SB 238, as amended, Mitchell. Foster care: psychotropic medication.
Existing law authorizes only a juvenile court judicial officer to make orders regarding the administration of psychotropic medications for a dependent child or a ward of the court who has been removed from the physical custody of his or her parent, as specified. Existing law requires court authorization for the administration of psychotropic medication to be based on a request from a physician, indicating the reasons for the request, a description of the child’s or ward’s diagnosis and behavior, the expected results of the medication, and a description of any side effects of the medication. Existing law requires the officer to approve or deny the request for authorization to administer psychotropic medication, or set the matter for hearing, as specified, within 7 court days. Existing law requires the Judicial Council to adopt rules of court and develop appropriate forms for the implementation of these provisions.
This bill would require the Judicial Council, on or before July 1, 2016, to amend and adopt rules of court and develop appropriate forms for the implementation of these provisions, in consultation with the State Department of Social Services, the State Department of Health Care Services, and specified stakeholders. The bill would require the rules of court and forms to address, among other things, that the child or ward and his or her caregiver and court-appointed special advocate, if any, have an opportunity to provide input on the medications being prescribed, and would require the updates to include a process for periodic oversight by the court of orders regarding the administration of psychotropic medications. The bill would also require a county child welfare department, probation agency, or other person who requests authorization for the administration of psychotropic medication to provide the child’s caregiver with a copy of the resulting court order, thereby imposing a state-mandated local program.
This bill would also require the State Department of Social Services, in consultation with specified parties, to develop and distribute a monthly report to each county placing agency that is a signatory to a specified data sharing agreement, and would require this report to include specified information regarding each child for whom one or more psychotropic medications have been paid for under Medi-Cal, including, among others things, the psychotropic medications that have been authorized for the child. The bill would also require a county placing agency to share information pertaining to the child with the juvenile court, the child’s attorney, and the county department of behavioral health, the child’s court-appointed special advocate, if one has been appointed. By imposing additional duties on county employees, the bill would impose a state-mandated local program.
Existing law requires certain individuals involved in the care and oversight of children in foster care, including group home administrators, foster parents, relative caregivers, nonrelative extended family member caregivers, social workers, judges, and attorneys, to receive training on various topics.
This bill would require the training to include training developed by the State Department of Social Services, in consultation with specified parties, regarding the authorization, uses, risks, benefits, assistance with self-administration, oversight, and monitoring of psychotropic medications, trauma, and substance use disorder and mental health treatments, for those children. The bill would also require foster care public health nurses to receive this training. By imposing additional training requirements on social workers and public health nurses, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
end deleteThis bill would provide that no reimbursement is required by this act for a specified reason.
end deleteThis bill would incorporate additional changes proposed by AB 224, AB 403, SB 319, and SB 794, which would become operative only if this bill is chaptered last.
end insertbegin insertThe California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
end insertbegin insertThis bill would provide that with regard to certain mandates no reimbursement is required by this act for a specified reason.
end insertbegin insertWith regard to any other mandates, this bill would provide that, if the Commission on State Mandates determines that the bill contains costs so mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
end insertVote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.
The people of the State of California do enact as follows:
Section 1522.41 of the Health and Safety Code
2 is amended to read:
(a) The director, in consultation and collaboration
4with county placement officials, group home provider
5organizations, the Director of Health Care Services, and the
6Director of Developmental Services, shall develop and establish
7a certification program to ensure that administrators of group home
8facilities have appropriate training to provide the care and services
9for which a license or certificate is issued.
P4 1(b) (1) In addition to any other requirements or qualifications
2required by the department, an administrator of a group home
3facility shall successfully complete a department-approved
4certification program, pursuant to subdivision (c), prior to
5employment. An
administrator employed in a group home on the
6effective date of this section shall meet the requirements of
7paragraph (2) of subdivision (c).
8(2) In those cases when the individual is both the licensee and
9the administrator of a facility, the individual shall comply with all
10of the licensee and administrator requirements of this section.
11(3) Failure to comply with this section shall constitute cause for
12revocation of the license of the facility.
13(4) The licensee shall notify the department within 10 days of
14any change in administrators.
15(c) (1) The administrator certification programs shall require
16a minimum of 40 hours of classroom instruction
that provides
17training on a uniform core of knowledge in each of the following
18areas:
19(A) Laws, regulations, and policies and procedural standards
20that impact the operations of the type of facility for which the
21applicant will be an administrator.
22(B) Business operations.
23(C) Management and supervision of staff.
24(D) Psychosocial and educational needs of the facility residents,
25including, but not limited to, the information described in
26subdivision (d) of Section 16501.4 of the Welfare and Institutions
27Code.
28(E) Community and support services.
29(F) Physical needs for facility residents.
30(G) Administration, storage, misuse, and interaction of
31medication used by facility residents.
32(H) Resident admission, retention, and assessment procedures,
33including the right of a foster child to have fair and equal access
34to all available services, placement, care, treatment, and benefits,
35and to not be subjected to discrimination or harassment on the
36basis of actual or perceived race, ethnic group identification,
37ancestry, national origin, color, religion, sex, sexual orientation,
38gender identity, mental or physical disability, or HIV status.
P5 1(I) Instruction on cultural competency and sensitivity relating
2to, and best practices for, providing adequate care to lesbian,
gay,
3bisexual, and transgender youth in out-of-home care.
4(J) Nonviolent emergency intervention and reporting
5requirements.
6(K) Basic instruction on the existing laws and procedures
7regarding the safety of foster youth at school and the ensuring of
8a harassment- and violence-free school environment contained in
9the School Safety and Violence Prevention Act (Article 3.6
10(commencing with Section 32228) of Chapter 2 of Part 19 of
11Division 1 of Title 1 of the Education Code).
12(2) The department shall adopt separate program requirements
13for initial certification for persons who are employed as group
14home administrators on the effective date of this section. A person
15employed as an administrator of a group home facility
on the
16effective date of this section shall obtain a certificate by completing
17the training and testing requirements imposed by the department
18within 12 months of the effective date of the regulations
19implementing this section. After the effective date of this section,
20these administrators shall meet the requirements imposed by the
21department on all other group home administrators for certificate
22renewal.
23(3) Individuals applying for certification under this section shall
24successfully complete an approved certification program, pass a
25written test administered by the department within 60 days of
26completing the program, and submit to the department the
27documentation required by subdivision (d) within 30 days after
28being notified of having passed the test. The department may
29extend these time deadlines for good cause. The department shall
30
notify the applicant of his or her test results within 30 days of
31administering the test.
32(d) The department shall not begin the process of issuing a
33certificate until receipt of all of the following:
34(1) A certificate of completion of the administrator training
35required pursuant to this chapter.
36(2) The fee required for issuance of the certificate. A fee of one
37hundred dollars ($100) shall be charged by the department to cover
38the costs of processing the application for certification.
39(3) Documentation from the applicant that he or she has passed
40the written test.
P6 1(4) Submission of fingerprints
pursuant to Section 1522. The
2department may waive the submission for those persons who have
3a current clearance on file.
4(5) That person is at least 21 years of age.
5(e) It shall be unlawful for any person not certified under this
6section to hold himself or herself out as a certified administrator
7of a group home facility. Any person willfully making any false
8representation as being a certified administrator or facility manager
9is guilty of a misdemeanor.
10(f) (1) Certificates issued under this section shall be renewed
11every two years and renewal shall be conditional upon the
12certificate holder submitting documentation of completion of 40
13hours of continuing education related to the core of knowledge
14
specified in subdivision (c). No more than one-half of the required
1540 hours of continuing education necessary to renew the certificate
16may be satisfied through online courses. All other continuing
17education hours shall be completed in a classroom setting. For
18purposes of this section, an individual who is a group home facility
19administrator and who is required to complete the continuing
20education hours required by the regulations of the State Department
21of Developmental Services, and approved by the regional center,
22may have up to 24 of the required continuing education course
23hours credited toward the 40-hour continuing education
24requirement of this section. Community college course hours
25approved by the regional centers shall be accepted by the
26department for certification.
27(2) Every administrator of a group home facility shall
complete
28the continuing education requirements of this subdivision.
29(3) Certificates issued under this section shall expire every two
30years on the anniversary date of the initial issuance of the
31certificate, except that any administrator receiving his or her initial
32certification on or after July 1, 1999, shall make an irrevocable
33election to have his or her recertification date for any subsequent
34recertification either on the date two years from the date of issuance
35of the certificate or on the individual’s birthday during the second
36calendar year following certification. The department shall send
37a renewal notice to the certificate holder 90 days prior to the
38expiration date of the certificate. If the certificate is not renewed
39prior to its expiration date, reinstatement shall only be permitted
40after the certificate holder has paid a
delinquency fee equal to three
P7 1times the renewal fee and has provided evidence of completion of
2the continuing education required.
3(4) To renew a certificate, the certificate holder shall, on or
4before the certificate expiration date, request renewal by submitting
5to the department documentation of completion of the required
6continuing education courses and pay the renewal fee of one
7hundred dollars ($100), irrespective of receipt of the department’s
8notification of the renewal. A renewal request postmarked on or
9before the expiration of the certificate shall be proof of compliance
10with this paragraph.
11(5) A suspended or revoked certificate shall be subject to
12expiration as provided for in this section. If reinstatement of the
13certificate is approved by the department, the
certificate holder,
14as a condition precedent to reinstatement, shall submit proof of
15compliance with paragraphs (1) and (2) of subdivision (f), and
16shall pay a fee in an amount equal to the renewal fee, plus the
17delinquency fee, if any, accrued at the time of its revocation or
18suspension. Delinquency fees, if any, accrued subsequent to the
19time of its revocation or suspension and prior to an order for
20reinstatement, shall be waived for a period of 12 months to allow
21the individual sufficient time to complete the required continuing
22education units and to submit the required documentation.
23Individuals whose certificates will expire within 90 days after the
24order for reinstatement may be granted a three-month extension
25to renew their certificates during which time the delinquency fees
26shall not accrue.
27(6) A certificate that is not
renewed within four years after its
28expiration shall not be renewed, restored, reissued, or reinstated
29except upon completion of a certification training program, passing
30any test that may be required of an applicant for a new certificate
31at that time, and paying the appropriate fees provided for in this
32section.
33(7) A fee of twenty-five dollars ($25) shall be charged for the
34reissuance of a lost certificate.
35(8) A certificate holder shall inform the department of his or
36her employment status and change of mailing address within 30
37days of any change.
38(g) Unless otherwise ordered by the department, the certificate
39shall be considered forfeited under either of the following
40conditions:
P8 1(1) The department has revoked any license held by the
2administrator after the department issued the certificate.
3(2) The department has issued an exclusion order against the
4administrator pursuant to Section 1558, 1568.092, 1569.58, or
51596.8897, after the department issued the certificate, and the
6administrator did not appeal the exclusion order or, after the appeal,
7the department issued a decision and order that upheld the
8exclusion order.
9(h) (1) The department, in consultation and collaboration with
10county placement officials, provider organizations, the State
11Department of Health Care Services, and the State Department of
12Developmental Services, shall establish, by regulation, the program
13content,
the testing instrument, the process for approving
14certification training programs, and criteria to be used in
15authorizing individuals, organizations, or educational institutions
16to conduct certification training programs and continuing education
17courses. The department may also grant continuing education hours
18for continuing courses offered by accredited educational institutions
19that are consistent with the requirements in this section. The
20department may deny vendor approval to any agency or person in
21any of the following circumstances:
22(A) The applicant has not provided the department with evidence
23satisfactory to the department of the ability of the applicant to
24satisfy the requirements of vendorization set out in the regulations
25adopted by the department pursuant to subdivision (j).
26(B) The applicant person or agency has a conflict of interest in
27that the person or agency places its clients in group home facilities.
28(C) The applicant public or private agency has a conflict of
29interest in that the agency is mandated to place clients in group
30homes and to pay directly for the services. The department may
31deny vendorization to this type of agency only as long as there are
32other vendor programs available to conduct the certification
33training programs and conduct education courses.
34(2) The department may authorize vendors to conduct the
35administrator’s certification training program pursuant to this
36section. The department shall conduct the written test pursuant to
37regulations adopted by the department.
38(3) The department shall prepare and maintain an updated list
39of approved training vendors.
P9 1(4) The department may inspect certification training programs
2and continuing education courses, including online courses, at no
3charge to the department, to determine if content and teaching
4methods comply with regulations. If the department determines
5that any vendor is not complying with the requirements of this
6section, the department shall take appropriate action to bring the
7program into compliance, which may include removing the vendor
8from the approved list.
9(5) The department shall establish reasonable procedures and
10timeframes not to exceed 30 days for the approval of vendor
11training programs.
12(6) The
department may charge a reasonable fee, not to exceed
13one hundred fifty dollars ($150) every two years, to certification
14program vendors for review and approval of the initial 40-hour
15training program pursuant to subdivision (c). The department may
16also charge the vendor a fee, not to exceed one hundred dollars
17($100) every two years, for the review and approval of the
18continuing education courses needed for recertification pursuant
19to this subdivision.
