BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 894                                       
          S
          AUTHOR:        Corbett                                      
          B
          VERSION:       March 26, 2014
          HEARING DATE:  April 8, 2014                                
          8
          FISCAL:        Yes                                          
          9
                                                                      
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          CONSULTANT:    Sara Rogers                                 

                                        

                                     SUBJECT
                                         
           Residential Care Facilities for the Elderly: Revocation of  
                                    License

                                     SUMMARY  

          This bill expands numerous requirements for Residential  
          Care Facility for the Elderly (RCFE) licensees in the event  
          of a temporary license suspension or license revocation.  
          Additionally, this bill expands the responsibilities of the  
          Department of Social Services (CDSS) in overseeing a  
          temporary suspension or revocation of an RCFE license and  
          in protecting the health and safety of affected residents.  
          This bill increases civil penalties to $500 per violation  
          per day for licensees that fail to comply with these  
          provisions. Furthermore, this bill establishes a private  
          right of action for residents of RCFEs in such instances. 


                                     ABSTRACT  

           Existing Law: 
           
          1.Establishes the Residential Care Facilities for the  

                                                         Continued---




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            Elderly Act which provides for the CDSS to license and  
            regulate RCFEs as a separate category within the existing  
            residential care licensing structure of CDSS. (HSC 1569  
            et seq.) 


          2.Provides that CDSS may deny an application for a license  
            or may suspend or revoke any license due to a licensee's  
            violation of the RCFE Act or related regulations. (HSC  
            1569.50)


          3.Provides that procedures for the suspension, revocation  
            or denial of license shall be conducted in accordance  
            with the administrative adjudication provisions of the  
            Administrative Procedure Act that grants a licensee the  
            right to appeal a license denial, revocation or  
            suspension to the Office of Administrative Hearings. (HSC  
            1569.51 and GC 11500 et seq.)


          4.Permits the director of CDSS to temporarily suspend any  
            license, prior to any hearing when, in the opinion of the  
            director, the action is necessary to protect residents or  
            clients of the facility from physical or mental abuse,  
            abandonment, or any other substantial threat to health or  
            safety. Requires the department to verify within 30 days  
            that the facility is nonoperational. (HSC 1569.50,  
            1569.510 and GC 11460.10 et seq.)


          5.Provides that the failure of an applicant for licensure  
            or a licensee to pay all applicable and accrued fees and  
            civil penalties shall constitute grounds for denial or  
            forfeiture of a license. (HSC 1569.185)


          6.Provides that a license shall be forfeited when a  
            licensee sells the facility, surrenders the license to  
            CDSS, is convicted of a prohibited offense, dies, or  
            abandons the facility. Defines "abandons the facility" in  
            regulation. (HSC 1569.19 and CCR Title 22 87112)


          7.Requires the director, when it is necessary to suspend or  





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            revoke an RCFE license, to make every effort to minimize  
            trauma for residents. Permits CDSS to require the  
            licensee to prepare a written relocation plan for  
            residents. Requires the licensee to provide a 60 day  
            written notice of license revocation within 24 hours of  
            receipt of a revocation order. (HSC 1569.525)


          8.Requires RCFE licensees, prior to transferring residents  
            as a result of a specified instances of license  
            forfeiture to take certain actions to minimize transfer  
            trauma including providing 60 day written notice,  
            preparing a relocation evaluation, providing a list of  
            nearby facilities, and other actions. (HSC 1569.682)


          9.Provides that CDSS evaluations that find a deficiency  
            resulting in the sickness, injury or death of a resident,  
            as well as repeated deficiencies, shall require  
            correction within 24 hours. Additionally, provides that  
            CDSS evaluations finding any other deficiency shall  
            require correction no later than 30 calendar days  
            following service of notice, except as specified. (Title  
            22 CCR 87756)


          10.Requires CDSS to notify the State Long-Term Care  
            Ombudsman (LTCO) whenever the department substantiates  
            serious violations posing a threat to health and safety  
            of any resident or causes an accusation to be filed for  
            license revocation. (HSC 1569.335)


