BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Jim Beall, Chair


          BILL NO:       AB 388                                       
          A
          AUTHOR:        Chesbro                                      
          B
          VERSION:       June 4, 2014
          HEARING DATE:  June 10, 2014                                
          3
          FISCAL:        Yes                                          
          8
                                                                      
          8
          CONSULTANT:    Sara Rogers                                 

                                        

                                     SUBJECT
                                         
                                   Juveniles

                                     SUMMARY  

          This bill requires the California Department of Social  
          Services (CDSS) to conduct an unannounced visit to any  
          group home that has a specified frequency of law  
          enforcement contacts regarding residents' alleged violation  
          of specified laws. This bill provides that when the victim  
          of the crime committed by a resident is the facility or an  
          employee of the facility, applicable restitution shall be  
          limited to the out of pocket expenses of the victim and  
          restitution fines shall be waived. Further, this bill  
          requires that at a detention hearing, the court's decision  
          to detain a minor shall not be based on the minor's status  
          as a dependent of the court or the child welfare services  
          department's inability to provide a placement for the  
          minor.

                                     ABSTRACT  

           Existing Law: 


                                                         Continued---




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           1.Establishes the Community Care Facilities Act, which  
            provides for the licensure and regulation of community  
            care facilities, including group homes, by CDSS, and  
            requires that licensed facilities be subject to  
            unannounced inspections under specified circumstances.  
            (HSC 1500 et seq, and 1534)


          2.Requires county child welfare departments and county  
            probation departments to jointly develop a written  
            protocol regarding minors who appear to come within both  
            dependency jurisdiction, pursuant to WIC 300 et seq., and  
            delinquency jurisdiction, pursuant to WIC 600 et seq.  
            (WIC 241.1)


          3.Requires the county welfare and county probation  
            departments, pursuant to the joint protocol, to make a  
            recommendation to the court regarding which initial  
            status of a minor who appears to come within both  
            dependency and delinquency jurisdiction would best serve  
            the interests of the minor and the protection of society.  
            (WIC 241.1)


          4.Requires a probation officer to investigate the  
            circumstances of a minor in temporary custody and to  
            immediately release the minor to the parent, legal  
            guardian or responsible relative unless it is  
            demonstrated to the court that continuance in the home is  
            contrary to the minor's welfare based on a finding of  
            specified circumstances making the home unfit or unsafe  
            for the minor. (WIC 628)


          5.Requires the court to consider levying a fine on a minor  
            whose conduct is found to have incurred any economic loss  
            on a victim and requires the court to order the minor to  
            pay a restitution fine, as specified, and victim  
            restitution, as specified. Requires these fines to be in  
            addition to any other penalty and requires that  
            restitution to the victim be imposed regardless of the  
            minor's inability to pay. (WIC 730.6)






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          6.Requires CDSS to establish a rate classification level  
            (RCL) structure for group homes with a corresponding rate  
            structure according to the level of care and services  
            that will be provided, as specified. (WIC 11462)


          7.Permits a group home to be classified as an RCL 13 or 14  
            if the program only accepts children with special  
            treatment needs and meets other requirements.  
            Additionally requires the California Department of Health  
            Care Services (DHCS) to annually certify group homes  
            seeking classification as RCL 13 or 14 and permits such  
            facilities to accept minor dependents who are seriously  
            or emotionally disturbed if certain conditions are met.  
            (WIC 11469, WIC 4096.5 and HSC 1502.4) 


           This bill  :


          1.Requires CDSS to conduct an unannounced visit to any  
            group home that over a six month period has an average of  
            more than one call per month to law enforcement from  
            facility staff alleging specific crimes by residents, as  
            specified.


          2.Requires that licensing reports of unannounced  
            inspections for this purpose shall be provided to the  
            division of CDSS responsible for determining and auditing  
            rate classification levels and to any other public agency  
            that has certified the facilities program, or components  
            of the program. 


