BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 462
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          Date of Hearing:   April 10, 2013

                   ASSEMBLY COMMITTEE ON GOVERNMENTAL ORGANIZATION
                                 Isadore Hall, Chair
                     AB 462 (Stone) - As Amended:  April 3, 2013
           
          SUBJECT  :   Fire protection: residential care facilities 

           SUMMARY  :   Requires a Residential Care Facility for the Elderly  
          (RCFEs) or Adult Residential Facilities (ARFs) that has a valid  
          license as of a January 1, 2014, to have installed and  
          maintained on and after January 1, 2018, an operable automatic  
          fire sprinkler system approved by the State Fire Marshal (SFM).   
           Specifically,  this bill  :  

          1)Requires a residential care facility for which a license is  
            newly issued on or after January 1, 2017, to have an approved,  
            operable automatic fire sprinkler system. 

          2)Provides that if the facility does not own the property, the  
            property owner shall determine all phases of construction, and  
            the facility licensee shall pay all costs associated with  
            compliance with the provisions of this measure.

          3)Limits specified inspection fees related to the sprinkler  
            systems. 

          4)Requires by January 1, 2016, the SFM to adopt regulations to  
            implement the provisions of this measure.

           EXISTING LAW  

          1)Prohibits a person, firm, or corporation from establishing,  
            maintaining, or operating any hospital or other specified care  
            facility for more than six guests or patients, and prohibits  
            the operation of a residential care facility for the elderly  
            housing non-ambulatory persons that is licensed to care for  
            more than six persons, unless it has, among other things, an  
            automatic fire sprinkler or extinguishing system approved by  
            the SFM.

          2)Establishes the SFM within the Department of Forestry and Fire  
            Protection and sets forth its duties, including administering  
            provisions relating to inspection and approval of fire  
            protection measures for health and community care facilities. 








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          3)Places responsibility for enforcing SFM building standards  
            upon prescribed local agencies and provides for the assessment  
            of related inspection fees.

          4)Establishes the licensing of community care facilities, for  
            which the Department of Social Services is responsible.

          5)Specifies that a violation of provisions related to fire  
            protection requirements is a crime.

          6)Prohibits a local fire official from imposing fire safety  
            requirements stricter than the applicable state ones for  
            facilities serving six or fewer clients.

          7)Specifies that care facilities housing more than six persons  
            have automatic sprinkler systems

          8)Requires the SFM to establish separate fire and panic safety  
            standards for specified facilities, and that the SFM is  
            responsible for the promulgation of regulations for the  
            prevention of fire and protection of life and property against  
            fire in buildings that house six or fewer persons of any age  
            that are placed there by order of a government agency for  
            their protection.

          9)Establishes that a residential facility that serves six or  
            fewer persons shall be considered a residential use of  
            property.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of the bill  :  According to the author, this measure  
          would help protect elderly or disabled residents and staff  
          members of small residential care facilities from potentially  
          life-threatening fires.  RCFEs and ARFs provide 24-hour,  
          non-medical care for people who, due to age or disability,  
          require assistance with activities of daily living and cannot  
          receive that care in their homes.  ARFs provide care for people  
          age 18 to 59 that may have a physical, developmental or  
          intellectual disability.  RCFEs provide care for people 60 years  
          of age and older and younger people if their needs are similar  
          to other individuals in the RCFE.








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          Current law doesn't provide adequate fire safety standards for  
          people with mobility limitations that live in smaller Elderly  
          and Adult Residential Facilities. While many people who life in  
          RCFEs and ARFs are ambulatory and are able to walk or otherwise  
          move about on their own, others require extensive assistance  
          ambulating - which may be difficult to provide during a fire  
          emergency.

          The author states that many RCFEs and ARFs with six or fewer  
          residents only have one caregiver on staff at any given time.   
          When there is a fire in an RCFE or an ARF, residents' lives are  
          put in jeopardy if their only remedy is an expedient exit from  
          the home with help from one caregiver.  An automatic sprinkler  
          system can prevent a fire from spreading to allow time for  
          caregivers to help residents exit the home safely. 

