BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2386
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          Date of Hearing:   April 29, 2014

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                  Mark Stone, Chair
                 AB 2386 (Mullin) - As Introduced:  February 21, 2014
           
          SUBJECT  :  Child care facilities: carbon monoxide detectors

           SUMMARY  :  Requires all child day care facilities to have one or  
          more carbon monoxide detectors installed in the facility and  
          requires the Department of Social Services (DSS) to account for  
          their presence upon inspection of the facility. 

           EXISTING LAW   

          1)Establishes the California 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.  (EDC 8200 and 8201)

          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.  (EDC 8202)

          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.  (EDC 8208(i))

          4)Requires child day care facilities, including small and large  
            family day care homes to have a fire extinguisher on the  
            premises and a functional smoke detector installed in the  
            facility, as specified.  (H&S Codes 1597.45 and 1597.46)

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  This bill aligns existing CCDSA health and safety  
          requirements with the Carbon Monoxide Poisoning Prevention Act  








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          (CMPPA) of 2010 (Chapter 19, Statutes of 2010), which requires  
          all existing dwellings intended for human occupancy that have a  
          fossil fuel burning appliance, a fireplace, or an attached  
          garage to install a carbon monoxide detector on or before  
          January 1, 2013.  Although already required for single family  
          homes, as well as schools, there is no specific requirement that  
          a carbon monoxide detector be installed in non-residential  
          facilities, such as a non-residential child care facility.   
          Child care providers that operate on school campuses are already  
          in compliance since school districts are required to have a  
          carbon monoxide detector installed.  However, there is no  
          requirement for privately operated child care centers that  
          operate in a commercial facility to have installed a carbon  
          monoxide detector. 

           Dangers of carbon monoxide poisoning  :  Carbon monoxide is an  
          odorless, colorless, deadly gas.  At lower levels of exposure it  
          can cause health problems such as headaches, fatigue, nausea,  
          dizzy spells, confusion and irritability.  Later stages of  
          carbon monoxide poisoning can cause vomiting, loss of  
          consciousness and eventually brain damage or death.  Carbon  
          monoxide is produced by furnaces, common household appliances,  
          vehicles, generators, fireplaces and other systems that are  
          powered by the burning of fuel such as natural gas propane,  
          gasoline, oil and wood. 

          The California Air Resources Board has determine that 30-40  
          "avoidable deaths" occur just in California each year, on  
          average, due to unintentional carbon monoxide poisoning.   
          Additionally, there are 175-700 "avoidable" emergency room  
          visits and hospitalizations in California alone.  In 2001, 25%  
          of the carbon monoxide poisoning deaths from home-related  
          products were adults 65 years and older.      

           Background on licensed child care  :  Under current law, any  
          person who provides organized nonmedical and nonresidential care  
          for children other than his her own children that is not  
          arranged on a voluntary or otherwise uncompensated basis is  
          required to be licensed under the CCDSA.  These types of  
          facilities are commonly referred to as a Title 22 program due to  
          its required compliance with Title to Division 2 of Title 22 of  
          the California Code of Regulations (CCR), which implements the  
          CCDSA and is governed by the Department of Social Services  
          (DSS), and can include both small and large family day care  
          homes and commercially based child care centers.








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          Title 22 regulations establish 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.  

          According to DSS, as of April 1, 2014, there are 47,069 licensed  
          child care facilities in the state, including licensed family  
          child care homes, with a licensed capacity to serve almost 1.1  
          million children. 

           Need for the bill  :  Stating the need for the bill, the author  
          writes:

               While many child care homes in California have already  
               taken steps to ensure proper installation of carbon  
               monoxide detectors, there are a few who may simply be  
               unaware of the requirement and the dangers of carbon  
               monoxide poisoning.  Since children are most susceptible to  
               carbon monoxide poisoning, we must ensure that all  
               childcare homes are meeting this standard to protect our  
               children.

           Staff comments  :  This measure addresses a gap in state licensing  
          and inspection requirements for non-residential child care  
          facilities by aligning the CCDSA with the CMPPA.  However, the  
          author touches on a requirement that should be applied to all  
          care facilities, specifically the requirement that DSS'  
          Community Care Licensing Division account for the presence of a  
          carbon monoxide detector during an inspection of a residential  
          care facility.  Although the CMPPA requires all residential  
          units to have a carbon monoxide detector, it is not explicitly  
          included within existing residential care statutes.














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           RECOMMENDED AMENDMENTS:  

          Committee staff recommends that the bill be amended to apply to  
          all residential care facilities under the jurisdiction of DSS'  
          Community Care Licensing Division.  The amendments would expand  
          the requirement to include all residential care facilities under  
          the jurisdiction of the Residential Care Facilities for the  
          Elderly Act and the Community Care Facilities Act.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          American Federation of State, County and Municipal Employees  
          (AFSCME)

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