          3.Requires CDSS to publish and make available the following  
            information regarding community care facilities providing  
            residential care to minors:

                     The number of licensing complaints, type of  
                 complaint, outcomes of complaints including  
                 citations, fines, exclusion orders, license  
                 suspensions, revocations and surrenders;
                     The number of law enforcement contacts made by  





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                 the facility staff or residents, the type of  
                 incidents, whether staff, residents or both were  
                 involved, the gender, race, ethnicity and age of  
                 residents involved, and the outcomes, including  
                 arrests, removals of residents from placement and  
                 termination or suspension of staff.


          1.Requires facilities to report to CDSS Community Care  
            Licensing Division upon the occurrence of any incident in  
            which a resident of the facility has contact with law  
            enforcement, and requires specified follow-up reports to  
            be provided quarterly.


          2.Requires existing joint protocols developed between  
            county child welfare and probation departments regarding  
            cross over status youth to do the following:
                     Require immediate notification of the child  
                 welfare service department and the minor's  
                 dependency attorney when a dependent child is  
                 referred to probation;
                     Establish procedures for the release to and  
                 placement by the child welfare services department  
                 pending resolution of the determination of status;
                     Establish timelines for dependents in secure  
                 custody to ensure speedy resolution to the  
                 determination of status;
                     Consider whether the alleged conduct was within  
                 the scope of behaviors to be managed and treated by  
                 the foster home or facility, as identified in  
                 specified care plans for the minor or facility;
                     Establish nondiscrimination provisions to  
                 ensure that dependents are provided with any option  
                 that would otherwise be available to a non-dependent  
                 minor.


          1.Provides that if the alleged conduct that appears to  
            bring the dependent minor within the delinquency  
            jurisdiction occurs under the supervision of a foster  
            home, group home, or other licensed facility that  
            provides residential care for minors, the county  
            probation department and the child welfare services  
            department shall consider whether the alleged conduct was  





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            in the scope of behaviors to be managed or treated by the  
            foster home or facility, as identified in the minors case  
            plan, needs and services plan, placement agreement,  
            facility plan of operation, or facility emergency  
            intervention plan, in determining which status will serve  
            the best interests of the minor and the protection of  
            society.


          2.Requires that at a detention hearing, the court's  
            decision to detain a dependent minor shall not be based  
            on the minor's status as a dependent of the court of the  
            child welfare services department's inability to provide  
            a placement for the minor. 


          3.Requires that at the detention hearing, the court's  
            decision to detain a dependent minor shall not be based  
            on a finding that continuance in the minor's current  
            placement is contrary to the minor's welfare.  
            Additionally requires that if the court determines that  
            continuance in the minor's current placement is contrary  
            to the minor's welfare, the court shall order the child  
            welfare services department to place the minor in another  
            licensed or approved placement.


          4.Requires that, at the detention hearing, if the court  
            orders release of a dependent minor, the court shall  
            order the child welfare services department either to  
            ensure that the minor's current foster parent or  
            caregiver take physical custody of the minor, or that the  
            court takes take physical custody of the minor and places  
            the minor in a licensed or approved placement.


          5.Provides that a court shall waive a restitution fine of a  
            dependent minor, who is ordered to pay restitution as a  
            result of conduct that is described in number six above.  
            Additionally provides that if the victim is a group home  
            or licensed residential facility in which the minor was  
            placed, or an employee the facility, restitution shall be  
            limited to out-of-pocket expenses that are not covered by  
            insurance and are paid by the facility or employee.






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          6.Requires DHCS to review its certification of a group home  
            RCL 13 or 14 upon receipt of notification from CDSS of  
            any adverse licensing action taken during an unannounced  
            visit conducted pursuant to this bill.


          7.Requires CDSS to consult with specified governmental  
            agencies and other stakeholders to develop additional  
            performance standards and outcome measures that require  
            group homes to implement programs and services to  
            minimize law enforcement contacts and delinquency  
            petition filings against dependent minors, as specified.


                                  FISCAL IMPACT  

          The current language of this bill has not been analyzed by  
          a fiscal committee.


                            BACKGROUND AND DISCUSSION  

           Purpose of the bill:


           According to the author, older children and teens who are  
          in foster care due to parental abuse or neglect are often  
          placed in group homes and other residential facilities,  
          because of a shortage of foster homes for older children,  
          or because they have special needs or mental health issues.  
          The author states that group homes are licensed to provide  
          safe and supportive care, and to address these children's  
          traumatic history and special needs. 


