement programs that are run 
               by:
                  a.        The Department of Corrections and 
                    Rehabilitation, Division of Juvenile Facilities 
                  b.        State Department of Education
                  c.        County-operated facilities

                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee.

                                         



                           BACKGROUND AND DISCUSSION  

           Purpose of the bill
           
          The author states that youth "boot camps" and other 
          nontraditional treatment programs are often intended to be 
          less restrictive treatment options for children with 
          significant mental health or behavioral issues. Such 
          programs are controversial, with thousands of allegations 
          of abuse nationwide, including deaths. California does not 




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          license such camps, however two of them currently are 
          operating in Southern California. The author states that 
          requiring them to adhere to child care licensing standards 
          would provide structure for oversight. "The fact that boot 
          camps have failed to apply for licenses puts children at 
          risk," the author states. "If this bill becomes law, boot 
          camps will not be allowed to deliver services to youth 
          without oversight, which will better protect youth from 
          physical and emotional abuse."

           Boot Camps

           "Boot camp" type treatment programs for wayward teenaged 
          youth have been the subject of controversy within 
          California and across the nation for more than a decade. In 
          other states, such behavior modification camps typically 
          are residentially based programs that offer a range of 
          services including drug and alcohol treatment, confidence 
          building, military-style discipline and psychological 
          counseling.  Counselors practice behavior modification 
          techniques through activities that mirror boot camps by 
          requiring intense physical activity. Other similar programs 
          are marketed as wilderness camps, where counselors practice 
          behavior modification through intensive outdoor activities 
          which can include multiple-day hikes and rugged camping 
          experiences. 

          California prohibits these types of residential programs 
          through statute requiring that youth in residential 
          placement "live in a safe, healthy and comfortable home 
          where he or she is treated with respect," among other 
          personal rights. Enforced by the California Department of 
          Social Services, this language prohibits activities 
          intended to intimidate or demean youths in residential 
          placement and effectively eliminates such treatment 
          programs as boot camps from residential licensure in 
          California. (WIC 16001.9) 

          A 2007 Government Accountability Office report, 
          "Residential Treatment Programs: Concerns Regarding Abuse 
          and Death in Certain Programs for Troubled Youth," found 
          that while "many cite positive outcomes associated with 
          specific types of residential treatment, (t)here are also 
          allegations regarding the abuse and death of youth enrolled 
          in residential treatment programs." The GAO attempted to 




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          document abuses and deaths in such camps nationwide but 
          found that no single national agency is responsible for 
          overseeing or tracking such camps and that state oversight 
          varies significantly. 

                         "? while states often regulate publicly 
               funded programs, a number of states do not license or 
               otherwise regulate private programs. Because programs 
               determine how to describe themselves, especially in 
               their marketing materials, there is no standard 
               definition for 'wilderness therapy program,' 'boot 
               camp,' or other terms used to describe the types of 
               programs and facilities considered to be part of this 
               industry." (GAO, Residential Treatment Programs, 2007, 
               p 3)

          The GAO noted that some treatment programs are designed for 
          youth who have been placed through a state's juvenile 
          justice system. However, there are many others that target 
          programs for youth whose misbehavior or defiance does not 
          rise to the level of criminal conduct. In those cases, 
          parents or guardians often place teens at the camps. In 
          recognition of this practice, California law requires 
          individuals and private companies that transport youth to 
          out-of-state boot camps to be registered on TrustLine.  
          (H&S 1596.653).

          State law is silent on licensing non-residential, 
          non-educational programs that offer such behavioral 
          modification treatment, with the exception of some specific 
          programs tailored consumers with developmental disabilities 
          who have behavioral treatment needs. Those programs are 
          vendorized and overseen by the Regional Center system.

          In 2011, however, videos documenting verbal and physical 
          abuses at two non-residential "boot camp" style programs in 
          Pasadena drew attention to questions about licensing 
          behavioral modification programs that operate solely in the 
          daytime. Both of these privately run camps provide 
          single-day weekend sessions and do not treat youth referred 
          by state or county agencies. 
           
          Child Care Licensing 

           The California Child Day Care Facilities Act defines 




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          licensure requirements for the operation of child day care 
          facilities, day care centers and family day care homes. 
          California Code of Regulations defines personal rights 
          guarantees for children in such programs, including "to be 
          accorded safe, healthful and comfortable accommodations ? 
          (and) to be free from corporal or unusual punishment, 
          infliction of pain, humiliation, intimidation, ridicule, 
          coercion, threat, mental abuse or other actions of a 
          punitive nature..." (CCR 101223)

          A number of specific programs, which already are licensed 
          under other statutes or specifically are exempted from 
          licensure, such as certain family day care homes, are 
          exempted from child care licensure. State law also exempts 
          from child care licensure statute "public recreation 
          programs" which operate during non-school hours for fewer 
          than 16 hours per week and less than 12 weeks during a 
          12-month period, and other short-duration programs, as 
          specified. (H&S 1596.792)

          Other California code requires the state Department of 
          Public Health to establish rules and regulations 
          establishing minimum standards for organized camps and 
          directs local health officers to enforce those standards 
          (HS 18897.2 and 19987.4). It provides licensure exemptions 
          for a city, county or certain nonprofit organizations, to 
          operate for up to 30 hours per week. 

           Related Legislation

           AB 1991 (Smyth, 2012) would extend the licensure exemption 
          for a public recreation program operated as prescribed for 
          kindergarten through 12th grade from less than 16 hours per 
          week to less than 20 hours per week and from less than 12 
          weeks annually to 14 weeks or less during a 12-month 
          period. This bill will be heard in Assembly Human Services 
          committee on April 10, 2012.

           Comments

           To avoid inadvertently including specific programs designed 
          to provide behavioral modification treatment for 
          individuals with developmental disabilities in the Regional 
          Center system, staff recommends adding the following 
          language to the list of exempted child care programs: 




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          Any outpatient behavior program for children with 
          developmental disabilities that is vendorized by a regional 
          center.


                                    POSITIONS  

          Support:       Children's Rights Project at Public Counsel
                         Optimist Youth Homes and Family Services
                         National Association of Social Workers 

          Oppose:   None






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