20(7) (A) A vendor of online programs for continuing education
21shall ensure that each online course contains all of the following:
22(i) An interactive portion in which the participant receives
23feedback, through online communication, based on input from the
24participant.
25(ii) Required use of a personal identification number or personal
26identification information to confirm the identity of the participant.
27(iii) A final screen displaying a printable statement, to be signed
28by the participant, certifying that the identified participant
29completed the course. The vendor shall obtain a copy of the final
30screen statement with the original signature of the participant prior
31to the issuance of a certificate of completion. The signed statement
32of completion shall be maintained by the vendor for a period of
33three years and be available to the department upon demand. Any
34person who certifies as true any material matter pursuant to this
35clause that he or she knows to be false is guilty of a misdemeanor.
36(B) Nothing in this subdivision shall prohibit the department
37
from approving online programs for continuing education that do
38not meet the requirements of subparagraph (A) if the vendor
39demonstrates to the department’s satisfaction that, through
P10 1advanced technology, the course and the course delivery meet the
2requirements of this section.
3(i) The department shall establish a registry for holders of
4certificates that shall include, at a minimum, information on
5employment status and criminal record clearance.
6(j) Subdivisions (b) to (i), inclusive, shall be implemented upon
7regulations being adopted by the department, by January 1, 2000.
8(k) Notwithstanding any law to the contrary, vendors approved
9by the department who exclusively provide either initial or
10continuing education
courses for certification of administrators of
11a group home facility as defined by regulations of the department,
12an adult residential facility as defined by regulations of the
13department, or a residential care facility for the elderly as defined
14in subdivision (k) of Section 1569.2, shall be regulated solely by
15the department pursuant to this chapter. No other state or local
16governmental entity shall be responsible for regulating the activity
17of those vendors.
begin insertSection 1522.41 of the end insertbegin insertHealth and Safety Codeend insertbegin insert is
19amended to read:end insert
(a) begin insert(1)end insertbegin insert end insertThebegin delete director,end deletebegin insert department,end insert in consultation and
21collaboration with county placement officials, group home provider
22organizations, the Director of Health Care Services, and the
23Director of Developmental Services, shall develop and establish
24begin delete aend deletebegin insert an administratorend insert certificationbegin insert
trainingend insert program to ensure that
25administrators of group home facilities have appropriate training
26to provide the care and services for which a license or certificate
27is issued.
28(2) The department shall develop and establish an administrator
29certification training program to ensure that administrators of
30short-term residential treatment center facilities have appropriate
31training to provide the care and services for which a license or
32certificate is issued.
33(b) (1) In addition to any other requirements or qualifications
34required by the department, an administrator of a group home
35begin delete facilityend deletebegin insert
or short-term residential treatment centerend insert
shall successfully
36complete abegin insert specifiedend insert department-approvedbegin insert trainingend insert certification
37program, pursuant to subdivision (c), prior to employment.begin delete An
38administrator employed in a group
home on the effective date of
39this section shall meet the requirements of paragraph (2) of
40subdivision (c).end delete
P11 1(2) In those casesbegin delete whereend deletebegin insert whenend insert the individual is both the licensee
2and the administrator of a facility, the individual shall comply with
3all of the licensee and administrator requirements of this section.
4(3) Failure to comply with this section shall constitute cause for
5revocation of the license of the facility.
6(4) The licensee shall notify the department within 10 days of
7any change in administrators.
8(c) (1) The administrator
certification programsbegin insert for group homesend insert
9
shall require a minimum of 40 hours of classroom instruction that
10provides training on a uniform core of knowledge in each of the
11following areas:
12(A) Laws, regulations, and policies and procedural standards
13that impact the operations of the type of facility for which the
14applicant will be an administrator.
15(B) Business operations.
16(C) Management and supervision of staff.
17(D) Psychosocial and educational needs of the facilitybegin delete residents.end delete
18begin insert residents, including, but not limited to, the information described
19in subdivision (d) of Section 16501.4 of the Welfare and Institutions
20
Code. end insert
21(E) Community and support services.
22(F) Physical needsbegin delete forend deletebegin insert
ofend insert facility residents.
23(G) begin deleteAdministration, end deletebegin insertAssistance with self-administration, end insertstorage,
24misuse, and interaction of medication used by facility residents.
25(H) Resident admission, retention, and assessment procedures,
26including the right of a foster child to have fair and equal access
27to all available services, placement, care, treatment, and benefits,
28and to not be subjected to discrimination or harassment on the
29basis of actual or perceived race, ethnic group identification,
30ancestry, national origin, color, religion, sex, sexual orientation,
31gender identity, mental or physical disability, or HIV status.
32(I) Instruction on cultural competency and sensitivitybegin delete relating begin insert
and relatedend insert best practices
33to, andend deletebegin delete for,end deletebegin insert forend insert providing adequate care
34begin delete to lesbian, gay, bisexual, and transgender youth in out-of-home begin insert for children across diverse ethnic and racial backgrounds,
35care.end delete
36as well as children identifying as lesbian, gay, bisexual, or
37transgender.end insert
38(J) Nonviolent emergency intervention and reporting
39requirements.
P12 1(K) Basic instruction on the existing laws and procedures
2regarding the safety of foster youth at school and the ensuring of
3a
harassment- and violence-free school environment contained in
4begin delete the School Safety and Violence Prevention Act (Articleend deletebegin insert
Articleend insert
5 3.6 (commencing with Section 32228) of Chapter 2 of Part 19 of
6Division 1 of Title 1 of the Educationbegin delete Code).end deletebegin insert Code.end insert
7(2) The department shall adopt separate program requirements
8for initial certification for persons who are employed as group
9home administrators on the effective date of this section. A person
10employed as an administrator of a group home facility on the
11effective date of this section shall obtain a certificate by completing
12the training and testing requirements imposed by the department
13within 12 months of the effective date of the regulations
14implementing this section. After the effective date of this section,
15these administrators shall meet the requirements imposed by the
16department on all other group home administrators for certificate
17renewal.
18begin insert(2)end insertbegin insert end insertbegin insertThe administrator certification programs for short-term
19residential treatment centers shall require a minimum of 40 hours
20of classroom instruction that provides training on a uniform core
21of knowledge in each of the following areas:end insert
22(A) Laws, regulations, and policies and procedural standards
23that impact the operations of the type of facility for which the
24applicant will be an administrator.
25(B) Business operations and management and supervision of
26staff, including staff training.
27(C) Physical and psychosocial needs of the children, including
28behavior management,
de-escalation techniques, and trauma
29informed crisis management planning.
30(D) Permanence, well-being, and educational needs of the
31children.
32(E) Community and support services, including accessing local
33behavioral and mental health supports and interventions, substance
34use disorder treatments, and culturally relevant services, as
35appropriate.
36(F) Understanding the requirements and best practices
37regarding psychotropic medications, including, but not limited to,
38court authorization, uses, benefits, side effects, interactions,
39assistance with self-administration, misuse, documentation,
P13 1storage, and metabolic monitoring of children prescribed
2psychotropic medications.
3(G) Admission, retention, and assessment procedures, including
4the right of a foster
child to have fair and equal access to all
5available services, placement, care, treatment, and benefits, and
6to not be subjected to discrimination or harassment on the basis
7of actual or perceived race, ethnic group identification, ancestry,
8national origin, color, religion, sex, sexual orientation, gender
9identity, mental or physical disability, or HIV status.
10(H) The federal Indian Child Welfare Act (25 U.S.C. Sec. 1901
11et seq.), its historical significance, the rights of children covered
12by the act, and the best interests of Indian children as including
13culturally appropriate, child-centered practices that respect Native
14American history, culture, retention of tribal membership, and
15connection to the tribal community and traditions.
16(I) Instruction on cultural competency and sensitivity and related
17best practices for providing adequate care for children across
18diverse ethnic
and racial backgrounds, as well as children
19identifying as lesbian, gay, bisexual, or transgender.
20(J) Nonviolent emergency intervention and reporting
21requirements.
22(K) Basic instruction on the existing laws and procedures
23regarding the safety of foster youth at school and the ensuring of
24a harassment- and violence-free school environment contained in
25Article 3.6 (commencing with Section 32228) of Chapter 2 of Part
2619 of Division 1 of Title 1 of the Education Code.
27(d) Administrators who possess a valid group home license,
28issued by the department, are exempt from completing an approved
29initial certification training program and taking a written test,
30provided the individual completes 12 hours of classroom
31instruction in the following uniform core of knowledge areas:
32(1) Laws, regulations, and policies and procedural standards
33that impact the operations of a short-term residential treatment
34center.
35(2) (A) Authorization, uses, benefits, side effects, interactions,
36assistance with self-administration, misuse, documentation, and
37storage of medications.
38(B) Metabolic monitoring of children prescribed psychotropic
39medications.
P14 1(3) Admission, retention, and assessment procedures, including
2the right of a foster child to have fair and equal access to all
3available services, placement, care, treatment, and benefits, and
4to not be subjected to discrimination or harassment on the basis
5of actual or perceived race, ethnic group identification, ancestry,
6national origin, color, religion, sex, sexual orientation, gender
7identity,
mental or physical disability, or HIV status.
8begin insert(4)end insertbegin insert end insertbegin insertThe federal Indian Child Welfare Act (25 U.S.C. Sec. 1901
9et seq.), its historical significance, the rights of children covered
10by the act, and the best interests of Indian children as including
11culturally appropriate, child-centered practices that respect Native
12American history, culture, retention of tribal membership, and
13connection to the tribal community and traditions.end insert
14(5) Instruction on cultural competency and sensitivity and
15related best practices for providing adequate care for children
16across diverse ethnic and racial backgrounds, as well as children
17identifying as lesbian, gay, bisexual, or transgender.
18(6) Physical and psychosocial needs of children, including
19behavior management, deescalation techniques, and trauma
20informed crisis management planning.
21(3)
end delete
22begin insert(e)end insert Individuals applying forbegin insert administratorend insert
certification under
23this section shall successfully complete an approvedbegin insert administratorend insert
24 certificationbegin insert trainingend insert program, pass a written test administered by
25the department within 60 days of completing the program, and
26submit to the department the documentation required by
27subdivisionbegin delete (d)end deletebegin insert (f)end insert within 30 days after being notified of having
28passed the test. The department may extend these time deadlines
29for good cause. The department shall notify the applicant of his
30or her test results within 30 days of administering the test.
31(d)
end delete
32begin insert(f)end insert The department shall not begin the process of issuing a
33certificate until receipt of all of the following:
34(1) A certificate of completion of the administrator training
35required pursuant to this chapter.
36(2) The fee required for issuance of the certificate. A fee of one
37hundred dollars ($100) shall be charged by the department to cover
38the costs of processing the application for certification.
39(3) Documentation from the applicant that he or she has passed
40the written test.
P15 1(4) Submission of fingerprints pursuant to Section 1522. The
2department may waive the submission for those
persons who have
3a current clearance on file.
4(5) That person is at least 21 years of age.
5(e)
end delete
6begin insert(g)end insert It shall be unlawful for any person not certified under this
7section to hold himself or herself out as a certified administrator
8of a group homebegin delete facility.end deletebegin insert or short-term residential treatment center.end insert
9 Any person willfully making any false representation as being a
10certified administrator or facility manager is guilty of a
11
misdemeanor.
12(f)
end delete
13begin insert(h)end insert (1) Certificates issued under this section shall be renewed
14every two years and renewal shall be conditional upon the
15certificate holder submitting documentation of completion of 40
16hours of continuing education related to the core of knowledge
17specified in subdivision (c). No more than one-half of the required
1840 hours of continuing education necessary to renew the certificate
19may be satisfied through online courses. All other continuing
20education hours shall be completed in a classroom setting. For
21purposes of this section, an individual who is a group homebegin delete facilityend delete
22begin insert
or short-term residential treatment centerend insert administrator and who
23is required to complete the continuing education hours required
24by the regulations of the State Department of Developmental
25Services, and approved by the regional center, may have up to 24
26of the required continuing education course hours credited toward
27the 40-hour continuing education requirement of this section.
28begin delete Communityend deletebegin insert The department shall accept for certification,
29communityend insert college course hours approved by the regionalbegin delete centers begin insert centers.end insert
30shall be accepted by the department for certification.end delete
31(2) Every administrator of a group homebegin delete facilityend deletebegin insert or short-term
32residential treatment centerend insert shall complete the continuing
33education requirements of this subdivision.
34(3) Certificates issued under this section shall expire every two
35years on the anniversary date of the initial issuance of the
36certificate, except that any administrator receiving his or her initial
37certification on or after July 1, 1999, shall make an irrevocable
38election to have his or her recertification date for any subsequent
39recertification either on the date two years from the date of issuance
40of the certificate or on the individual’s birthday during the second
P16 1calendar year following certification. The department shall send
2
a renewal notice to the certificate holder 90 days prior to the
3expiration date of the certificate. If the certificate is not renewed
4prior to its expiration date, reinstatement shall only be permitted
5after the certificate holder has paid a delinquency fee equal to three
6times the renewal fee and has provided evidence of completion of
7the continuing education required.