           Injuries/fatalities  :  Since 1991 there have been between  
          fourteen and seventeen fatalities and nine injuries to  
          residents/guests due to fires at RCFEs throughout California. 

          The latest fire occurred in the City of Marina on November 5,  
          2011. According to reports, all five of the disabled residents  
          of the home died, while two care-givers managed to escape after  
          trying unsuccessfully to help the young adults trapped in the  
          burning home.  After the tragedy, Marina Fire Chief Harald  
          Kelley said that, "the modest cost of a fire sprinkler is a  
          small price to pay if it means a life is spared."

           Background  :  There are currently 7,592 RCFEs in California and  
          5,160 ARFs.  Of these 6,033 RCFEs, or roughly 79%, and 4,401  
          ARFs, or approximately 85%, are licensed for six or fewer beds.

          Tittle 22 of the California code of Regulations defines "adult  
          residential facility" as any facility of any capacity that  
          provides 24-hour a day non-medical care and supervision to  
          adults except elderly persons.

          The Health and Safety Code defines RCFEs as a housing  
          arrangement chosen voluntarily by persons 60 years of age or  
          over, or their authorized representative, where varying levels  
          and intensities of care and supervision, protective supervision,  
          or personal care are provided, based upon their varying needs,  
          as determined in order to be admitted and to remain in the  
          facility. Persons under 60 years of age with compatible needs  








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          may be allowed to be admitted or retained in a RCFE as  
          specified. 

           Reintroduction of earlier bills  :  Similar bills in the past,  
          including AB 759 (Karnette) of the 2007-08 session and AB 2836  
          (Karnette) of the 2005-2006 session, have been vetoed by then  
          Governor Schwarzenegger.  The Governor's veto message stated  
          that, "while I appreciate the author's intent to mitigate  
          injuries and fatal fires in small residential care facilities,  
          this bill could place a significant economic impact on  
          residential care providers and the health care industry at  
          large. Inadequate housing for elderly persons, many who have  
          disabilities, is already a significant problem. This bill may  
          result in fewer facilities being available to serve the  
          elderly."

           Arguments in support  :  The California Advocates for Nursing Home  
          Reform states that many residents need assistance in leaving a  
          facility in case of an emergency because of physical or  
          cognitive impairments.  A fire sprinkler system will provide  
          needed and added protection. 

          Requiring sprinklers will do one thing and one thing only - it  
          will save lives!  In November 2011, five innocent young lives  
          were lost in an ARF in Marina, CA.  Four of the five residents  
          were non-ambulatory, like many residents in ARFs and RCFEs.  If  
          a sprinkler system had been in place it is probable that the  
          residents would be alive today. This bill provides a reasonable  
          timetable for facilities to install fire sprinkler system.  AB  
          462 will not decrease housing options for the elderly or persons  
          with disabilities.  It will not run RCFE providers out of  
          business.  It will only save the lives of the elderly and  
          disabled when there is a fire. 

          The Plumbing-Heating-Cooling Contractors Association of  
          California state that even with effective passive fire  
          protection in a residential facility, the residents are at a  
          severe disadvantage when it comes to fire safety.  The rate at  
          which a fire expands is often too quick to safely evacuate all  
          residents from the building.  Frail, disabled or mentally  
          challenged individuals may panic or simply not have the energy  
          or means to get out of the building quickly enough.  It is  
          therefore of paramount importance that an automatic sprinkler  
          system be fitted throughout a residential facility.  If a fire  
          is detected early it takes surprisingly little water to  








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          extinguish. A fire sprinkler localizes and controls or  
          extinguishes a fire well before the fire department arrives  
          allowing all occupants to evacuate safely. AB 462 helps protect  
          those residents of small facilities. 

           Arguments in opposition  :  Disability Rights in California (DRC)  
          has taken an opposed unless amended position to the bill.  DRC  
          would like to see an amendment that would limit the requirement  
          of installation and maintaining an operable fire sprinkler  
          system to those residential care facilities for the elderly or  
          adult residential facilities newly constructed as of January 1,  
          2011. 