          The author additionally states that some group homes are  
          overly reliant on law enforcement to address behavioral  
          issues with youth leading to the youth's arrest for minor  
          incidents that would not trigger justice system involvement  
          for youth who live with their own parents (e.g. fights  
          between two youth, yelling at staff, breaking or throwing  
          objects). Once arrested, the author states that many foster  
          youth are needlessly detained in juvenile halls and other  
          locked facilities. 





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           Group Homes 
          
           Group homes are 24-hour residential facilities licensed by  
          CDSS to provide board and care to foster youth from both  
          the dependency and delinquency jurisdictions. Group home  
          facilities are organized under a system of rate  
          classification levels (RCLs) ranging from 1-14 that are  
          based on levels of professional training and adult-to-child  
          ratios. In practice, the majority of group homes are RCL 10  
          and above with nearly 50 percent of groups homes at RCL 12.  
          There is wide variation in group home size from as few as  
          six children to group homes that house more than 100  
          children. 


          Existing law requires that children removed from their  
          homes and made dependents of the court be placed in the  
          most family-like and "least restrictive" setting. Group  
          home placements are the most restrictive form of  
          out-of-home care available for dependent youth, but are  
          considered a less restrictive (unlocked) placement option  
          for delinquent youth. Existing law requires counties to  
          seek timely permanent placements, such as guardianship or  
          adoption, for dependent youth that are removed from their  
          homes. Group homes, which provide an institutional type of  
          care as opposed to a family like setting, are not intended  
          to be long term placements, however in practice many  
          children placed in group homes remain in that setting for  
          the duration of their time in foster care, and many age out  
          of the system while residing in group home placements.  
          While in a group home program, children receive services  
          and treatment designed to eliminate or reduce the  
          conditions, behaviors and characteristics that led to their  
          group home placement, and to teach new, more adaptive  
          skills and behavior.<1>


          -------------------------
          <1> California Alliance for Child and Family Services.  
          Group Homes for Foster Children Fact Sheet  
           http://c.ymcdn.com/sites/www.cacfs.org/resource/resmgr/advoc 
          acy/publicpolicy10.pdf  






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          Group Home Rate Classification 

          Existing law provides for the classification of group home  
          programs for the purpose of establishing AFDC-FC rates.  
          Through regulation, CDSS implemented the Rate  
          Classification Level (RCL) point system in which the hours  
          of child care and supervision, social work activities, and  
          mental health treatment services provided to children, are  
          weighted to take into consideration experience, education,  
          training, and professional qualifications of the staff.  
          These are calculated and then divided by an adjusted  
          expected capacity of the group home program.  


               Group Home Rate Classification Structure Effective  
          July 1, 2013<2>


          
             -------------------------------------------------- 
            |RCL             |Point Ranges    |Standard Rate   |
            |----------------+----------------+----------------|
            |1               |Under 60        |$2,282          |
            |----------------+----------------+----------------|
            |2               |60-89           |$2,851          |
            |----------------+----------------+----------------|
            |3               |90-119          |$3,419          |
            |----------------+----------------+----------------|
            |4               |120-149         |$3,986          |
            |----------------+----------------+----------------|
            |5               |150-179         |$4,550          |
            |----------------+----------------+----------------|
            |6               |180-209         |$5,121          |
            |----------------+----------------+----------------|
            |7               |210-239         |$5,689          |
            |----------------+----------------+----------------|
            |8               |240-269         |$6,259          |
            |----------------+----------------+----------------|
            |9               |270-299         |$6,825          |
            |----------------+----------------+----------------|
          -------------------------
          <2> ACL NO. 13-62  
          http://www.dss.cahwnet.gov/lettersnotices/EntRes/getinfo/acl 
          /2013/13-62.pdf






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            |10              |300-329         |$7,394          |
            |----------------+----------------+----------------|
            |11              |330-359         |$7,959          |
            |----------------+----------------+----------------|
            |12              |360-389         |$8,529          |
            |----------------+----------------+----------------|
            |13              |390-419         |$9,104          |
            |----------------+----------------+----------------|
            |14              |420 & Up        |$9,669          |
             -------------------------------------------------- 

          The lowest currently licensed group home RCL is a level 4  
          while most facilities range from RCL 8 or higher. Every  
          year, CDSS issues an updated rate structure based on  
          required increases associated with the California  
          Necessities Index.  