8(4) To renew a certificate, the certificate holder shall, on or
9before the certificate expiration date, request renewal by submitting
10to the department documentation of completion of the required
11continuing education courses and pay the renewal fee of one
12hundred dollars ($100), irrespective of receipt of the department’s
13notification of the renewal. A renewal request postmarked on or
14before the expiration of the certificate shall be proof of compliance
15with this paragraph.
16(5) A suspended or revoked certificate
shall be subject to
17expiration as provided for in this section. If reinstatement of the
18certificate is approved by the department, the certificate holder,
19as a condition precedent to reinstatement, shall submit proof of
20compliance with paragraphs (1) and (2) ofbegin delete subdivision (f),end deletebegin insert end insertbegin insertthis
21subdivision,end insert and shall pay a fee in an amount equal to the renewal
22fee, plus the delinquency fee, if any, accrued at the time of its
23revocation or suspension. Delinquency fees, if any, accrued
24subsequent to the time of its revocation or suspension and prior to
25an order for reinstatement, shall be waived for a period of 12
26months to allow the individual sufficient time to complete the
27required continuing education units and to submit
the required
28documentation. Individuals whose certificates will expire within
2990 days after the order for reinstatement may be granted a
30three-month extension to renew their certificates during which
31time the delinquency fees shall not accrue.
32(6) A certificate that is not renewed within four years after its
33expiration shall not be renewed, restored, reissued, or reinstated
34except upon completion of a certification training program, passing
35any test that may be required of an applicant for a new certificate
36at that time, and paying the appropriate fees provided for in this
37section.
38(7) A fee of twenty-five dollars ($25) shall be charged for the
39reissuance of a lost certificate.
P17 1(8) A certificate holder shall inform the department of his or
2her employment status and change of mailing address within 30
3days of any
change.
4(g)
end delete
5begin insert(i)end insert Unless otherwise ordered by the department, the certificate
6shall be considered forfeited under either of the following
7conditions:
8(1) The department has revoked any license held by the
9administrator after the department issued the certificate.
10(2) The department has issued an exclusion order against the
11administrator pursuant to Section 1558, 1568.092, 1569.58, or
121596.8897, after the department issued the certificate, and the
13administrator did not appeal the exclusion order or, after the appeal,
14the department issued a decision
and order that upheld the
15exclusion order.
16(h)
end delete
17begin insert(j)end insert (1) The department, in consultation and collaboration with
18county placement officials, provider organizations, the State
19Department of Health Care Services, and the State Department of
20Developmental Services, shall establish, by regulation, the program
21content, the testing instrument, the process for approving
22begin insert
administratorend insert certification training programs, and criteria to be
23used in authorizing individuals, organizations, or educational
24institutions to conduct certification training programs and
25continuing education courses. The department may also grant
26continuing education hours for continuing courses offered by
27accredited educational institutions that are consistent with the
28requirements in this section. The department may deny vendor
29approval to any agency or person in any of the following
30circumstances:
31(A) The applicant has not provided the department with evidence
32satisfactory to the department of the ability of the applicant to
33satisfy the requirements of vendorization set out in the regulations
34adopted by thebegin delete department pursuant to subdivision (j).end deletebegin insert
department.end insert
35(B) The applicant person or agency has a conflict of interest in
36that the person or agency places its clients in groupbegin delete home facilities.end delete
37begin insert homes or short-term residential treatment centers.end insert
38(C) The applicant public or private agency has a conflict of
39interest in that the agency is mandated to place clients in group
40homesbegin insert or short-term residential treatment centersend insert and to pay
P18 1directly for the services. The department may deny vendorization
2to this type of agency only as long as there are other vendor
3programs available to conduct the
certification training programs
4and conduct education courses.
5(2) The department may authorize vendors to conduct the
6administrator’s certification training program pursuant to this
7section. The department shall conduct the written test pursuant to
8regulations adopted by the department.
9(3) The department shall prepare and maintain an updated list
10of approved training vendors.
11(4) The department may inspectbegin insert administratorend insert certification
12training programs and continuing education courses, including
13online courses, at no charge to the department, to determine if
14content and teaching methods comply with regulations. If the
15department determines that any vendor is not complying with the
16requirements of this section,
the department shall take appropriate
17action to bring the program into compliance, which may include
18removing the vendor from the approved list.
19(5) The department shall establish reasonable procedures and
20timeframes not to exceed 30 days for the approval of vendor
21training programs.
22(6) The department may charge a reasonable fee, not to exceed
23one hundred fifty dollars ($150) every two years, to certification
24program vendors for review and approval of the initial 40-hour
25training program pursuant to subdivision (c). The department may
26also charge the vendor a fee, not to exceed one hundred dollars
27($100) every two years, for the review and approval of the
28continuing education courses needed for recertification pursuant
29to this subdivision.
30(7) (A) A vendor of online programs for continuing
education
31shall ensure that each online course contains all of the following:
32(i) An interactive portion in which the participant receives
33feedback, through online communication, based on input from the
34participant.
35(ii) Required use of a personal identification number or personal
36identification information to confirm the identity of the participant.
37(iii) A final screen displaying a printable statement, to be signed
38by the participant, certifying that the identified participant
39completed the course. The vendor shall obtain a copy of the final
40screen statement with the original signature of the participant prior
P19 1to the issuance of a certificate of completion. The signed statement
2of completion shall be maintained by the vendor for a period of
3three years and be available to the department upon demand. Any
4person who
certifies as true any material matter pursuant to this
5clause that he or she knows to be false is guilty of a misdemeanor.
6(B) Nothing in this subdivision shall prohibit the department
7from approving online programs for continuing education that do
8not meet the requirements of subparagraph (A) if the vendor
9demonstrates to the department’s satisfaction that, through
10advanced technology, the course and the course delivery meet the
11requirements of this section.
12(i)
end delete
13begin insert(k)end insert The department shall establish a registry for holders of
14certificates that shall include, at a minimum, information on
15employment status and
criminal record clearance.
16(j) Subdivisions (b) to (i), inclusive, shall be implemented upon
17regulations being adopted by the department, by January 1, 2000.
18(k)
end delete
19begin insert(l)end insert Notwithstanding anybegin delete provision ofend delete law to the contrary, vendors
20approved by the department who exclusively provide either initial
21or continuing education courses for certification of administrators
22of a group homebegin delete facilityend deletebegin insert
or short-term residential treatment centerend insert
23 as defined by regulations of the department, an adult residential
24facility as defined by regulations of the department, or a residential
25care facility for the elderly as defined in subdivision (k) of Section
261569.2, shall be regulated solely by the department pursuant to
27this chapter. No other state or local governmental entity shall be
28responsible for regulating the activity of those vendors.
Section 1529.2 of the Health and Safety Code is
30amended to read:
(a) In addition to the foster parent training provided
32by community colleges, foster family agencies shall provide a
33program of training for their certified foster families.
34(b) (1) Every licensed foster parent shall complete a minimum
35of 12 hours of foster parent training, as prescribed in paragraph
36(3), before the placement of any foster children with the foster
37parent. In addition, a foster parent shall complete a minimum of
38eight hours of foster parent training annually, as prescribed in
39paragraph (4). No child shall be placed in a foster family home
P20 1unless these requirements are met by the persons in the home who
2are serving as the foster parents.
3(2) (A) Upon the request of the foster parent for a hardship
4waiver from the postplacement training requirement or a request
5for an extension of the deadline, the county may, at its option, on
6a case-by-case basis, waive the postplacement training requirement
7or extend any established deadline for a period not to exceed one
8year, if the postplacement training requirement presents a severe
9and unavoidable obstacle to continuing as a foster parent. Obstacles
10for which a county may grant a hardship waiver or extension are:
11(i) Lack of access to training due to the cost or travel required.
12(ii) Family emergency.
13(B) Before a waiver or extension may be
granted, the foster
14parent should explore the opportunity of receiving training by
15video or written materials.
16(3) The initial preplacement training shall include, but not be
17limited to, training courses that cover all of the following:
18(A) An overview of the child protective system.
19(B) The effects of child abuse and neglect on child development.
20(C) Positive discipline and the importance of self-esteem.
21(D) Health issues in foster care, including, but not limited to,
22the information described in subdivision (d) of Section 16501.4
23of the Welfare and Institutions Code.
24(E) Accessing education and health services available to foster
25children.
26(F) The right of a foster child to have fair and equal access to
27all available services, placement, care, treatment, and benefits, and
28to not be subjected to discrimination or harassment on the basis
29of actual or perceived race, ethnic group identification, ancestry,
30national origin, color, religion, sex, sexual orientation, gender
31identity, mental or physical disability, or HIV status.
32(G) Instruction on cultural competency and sensitivity relating
33to, and best practices for, providing adequate care to lesbian, gay,
34bisexual, and transgender youth in out-of-home care.
35(H) Basic
instruction on the existing laws and procedures
36regarding the safety of foster youth at school and the ensuring of
37a harassment and violence free school environment contained in
38the School Safety and Violence Prevention Act (Article 3.6
39(commencing with Section 32228) of Chapter 2 of Part 19 of
40Division 1 of Title 1 of the Education Code).
P21 1(4) The postplacement annual training shall include, but not be
2limited to, training courses that cover all of the following:
3(A) Age-appropriate child development.
4(B) Health issues in foster care, including, but not limited to,
5the information described in subdivision (d) of Section 16501.4
6of the Welfare and Institutions Code.
7(C) Positive discipline and the importance of self-esteem.
8(D) Emancipation and independent living skills if a foster parent
9is caring for youth.
10(E) The right of a foster child to have fair and equal access to
11all available services, placement, care, treatment, and benefits, and
12to not be subjected to discrimination or harassment on the basis
13of actual or perceived race, ethnic group identification, ancestry,
14national origin, color, religion, sex, sexual orientation, gender
15identity, mental or physical disability, or HIV status.
16(F) Instruction on cultural competency and sensitivity relating
17to, and best practices for, providing adequate care to lesbian, gay,
18bisexual, and transgender youth in out-of-home care.
19(5) Foster parent training may be attained through a variety of
20sources, including community colleges, counties, hospitals, foster
21parent associations, the California State Foster Parent Association’s
22
conference, adult schools, and certified foster parent instructors.
23(6) A candidate for placement of foster children shall submit a
24certificate of training to document completion of the training
25requirements. The certificate shall be submitted with the initial
26consideration for placements and provided at the time of the annual
27visit by the licensing agency thereafter.
28(c) Nothing in this section shall preclude a county from requiring
29county-provided preplacement or postplacement foster parent
30training in excess of the requirements in this section.
begin insertSection 1529.2 of the end insertbegin insertHealth and Safety Codeend insertbegin insert is
32amended to read:end insert
(a) In addition to the foster parent training provided
34by community colleges, foster family agencies shall provide a
35program of training for their certified foster families.
36(b) (1) Every licensed foster parent shall complete a minimum
37of 12 hours of foster parent training, as prescribed in paragraph
38(3), before the placement of any foster children with the foster
39parent. In addition, a foster parent shall complete a minimum of
40eight hours of foster parent training annually, as prescribed in
P22 1paragraph (4). No child shall be placed in a foster family home
2unless these requirements are met by the persons in the home who
3are serving as the foster parents.
4(2) (A) Upon the request of the foster parent for a hardship
5waiver from the postplacement training requirement or a request
6for an extension of the deadline, the county may, at its option, on
7a case-by-case basis, waive the postplacement training requirement
8or extend any established deadline for a period not to exceed one
9year, if the postplacement training requirement presents a severe
10and unavoidable obstacle to continuing as a foster parent. Obstacles
11for which a county may grant a hardship waiver or extension are:
12(i) Lack of access to training due to the cost or travel required.
13(ii) Family emergency.
14(B) Before a waiver or extension may be granted, the foster
15parent should explore the opportunity of receiving training by
16video or written materials.
17(3) The initial preplacement training shall include, but not be
18limited to, training courses that cover all of the following:
19(A) An overview of the child protective system.
20(B) The effects of child abuse and neglect on child development.
21(C) Positive discipline and the importance of self-esteem.
22(D) Health issues in fosterbegin delete care.end deletebegin insert care, including, but not limited
23to, the information described in subdivision (d) of Section 16501.4
24of the Welfare and Institutions Code.end insert
25(E) Accessing
education and health services available to foster
26children.
27(F) The right of a foster child to have fair and equal access to
28all available services, placement, care, treatment, and benefits, and
29to not be subjected to discrimination or harassment on the basis
30of actual or perceived race, ethnic group identification, ancestry,
31national origin, color, religion, sex, sexual orientation, gender
32identity, mental or physical disability, or HIV status.
33(G) Instruction on cultural competency and sensitivity relating
34begin delete to, andend deletebegin insert toend insert best practicesbegin delete for,end deletebegin insert
forend insert providing adequate care to lesbian,
35gay, bisexual, and transgender youth in out-of-home care.