          11.Permits licensees of Skilled Nursing Facilities (SNF) or  
            Intermediate Care Facilities (ICF) to be enjoined from  
            permitting certain regulatory violations from continuing  
            or may be sued for civil damages. Permits a current or  
            former resident of a SNF or ICF to bring a civil action  
            against a licensee for violation of the resident's  
            rights, as defined, up to $500 and legal costs. (HSC  
            1430)


          12.Permits residents of RCFEs to bring a civil action  
            against a licensee for violation of the requirements  





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            pertaining to resident transfers resulting from  
            forfeiture of license or facility change of use.  
            (HSC1569.682)


          13.Entitles RCFE residents who transfer from a facility due  
            to receipt of a 60 notice of license revocation to  
            receive a partial refund of preadmission fees and per  
            diem monthly fees, as specified.  (HSC 1569.525)


          14.Permits the department to assess civil penalties not  
            less than $25 and not more than $50 per violation per day  
            for each violation except where the seriousness of the  
            violation warrants a higher penalty, in no case to exceed  
            $150 per day per violation. (HSC 1569.49)


           This bill: 


           1.Requires CDSS to provide a precautionary notification to  
            the State LTCO if the director is reasonably  
            contemplating a temporary suspension or revocation of any  
            license of an RCFE. Specifies the LTCO as a local agency  
            to be contacted following a decision to temporarily  
            suspend or revoke a RCFE license.


          2.Requires, instead of permits, the department to require a  
            licensee to prepare a written plan for relocation of  
            residents following a license revocation or suspension.


          3.Provides that upon receipt of an order to temporarily  
            suspend or revoke a license, the licensee shall be  
            prohibited from accepting new residents or entering into  
            admission agreements for new residents.


          4.Requires a licensee, upon an order to temporarily suspend  
            a license, to provide written notice to the resident or  
            resident's responsible person within 24 hours following  
            receipt of the order.






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          5.Permits the department or licensee to secure the services  
            of a person who is not an immediate family member of the  
            licensee or an entity that is not owned by the licensee  
            to manage the day-to-day operations of the facility until  
            the matter is heard pursuant to Section 1569.50, and for  
            at least 60 days thereafter, as specified.


          6.Provides that final orders of license revocations, except  
            temporary suspension orders that led to transfer of all  
            residents, shall require 60-day written notice and that  
            licensees shall be permitted to secure the services of a  
            person to manage the day to day operations of the  
            facility for at least 60 days.


          7.Provides that residents who transfer from a facility due  
            to being issued a license suspension shall be entitled to  
            a refund of a percentage of the preadmission fees and per  
            diem monthly fees, as specified.


          8.Requires, within 24 hours instead of 10 days, a licensee  
            whose license has been revoked to submit to the  
            department and local LTCO a final list of names and new  
            locations for transferred residents.


          9.Provides that the department shall be responsible for the  
            health and safety of all residents during a resident  
            relocation process as a result of a license revocation or  
            temporary suspension. Specifies that these  
            responsibilities shall include:


                 Contact any local agency that may have placement  
               responsibility to locate alternative placements.
                 Contact the resident's relatives; legal  
               representatives; authorized agents in a health care  
               directive or responsible parties.
                 Assist in the transfer of residents and, if  
               necessary, arrange or provide transportation.
                 Arrange for or provide care and supervision.
                 Distribute medications.





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                 Arrange for the preparation and service of meals  
               and snacks.
                 Prepare the residents records and medications for  
               transfer of each resident.
                 Assist in any way necessary to facilitate a safe  
               transfer of all residents.
                 Check on the status of each transferred resident  
               within 24 hours of transfer.


          1.Provides that the participation of the department and  
            local agencies shall not relieve the licensee of any  
            responsibility. Requires a licensee to reimburse the  
            department and local agencies for the cost of providing  
            these services.


          2.Provides that a licensee who violates these provisions  
            shall be liable for $500 in civil penalties per violation  
            per day until the violation has been corrected.


          3.Permits a current or former RCFE resident to bring a  
            civil action against any person, firm, partnership, or  
            corporation who owns operates, establishes, manages,  
            conducts or maintains an RCFE who violates these  
            provisions and provides that such persons are responsible  
            for the actions of facility employees. Permits an RCFE to  
            be enjoined from permitting the violation to continue. 


