BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 812
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          Date of Hearing:   April 30, 2013

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                  Mark Stone, Chair
                   AB 812 (Mitchell) - As Amended:  April 22, 2013
           
          SUBJECT  :  Child care: contracts:  termination and suspension

           SUMMARY  :  Revises existing authority for the California  
          Department of Education (CDE) to suspend or terminate child care  
          contracts.  Specifically,  this bill  :  

          1)Removes the authority of the CDE to suspend a child  
            development agency's contract.

          2)Clarifies that a contracted child development agency shall  
            submit all required monthly and quarterly reporting forms to  
            the CDE prior to appealing the termination of their contract.

          3)Clarifies the application of the "clear contract,"  
            "provisional contract," and "conditional contract"  
            designations for contracted child development agencies.

          4)Clarifies the CDE's authority to immediately terminate a child  
            development agency's contract if it is found, upon the  
            recommendation of the CDE's general counsel, that the agency  
            violated specified conditions.

          5)Adds to the reasons a child development agency may have its  
            contract immediately terminated failure to reimburse a  
            significant number of its child care providers, pay its  
            employees, or pay its federal payroll tax within 15 calendar  
            days of the established date provided by the Alternative  
            Payment Program (APP) in its plan for timely payments, unless  
            the failure is due to the state's inability to distribute  
            funds in a timely manner to the APP.

          6)Deletes specific references to penal code violations as reason  
            to prohibit the hiring and placement of a person into a  
            position of fiscal responsibility, and replaces it with  
            prohibitions that relate to state or federal convictions of  
            the misuse or misappropriation of state or federal funds, or  
            crimes involving moral turpitude.

          7)Eliminates the requirement that the CDE provide a 90-day  








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            notice to an agency found in violation of placing a person who  
            has been convicted of specified crimes into a position of  
            fiscal responsibility.

          8)Prohibits a child development agency from continuing to  
            provide services while under an appeal if the agency's  
            contract is terminated under an immediate termination action,  
            as specified.

           EXISTING LAW   

          1)Establishes the Child Care and Development Services Act  
            (CCDSA) to provide a comprehensive, community-based,  
            coordinated, and cost-effective system of child care and  
            development services for children from birth to age 13 with  
            the purpose of enhancing the social, emotional, physical, and  
            intellectual development of children.

          2)States the intent of the Legislature that all families have  
            access to child care and development services, regardless of  
            their demographic background, in order to help them attain  
            financial stability through employment, while maximizing  
            growth and development of their children, and enhancing their  
            parenting skills through participation in child care and  
            development programs.

          3)Defines child care and development services as care and  
            services designed to meet a wide variety of needs of children  
            and their families, while their parents or guardians are  
            working, in training, seeking employment, incapacitated, or in  
            need of respite. 

          4)Authorizes local government agencies or non-profit  
            organizations to contract with the CDE to operate APPs and  
            provide alternative payments and support services to parents  
            and child development providers. 

          5)Establishes requirements and procedures APPs and child  
            development providers must follow as contracted agencies with  
            the CDE, including but not limited to tracking and reporting  
            of attendance, accounting and auditing requirements, and  
            reimbursement and payment procedures.

          6)Provides the State Superintendent of Public Instruction (SSPI)  
            the authority to establish a contract classification system to  








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            identify, monitor and provide technical assistance to  
            contracted child development providers and APPs.

          7)Defines a "clear contract" as a designation of a contracted  
            agency that is in full compliance withal applicable statutory  
            provisions, funding terms and conditions, and applicable  
            program quality guidelines.

          8)Defines a "provisional contract" as designation of a newly  
            awarded contract to an agency, under which the timeframe of  
            this status is at the discretion of the CDE. 

          9)Defines a "conditional contract" as a designation of a high  
            risk contracted child care agency that is out of fiscal or  
            programmatic compliance.

          10)Rules a child care agency under a "conditional contract"  
            ineligible for purposes of applying for additional state child  
            development program funds.