36(H) Basic instruction on the existing laws and procedures
37regarding the safety of foster youth at school and the ensuring of
38abegin delete harassment and violence freeend deletebegin insert harassment- and violence-freeend insert
39
school environment contained inbegin delete the California Student Safety and begin insert Articleend insert 3.6 (commencing
40Violence Prevention Act of 2000 (Articleend delete
P23 1with Section 32228) of Chapter 2 of Part 19 of Division 1 of Title
21 of the Educationbegin delete Code).end deletebegin insert Code.end insert
3(4) The postplacement annual training shall include, but not be
4limited to, training courses that cover all of the following:
5(A) Age-appropriate child development.
6(B) Health issues in fosterbegin delete care.end deletebegin insert
care, end insertbegin insertincluding, but not limited
7to, the information described in subdivision (d) of Section 16501.4
8of the Welfare and Institutions Code.end insert
9(C) Positive discipline and the importance of self-esteem.
10(D) Emancipation and independent living skills if a foster parent
11is caring for youth.
12(E) The right of a foster child to have fair and equal access to
13all available services, placement, care, treatment, and benefits, and
14to not be subjected to discrimination or harassment on the basis
15of actual or perceived race, ethnic group identification, ancestry,
16national origin, color, religion, sex, sexual orientation, gender
17identity, mental or physical disability, or HIV
status.
18(F) Instruction on cultural competency and sensitivity relating
19to, and best practices for, providing adequate care to lesbian, gay,
20bisexual, and transgender youth in out-of-home care.
21(5) Foster parent training may be attained through a variety of
22sources, including community colleges, counties, hospitals, foster
23parent associations, the California State Foster Parent Association’s
24begin delete Conference,end deletebegin insert conference,end insert adult schools, and certified foster parent
25instructors.
26(6) A candidate for placement of foster children shall submit a
27certificate of training to document completion of the training
28requirements. The certificate
shall be submitted with the initial
29consideration for placements and provided at the time of the annual
30visit by the licensing agency thereafter.
31(c) Nothing in this section shall preclude a county from requiring
32county-provided preplacement or postplacement foster parent
33training in excess of the requirements in this section.
34(d) This section shall remain in effect only until January 1, 2017,
35and as of that date is repealed, unless a later enacted statute, that
36is enacted before January 1, 2017, deletes or extends that date.
begin insertSection 1529.2 is added to the end insertbegin insertHealth and Safety
38Codeend insertbegin insert, to read:end insert
(a) It is the intent of the Legislature that all foster
40parents have the necessary knowledge, skills, and abilities to
P24 1support the safety, permanency, and well-being of children in foster
2care. Initial and ongoing preparation and training of foster parents
3should support the foster parent’s role in parenting vulnerable
4children, youth, and young adults, including supporting the
5children’s connection with their families. Their training should
6be ongoing in order to provide foster parents with information on
7new practices and requirements and other helpful topics within
8the child welfare and probation systems and may be offered in a
9classroom setting, online, or individually.
10(b) A licensed or certified foster parent shall complete a
11minimum
of eight training hours annually, a portion of which shall
12be from one or more of the following topics, as prescribed by the
13department, pursuant to subdivision (a):
14(1) Age-appropriate child and adolescent development.
15(2) Health issues in foster care, including, but not limited to,
16the information described in subdivision (d) of Section 16501.4 of
17the Welfare and Institutions Code.
18(3) Positive discipline and the importance of self-esteem.
19(4) Preparation of children and youth for a successful transition
20to adulthood.
21(5) The right of a foster child to have fair and equal access to
22all available services, placement, care, treatment, and benefits,
23and to not be subjected to discrimination
or harassment on the
24basis of actual or perceived race, ethnic group identification,
25ancestry, national origin, color, religion, sex, sexual orientation,
26gender identity, mental or physical disability, or HIV status.
27(6) Instruction on cultural competency and sensitivity and
28related best practices for providing adequate care for children
29across diverse ethnic and racial backgrounds, as well as children
30identifying as lesbian, gay, bisexual, or transgender.
31(c) In addition to any training required by this section, a foster
32parent may be required to receive specialized training, as relevant,
33for the purpose of preparing the foster parent to meet the needs
34of a particular child in care. This training may include, but is not
35limited to, the following:
36(1) Understanding how to use best practices for providing care
37and
supervision to commercially sexually exploited children.
38(2) Understanding cultural needs of children, including, but not
39limited to, cultural competency and sensitivity and related best
40practices for providing adequate care to children across diverse
P25 1ethnic and racial backgrounds, as well as children identifying as
2lesbian, gay, bisexual, or transgender.
3(3) Understanding the requirements and best practices
4regarding psychotropic medications, including, but not limited to,
5court authorization, benefits, uses, side effects, interactions,
6assistance with self-administration, misuse, documentation,
7storage, and metabolic monitoring of children prescribed
8psychotropic medications.
9(4) Understanding the federal Indian Child Welfare Act (25
10U.S.C. Sec. 1901 et seq.), its historical significance, the rights of
11children
covered by the act, and the best interests of Indian
12children, including the role of the caregiver in supporting culturally
13appropriate, child-centered practices that respect Native American
14history, culture, retention of tribal membership and connection to
15the tribal community and traditions.
16(5) Understanding how to use best practices for providing care
17and supervision to nonminor dependents.
18(6) Understanding how to use best practices for providing care
19and supervision to children with special health care needs.
20(d) No child shall be placed with a foster parent unless each
21foster parent in the home meets the requirements of this section.
22(e) (1) Upon the request of the licensed or certified foster parent
23for a hardship waiver from the annual training
requirement or a
24request for an extension of the deadline, the county may, at its
25option, on a case-by-case basis, waive the training requirement
26or extend any established deadline for a period not to exceed one
27year, if the training requirement presents a severe and unavoidable
28obstacle to continuing as a foster parent.
29(2) Obstacles for which a county may grant a hardship waiver
30or extension are:
31(A) Lack of access to training due to the cost or travel required
32or lack of child care to participate in the training, when online
33resources are not available.
34(B) Family emergency.
35(3) Before a waiver or extension may be granted, the licensed
36or certified foster parent should explore the opportunity of
37receiving training online or by video or written
materials.
38(f) (1) Foster parent training may be obtained through sources
39that include, but are not necessarily limited to, community colleges,
40counties, hospitals, foster parent associations, the California State
P26 1Foster Parent Association’s Conference, online resources, adult
2schools, and certified foster parent instructors.
3(2) In addition to the foster parent training provided by
4community colleges, foster family agencies shall provide a program
5of training for their certified foster families.
6(g) (1) Training certificates shall be submitted to the appropriate
7licensing or foster family agency.
8(2) Upon completion, a licensed or certified parent shall submit
9a certificate of completion for the annual training requirements.
10(h) Nothing in this section shall preclude a county or a foster
11family agency from requiring foster parent training in excess of
12the requirements in this section.
13(i) This section shall become operative on January 1, 2017.
14(j) This section shall remain in effect only until January 1, 2019,
15and as of that date is repealed, unless a later enacted statute, that
16is enacted before January 1, 2019, deletes or extends that date.
Section 304.7 of the Welfare and Institutions Code is
18amended to read:
(a) The Judicial Council shall develop and implement
20standards for the education and training of all judges who conduct
21hearings pursuant to Section 300. The training shall include, but
22not be limited to, all of the following:
23(1) A component relating to Section 300 proceedings for newly
24appointed or elected judges and an annual training session in
25Section 300 proceedings.
26(2) Cultural competency and sensitivity relating to, and best
27practices for, providing adequate care to lesbian, gay, bisexual,
28and transgender youth.
29(3) The information described in
subdivision (d) of Section
3016501.4.
31(b) A commissioner or referee who is assigned to conduct
32hearings held pursuant to Section 300 shall meet the minimum
33standards for education and training established pursuant to
34subdivision (a), by July 31, 1998.
35(c) The Judicial Council shall submit an annual report to the
36Legislature on compliance by judges, commissioners, and referees
37with the education and training standards described in subdivisions
38(a) and (b).
Section 317 of the Welfare and Institutions Code is
40amended to read:
(a) (1) When it appears to the court that a parent or
2guardian of the child desires counsel but is presently financially
3unable to afford and cannot for that reason employ counsel, the
4court may appoint counsel as provided in this section.
5(2) When it appears to the court that a parent or Indian custodian
6in an Indian child custody proceeding desires counsel but is
7presently unable to afford and cannot for that reason employ
8counsel, the provisions of Section 1912(b) of Title 25 of the United
9States Code and Section 23.13 of Title 25 of the Code of Federal
10Regulations shall apply.
11(b) When it appears to the
court that a parent or guardian of the
12child is presently financially unable to afford and cannot for that
13reason employ counsel, and the child has been placed in
14out-of-home care, or the petitioning agency is recommending that
15the child be placed in out-of-home care, the court shall appoint
16counsel for the parent or guardian, unless the court finds that the
17parent or guardian has made a knowing and intelligent waiver of
18counsel as provided in this section.
19(c) (1) If a child or nonminor dependent is not represented by
20counsel, the court shall appoint counsel for the child or nonminor
21dependent, unless the court finds that the child or nonminor
22dependent would not benefit from the appointment of counsel. The
23court shall state on the record its reasons for that finding.
24(2) A primary responsibility of counsel appointed to represent
25a child or nonminor dependent pursuant to this section shall be to
26advocate for the protection, safety, and physical and emotional
27well-being of the child or nonminor dependent.
28(3) Counsel may be a district attorney, public defender, or other
29member of the bar, provided that he or she does not represent
30another party or county agency whose interests conflict with the
31child’s or nonminor dependent’s interests. The fact that the district
32attorney represents the child or nonminor dependent in a
33proceeding pursuant to Section 300 as well as conducts a criminal
34investigation or files a criminal complaint or information arising
35from the same or reasonably related set of facts as the proceeding
36pursuant to Section 300 is not in and of itself a conflict of interest.
37(4) The court may fix the compensation for the services of
38appointed counsel.
39(5) (A) The appointed counsel shall have a caseload and training
40that ensures adequate representation of the child or nonminor
P28 1dependent. The Judicial Council shall promulgate rules of court
2that establish caseload standards, training requirements, and
3guidelines for appointed counsel for children and shall adopt rules
4as required by Section 326.5 no later than July 1, 2001.
5(B) The training requirements imposed pursuant to subparagraph
6(A) shall include instruction on both of the following:
7(i) Cultural competency and sensitivity relating to, and best
8practices
for, providing adequate care to lesbian, gay, bisexual,
9and transgender youth in out-of-home care.
10(ii) The information described in subdivision (d) of Section
1116501.4.
12(d) Counsel shall represent the parent, guardian, child, or
13nonminor dependent at the detention hearing and at all subsequent
14proceedings before the juvenile court. Counsel shall continue to
15represent the parent, guardian, child, or nonminor dependent unless
16relieved by the court upon the substitution of other counsel or for
17cause. The representation shall include representing the parent,
18guardian, or the child in termination proceedings and in those
19proceedings relating to the institution or setting aside of a legal
20guardianship. On and after January 1, 2012, in the case of a
21nonminor dependent, as described in
subdivision (v) of Section
2211400, no representation by counsel shall be provided for a parent,
23unless the parent is receiving court-ordered family reunification
24services.
25(e) (1) Counsel shall be charged in general with the
26representation of the child’s interests. To that end, counsel shall
27make or cause to have made any further investigations that he or
28she deems in good faith to be reasonably necessary to ascertain
29the facts, including the interviewing of witnesses, and shall
30examine and cross-examine witnesses in both the adjudicatory and
31dispositional hearings. Counsel may also introduce and examine
32his or her own witnesses, make recommendations to the court
33concerning the child’s welfare, and participate further in the
34proceedings to the degree necessary to adequately represent the
35child. When counsel is
appointed to represent a nonminor
36dependent, counsel is charged with representing the wishes of the
37nonminor dependent except when advocating for those wishes
38conflicts with the protection or safety of the nonminor dependent.
39If the court finds that a nonminor dependent is not competent to
P29 1direct counsel, the court shall appoint a guardian ad litem for the
2
nonminor dependent.
3(2) If the child is four years of age or older, counsel shall
4interview the child to determine the child’s wishes and assess the
5child’s well-being, and shall advise the court of the child’s wishes.
6Counsel shall not advocate for the return of the child if, to the best
7of his or her knowledge, return of the child conflicts with the
8protection and safety of the child.
9(3) Counsel shall investigate the interests of the child beyond
10the scope of the juvenile proceeding, and report to the court other
11interests of the child that may need to be protected by the institution
12of other administrative or judicial proceedings. Counsel
13representing a child in a dependency proceeding is not required to
14assume the responsibilities of a social worker, and is not
expected
15to provide nonlegal services to the child.
16(4) (A) At least once every year, if the list of educational
17liaisons is available on the Internet Web site for the State
18Department of Education, both of the following shall apply:
19(i) Counsel shall provide his or her contact information to the
20educational liaison, as described in subdivision (b) of Section
2148853.5 of the Education Code, of each local educational agency
22serving counsel’s foster child clients in the county of jurisdiction.