                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee. 

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill:


           According to the author, this bill is part of a broad  
          package of legislation sponsored by California Advocates  
          for Nursing Home Reform in response to instances of  
          inadequate regulatory oversight of RCFEs. The author states  
          that current law neither provides adequately for the  





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          state's role in ensuring that RCFE licensees find  
          alternative placements for residents in their care, nor the  
          state's responsibility to protect the health and safety of  
          residents when it becomes clear that the licensee is  
          failing to do so.


          The author states that this bill will provide for greater  
          notice requirements to residents following license  
          suspensions and revocations. Additionally, it will tighten  
          the timeframe of reporting requirements upon relocation of  
          residents, further define the department's role in  
          protecting the residents of RCFEs, raise civil penalties  
          for licensees who fail to comply and provide harmed  
          residents with a civil action against licensees.


          Recent events


          A series of recent events has drawn attention to questions  
          about the adequacy of CCL oversight and the state's ability  
          to protect people who receive services within CDSS-licensed  
          facilities. 


           In July 2013, ProPublica and Frontline reporters wrote  
            and produced a series of stories on Emeritus, the  
            nation's largest RCFE provider.<1> Featured in the  
            article was a woman who died after receiving poor care at  
            in a facility in Auburn, California. The series  
            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  
          -------------------------


          <1>  
          http://www.propublica.org/article/life-and-death-in-assisted 
          -living-single






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            unpunished by CCL.<2> 


           In late October 2013, 19 frail seniors were abandoned at  
            Valley Springs Manor in Castro Valley by the licensee and  
            all but two staff after the state began license  
            revocation proceedings for the facility. CDSS inspectors,  
            noting the facility had been abandoned, left the two  
            unpaid service staff to care for the abandoned residents  
            with insufficient food and medication, handing them a  
            $3,800 citation before leaving for the weekend. The next  
            day sheriff's deputies and paramedics sent the patients  
            to local hospitals.


          Residential Care Facilities for the Elderly


          Within California's continuum of long term care, situated  
          between in-home care and skilled nursing facilities, is the  
          RCFE, also commonly called Assisted Living, Board and Care,  
          or Residential Care. There are approximately 8,000 Assisted  
          Living, Board and Care, and Continuing Care Retirement  
          homes that are licensed as RCFEs in California. These  
          residences are designed to provide homelike housing options  
          to residents who need some help with activities of daily  
          living, such as cooking, bathing, or getting dressed, but  
          otherwise do not need continuous, 24-hour assistance or  
          nursing care. Increasingly residents are entering RCFEs  
          with significant health needs including diabetes, bedsores,  
          or require the use of oxygen tanks, catheters, colostomies  
          or ileostomies.  


          The RCFE licensure category includes facilities with as few  
          as six beds to those with hundreds of residents, whose  
          needs may vary widely. Typically, the smaller facilities  
          are homes in residential neighborhoods while the larger  
          facilities resemble apartment complexes with structured  
          activities for their residents. Generally, residents are  
          free to leave the facility if they choose, and may  
          -------------------------


          <2> "Care Home Deaths Show System Failures," San Diego  
          Union Tribune, Sept.7, 2013






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          entertain guests, and otherwise maintain a high level of  
          independence. Facilities licensed to serve residents with  
          dementia or Alzheimer's disease, also known as "memory care  
          units," may maintain a secure perimeter. 


          Joint Hearing on RCFEs


          On February 11, 2014, the Senate and Assembly Human  
          Services Committees jointly held an informational hearing  
          investigating efforts to increase accountability and  
          oversight of Assisted Living Facilities. Testimony during  
          the hearing highlighted significant technological barriers  
          to the tracking of complaints and deficiencies, limited  
          follow-up practices by the department to ensure that  
          deficiencies are corrected, frequent failure to collect  
          assessed fines and penalties, a lengthy appeals process  
          that hinders immediate action when necessary, and use of a  
          shortened inspection tool that has not been validated for  
          use in RCFEs.   


