BILL ANALYSIS                                                                                                                                                                                                    Ó




                                                                  AB 1899
                                                                  Page A
          CONCURRENCE IN SENATE AMENDMENTS
          AB 1899 (Brown)
          As Amended  August 22, 2014
          Majority vote
           
           ----------------------------------------------------------------- 
          |ASSEMBLY:  |77-0 |(May 28, 2014)  |SENATE: |33-0 |(August 26,    |
          |           |     |                |        |     |2014)          |
           ----------------------------------------------------------------- 
            
           Original Committee Reference:    HUM. S.  

           SUMMARY  :  Prohibits an individual who abandons a Residential  
          Care Facility for the Elderly (RCFE) from being able to  
          reinstate his or her license or from being able to petition for  
          the reinstatement of the license.  

           The Senate amendments  specify that a licensee who abandons a  
          RCFE from being able to petition for the reinstatement of the  
          license.  Also include amendments to avoid chaptering out  
          conflicts with AB 1477 (Budget Committee) of the current  
          legislative session, and SB 873 (Budget and Fiscal Review  
          Committee) of the current legislative session; the human  
          services budget cleanup trailer bills.

           AS PASSED BY THE ASSEMBLY  , this bill prohibited an individual  
          who abandons an RCFE from being able to reinstate his or her  
          license.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :

          Background:  RCFEs, commonly referred to as assisted living  
          facilities, are licensed retirement residential homes and board  
          and care homes that accommodate and provide services to meet the  
          varying, and at times, fluctuating health care needs of  
          individuals who are 60 years of age and over, and persons under  
          the age of 60 with compatible needs.  Licensed by the Department  
          of Social Services Community Care Licensing Division (CCLD),  
          they can range in size from residential homes with six or less  
          beds to more formal residential facilities with 100 beds or  
          more. 










                                                                  AB 1899
                                                                  Page B
          Recent events:  A series of recent events has drawn attention to  
          questions about the adequacy of RCFEs and the CCLD's ability to  
          comply with existing oversight and enforcement requirements to  
          help ensure for the health and safety of individuals who receive  
          services within CCLD-licensed facilities.  Over the last several  
          years, numerous media outlets have documented chronic  
          understaffing and a lack of required assessments and substandard  
          care.  Reports in September 2013, prompted by a consumer  
          watchdog group that had hand-culled through stacks of documents  
          in San Diego, revealed that more than two dozen seniors had died  
          in recent years in RCFEs under questionable circumstances that  
          went ignored or unpunished by CCLD.<1>
           
           Need for this bill:  Stating the need for a ban on licensees who  
          abandon their facility, the author writes:

               AB 1899 seeks to address the abandonment of  
               residential care facilities and the need to have an  
               efficient and centralized system of obtaining accurate  
               information about these facilities to prevent  
               violators from repeatedly violating health and safety  
               codes with impunity.

           
          Analysis Prepared by  :    Chris Reefe / HUM. S. / (916) 319-2089 


                                                               FN: 0005498 

















          ---------------------------
          <1>  "Care Home Deaths Show System Failures," San Diego Union  
          Tribune, Sept.7, 2013