23(ii) If counsel is part of a firm or organization representing foster
24children, the firm or organization may provide its contact
25information in lieu of contact information for the individual
26counsel. The firm or
organization may designate a person or
27persons within the firm or organization to receive communications
28from educational liaisons.
29(B) The child’s caregiver or other person holding the right to
30make educational decisions for the child may provide the contact
31information of the child’s attorney to the child’s local educational
32agency.
33(C) Counsel for the child and counsel’s agent may, but are not
34required to, disclose to an individual who is being assessed for the
35possibility of placement pursuant to Section 361.3 the fact that the
36child is in custody, the alleged reasons that the child is in custody,
37and the projected likely date for the child’s return home, placement
38for adoption, or legal guardianship. Nothing in this paragraph shall
39be construed to prohibit counsel
from making other disclosures
40pursuant to this subdivision, as appropriate.
P30 1(5) Nothing in this subdivision shall be construed to permit
2counsel to violate a child’s attorney-client privilege.
3(6) The changes made to this subdivision during the 2011-12
4Regular Session of the Legislature by the act adding subparagraph
5(C) of paragraph (4) and paragraph (5) are declaratory of existing
6law.
7(7) The court shall take whatever appropriate action is necessary
8to fully protect the interests of the child.
9(f) Either the child or counsel for the child, with the informed
10consent of the child if the child is found by the court to be of
11sufficient age and maturity to consent,
which shall be presumed,
12subject to rebuttal by clear and convincing evidence, if the child
13is over 12 years of age, may invoke the psychotherapist-client
14privilege, physician-patient privilege, and clergyman-penitent
15privilege. If the child invokes the privilege, counsel may not waive
16it, but if counsel invokes the privilege, the child may waive it.
17
Counsel shall be the holder of these privileges if the child is found
18by the court not to be of sufficient age and maturity to consent.
19For the sole purpose of fulfilling his or her obligation to provide
20legal representation of the child, counsel shall have access to all
21records with regard to the child maintained by a health care facility,
22as defined in Section 1545 of the Penal Code, health care providers,
23as defined in Section 6146 of the Business and Professions Code,
24a physician and surgeon or other health practitioner, as defined in
25former Section 11165.8 of the Penal Code, as that section read on
26January 1, 2000, or a child care custodian, as defined in former
27Section 11165.7 of the Penal Code, as that section read on January
281, 2000. Notwithstanding any other law, counsel shall be given
29access to all records relevant to the case that are maintained by
30state or local public
agencies. All information requested from a
31child protective agency regarding a child who is in protective
32custody, or from a child’s guardian ad litem, shall be provided to
33the child’s counsel within 30 days of the request.
34(g) In a county of the third class, if counsel is to be provided to
35a child at the county’s expense other than by counsel for the
36agency, the court shall first use the services of the public defender
37before appointing private counsel. Nothing in this subdivision shall
38be construed to require the appointment of the public defender in
39any case in which the public defender has a conflict of interest. In
40the interest of justice, a court may depart from that portion of the
P31 1procedure requiring appointment of the public defender after
2making a finding of good cause and stating the reasons therefor
3on the record.
4(h) In a county of the third class, if counsel is to be appointed
5to provide legal counsel for a parent or guardian at the county’s
6expense, the court shall first use the services of the alternate public
7defender before appointing private counsel. Nothing in this
8subdivision shall be construed to require the appointment of the
9alternate public defender in any case in which the public defender
10has a conflict of interest. In the interest of justice, a court may
11depart from that portion of the procedure requiring appointment
12of the alternate public defender after making a finding of good
13cause and stating the reasons therefor on the record.
begin insertSection 317 of the end insertbegin insertWelfare and Institutions Codeend insertbegin insert is
15amended to read:end insert
(a) (1) When it appears to the court that a parent or
17guardian of the child desires counsel but is presently financially
18unable to afford and cannot for that reason employ counsel, the
19court may appoint counsel as provided in this section.
20(2) When it appears to the court that a parent or Indian custodian
21in an Indian child custody proceeding desires counsel but is
22presently unable to afford and cannot for that reason employ
23counsel, the provisions of Section 1912(b) of Title 25 of the United
24States Code and Section 23.13 of Title 25 of the Code of Federal
25Regulations shall apply.
26(b) When it appears to the court that a parent or guardian of the
27child is presently financially
unable to afford and cannot for that
28reason employ counsel, and the child has been placed in
29out-of-home care, or the petitioning agency is recommending that
30the child be placed in out-of-home care, the court shall appoint
31counsel for the parent or guardian, unless the court finds that the
32parent or guardian has made a knowing and intelligent waiver of
33counsel as provided in this section.
34(c) (1) If a child or nonminor dependent is not represented by
35counsel, the court shall appoint counsel for the child or nonminor
36dependent, unless the court finds that the child or nonminor
37dependent would not benefit from the appointment of counsel. The
38court shall state on the record its reasons for that finding.
39(2) A primary responsibility of counsel appointed to represent
40a child or nonminor dependent
pursuant to this section shall be
P32 1to advocate for the protection, safety, and physical and emotional
2well-being of the child or nonminor dependent.
3(c) If a child or nonminor dependent is not represented by
4counsel, the court shall appoint counsel for the child or nonminor
5dependent, unless the court finds that the child or nonminor
6dependent would not benefit from the appointment of counsel. The
7court shall state on the record its reasons for that finding. A primary
8responsibility of counsel appointed to represent a child or nonminor
9
dependent pursuant to this section shall be to advocate for the
10protection, safety, and physical and emotional well-being of the
11child or nonminor dependent. Counsel
12begin insert (3)end insertbegin insert end insertbegin insertCounselend insert may be a district attorney, public defender, or other
13member of the bar, provided that he or she does not represent
14another party or county agency whose interests conflict with the
15child’s or nonminor dependent’s interests. The fact that the district
16attorney represents the child or nonminor dependent in a
17proceeding pursuant to Section 300 as well as conducts a criminal
18investigation or files a criminal complaint or information arising
19from the same or
reasonably related set of facts as the proceeding
20pursuant to Section 300 is not in and of itself a conflict of interest.begin delete21 The court may fix the compensation for the services of appointed
22counsel. The appointed counsel shall have a caseload and training
23that ensures adequate
representation of the child or nonminor
24dependent. The Judicial Council shall promulgate rules of court
25that establish caseload standards, training requirements, and
26guidelines for appointed counsel for children and shall adopt rules
27as required by Section 326.5 no later than July 1, 2001. Those
28training requirements shall include instruction on cultural
29competency and sensitivity relating to, and best practices for,
30providing adequate care to lesbian, gay, bisexual, and transgender
31youth in out-of-home care.end delete
32begin insert(4)end insertbegin insert end insertbegin insertThe court may fix the compensation for the services of
33appointed counsel.end insert
34(5) (A) The appointed counsel shall have a caseload and training
35that ensures adequate
representation of the child or nonminor
36dependent. The Judicial Council shall promulgate rules of court
37that establish caseload standards, training requirements, and
38guidelines for appointed counsel for children and shall adopt rules
39as required by Section 326.5 no later than July 1, 2001.
P33 1(B) The training requirements imposed pursuant to
2subparagraph (A) shall include instruction on both of the
3following:
4(i) Cultural competency and sensitivity relating to, and best
5practices for, providing adequate care to lesbian, gay, bisexual,
6and transgender youth in out-of-home care.
7(ii) The information described in subdivision (d) of Section
816501.4.
9(d) Counsel shall represent the parent, guardian, child, or
10nonminor dependent at the
detention hearing and at all subsequent
11proceedings before the juvenile court. Counsel shall continue to
12represent the parent, guardian, child, or nonminor dependent unless
13relieved by the court upon the substitution of other counsel or for
14cause. The representation shall include representing the parent,
15guardian, or the child in termination proceedings and in those
16proceedings relating to the institution or setting aside of a legal
17guardianship. On and after January 1, 2012, in the case of a
18nonminor dependent, as described in subdivision (v) of Section
1911400, no representation by counsel shall be provided for a parent,
20unless the parent is receiving court-ordered family reunification
21services.
22(e) (1) Counsel shall be charged in general with the
23representation of the child’s interests. To that end, counsel shall
24make or cause to have made any further investigations that he or
25she deems in good faith to be reasonably
necessary to ascertain
26the facts, including the interviewing of witnesses, and shall
27examine and cross-examine witnesses in both the adjudicatory and
28dispositional hearings. Counsel may also introduce and examine
29his or her own witnesses, make recommendations to the court
30concerning the child’s welfare, and participate further in the
31proceedings to the degree necessary to adequately represent the
32child. When counsel is appointed to represent a nonminor
33dependent, counsel is charged with representing the wishes of the
34nonminor dependent except when advocating for those wishes
35conflicts with the protection or safety of the nonminor dependent.
36If the court finds that a nonminor dependent is not competent to
37direct counsel, the court shall appoint a guardian ad litem for the
38nonminor dependent.
39(2) If the child is four years of age or older, counsel shall
40interview the child to determine the child’s wishes and assess the
P34 1child’s well-being, and
shall advise the court of the child’s wishes.
2Counsel shall not advocate for the return of the child if, to the best
3of his or her knowledge, return of the child conflicts with the
4protection and safety of the child.
5(3) Counsel shall investigate the interests of the child beyond
6the scope of the juvenile proceeding, and report to the court other
7interests of the child that may need to be protected by the institution
8of other administrative or judicial proceedings. Counsel
9representing a child in a dependency proceeding is not required to
10assume the responsibilities of a social worker, and is not expected
11to provide nonlegal services to the child.
12(4) (A) At least once every year, if the list of educational
13liaisons is available on the Internet Web site for the State
14Department of Education, both of the following shall apply:
15(i) Counsel shall provide his or her contact information to the
16educational liaison, as described in subdivisionbegin delete (b)end deletebegin insert
(c)end insert of Section
1748853.5 of the Education Code, of each local educational agency
18serving counsel’s foster child clients in the county of jurisdiction.
19(ii) If counsel is part of a firm or organization representing foster
20children, the firm or organization may provide its contact
21information in lieu of contact information for the individual
22counsel. The firm or organization may designate a person or
23persons within the firm or organization to receive communications
24from educational liaisons.
25(B) The child’s caregiver or other person holding the right to
26make educational decisions for the child may provide the contact
27information of the child’s attorney to the child’s local educational
28agency.
29(C) Counsel for the child and counsel’s agent may, but are not
30required to, disclose to
an individual who is being assessed for the
31possibility of placement pursuant to Section 361.3 the fact that the
32child is in custody, the alleged reasons that the child is in custody,
33and the projected likely date for the child’s return home, placement
34for adoption, or legal guardianship. Nothing in this paragraph shall
35be construed to prohibit counsel from making other disclosures
36pursuant to this subdivision, as appropriate.
37(5) Nothing in this subdivision shall be construed to permit
38counsel to violate a child’s attorney-client privilege.
39(6) The changes made to this subdivision during the 2011-12
40Regular Session of the Legislature by the act adding subparagraph
P35 1(C) of paragraph (4) and paragraph (5) are declaratory of existing
2law.
3(7) The court shall take whatever appropriate action is necessary
4to fully protect
the interests of the child.
5(f) Either the child or counsel for the child, with the informed
6consent of the child if the child is found by the court to be of
7sufficient age and maturity to consent, which shall be presumed,
8subject to rebuttal by clear and convincing evidence, if the child
9is over 12 years of age, may invoke the psychotherapist-client
10privilege, physician-patient privilege, and clergyman-penitent
11privilege. If the child invokes the privilege, counsel may not waive
12it, but if counsel invokes the privilege, the child may waive it.
13Counsel shall be the holder of these privileges if the child is found
14by the court not to be of sufficient age and maturity to consent.
15For the sole purpose of fulfilling his or her obligation to provide
16legal representation of the child, counsel shall have access to all
17records with regard to the child maintained by a health care facility,
18as defined in Section 1545 of the Penal Code, health care
providers,
19as defined in Section 6146 of the Business and Professions Code,
20a physician and surgeon or other health practitioner, as defined in
21former Section 11165.8 of the Penal Code, as that section read on
22January 1, 2000, or a child care custodian, as defined in former
23Section 11165.7 of the Penal Code, as that section read on January
241, 2000. Notwithstanding any other law, counsel shall be given
25access to all records relevant to the case that are maintained by
26state or local public agencies. All information requested from a
27child protective agency regarding a child who is in protective
28custody, or from a child’s guardian ad litem, shall be provided to
29the child’s counsel within 30 days of the request.
30(g) In a county of the third class, if counsel is to be provided to
31a child at the county’s expense other than by counsel for the
32agency, the court shall first use the services of the public defender
33before appointing private counsel.
Nothing in this subdivision shall
34be construed to require the appointment of the public defender in
35any case in which the public defender has a conflict of interest. In
36the interest of justice, a court may depart from that portion of the
37procedure requiring appointment of the public defender after
38making a finding of good cause and stating the reasons therefor
39on the record.