          11)Permits the CDE to suspend or immediately terminate a  
            contracted child care agency upon the following violations:

             a)   Fraud or conspiracy to defraud;

             b)   Misuse of state funds in violation with the California  
               Accounting Manual;

             c)   Embezzlement;

             d)   Threats of bodily or other harm to state officials;

             e)   Bribery or attempted bribery of a state official;

             f)   Unsafe or unhealthy physical environment or facility;

             g)   Substantiated abuse or molestation of children;

             h)   Failure to report suspected child abuse or molestation;

             i)   Theft of supplies, equipment or food; and

             j)   Places a person in position of fiscal responsibility or  
               control who has been convicted of specified crimes,  
               including financial violations.








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          12)Requires the CDE to provide notice of suspension or  
            termination, as specified. 

          13)Provides due process rights to a child care agency, which  
            include the right to an independent appeals process  
            administered by the Office of Administrative Hearings (OAH).

           FISCAL EFFECT  :  Unknown

           COMMENTS  :

           Background  
          There are generally two types of child development providers in  
          the state; commonly referred to as either Title 22 or Title 5  
          programs.  Title 22 refers to Division 2 of Title 22 of the  
          California Code of Regulations (CCR), which is governed by the  
          Department of Social Services (DSS) and Title 5 refers to  
          Divisions 19 and 19.5 of the CCR, which is governed by the CDE. 

          Title 22 establishes general health and safety requirements,  
          staff to child ratios, and basic provider training  
          qualifications.  In order for any person to operate a child  
          development program, the program must first become a licensed  
          provider under Title 22.  Title 22 providers set their own rates  
          and may voluntarily accept child development subsidy vouchers,  
          along with statutorily established family fees, provided through  
          the California Work Opportunity and Responsibility to Kids  
          (CalWORKs) program or other state-funded child care subsidy  
          programs.  

          Voucher rates are set by the Regional Market Rate (RMR), which  
          is generally intended to reflect the true regional cost of care  
          in the private child care market.  However, as established by AB  
          1497 (Committee on Budget), Chapter 29, Statutes of 2012, which  
          was the education budget trailer bill, the RMR is currently set  
          at the 85th percentile of the 2005 RMR Survey. 

          According to DSS, as of February 6, 2013, there were  
          approximately 47,477 child care agencies with a licensed  
          capacity to serve up to 1,095,672 children in California. 

          Title 5 governs the state's subsidized child development  
          programs, which are overseen by the CDE.  These programs must be  
          licensed by DSS under Title 22 regulations and meet higher  








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          quality standards established under Title 5 regulations.  These  
          requirements include:

                 A developmentally and age-appropriate educational  
               program for enrolled children;

                 Staff development opportunities to improve program  
               quality;

                 Parental involvement and education, including a parent  
               survey;

                 Nutritional standards that comply with federal child  
               nutrition program requirements, such as the National School  
               Lunch Program;

                 A health and social services component to identify and  
               refer eligible children and their families to community or  
               public health and social services, such as CalFresh;

                 A self-evaluation process to continually improve and  
               enhance their program; and

                 An environment rating scale that measures education  
               quality, parental involvement, and staff development and  
               education.

          It is important to note that Title 5 programs, as a condition of  
          being contracted with the CDE, must accept and serve needy  
          children eligible for subsidies.  Title 5 programs are funded  
          through the receipt of the Standard Reimbursement Rate (SRR)  
          based upon the number of children enrolled and the number of  
          hours of care, and statutorily established family fees.  Whereas  
          a Title 22 program accepting a voucher would be reimbursed by  
          the RMR, which is generally higher than the SRR because of its  
          association with the regional private provider market, a Title 5  
          program is reimbursed using the SRR. 

          The SRR is statutorily set and is supposed to be increased  
          annually with a cost of living adjustment (COLA), however, a  
          COLA has not been provided since the 2007-08 fiscal year.  The  
          SRR currently stands at $34.38 for one full-day of enrolled  
          care, which is defined by regulation as six and one half hours  
          of care.  There are "adjustment factors" that are applied to the  
          SRR to reflect the increased cost of care for the varying ages  








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          and needs of children, e.g., infants and toddlers, special  
          needs, etc. However, they too have not changed since their  
          establishment in AB 2311 (Chu), Chapter 435, Statutes of 2002.