          CDSS acknowledged at the hearing that there were serious  
          and historic failures of regulatory oversight over RCFEs,  
          highlighted most recently at Valley Springs Manor in  
          Alameda County. CDSS has acknowledged that it waited until  
          after the facility administrator abandoned the residents to  
          take emergency action, despite receiving no communication  
          or response from the licensee during the nearly five months  
          since the Department had initiated license revocation  
          proceedings. CDSS said it made a "judgment error" in  
          deciding that the facility, then staffed only by an  
          untrained janitor and cook, and without access to  
          medications or sufficient food, could function through the  
          weekend. 


          CDSS has additionally stated that the Community Care  
          Licensing division (CCL) erred in not directing existing  
          staff or deploying additional field staff to remain on site  
          until the transfer of the residents was completed and the  
          facility was closed. At the hearing, the Department  
          acknowledged that despite the severity of the violations of  
          the licensee, the maximum fine that could be imposed was a  





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          $150 fine/per violation per day. 


          The hearing included a discussion of the subsequent closure  
          of the Sundial Palms RCFE in Modesto, run by the same  
          licensee, which was handled very differently than the  
          Valley Springs closure. In the case of Sundial Palms, CDSS  
          has enlisted a temporary manager to operate the facility  
          until it is sold and the license transferred. In this case,  
          CDSS staff worked closely with the manager to ensure that  
          the health and safety of residents was protected, that  
          residents were evaluated for appropriate levels of care,  
          staffing regulations were adhered to, and needed capital  
          investments were made to the facility. It is unclear the  
          degree to which the CDSS will be reimbursed by the  
          licensee.


          Governor's Budget Proposal


          As part of the Governor's 2014-2015 proposed budget, the  
          Administration has put forth trailer bill language that has  
          substantial overlap with provisions of this bill. The  
          Administration proposes significant changes to the civil  
          penalty structure, deleting the existing language imposing  
          $25 to $50 penalties for lesser offenses or up to $150 for  
          serious offenses, and replacing it with a penalty structure  
          for serious offenses that is five times the amount of the  
          annual licensing fee per day per violation. It is unclear  
          what penalty structure would then govern the remaining less  
          serious violations. A similar statute regarding evictions  
          in case of license forfeiture currently includes a $100 per  
          violation / per day penalty that is not amended by the TBL,  
          however it is unclear what penalty structure would apply to  
          the section of law amended by this bill.


          Additionally, the Administration proposes that permits CDSS  
          to assign a temporary manager or a receiver over a facility  
          unable to maintain the health and safety of residents in  
          cases of license revocation or temporary suspension. While  
          existing law provides for a process for the licensee to  
          secure a temporary manager in cases of revocation, this  
          bill would permit both the department and the licensee to  





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          secure a temporary manager in cases of temporary  
          suspension. There are substantial differences between  
          budget TBL and this bill with regard to the standards and  
          procedures for assigning a temporary manager which may be  
          confusing to implement should both statutes be adopted.


           


          Prior/Related Legislation


           Current legislation


          SB 895 (Corbett) Would require CDSS to conduct annual  
          unannounced comprehensive inspections for all facilities,  
          requires CDSS to verify compliance following deficiencies  
          within 10 days, and requires results of inspections to be  
          available on the CDSS website.


          SB 1153 (Leno) Would permit CDSS to order a suspension of  
          new admissions for an RCFE when the facility has violated  
          applicable laws and regulations that present a direct risk  
          to the health and safety or residents, is not providing  
          adequate care and supervision, has been cited for  
          subsequent violations of the same law within 12 months, or  
          has failed to pay existing fines.


          SB 911 (Block) Would increase certification training  
          requirements for RCFE licensees, and staff who care for  
          residents, increases training requirements for staff  
          providing dementia care.


          SB 1382 (Block) Would increase the annual licensure fees by  
          30% and make related findings and declarations. 


          AB 1571 (Eggman) Would increase disclosure requirements for  
          RCFE licensee applicants and require applicant information  
          to be cross-referenced with the State Department of Public  





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          Health. Would require, by 2015, CDSS to create an online  
          inquiry system posting detailed information about RCFE  
          facilities including complaints, deficiencies and  
          enforcement actions resulting in fines. In subsequent  
          years, would require CDSS to post additional information,  
          as specified. 