P36 1(h) In a county of the third class, if counsel is to be appointed
2to provide legal counsel for a parent or guardian at the county’s
3expense, the court shall first use the services of the alternate public
4defender before appointing private counsel. Nothing in this
5subdivision shall be construed to require the appointment of the
6alternate public defender in any case in which the public defender
7has a conflict of interest. In the interest of justice, a court may
8depart from that portion of the procedure requiring appointment
9of the alternate public defender after making a
finding of good
10cause and stating the reasons therefor on the record.
Section 369.5 of the Welfare and Institutions Code is
12amended to read:
(a) (1) If a child is adjudged a dependent child of the
14court under Section 300 and the child has been removed from the
15physical custody of the parent under Section 361, only a juvenile
16court judicial officer shall have authority to make orders regarding
17the administration of psychotropic medications for that child. The
18juvenile court may issue a specific order delegating this authority
19to a parent upon making findings on the record that the parent
20poses no danger to the child and has the capacity to authorize
21psychotropic medications. Court authorization for the
22administration of psychotropic medication shall be based on a
23request from a physician, indicating the reasons for the request, a
24description of the child’s
diagnosis and behavior, the expected
25results of the medication, and a description of any side effects of
26the medication.
27(2) (A) On or before July 1, 2016, the Judicial Council shall
28amend and adopt rules of court and develop appropriate forms for
29the implementation of this section, in consultation with the State
30Department of Social Services, the State Department of Health
31Care Services, and stakeholders, including, but not limited to, the
32County Welfare Directors Association of California, the County
33Behavioral Health Directors Association of California, the Chief
34Probation Officers of California, associations representing current
35and former foster children, caregivers, and children’s attorneys.
36This effort shall be undertaken in coordination with the updates
37required under paragraph (2) of subdivision (a)
of Section 739.5.
38(B) The rules of court and forms
developed pursuant to
39subparagraph (A) shall address all of the following:
P37 1(i) The child and his or her caregiver and court-appointed special
2advocate, if any, have an opportunity to provide input on the
3medications being prescribed.
4(ii) Information regarding the child’s overall mental health
5assessment and treatment plan is provided to the court.
6(iii) Information regarding the rationale for the proposed
7medication, provided in the context of past and current treatment
8efforts, is provided to the court. This information shall include,
9but not be limited to, information on other pharmacological and
10nonpharmacological treatments that have been utilized and the
11child’s response to those treatments, a
discussion of symptoms not
12alleviated or ameliorated by other current or past treatment efforts,
13and an explanation of how the psychotropic medication being
14prescribed is expected to improve the child’s symptoms.
15(iv) Guidance is provided to the court on how to evaluate the
16request for authorization, including how to proceed if information,
17otherwise required to be included in a request for authorization
18under this section, is not included in a request for authorization
19submitted to the court.
20(C) The rules of court and forms developed pursuant to
21subparagraph (A) shall include a process for periodic oversight by
22the court of orders regarding the administration of psychotropic
23medications that includes the caregiver’s and child’s observations
24regarding the effectiveness
of the medication and side effects,
25information on medication management appointments and other
26followup appointments with medical practitioners, and information
27on the delivery of other mental health treatments that are a part of
28the child’s overall treatment plan. The periodic oversight shall be
29facilitated by the county social worker, public health nurse, or
30other appropriate county staff. This oversight process shall be
31conducted in conjunction with other regularly scheduled court
32hearings and reports provided to the court by the county child
33welfare agency.
34(b) (1) In counties in which the county child welfare agency
35completes the request for authorization for the administration of
36
psychotropic medication, the agency is encouraged to complete
37the request within three business days of receipt from the physician
38of the information necessary to fully complete the request.
39(2) Nothing in this subdivision is intended to change current
40local practice or local court rules with respect to the preparation
P38 1and submission of requests for authorization for the administration
2of psychotropic medication.
3(c) (1) Within seven court days from receipt by the court of a
4completed request, the juvenile court judicial officer shall either
5approve or deny in writing a request for authorization for the
6administration of psychotropic medication to the child, or shall,
7upon a request by the parent, the legal guardian, or the child’s
8attorney, or
upon its own motion, set the matter for hearing.
9(2) Notwithstanding Section 827 or any other law, upon the
10approval or denial by the juvenile court judicial officer of a request
11for authorization for the administration of psychotropic medication,
12the county child welfare agency or other person or entity who
13submitted the request shall provide a copy of the court order
14approving or denying the request to the child’s caregiver.
15(d) Psychotropic medication or psychotropic drugs are those
16medications administered for the purpose of affecting the central
17nervous system to treat psychiatric disorders or illnesses. These
18medications include, but are not limited to, anxiolytic agents,
19antidepressants, mood stabilizers, antipsychotic medications,
20anti-Parkinson agents, hypnotics, medications
for dementia, and
21psychostimulants.
22(e) Nothing in this section is intended to supersede local court
23rules regarding a minor’s right to participate in mental health
24decisions.
25(f) This section does not apply to nonminor dependents, as
26defined in subdivision (v) of Section 11400.
Section 739.5 of the Welfare and Institutions Code is
28amended to read:
(a) (1) If a minor who has been adjudged a ward of the
30court under Section 601 or 602 is removed from the physical
31custody of the parent under Section 726 and placed into foster
32care, as defined in Section 727.4, only a juvenile court judicial
33officer shall have authority to make orders regarding the
34administration of psychotropic medications for that minor. The
35juvenile court may issue a specific order delegating this authority
36to a parent upon making findings on the record that the parent
37poses no danger to the minor and has the capacity to authorize
38psychotropic medications. Court authorization for the
39administration of psychotropic medication shall be based on a
40request from a
physician, indicating the reasons for the request, a
P39 1description of the minor’s diagnosis and behavior, the expected
2results of the medication, and a description of any side effects of
3the medication.
4(2) (A) On or before July 1, 2016, the Judicial Council shall
5amend and adopt rules of court and develop appropriate forms for
6the implementation of this section, in consultation with the State
7Department of Social Services, the State Department of Health
8Care Services, and stakeholders, including, but not limited to, the
9County Welfare Directors Association of California, the County
10Behavioral Health Directors Association of California, the Chief
11Probation Officers of California, associations representing current
12and former foster children, caregivers, and minor’s attorneys. This
13effort shall be undertaken in
coordination with the updates required
14under paragraph (2) of subdivision (a) of Section 369.5.
15(B) The rules of court and forms developed pursuant to
16subparagraph (A) shall address all of the following:
17(i) The minor and his or her caregiver and court-appointed
18special advocate, if any, have an opportunity to provide input on
19the medications being prescribed.
20(ii) Information regarding the minor’s overall mental health
21assessment and treatment plan is provided to the court.
22(iii) Information regarding the rationale for the proposed
23medication, provided in the context of past and current treatment
24efforts, is provided to the court. This
information shall include,
25but not be limited to, information on other pharmacological and
26nonpharmacological treatments that have been utilized and the
27minor’s response to those treatments, a discussion of symptoms
28not alleviated or ameliorated by other current or past treatment
29efforts, and an explanation of how the psychotropic medication
30being prescribed is expected to improve the minor’s symptoms.
31(iv) Guidance is provided to the court on how to evaluate the
32request for authorization, including how to proceed if information,
33otherwise required to be included in a request for authorization
34under this section, is not included in a request for authorization
35submitted to the court.
36(C) The rules of court and forms developed pursuant to
37subparagraph (A) shall include a
process for periodic oversight by
38the court of orders regarding the administration of psychotropic
39medications that includes the caregiver’s and minor’s observations
40regarding the effectiveness of the medication and side effects,
P40 1information on medication management appointments and other
2followup appointments with medical practitioners, and information
3on the delivery of other mental health treatments that are a part of
4the minor’s overall treatment plan. This oversight process shall be
5conducted in conjunction with other regularly scheduled court
6hearings and reports provided to the court by the county probation
7agency.
8(b) (1) The agency that completes the request for authorization
9for the administration of psychotropic medication is encouraged
10to complete the request within three business days of
receipt from
11the physician of the information necessary to fully complete the
12request.
13(2) Nothing in this subdivision is intended to change current
14local practice or local court rules with respect to the preparation
15and submission of requests for authorization for the administration
16of psychotropic medication.
17(c) (1) Within seven court days from receipt by the court of a
18completed request, the juvenile court judicial officer shall either
19approve or deny in writing a request for authorization for the
20administration of psychotropic medication to the minor, or shall,
21upon a request by the parent, the legal guardian, or the minor’s
22attorney, or upon its own motion, set the matter for hearing.
23(2) Notwithstanding Section 827 or any other law, upon the
24approval or denial by the juvenile court judicial officer of a request
25for authorization for the administration of psychotropic medication,
26the county probation agency or other person or entity who
27submitted the request shall provide a copy of the court order
28approving or denying the request to the minor’s caregiver.
29(d) Psychotropic medication or psychotropic drugs are those
30medications administered for the purpose of affecting the central
31nervous system to treat psychiatric disorders or illnesses. These
32medications include, but are not limited to, anxiolytic agents,
33antidepressants, mood stabilizers, antipsychotic medications,
34anti-Parkinson agents, hypnotics, medications for dementia, and
35psychostimulants.
36(e) Nothing in this section is intended to supersede local court
37rules regarding a minor’s right to participate in mental health
38decisions.
39(f) This section does not apply to nonminor dependents, as
40defined in subdivision (v) of Section 11400.
Section 16003 of the Welfare and Institutions Code is
2amended to read:
(a) In order to promote the successful implementation
4of the statutory preference for foster care placement with a relative
5caretaker as set forth in Section 7950 of the Family Code, each
6community college district with a foster care education program
7shall make available orientation and training to the relative or
8nonrelative extended family member caregiver into whose care
9the county has placed a foster child pursuant to Section 1529.2 of
10the Health and Safety Code, including, but not limited to, courses
11that cover the following:
12(1) The role, rights, and responsibilities of a relative or
13nonrelative extended family member caregiver caring for a child
14in foster care, including
the right of a foster child to have fair and
15equal access to all available services, placement, care, treatment,
16and benefits, and to not be subjected to discrimination or
17harassment on the basis of actual or perceived race, ethnic group
18identification, ancestry, national origin, color, religion, sex, sexual
19orientation, gender identity, mental or physical disability, or HIV
20status.
21(2) An overview of the child protective system.
22(3) The effects of child abuse and neglect on child development.
23(4) Positive discipline and the importance of self-esteem.
24(5) Health issues in foster care, including, but not limited to,
25the information described in subdivision (d) of
Section 16501.4.
26(6) Accessing education and health services that are available
27to foster children.
28(7) Relationship and safety issues regarding contact with one
29or both of the birth parents.
30(8) Permanency options for relative or nonrelative extended
31family member caregivers, including legal guardianship, the
32Kinship Guardianship Assistance Payment Program, and kin
33adoption.
34(9) Information on resources available for those who meet
35eligibility criteria, including out-of-home care payments, the
36Medi-Cal program, in-home supportive services, and other similar
37resources.
38(10) Instruction
on cultural competency and sensitivity relating
39to, and best practices for, providing adequate care to lesbian, gay,
40bisexual, and transgender youth in out-of-home care.
P42 1(11) Basic instruction on the existing laws and procedures
2regarding the safety of foster youth at school and the ensuring of
3a harassment and violence free school environment contained in
4the School Safety and Violence Prevention Act (Article 3.6
5(commencing with Section 32228) of Chapter 2 of Part 19 of
6Division 1 of Title 1 of the Education Code).
7(b) In addition to training made available pursuant to subdivision
8(a), each community college district with a foster care education
9program shall make training available to a relative or nonrelative
10extended family member caregiver that includes, but need not be
11limited
to, courses that cover all of the following:
12(1) Age-appropriate child development.
13(2) Health issues in foster care, including, but not limited to,
14the information described in subdivision (d) of Section 16501.4.
15(3) Positive discipline and the importance of self-esteem.
16(4) Emancipation and independent living.
17(5) Accessing education and health services available to foster
18children.
19(6) Relationship and safety issues regarding contact with one
20or both of the birth parents.
21(7) Permanency options for relative or nonrelative extended
22family member caregivers, including legal guardianship, the
23Kinship Guardianship Assistance Payment Program, and kin
24adoption.
25(8) Basic instruction on the existing laws and procedures
26regarding the safety of foster youth at school and the ensuring of
27a harassment and violence free school environment contained in
28the School Safety and Violence Prevention Act (Article 3.6
29(commencing with Section 32228) of Chapter 2 of Part 19 of
30Division 1 of Title 1 of the Education Code).
31(c) In addition to the requirements of subdivisions (a) and (b),
32each community college district with a foster care education
33program, in providing the orientation program, shall develop
34appropriate program parameters in collaboration
with the counties.
35(d) Each community college district with a foster care education
36program shall make every attempt to make the training and
37orientation programs for relative or nonrelative extended family
38member caregivers highly accessible in the communities in which
39they reside.
P43 1(e) When a child is placed with a relative or nonrelative extended
2family member caregiver, the county shall inform the caregiver
3of the availability of training and orientation programs and it is
4the intent of the Legislature that the county shall forward the names
5and addresses of relative or nonrelative extended family member
6caregivers to the appropriate community colleges providing the
7training and orientation programs.