          Group homes classified as RCL 13 and 14 are permitted to  
          accept a child assessed as seriously emotionally disturbed  
          as long as the child does not need inpatient care in a  
          licensed health facility.<3> To receive this  
          classification, a facility may only accept children who  
          have been assessed as seriously emotionally disturbed  
          through an interagency placement committee, or by a  
          licensed mental health professional.  These group homes  
          must be both licensed by CDSS and certified by DHCS as a  
          program that provides mental health treatment services for  
          seriously emotionally disturbed children.


          Incident Reports

          Current law requires group home administrators to file  
          incident reports with CDSS, including when law enforcement  
          is involved. Such reports must include the date, time,  
          duration and location of the incident and a detailed  
          narrative describing the incident and the events leading up  
          to incident. Additionally, the incident report is required  
          to include a description of other incidents involving the  
          same child in the preceding six months, whether there are  
          -------------------------


          <3> Health and Safety Code Section 1502.4







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          commonalities between the current and previous incidents,  
          and a description of the facility's plan to respond to the  
          incident, including modifications to the child's needs and  
          services plan.<4> Such incidents are required to be  
          discussed in the quarterly meetings of the board of  
          directors and the minutes of such meetings are to be made  
          available to CDSS licensing analysts. 


          This bill would additionally require the facility to  
          provide a follow-up report, at least quarterly, for each  
          incident involving law enforcement, including the type of  
          incident, whether involving staff, residents, or both, the  
          gender, race, ethnicity, and age of residents involved, and  
          the outcomes, including arrests, removals of residents from  
          placement, and termination or suspension of staff.


          Group Home Program Statement

          Group homes are required to establish a "group home program  
          statement" that includes a training plan that is  
          appropriate for the client population and the training  
          needs and skill level of child care staff. Through  
          regulation, existing law provides that newly hired staff  
          complete at least 24 hours of training within 90 days of  
          being hired, and 40 hours within 12 months, as specified,  
          with all existing staff receiving 20 hours annually.  
          Regulations provide for the minimum topics that must be  
          included (e.g. discipline policies and procedures, behavior  
          problems/psychological disorders, and mental  
          health/behavioral interventions). Social work staff are  
          required to establish a "needs and services plan" for each  
          child that identifies the specific needs of an individual  
          child, and delineates those services necessary in order to  
          meet the child's identified needs. 


          Group homes are required to submit to the department an  
          emergency intervention plan, identifying how the facility  
          will use emergency interventions to address aggressive or  
          assaultive behavior of residents. The plan is required to  
          -------------------------


          <4> Title 22 CCR 84061






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          be designed by the licensee and a qualified behavior  
          management consultant and must be appropriate for the  
          client population served by the group home, and for the  
          staff qualifications and staff emergency intervention  
          training.<5> The emergency intervention plan is intended to  
          address some of the circumstances in which facility staff  
          may contact law enforcement, however that particular  
          intervention is not required to be addressed in the plan. 


           Juvenile Court

           Juvenile Delinquency proceedings, governed by WIC 602,  
          involve children under the age of 18 alleged to have  
          committed a delinquent act which would be a crime if  
          committed by an adult including robbery, murder, drug  
          offenses and prostitution. Under WIC 602, the court may  
          find a minor to be a ward of the court and place a child  
          under the responsibility of the county probation  
          department. The Juvenile Court of a county oversees  
          multiple types of proceedings including dependency and  
          delinquency cases and status offenses, and these courts  
          make important determinations regarding the safety,  
          wellbeing and placement of children found to be under court  
          jurisdiction. The Juvenile Court has authority in  
          delinquency and dependency cases to take a broad range of  
          actions including removing children from their homes and  
          establishing a placement order for children to reside with  
          relatives or in foster care; terminating parental rights,  
          requiring county child welfare or probation departments or  
          other agencies to provide a range of services such as  
          family reunification services, counseling and others. 