          AB 1572 (Eggman) Would require RCFEs, at the request of two  
          or more residents, to assist the residents in establishing  
          and maintaining a single resident council, as specified,  
          and would require the facility to interact with the council  
          in specified ways.


          AB 1523 (Atkins and Weber)Would require RCFEs to maintain  
          liability insurance covering injury to residents and guests  
          in the amount of $1 million per occurrence and $3 million  
          annually.


          AB 1436 (Waldron) Would require the results of all reports  
          of inspections, evaluations or consultations and lists of  
          deficiencies to be posted on the department's Internet Web  
          site.


          AB 1454 (Calderon) Would require all licensed community  
          care facilities, RCFEs, and child day care centers to be  
          subject to an annual unannounced visits visit by CDSS. 


          AB 1570 (Chesbro) Would increase the certification training  
          requirements for RCFE administrators, training requirements  
          for RCFE staff that care for residents, and training  
          requirements for staff providing dementia care.


          AB 1554 (Skinner) Would make various changes to existing  
          RCFE complaint procedures including requiring the  
          department to make an onsite inspection within 24 hours of  
          a complaint alleging abuse, neglect or a threat of imminent  
          danger. Additionally would require the department to  
          complete its investigation within 90 days of receiving a  
          complaint. Would permit a complainant to file an appeal of  





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          departmental findings. 


          AB 1899 (Brown) Would make a person whose license is  
          revoked or forfeited for abandonment of the facility  
                                                               ineligible for reinstatement of the license for a period of  
          10 years following the revocation or forfeiture.  
          Additionally would require CDSS to establish and maintain a  
          telephone hotline and an Internet Web site dedicated to  
          receiving complaints. 
          
          AB 2171 (Wieckowski) Would establish specified RCFE  
          resident's rights and require facilities to inform  
          residents of these rights as specified.


          AB 2044 (Rodriguez) Would require every licensed  
          residential care facility to be subject to an annual  
          unannounced visit by the department, as specified.  
          Additionally, would require complaints to be inspected  
          within three days if the complaint involves alleged abuse  
          or serious neglect, or within 10 days for all other  
          complaints and would require investigations to be completed  
          within 30 days. Would provide a complainant with the right  
          to request an informal conference and subsequent appeal, as  
          specified. Also would require certain staff to be present  
          in the facility for specified times.


          Prior legislation


          AB 313 (Monning, Chapter 365, Statutes of 2011) Requires  
          each RCFE to provide residents, their responsible parties,  
          and the local long-term care ombudsman with a 10-day  
          written notice when CDSS commences proceedings to suspend  
          or revoke its license, or a criminal action relating to  
          health or safety of the residents is brought against the  
          facility, and makes other changes related to these actions.


          AB 2066 (Monning, Chapter 643 Statutes of 2012) Requires  
          RCFEs to provide a 60 day written notice to residents or  
          the responsible person within 24 following receipt of CDSSs  
          order of revocation. Permits the licensee to secure an  





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          alternative manager, as specified. Requires RCFEs to refund  
          all or a portion of preadmission fees to residents  
          transferring as the result of a license revocation, as  
          specified.


          SB 897 (Leno, Chapter 376, Statutes of 2011) Requires  
          licensed residential care facilities for the elderly  
          (RCFEs) to notify CDSS, the state's Long-Term Care  
          Ombudsman and the facility's residents when the property is  
          subject to foreclosure or certain other events occur due to  
          financial distress.

          AB 419 (Mitchell, 2011) Would have required every community  
          care facility licensed by CDSS to be inspected unannounced  
          at least once per year using research based, field tested  
          inspection protocols, as specified. This bill died in the  
          Assembly Appropriations Committee.