8(f) This
section shall not be construed to preclude counties from
9developing or expanding existing training and orientation programs
10for foster care providers to include relative or nonrelative extended
11family member caregivers.
begin insertSection 16003 of the end insertbegin insertWelfare and Institutions Codeend insert
13begin insert is amended to read:end insert
(a) In order to promote the successful implementation
15of the statutory preference for foster care placement with a relative
16begin delete caretakerend deletebegin insert caregiverend insert as set forth in Section 7950 of the Family Code,
17each community college district with a foster care education
18program shall make available orientation and training to the relative
19or nonrelative extended family member caregiver into whose care
20the county has placed a foster child pursuant to Section 1529.2 of
21the Health and Safety Code, including, but not limited to, courses
22that cover the following:
23(1) The role, rights, and
responsibilities of a relative or
24nonrelative extended family member caregiver caring for a child
25in foster care, including the right of a foster child to have fair and
26equal access to all available services, placement, care, treatment,
27and benefits, and to not be subjected to discrimination or
28harassment on the basis of actual or perceived race, ethnic group
29identification, ancestry, national origin, color, religion, sex, sexual
30orientation, gender identity, mental or physical disability, or HIV
31status.
32(2) An overview of the child protective system.
33(3) The effects of child abuse and neglect on child development.
34(4) Positive discipline and the importance of self-esteem.
35(5) Health issues in fosterbegin delete care.end deletebegin insert
care,end insertbegin insert
including, but not limited
36to, the information described in subdivision (d) of Section 16501.4.end insert
37(6) Accessing education and health services that are available
38to foster children.
39(7) Relationship and safety issues regarding contact with one
40or both of the birth parents.
P44 1(8) Permanency options for relative or nonrelative extended
2family member caregivers, including legal guardianship, the
3Kinship Guardianship Assistance Payment Program, and kin
4adoption.
5(9) Information on resources available for those who meet
6eligibility criteria, including out-of-home care payments, the
7Medi-Cal program, in-home supportive services, and other similar
8resources.
9(10) Instruction on cultural competency and sensitivity relating
10to, and best practices for, providing adequate care to lesbian, gay,
11bisexual, and transgender youth in out-of-home care.
12(11) Basic instruction on the existing laws and procedures
13regarding the safety of foster youth at school and the ensuring of
14a harassment and violence free school environment contained in
15begin delete the California Student Safety and Violence Prevention Act of 2000 begin insert Articleend insert 3.6 (commencing with Section 32228) of Chapter
16(Articleend delete
172 of Part 19 of Division 1 of Title 1 of the Educationbegin delete Code).end deletebegin insert Code.end insert
18(b) In addition to training made available pursuant to subdivision
19(a), each community college district with a foster care education
20program shall make training available to a relative or nonrelative
21extended family member caregiver that includes, but need not be
22limited to, courses that cover all of the following:
23(1) Age-appropriate child development.
end delete
24(1) Child and adolescent development, including sexual
25orientation, gender identity, and expression.
26(2) Health issues in fosterbegin delete care.end deletebegin insert
care, end insertbegin insert including, but not limited
27to, the information described in subdivision (d) of Section 16501.4.end insert
28(3) Positive discipline and the importance of self-esteem.
29(4) Emancipation and independent living.
30(5) Accessing education and health services available to foster
31children.
32(6) Relationship and safety issues regarding contact with one
33or both of the birth parents.
34(7) Permanency options for relative or nonrelative extended
35family member caregivers, including legal guardianship, the
36Kinship Guardianship Assistance Payment Program, and kin
37
adoption.
38(8) Basic instruction on the existing laws and procedures
39regarding the safety of foster youth at school and the ensuring of
40a harassment and violence free school environment contained in
P45 1begin delete the California Student Safety and Violence Prevention Act of 2000 begin insert Articleend insert 3.6 (commencing with Section 32228) of Chapter
2(Articleend delete
32 of Part 19 of Division 1 of Title 1 of the Educationbegin delete Code).end deletebegin insert Code.end insert
4(c) In addition to the requirements of subdivisions (a) and (b),
5each community college district with a foster
care education
6program, in providing the orientation program, shall develop
7appropriate program parameters in collaboration with the counties.
8(d) Each community college district with a foster care education
9program shall make every attempt to make the training and
10orientation programs for relative or nonrelative extended family
11member caregivers highly accessible in the communities in which
12they reside.
13(e) When a child is placed with a relative or nonrelative extended
14family member caregiver, the county shall inform the caregiver
15of the availability of training and orientation programs and it is
16the intent of the Legislature that the county shall forward the names
17and addresses of relative or nonrelative extended family member
18caregivers to the appropriate community colleges providing the
19training and orientation programs.
20(f) This section shall not be construed to preclude counties from
21developing or expanding existing training and orientation programs
22for foster care providers to include relative or nonrelative extended
23family member caregivers.
24(g) This section shall remain in effect only until January 1, 2017,
25and as of that date is repealed, unless a later enacted statute, that
26is enacted before January 1, 2017, deletes or extends that date.
begin insertSection 16003 of the end insertbegin insertWelfare and Institutions Codeend insert
28begin insert is amended to read:end insert
(a) In order to promote the successful implementation
30of the statutory preference for foster care placement with a relative
31caretaker as set forth in Section 7950 of the Family Code, each
32community college district with a foster care education program
33shall make available orientation andbegin delete training toend deletebegin insert end insertbegin inserttraining, pursuant
34to Sections 1522.44 and 1529.2 of the Health and Safety Code, toend insert
35 the relative or nonrelative extended family member caregiver into
36whose care the county has placed a fosterbegin delete child pursuant to Section begin insert
child. The
371529.2 of the Health and Safety Code, including, butend delete
38training shall include, but isend insert not limited to, courses that cover the
39following:
P46 1(1) The role, rights, and responsibilities of a relative or
2nonrelative extended family member caregiver caring for a child
3in foster care, including the right of a foster child to have fair and
4equal access to all available services, placement, care, treatment,
5and benefits, and to not be subjected to discrimination or
6harassment on the basis of actual or perceived race, ethnic group
7identification, ancestry, national origin, color, religion, sex, sexual
8orientation, gender identity, mental or physical disability, or HIV
9status.
10(2) An overview of the child protective system.
11(3) The effects of child abuse and neglect on child development.
12(4) Positive discipline and the importance of self-esteem.
13(5) Health issues in fosterbegin delete care.end deletebegin insert
care, including, but not limited
14to, the information described in subdivision (d) of Section 16501.4.end insert
15(6) Accessing education and health services that are available
16to foster children.
17(7) Relationship and safety issues regarding contact with one
18or both of the birth parents.
19(8) Permanency options for relative or nonrelative extended
20family member caregivers, including legal guardianship, the
21Kinship Guardianship Assistance Payment Program, and kin
22adoption.
23(9) Information on resources available for those who meet
24eligibility criteria, including out-of-home care payments, the
25Medi-Cal program, in-home supportive services, and other similar
26resources.
27(10) Instruction on cultural competency and sensitivity relating
28to, and best practices for, providing adequate care to lesbian, gay,
29bisexual, and transgender youth in out-of-home care.
30(11) Basic instruction on the existing laws and procedures
31regarding the safety of foster youth at school and the ensuring of
32a harassment and violence free school environment contained in
33thebegin delete California Studentend deletebegin insert Schoolend insert Safety and Violence Prevention Act
34begin delete of 2000end delete (Article 3.6 (commencing with Section 32228) of Chapter
352 of Part 19 of Division 1 of Title 1 of the Education Code).
36(12) Knowledge of, and skills related to, the application of the
37reasonable and prudent parent standard for the participation of
38the child in age or developmentally appropriate activities, as set
39forth in Section 1522.44 of the Health and Safety Code.
P47 1(b) In addition to training made available pursuant to subdivision
2(a), each community college district with a foster care education
3program shall make training available to a relative or nonrelative
4extended family member caregiver that includes, but need not be
5limited to, courses that cover all of the following:
6(1) Age-appropriate child development.
7(2) Health issues in fosterbegin delete care.end deletebegin insert
care, including, but not limited
8to, the information described in subdivision (d) of Section 16501.4.end insert
9(3) Positive discipline and the importance of self-esteem.
10(4) Emancipation and independent living.
11(5) Accessing education and health services available to foster
12children.
13(6) Relationship and safety issues regarding contact with one
14or both of the birth parents.
15(7) Permanency options for relative or nonrelative extended
16family member caregivers, including legal guardianship, the
17Kinship Guardianship Assistance Payment Program, and kin
18adoption.
19(8) Basic instruction on the
existing laws and procedures
20regarding the safety of foster youth at school and the ensuring of
21a harassment and violence free school environment contained in
22thebegin delete California Studentend deletebegin insert Schoolend insert Safety and Violence Prevention Act
23begin delete of 2000end delete
(Article 3.6 (commencing with Section 32228) of Chapter
242 of Part 19 of Division 1 of Title 1 of the Education Code).
25(9) Knowledge of, and skills related to, the application of the
26reasonable and prudent parent standard for the participation of
27the child in age or developmentally appropriate activities, as set
28forth in Section 1522.44 of the Health and Safety Code.
29(c) In addition to the requirements of subdivisions (a) and (b),
30each community college district with a foster care education
31program, in providing the orientation program, shall develop
32appropriate program parameters in collaboration with the counties.
33(d) Each community college district with a foster care education
34program shall
make every attempt to make the training and
35orientation programs for relative or nonrelative extended family
36member caregivers highly accessible in the communities in which
37they reside.
38(e) When a child is placed with a relative or nonrelative extended
39family member caregiver, the county shall inform the caregiver
40of the availability of training and orientation programs and it is
P48 1the intent of the Legislature that the county shall forward the names
2and addresses of relative or nonrelative extended family member
3caregivers to the appropriate community colleges providing the
4training and orientation programs.
5(f) This section shall not be construed to preclude counties from
6developing or expanding existing training and orientation programs
7for foster care providers to include relative or nonrelative extended
8family member caregivers.
begin insertSection 16003 of the end insertbegin insertWelfare and Institutions Codeend insert
10begin insert is amended to read:end insert
(a) In order to promote the successful implementation
12of the statutory preference for foster care placement with a relative
13begin delete caretakerend deletebegin insert caregiverend insert as set forth in Section 7950 of the Family Code,
14each community college district with a foster care education
15program shall make available orientation andbegin delete training toend deletebegin insert training,
16pursuant to Sections 1522.44 and 1529.2 of the Health and Safety
17Code, toend insert the relative or nonrelative extended family member
18
caregiver into whose care the county has placed a fosterbegin delete child begin insert child. The training shall include, but isend insert not limited
19pursuant to Section 1529.2 of the Health and Safety Code,
20including, butend delete
21to, courses that cover the following:
22(1) The role, rights, and responsibilities of a relative or
23nonrelative extended family member caregiver caring for a child
24in foster care, including the right of a foster child to have fair and
25equal access to all available services, placement, care, treatment,
26and benefits, and to not be subjected to discrimination or
27harassment on the basis of actual or perceived race, ethnic group
28identification, ancestry, national origin, color, religion, sex, sexual
29orientation, gender identity, mental or physical disability, or HIV
30
status.
31(2) An overview of the child protective system.
32(3) The effects of child abuse and neglect on child development.
33(4) Positive discipline and the importance of self-esteem.
34(5) Health issues in fosterbegin delete care.end deletebegin insert care,end insertbegin insert
including, but not limited
35to, the information described in subdivision (d) of Section 16501.4.end insert
36(6) Accessing education and health services that are available
37to foster children.
38(7) Relationship and safety issues regarding contact with one
39or both of the birth parents.
P49 1(8) Permanency options for relative or nonrelative extended
2family member caregivers, including legal guardianship, the
3Kinship Guardianship Assistance Payment Program, and kin
4adoption.
5(9) Information on resources available for those who meet
6eligibility criteria, including out-of-home care payments, the
7Medi-Cal program, in-home supportive services, and other similar
8resources.
9(10) Instruction on cultural competency and sensitivity relating
10to, and best practices for, providing adequate care to lesbian, gay,
11bisexual, and transgender youth in out-of-home care.
12(11) Basic instruction on the existing laws and procedures
13regarding the safety of foster youth at school and the ensuring of
14a harassment and violence free school environment contained in
15begin delete the California Student Safety and Violence Prevention Act of 2000 begin insert Articleend insert 3.6 (commencing with Section 32228) of Chapter
16(Articleend delete
172 of Part 19 of Division 1 of Title 1 of the Educationbegin delete Code).end deletebegin insert Code.end insert
18(12) Knowledge of, and skills related to, the application of the
19reasonable and prudent parent standard for the participation of
20the child in age or developmentally appropriate activities, as set
21forth in Section 1522.44 of the Health and Safety Code.
22(b) In addition to training made available pursuant to subdivision
23(a), each community college district with a foster care education
24program shall make training available to a relative or nonrelative
25extended family member caregiver that includes, but need not be
26limited to, courses that cover all of the following:
27(1) Age-appropriate child development.
end delete
28(1) Child and adolescent development, including sexual
29orientation, gender identity, and expression.