          Title 5 programs earn their SRR reimbursement based upon child  
          days of enrollment, meaning they are reimbursed at the rate of  
          $34.38 per day for each day the needy or eligible child receives  
          care.  This creates challenges for Title 5 programs, as they  
          budget based upon the total number of days and children they  
          anticipate having to serve in a fiscal year.  Add to this the  
          uncertainty of a child's regular and continuous enrollment, a  
          family being deemed no longer eligible or in need of care, and  
          fluctuating statewide budgets, it becomes a formidable challenge  
          for a Title 5 program to fully earn its contract's maximum  
          reimbursable amount (MRA).  The goal set by the CDE for Title 5  
          programs is to annually earn no less than 98% of their MRA.
           
          According to the CDE, as of the 2009-10 fiscal year, there were  
          approximately 1,420 service contracts with nearly 770 public and  
          private agencies supporting and providing services to 489,200  
          children.  Title 5 providers contract with the CDE and include  
          school districts, county offices of education, cities, local  
          park and recreation districts, county welfare departments, other  
          public entities, community-based organizations, and private  
          agencies.

           Supply and demand  
          In 1997, the state developed a nine county pilot program to  
          consolidate waiting lists for subsidized child care programs to  
          better organize and prioritize enrollment of eligible and needy  
          children.  This nine-county pilot was expanded statewide and  
          made permanent in 2005.  Referred to as the Centralized  
          Eligibility List (CEL), it not only became a valuable tool to  
          help prioritize enrollment based upon eligibility and need, it  
          also helped to demonstrate the need for subsidized child care  
          and funding county-by-county and statewide. 

          The state annually appropriated $7.9 million to operate all 58  
          county CELs and the statewide CEL.  Unfortunately, due to the  
          ongoing budget deficit at the time, funding for CEL was  
          eliminated in the Budget Act of 2011 (Senate Bill 87, Chapter  
          33).  At the time of its elimination, there were approximately  
          240,000 eligible and needy children waiting for a subsidized  
          child care slot to open.  Since then, some counties have pursued  
          maintaining their own CEL with existing local funds, but it  








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          remains difficult to accurately estimate the total number of  
          needy and eligible families and children waiting for subsidized  
          child care. 

          However, using the number of eligible and needy children who  
          were on the statewide CEL in 2011, and taking into account the  
          nearly $700 million, or 42% of subsidized child care funding  
          that has been cut from the budget over the past five years, it  
          is not unreasonable to estimate that the number of eligible and  
          needy children waiting for subsidized child care could be around  
          300,000 children statewide.

           Suspension and Termination  
          Current law and regulations provide the CDE the authority to  
          identify and address child development agencies that face  
          challenges or violate the law in the administration of their  
          contracts.  The manner in which the CDE addresses these agencies  
          depends on the nature of the issues the agency faces.  In a  
          large number of cases, agencies are operated with the good  
          intentions of operating a beneficial program that provides for  
          an enriched child development environment that both provides for  
          the care and intellectual development of the children they  
          serve.  However, the oftentimes complex and challenging  
          requirements to meet state programmatic or more demanding fiscal  
          requirements place some programs in arduous positions.  This  
          reflects the nature in which the state provides child  
          development funds, whereby programs have to earn up to but not  
          more than 100 percent of their contracted reimbursement amount.

          In order to help provide assistance, guidance and accountability  
          for the provision of developmental care and fiscal  
          responsibility to agencies, current law authorizes the CDE to  
          use a tiered process to addresses programs that are in good  
          standing, struggling or at risk of not meeting state  
          requirements.  Although it's also provided for in statute, much  
          of the specific process the CDE uses is laid out in Title 5 of  
          the California Code of Regulations (CCR) or in its issuance of  
          Management Bulletins (MB).  MBs are issued periodically to  
          remind or provide guidance to contracted child development  
          agencies as to changing requirements under law, to respond to  
          thematic issues that may arise from misunderstandings about how  
          to implement or comply with statutory or regulatory  
          requirements, or other directives necessary as determined by the  
          CDE. 