          DRC states that current law prohibits local ordinances that  
          treat licensed residential facilities for six or fewer persons  
          differently than other family dwellings of the same type in the  
          same zone with respect to health and safety and building  
          standards. AB 462 is contrary to current state law requiring  
          housing for people with disabilities, particularly facilities  
          for six or fewer individuals, to be treated like other  
          residential facilities with a valid license as of January 1,  
          2014 to install and maintain an operable automatic fire  
          sprinkler system approved by the SFM.  Residential single family  
          dwellings are only required to install and maintain an operable  
          automatic fire sprinkler system in the dwelling is newly  
          constructed as of January 1, 2011.

          AB 462 will, effectively, repeal current state law that is  
          intended to ensure the availability of housing for people with  
          disabilities.  By imposing additional, costly requirements on  
          virtually all licensed residential facilities, which are not  
          imposed on similar dwellings built prior to January 1, 2011, AB  
          462 will reduce the availability of housing opportunities for  
          people with disabilities who need such group living  
          arrangements.  The inevitable result will be that a large number  
          of residential care facilities will close up and significant  
          numbers of individuals with disabilities will be forced into  
          more restrictive, more costly, and otherwise unnecessary  
          institutional care, including nursing facilities and state  
          institutions. 

           Double referral  : Should AB 462 pass the Assembly Committee on  
          Governmental Organization on Wednesday, April 10, 2013, this  
          bill will be referred to the Assembly Committee on Human  
          Services for further consideration.








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           Prior Legislation :

          AB 759 (Karnette), 2007-2008 Legislative Session.  The bill  
          required every Residential Care Facility for the Elderly that is  
          licensed to care for not more than 6 residents, to have an  
          approved, operable automatic fire sprinkler system on and after  
          July 1, 2011, if they are licensed as of July 1, 2010.  Requires  
          every facility for which a license is newly issued on or after  
          July 1, 2010, to have an approved, operable automatic fire  
          sprinkler system on and after the date of issuance. (Vetoed by  
          the Governor)

          AB 2836 (Karnette), 2005-2006 Legislative Session.  The bill  
          required Residential Care Facilities for the Elderly that house  
          or care for four or more clients or residents, to have an  
          approved, operable automatic fire sprinkler system on and after  
          January 1, 2014, if they are licensed as of January 1, 2010.   
          Requires every facility for which a license is newly issued on  
          or after January 1, 2010, to have an approved, operable  
          automatic fire sprinkler system on and after the date of  
          issuance. (Vetoed by the Governor)

          AB 2065 (Nakano), 2003-2004 Legislative Session. The bill would  
          have required every residential care facility for the elderly  
          and every adult residential facility, which houses or cares for  
          no more than six guests or patients, to have installed and  
          maintained an operable automatic fire sprinkler system approved  
          by the SFM.  AB 2065 would have required all newly licensed  
          facilities to have sprinklers after January 1, 2006, and all  
          facilities that are currently licensed to have sprinklers after  
          January 1, 2010. (Held in Senate Appropriations Committee)

          SB 1896 (Ortiz) Chapter 817, Statutes of 2000. The bill requires  
          the SFM and DSS each to promulgate regulations applicable to all  
          residential facilities licensed by DSS, regulations that would  
          permit residents to remain in home-like settings, and, at a  
          minimum, would guide fire safety in a residence of six or fewer  
          clients, at least one of whom is bed-ridden.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Advocates for Nursing Home Reform (Sponsor)








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          Consumer Federation of California (Co-Sponsor)
          California Fire Chiefs Association
          California State Firefighters' Association
          Law Offices of Steven Riess
          Older Women's League of California
          Plumbing-Heating-Cooling Contractors Association of California

           Opposition 
           
          Community Residential Care Association of California
          Disability Rights California (Oppose Unless Amended)
           
          Analysis Prepared by  :    Felipe Lopez / G. O. / (916) 319-2531