BILL ANALYSIS Ó AB 1387 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 1387 (Chu) As Amended September 4, 2015 Majority vote -------------------------------------------------------------------- |ASSEMBLY: |74-0 | (May 22, |SENATE: |39-0 |(September 10, | | | |2015) | | |2015) | | | | | | | | | | | | | | | -------------------------------------------------------------------- Original Committee Reference: HUM. S. SUMMARY: Streamlines the appeals process for community care facility civil penalty and violation appeals and enhances the complaint process for residential care facilities for the elderly. Specifically, this bill: 1)States legislative intent to enact legislation clarifying the complaint process for residential care facilities for the elderly (RCFEs) and revising the appeal procedures for deficiencies issued against care facilities licensed by the Department of Social Services (DSS/department). 2)Requires the program administrator of the Community Care Licensing Division (CCLD) within DSS to approve the decision AB 1387 Page 2 to issue a citation imposing a civil penalty for a violation that DSS determines resulted in the death, physical abuse, or serious bodily injury of an individual, as specified. 3)Requires a notification of deficiency written by a representative of DSS to include a factual description of the nature of the deficiency, as specified. 4)Provides for a two-level appeals process for a civil penalty assessed for a violation that DSS determines resulted in the death, physical abuse, or serious bodily injury of an individual, as specified, with the first level involving a review by the deputy director of CCLD and the second level involving an appeal to an administrative law judge, as specified. 5)Provides for a two-level appeals process for any other civil penalty or deficiency, with the first level involving a review by the regional manager of CCLD, and the second level involving a review by the program administrator of CCLD. Further, states that the program administrator's decision is considered final and concludes the licensee's administrative appeal rights regarding the appeal in question. 6)Requires a licensee to submit a request for formal review of a civil penalty or an appeal of a decision at a previous level of review within 15 business days of receipt of the notice of the civil penalty assessment or decision. 7)Specifies that the licensee shall provide all available supporting documentation at the time the licensee submits a request for formal review of a civil penalty or an appeal of a decision. Further, permits a licensee to submit additional supporting documentation, unavailable at the time that he or she submitted the request for review or appeal, within the first 30 business days after submitting the request or appeal. AB 1387 Page 3 8)Requires DSS, if it requires additional information from the licensee, to request that information within 30 business days after receiving the request for review or appeal. Further, requires the licensee to provide this requested information within 30 business days of receiving the request from the department. 9)Requires the licensee to be notified of the department's decision within 60 business days of the date when all necessary information was provided to the department by the licensee. 10)Requires DSS to give priority to a complaint filed by a local long-term care ombudsman or the State Long-Term Care Ombudsman that alleges denial of a statutory right of access to an RCFE, as specified. Further, requires DSS to notify the Office of the State Long-Term Care Ombudsman that such an investigation has been initiated. 11)Requires DSS to, prior to conducting an onsite investigation regarding an RCFE complaint, make a good faith effort, documented in writing, to contact and interview the complainant and inform the complainant of the department's proposed course of action and the relevant deadline for the department to complete its investigation. Further requires, to the extent practicable, that the person conducting the interview be the representative who interviews and makes contact with the complainant. 12)Requires DSS to notify the complainant in writing of its decision regarding the RCFE complaint within 10 business days of completing the investigation. 13)Deletes the requirement that revenues from civil penalties levied by DSS against licensed day care providers be used to assist families with the identification, transportation, and AB 1387 Page 4 enrollment of children to another day care center when a family's day care center's license is revoked or temporarily suspended. 14)Deletes the requirement that revenues from civil penalties levied by DSS against licensed family day care home providers be used to assist families with the identification, transportation, and enrollment of children to another day care center when a family's family day care home's license is revoked or temporarily suspended. 15)Makes other technical changes. The Senate amendments: 1)State legislative intent to enact legislation clarifying the complaint process for RCFEs and revising the appeal procedures for deficiencies issued against care facilities licensed by DSS. 2)Streamline community care facility civil penalties and violation appeals processes by reducing the number of steps in an appeal, amending and clarifying timelines, and making other administrative changes. 3)Modify existing requirements regarding complaints of denial of statutory right of access to RCFEs to give priority to such complaints filed by a local or state long-term care ombudsman and ensure communication with the Office of the State Long-Term Care Ombudsman. 4)Require DSS to make a good faith effort communicate with and interview an RCFE complainant and to notify the complainant in writing of its decision within 10 business days of completing the investigation. AB 1387 Page 5 5)Make other technical changes. EXISTING LAW: 1)Authorizes DSS to levy a civil penalty against a licensed RCFE, day care center, family day care home, or other community care facility in addition to the suspension, temporary suspension, or revocation of the license of each type of facility. Establishes civil penalty amounts that correspond to specific program violations and repeat violations in licensed community care facilities. Specifies heightened penalties, as of July 1, 2015, for violations that DSS has determined resulted in the death, physical abuse, or serious bodily harm of an individual. (Health and Safety Code (HSC) Sections 1548, 1568.0822, 1569.49,1596.99, 1597.58) 2)Specifies an individual's rights and DSS's responsibilities regarding complaints filed about RCFEs. (HSC Sections 1569.35) FISCAL EFFECT: According to the Senate Appropriations Committee, this bill may result in the following costs: 1)Appeals process for death/serious violations: Potential future cost savings due to simplification of the civil penalty review and appeals process from a four-tiered to two-tiered level of review. 2)Appeals process for all other violations: Potentially significant ongoing costs in excess of $150,000 (General Fund) annually. COMMENTS: This bill repeals provisions regarding the use of AB 1387 Page 6 revenues from civil penalties levied by DSS against licensed day care and family day care home providers that were inadvertently included in August 22, 2014, amendments made to AB 2236 (Maienschein), Chapter 813, Statutes of 2014, when the bill was in the Senate. Additionally, this bill does the following: streamlines the four-step appeals process for serious violations codified in AB 2236 by reducing this process to two steps; adopts a separate two-step appeals process for all other civil penalties and violations; extends and clarifies timelines for submission and request of information during the appeals process; and enhances the current process for RCFE complaints by adopting a timeline and complainant communication requirements for DSS. PRIOR LEGISLATION: AB 2236, among other provisions, imposed a new civil penalty structure, commencing July 1, 2015, for program violations in facilities licensed by the Community Care Licensing Division of DSS involving the death or physical abuse of, or serious bodily injury to, a resident or child at the care facility. Analysis Prepared by: Myesha Jackson / HUM. S. / (916) 319-2089 FN: 0002326