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          Through this multi-faceted approach, the CDE examines  
          programmatic reviews and fiscal audits to determine the health  
          of a child development agency.  If an agency is operating in  
          compliance with the law and otherwise satisfactorily, it is  
          labeled as an agency in good standing; referred to as a "clear  
          contract."  If an agency is struggling due to misunderstanding  
          of requirements or misinterpretations of law, technical  
          assistance and professional development are made available to  
          the agency in to order to better ensure that the program is  
          complying with statutory and regulatory requirements.  However,  
          if after annual review and the provision of technical  
          assistance, the program continues to struggle, the CDE can place  
          the agency into "conditional contract" status, which then  
          identifies the agency as at-risk.  This can be for several  
          reasons, including inability to comply with the law or  
          purposeful or otherwise unauthorized administrative behavior.   
          Conditional status typically lasts for one year, but can last  
          for more.  It involves amending the agency's contract and  
          placing specific goals upon the agency to improve its  
          performance in order to bring it into compliance with statutory  
          and regulatory requirements.  If, after a specified period of  
          time, the agency does not meet the conditions placed upon it  
          under its "conditional contract" status, then the CDE can begin  
          to pursue action to terminate the contract.

          In most cases involving unacceptable performance, such as  
          criminal actions or outright negligence, the CDE may act on the  
          program by suspending or terminating the contract for specified  
          reasons.  These reasons can span from theft and embezzlement to  
          continued misappropriation of funds.  In most cases, the CDE  
          will attempt to work with the agency unless the actions are so  
          egregious that their programmatic, fiscal, and legal staff  
          determines that the contract would best be served with another  
          agency or organization. 

           Reason for the bill

           According to the author, in writing for the need for the bill:

               AB 812 would clarify, streamline, and strengthen the child  
               care contracting process to better protect children and  
               taxpayer funds from the most egregious circumstances, and  
               also remove administrative barriers to ensure fair access  
               to contractors with "conditional" contracts to apply for  
               funding.








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               Current statutory authority surrounding the child care  
               contract termination process is vague and confusing, making  
               it difficult for CDE to remove a contract from an  
               egregiously irresponsible contractor.  The changes proposed  
               by AB 812 provide the department with the statutory tools  
               necessary to appropriately protect children receiving child  
               care services, child care providers, child care employees  
               and the taxpayers' dollars from these irresponsible  
               contractors.  As a state, it is imperative that we ensure  
               these children are provided the highest quality services in  
               the hands of the most responsible stewards of public funds.  


           Clarification and enhanced authority for the CDE  
          This bill seeks to clarify some ambiguous portions of the code  
          as it relates to how the CDE may address problematic agencies  
          through suspension, but also enhances its authority to  
          immediately terminate a child development agency's contract  
          without allowing the agency to operate while under appeal.   
          Regarding suspension, the CDE argues that current law is  
          ambiguous as to how and when suspension should occur.  But it  
          should also be noted that suspension is not a valid and  
          practical option to address problematic child development  
          agencies.  As stated previously in this analysis, the state  
          faces a substantial shortage in the availability of child care  
          slots for children.  If the CDE were to use its suspension  
          authority, it raises questions as to how those slots provided by  
          a suspended child development agency could be filled.  There  
          aren't any substitute or temporary services provided within the  
          child development industry.  If a child development agency were  
          to be suspended, it would render the agency inoperative, thus  
          eliminating the availability of the child care slots it  
          provides.  This is undesirable, especially at a time when the  
          need for child care is so great. 

          Regarding increased authority, this measure would eliminate the  
          limited scope under which the CDE may immediately terminate a  
          child development agency's contract, and, conversely, expand how  
          and when immediate termination may be invoked.  Currently, the  
          CDE has limited authority to immediately terminate a contract,  
          unless an agency is placing the health and welfare of the  
          children under its care in immediate danger.  Typically, this  
          relates to severe violations of Title 22 of the CCR relating to  
          basic health and safety.  However, this authority does not  








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          extend to those agencies whose actions extend to egregious  
          fiscal or programmatic violations. 