           Comments:


           1. Concerns have been raised that this bill would require  
          the Department of Social Services to directly provide care  
          and supervision, distribute medications, or transport  
          residents. Staff recommends that should the bill move  
          forward, the following amendments be taken up in the Senate  
          Judiciary Committee to instead require the department to  
          arrange for or coordinate those services:


          Amend Page 7, Lines 38-40 and Page 8, Lines 1-26 as follows

               (k) If at any point during  the relocation process  or  
               following a temporary suspension or revocation of a  
               license  the director determines that  it is necessary  
               to protect  there is a risk to the residents of a  
               facility from physical or mental abuse, abandonment,  
               or any other substantial threat to health or safety,  
               the department shall take any necessary action to  
               minimize trauma for the  residents. The department is  
               responsible for the health and safety of all residents  
               until all residents have been appropriately placed.  
               These responsibilities shall include,   residents,  





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               including  , but not  be  limited to, all of the  
               following:
               (1) Contact any local agency that may have placement  
               or advocacy responsibility for the residents, and work  
               with those agencies to locate alternative placement  
               sites.
               (2) Contact the residents' relatives, legal  
               representatives, authorized agents in a health care  
               directive, or responsible parties.
               (3) Assist in the transfer of residents, and, if  
               necessary, arrange or  provide   coordinate   
               transportation.
               (4) Provide onsite evaluation of the residents and use  
               any medical personnel deemed appropriate by the  
               department to provide onsite evaluation of the  
               residents and assist in any transfers.
               (5) Arrange for or   provide  coordinate  care and  
          supervision.
               (6)  Arrange for the distribution of   Distribute   
          medications.
               (7) Arrange for the preparation and service of meals  
          and snacks.
               (8)  Arrange for the preparation of   Prepare  the  
               residents' records and medications for transfer of  
               each resident.
               (9) Assist in any way necessary to facilitate a safe  
          transfer of all residents.
               (10) Check on the status of each transferred  residents   
                resident  within 24 hours of transfer.


          2. To address concerns that HSC 1569.335 referenced in this  
          bill is outdated and confusing for the agencies mentioned,  
          the author would like to add a new section to this bill to  
          clarify the notice requirements under that section and to  
          ensure that the California Long Term Care Ombudsman  
          receives a precautionary notice regarding a potential  
          temporary suspension. Staff proposes that should the bill  
          move forward these amends be taken up in Senate Judiciary  
          Committee to reflect the following language:


          Section 1569.335 of the Health and Safety Code is amended  
          to read:  






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          (a)  The department shall  notify affected placement agencies  
          and   provide  the Office of the State Long-Term Care  
          Ombudsman, as defined in subdivision (c) of Section 9701 of  
          the Welfare and Institutions Code  with a precautionary  
          notification if the director is reasonably contemplating a  
          temporary suspension or revocation of any license, so that  
          the office may properly prepare to provide advocacy  
          services if and when necessary. 


           (b) The department shall notify affected public placement  
          agencies, including the Office of the State Long Term Care  
          Ombudsman,  whenever the department substantiates that a  
          violation has occurred which poses a serious threat to the  
          health and safety of any resident when the violation  
          results in the assessment of any penalty or causes an  
          accusation to be filed for the revocation of a license. 
             (1)  If the violation is appealed by the facility within  
            10 days, the department shall only notify placement  
            agencies of the violation when the appeal has been  
            exhausted. 
             (2)  If the appeal process has not been completed within  
            60 days, the placement agency shall be notified with a  
            notation which indicates that the case is still under  
            appeal. 
             (3)  The notice to each placement agency shall be updated  
            monthly for the following 24-month period and shall  
            include the name and location of the facility, the amount  
            of the fine, the nature of the violation, the corrective  
            action taken, the status of the revocation, and the  
            resolution of the complaint.



                                    POSITIONS  

          Support:       California Advocates for Nursing Home Reform  
          (Sponsor)
                         Advocacy Inc. 
                         California Continuing Care Residents  
          Association
                         California retired Teachers Association
                         Consumer Attorneys of California
                         Consumer Federation of California





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                         County of San Diego
                         Elder Law & Advocacy
                         Jewish Family Services of Los Angeles
                         Johnson Moore Trial Lawyers
                         Ombudsman & HICAP Services of Northern  
                    California
                         Ombudsman Services of Contra Costa
                         195 Individuals


          Oppose:   None received.


                                   -- END --