          In delinquency cases, where the minor has committed a  
          crime, the court may order children to be confined in  
          locked facilities, such as juvenile detention halls, camps,  
          and the Division of Juvenile Justice. When arresting a  
          minor, local law enforcement has significant discretion  
          over whether to order the youth to juvenile hall and refer  
          the case to the county probation department or whether to  
          release the minor and return her home. If law enforcement  
          -------------------------


          <5> Title 22 CCR 84322






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          brings a youth to a juvenile hall, probation officials have  
          discretion over how to process the case. A probation  
          officer may decide to close or transfer the case, the  
          officer may place the youth on informal probation or in a  
          diversion program, or the officer may file a petition for a  
          court hearing. About one-half of the cases referred to  
          probation result in the filing of a petition with the  
          juvenile court for a hearing.<6>


          Based on information provided by the probation officer, the  
                                                                           delinquency court determines whether to make the juvenile a  
          ward of the court and determines the appropriate placement  
          and treatment. Nearly 60 percent of juvenile delinquency  
          court hearings result in the juvenile being made a ward of  
          the court, and the majority of those are placed in home  
          supervision under the probation department. Most of the  
          remaining youth are placed in a county facility, such as  
          juvenile hall or camp or are placed in foster care or a  
          group home. In 2012, CDSS reports there were 4,621  
          probation-supervised foster youth, with more than 1,200 of  
          them residing in Los Angeles County. 


          Some counties have established "dual jurisdiction"  
          proceedings, governed by WIC 241.1, which permit the  
          development of joint written protocols to determine which  
          status will serve the best interests of the minor and the  
          protection of society. The recommendations of both  
          departments are presented to the Juvenile Court with the  
          petition that is filed on behalf of the minor, and the  
          court determines which status is appropriate for the minor.  



                                     COMMENTS

            1. The author notes that he is continuing conversations  
             with CDSS and interested stakeholders regarding how many  
             law enforcement visits should trigger a licensing  
           ------------------------


          <6>  
          http://oag.ca.gov/sites/all/files/pdfs/cjsc/publications/mis 
          c/jj09/preface.pdf






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             inspection. The author states that the intent of the  
             bill is to identify outlier facilities in a non-punitive  
             manner aimed at strengthening the department's oversight  
             of and assistance provided to facilities that may have  
             an excessive number of law enforcement contacts  
             indicating the need for changes to the programming,  
             training, or staffing levels of the facility.


           2. It is unclear what types of facilities are intended to  
             be subject to the requirements of this bill. The  
             provisions related to licensing inspections are added to  
             a subparagraph that applies to annual inspections, a  
             specific form of licensing inspection. This bill  
             establishes a trigger mechanism for a licensing  
             inspection and may warrant its own subparagraph within  
             HSC 1534 or in a new section. Should the bill move  
             forward, the author may wish to consider moving this  
             section of the bill to create a new HSC 1534 (c).


           3. It is unclear whether the trigger inspection would  
             count towards CDSSs required inspection, currently  
             required to occur no less than every 5 years. Should the  
             bill move forward, staff recommends that the author  
             clarify that the trigger inspection would fulfill the  
             department's obligatory unannounced inspection visit.


           Related Legislation:


           AB 2607 (Skinner) 2014 would require that minors or  
          nonminors be released from juvenile detention as ordered,  
          unless the court determines that a delay in release from  
          detention is reasonable, as specified. Additionally the  
          bill provides that if a minor was in foster care at the  
          time the delinquency petition was filed, the probation  
          officer's failure to identify an placement for the minor in  
          the case plan is not reasonable cause for delay.


                                   PRIOR VOTES  

          The current version of this bill has not been voted upon.





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                                    POSITIONS  

          Support:       Public Counsel (Co-Sponsor)
                         Children's Law Center
                         John Burton Foundation for Children Without  
          Homes
                         

          Oppose:   None received.






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