          With the number of state budget cuts child development agencies  
          have sustained over the past seven years, the need to triage and  
          ensure that the state has accessible and quality child  
          development programs is essential.  This is especially important  
          now that parents receiving CalWORKs aid have a truncated time  
          period to fulfill their welfare-to-work requirements. Providing  
          the CDE the authority to appropriately and more immediately act  
          upon child development agencies acting egregiously in a fiscal  
          or programmatic manner is good state policy.

           Additional considerations
           Current law provides definitions of what conditional,  
          provisional, and clean contracts are and provides for an appeals  
          process, but does not provide clear statutory requirements on  
          how they are addressed.  It should also be noted that much of  
          the CDE's administrative process to identify and address  
          struggling or high-risk agencies, or agencies simply in need of  
          increased technical assistance, is laid out in administrative  
          policy documents and not statute or regulations. 

          Although this measure expands the authority of the CDE to go  
          after egregious child development agencies, current law lacks  
          adequate statutory requirements for a process that might help  
          keep well-intended but struggling agencies from falling into  
          disrepair.  Perhaps it would be beneficial to develop clearer  
          statutory standards to govern how and when an agency is reviewed  
          and identified for additional technical assistance.   
          Additionally, considerations should be made as to the labeling  
          of agencies whose contracts are falling into non-compliance, as  
          there may be a wider range of more appropriate designations to  
          better address the exact status of an agency.  This measure also  
          leads to questions regarding whether statute should include the  
          detailed process for terminated contracts, how agencies might be  
                                                                     identified to take over a terminated contract and the child  
          development slots it contains, and whether there should be a  
          sole source process for awarding a terminated contract to  
          another agency in order to ensure the continued care of  
          children.

           POLICY COMMENT  
          Should AB 812 pass out of this committee, the committee should  
          encourage the author to explore additional language to  








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          strengthen statutory provisions on the timeline and steps  
          necessary to address the varying needs of child care agencies,  
          including:
             1)   Clear definitions and processes regarding how and when  
               an agency needs technical assistance, intervention or other  
               actions taken due to programmatic or fiscal issues.
             2)   A clear timeline of when and how the CDE may take  
               appropriate action toward an agency that is appropriately  
               responsive to or proportional to an agency's challenges,  
               which includes periods for technical assistance,  
               conditional or probationary status, and other steps as  
               necessary.
             3)   Whether more appropriate and descriptive contract  
               designations should be explored to better reflect the  
               varying needs and challenges of child care agencies.
             4)   How a contract can be re-issued when a child development  
               agency is terminated so as to avoid impacting children in  
               care. 
             5)   Whether universal appeal rights should be afforded in  
               some or all cases involving actions taken against an  
               agency.

           RECOMMENDED AMENDMENTS

           Staff recommends the following amendments:

          1)Amend subdivision (b) of 8406.6 on lines 12 through 20 on page  
            5 to read:

            (b) Provisional contract. This designation applies to  a  
            contracting   an  agency's first contract for any particular  
            service  ,   or for  if by   the contract of  an existing  contract   
             contracted  agency for a new  , modified,  or different type of  
             service   services   or by a contracting agency that does not have  
            an existing contract for services  . The time frame of a  
            provisional contract is at the discretion of the department  
            and is given to ensure that the contracting agency can  
            demonstrate fiscal and programmatic compliance before the  
            contract is designated as a clear contract. The contract  
            status shall be reviewed annually.
                
           2)Add a new section 8401.5 of the Education Code to read:

             The State Department of Education shall provide for an  
            internal appeal process to resolve disputes that may arise  








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            between the department and child development contractors  
            regarding the interpretation and application of any term or  
            condition of a contract or any finding made by the department  
            resulting from any fiscal or programmatic reviews, including,  
            but not limited to, an error rate notification. Any contractor  
            shall have the right to appeal the results of a review and  
            appeal to make a modification to the findings, including, but  
            not limited to, an error rate finding, by submitting a request  
            for appeal in accordance with the internal appeal process the  
            department provides.
             
           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          State Superintendent of Public Instruction (Sponsor)
          American Federation of State, County and Municipal Employees  
          (AFSCME), AFL-CIO
          Child Care Alliance of Los Angeles

           Opposition 
           
          None on file
           
          Analysis Prepared by  :    Chris Reefe / HUM. S. / (916) 319-2089