30(2) Health issues in fosterbegin delete care.end deletebegin insert
care, end insertbegin insert including, but not limited
31to, the information described in subdivision (d) of Section 16501.4.end insert
32(3) Positive discipline and the importance of self-esteem.
33(4) Emancipation and independent living.
34(5) Accessing education and health services available to foster
35children.
36(6) Relationship and safety issues regarding contact with one
37or both of the birth parents.
38(7) Permanency options for relative or nonrelative extended
39family member caregivers, including legal guardianship, the
P50 1Kinship Guardianship Assistance Payment Program, and kin
2
adoption.
3(8) Basic instruction on the existing laws and procedures
4regarding the safety of foster youth at school and the ensuring of
5a harassment and violence free school environment contained in
6begin delete the California Student Safety and Violence Prevention Act of 2000 begin insert Articleend insert 3.6 (commencing with Section 32228) of Chapter
7(Articleend delete
82 of Part 19 of Division 1 of Title 1 of the Educationbegin delete Code).end deletebegin insert Code.end insert
9(9) Knowledge of, and skills
related to, the application of the
10reasonable and prudent parent standard for the participation of
11the child in age or developmentally appropriate activities, as set
12forth in Section 1522.44 of the Health and Safety Code.
13(c) In addition to the requirements of subdivisions (a) and (b),
14each community college district with a foster care education
15program, in providing the orientation program, shall develop
16appropriate program parameters in collaboration with the counties.
17(d) Each community college district with a foster care education
18program shall make every attempt to make the training and
19orientation programs for relative or nonrelative extended family
20member caregivers highly accessible in the communities in which
21they reside.
22(e) When a child is placed with a relative or nonrelative
extended
23family member caregiver, the county shall inform the caregiver
24of the availability of training and orientation programs and it is
25the intent of the Legislature that the county shall forward the names
26and addresses of relative or nonrelative extended family member
27caregivers to the appropriate community colleges providing the
28training and orientation programs.
29(f) This section shall not be construed to preclude counties from
30developing or expanding existing training and orientation programs
31for foster care providers to include relative or nonrelative extended
32family member caregivers.
33(g) This section shall remain in effect only until January 1, 2017,
34and as of that date is repealed, unless a later enacted statute, that
35is enacted before January 1, 2017, deletes or extends
that date.
Section 16206 of the Welfare and Institutions Code is
37amended to read:
(a) The purpose of the program is to develop and
39implement statewide coordinated training programs designed
40specifically to meet the needs of county child protective services
P51 1social workers assigned emergency response, family maintenance,
2family reunification, permanent placement, and adoption
3responsibilities. It is the intent of the Legislature that the program
4include training for other agencies under contract with county
5welfare departments to provide child welfare services. In addition,
6the program shall provide training programs for persons defined
7as a mandated reporter pursuant to the Child Abuse and Neglect
8Reporting Act (Article 2.5 (commencing with Section 11164) of
9Chapter 2 of Title 1 of Part 4 of the Penal Code). The program
10
shall provide the services required in this section to the extent
11possible within the total allocation. If allocations are insufficient,
12the department, in consultation with the grantee or grantees and
13the Child Welfare Training Advisory Board, shall prioritize the
14efforts of the program, giving primary attention to the most
15urgently needed services. County child protective services social
16workers assigned emergency response responsibilities shall receive
17first priority for training pursuant to this section.
18(b) The training program shall provide practice-relevant training
19for mandated child abuse reporters and all members of the child
20welfare delivery system that will address critical issues affecting
21the well-being of children, and shall develop curriculum materials
22and training resources for use in meeting staff development needs
23
of mandated child abuse reporters and child welfare personnel in
24public and private agency settings.
25(c) The training provided pursuant to this section shall include
26all of the following:
27(1) Crisis intervention.
28(2) Investigative techniques.
29(3) Rules of evidence.
30(4) Indicators of abuse and neglect.
31(5) Assessment criteria, including the application of guidelines
32for assessment of relatives for placement according to the criteria
33described in Section 361.3.
34(6) Intervention strategies.
35(7) Legal requirements of child protection, including
36requirements of child abuse reporting laws.
37(8) Case management.
38(9) Use of community resources.
P52 1(10) Information regarding the dynamics and effects of domestic
2violence upon families and children, including indicators and
3dynamics of teen dating violence.
4(11) Posttraumatic stress disorder and the causes, symptoms,
5and treatment of posttraumatic stress disorder in children.
6(12) The importance of maintaining relationships with
7individuals who
are important to a child in out-of-home placement,
8including methods to identify those individuals, consistent with
9the child’s best interests, including, but not limited to, asking the
10child about individuals who are important, and ways to maintain
11and support those relationships.
12(13) The legal duties of a child protective services social worker,
13in order to protect the legal rights and safety of children and
14families from the initial time of contact during investigation
15through treatment.
16(14) The information described in subdivision (d) of Section
1716501.4.
18(d) The training provided pursuant to this section may also
19include any or all of the following:
20(1) Child development and parenting.
21(2) Intake, interviewing, and initial assessment.
22(3) Casework and treatment.
23(4) Medical aspects of child abuse and neglect.
24(e) The training program in each county shall assess the
25program’s performance at least annually and forward it to the State
26Department of Social Services for an evaluation. The assessment
27shall include, at a minimum, all of the following:
28(1) Workforce data, including education, qualifications, and
29demographics.
30(2) The number of persons trained.
31(3) The type of training provided.
32(4) The degree to which the training is perceived by participants
33as useful in practice.
34(5) Any additional information or data deemed necessary by
35the department for reporting, oversight, and monitoring purposes.
36(f) The training program shall provide practice-relevant training
37to county child protective services social workers who screen
38referrals for child abuse or neglect and for all workers assigned to
39provide emergency response, family maintenance, family
40reunification, and permanent placement services. The training shall
P53 1be developed in consultation with the Child Welfare Training
2Advisory Board and domestic violence
victims’ advocates and
3other public and private agencies that provide programs for victims
4of domestic violence or programs of intervention for perpetrators.
Section 16501.3 of the Welfare and Institutions Code
6 is amended to read:
(a) The State Department of Social Services shall
8establish and maintain a program of public health nursing in the
9child welfare services program that meets the federal requirements
10for the provision of health care to minor and nonminor dependents
11in foster care consistent with Section 30026.5 of the Government
12Code. The purpose of the public health nursing program shall be
13to identify, respond to, and enhance the physical, mental, dental,
14and developmental well-being of children in the child welfare
15system.
16(b) Under this program, counties shall use the services of a foster
17care public health nurse. The foster care public health nurse shall
18work with the appropriate child
welfare services workers to
19coordinate health care services and serve as a liaison with health
20care professionals and other providers of health-related services.
21This shall include coordination with county mental health plans
22and local health jurisdictions, as appropriate.
23(c) The duties of a foster care public health nurse shall include,
24but need not be limited to, the following:
25(1) Documenting that each child in foster care receives initial
26and followup health screenings that meet reasonable standards of
27medical practice.
28(2) Collecting health information and other relevant data on
29each foster child as available, receiving all collected information
30to determine appropriate referral and services, and expediting
31referrals
to providers in the community for early intervention
32services, specialty services, dental care, mental health services,
33and other health-related services necessary for the child.
34(3) Participating in medical care planning and coordinating for
35the child. This may include, but is not limited to, assisting case
36workers in arranging for comprehensive health and mental health
37assessments, interpreting the results of health assessments or
38evaluations for the purpose of case planning and coordination,
39facilitating the acquisition of any necessary court authorizations
40for procedures or medications, advocating for the health care needs
P54 1of the child and ensuring the creation of linkage among various
2providers of care.
3(4) Providing followup contact to assess the child’s progress in
4meeting
treatment goals.
5(5) At the request of and under the direction of a nonminor
6dependent, as described in subdivision (v) of Section 11400, assist
7the nonminor dependent in accessing physical health and mental
8health care, coordinating the delivery of health and mental health
9care services, advocating for the health and mental health care that
10meets the needs of the nonminor dependent, and to assist the
11nonminor dependent to assume responsibility for his or her ongoing
12physical and mental health care management.
13(d) The services provided by foster care public health nurses
14under this section shall be limited to those for which reimbursement
15may be claimed under Title XIX at an enhanced rate for services
16delivered by skilled professional medical personnel.
17Notwithstanding any other
provision of law, this section shall be
18implemented only if, and to the extent that, the department
19determines that federal financial participation, as provided under
20Title XIX of the federal Social Security Act (42 U.S.C. Sec. 1396
21et seq.), is available.
22(e) (1) The State Department of Health Care Services shall seek
23any necessary federal approvals for child welfare agencies to
24appropriately claim enhanced federal Title XIX funds for services
25provided pursuant to this section.
26(2) Commencing in the fiscal year immediately following the
27fiscal year in which the necessary federal approval pursuant to
28paragraph (1) is secured, county child welfare agencies shall
29provide health care oversight and coordination services pursuant
30to this section, and may
accomplish this through agreements with
31local public health agencies.
32(f) (1) Notwithstanding Section 10101, prior to the 2011-12
33fiscal year, there shall be no required county match of the
34nonfederal cost of this program.
35(2) Commencing in the 2011-12 fiscal year, and each fiscal
36year thereafter, funding and expenditures for programs and
37
activities under this section shall be in accordance with the
38requirements provided in Sections 30025 and 30026.5 of the
39Government Code.
P55 1(g) Public health nurses shall receive training developed pursuant
2to subdivision (d) of Section 16501.4.
begin insertSection 16501.3 of the end insertbegin insertWelfare and Institutions Codeend insert
4begin insert is amended to read:end insert
(a) The State Department of Social Services shall
6establish and maintain a program of public health nursing in the
7child welfare services program that meets the federal requirements
8for the provision ofbegin delete healthcareend deletebegin insert health careend insert to minor and nonminor
9dependents in foster care consistent with Section 30026.5 of the
10Government Code. The purpose of the public health nursing
11program shall be tobegin delete identify, respond to,end deletebegin insert promoteend insert and enhance the
12physical,
mental, dental, and developmental well-being of children
13in the child welfare system.
14(b) Under this program, counties shall use the services of a foster
15care public health nurse. The foster care public health nurse shall
16work with the appropriate child welfare services workers to
17coordinate health care services and serve as a liaison with health
18care professionals and other providers of health-related services.
19This shall include coordination with county mental health plans
20and local health jurisdictions, as appropriate.begin insert In order to fulfill
21these duties, the foster care public health nurse shall have access
22to the child’s medical, dental, and mental health care information,
23in a manner that is consistent with all relevant privacy
24requirements.end insert
25(c) The duties of a foster
care public health nurse shall include,
26but need not be limited to, the following:
27(1) Documenting that each child in foster care receives initial
28and followup health screenings that meet reasonable standards of
29medical practice.
30(2) Collecting health information and other relevant data on
31each foster child as available, receiving all collected information
32to determine appropriate referral and services, and expediting
33referrals to providers in the community for early intervention
34services, specialty services, dental care, mental health services,
35and other health-related services necessary for the child.
36(3) Participating in medical care planning and coordinating for
37the child. This may include, but is not limited to, assisting case
38workers in arranging for comprehensive health and mental health
39assessments,
interpreting the results of health assessments or
40evaluations for the purpose of case planning and coordination,
P56 1facilitating the acquisition of any necessary court authorizations
2for procedures or medications,begin insert
monitoring and oversight of
3psychotropic medications,end insert advocating for the health care needs of
4thebegin delete childend deletebegin insert child,end insert and ensuring the creation of linkage among various
5providers of care.
6(4) Providing followup contact to assess the child’s progress in
7meeting treatment goals.
8(5) At the request of and under the direction of a nonminor
9dependent, as described in subdivision (v) of Section 11400,begin delete assistend delete
10begin insert assistingend insert the nonminor dependent in accessing physical health and
11
mental health care, coordinating the delivery of health and mental
12health care services, advocating for the health and mental health
13care that meets the needs of the nonminor dependent,begin delete and to assistend deletebegin insert end insert
14begin insertassisting the nonminor dependent to make informed decisions
15about his or her health care by, at a minimum, providing
16educational materials, and assistingend insert the nonminor dependent to
17assume responsibility for his or her ongoing physical and mental
18health care management.
19(d) The services provided by foster care public health nurses
20under this section shall be limited to those for which reimbursement
21may be claimed under Title XIXbegin insert
of the federal Social Security Actend insert
22 at an enhanced rate for services delivered by skilled professional
23medical personnel. Notwithstanding any otherbegin delete provision ofend delete law,
24this section shall be implemented only if, and to the extent that,
25the department determines that federal financial participation, as
26provided under Title XIX of the federal Social Security Act (42
27U.S.C. Sec. 1396 et seq.), is available.
28(e) (1) The State Department of Health Care Services shall seek
29any necessary federal approvals for child welfare agencies to
30appropriately claim enhanced federal Title XIX funds for services
31provided pursuant to this section.
32(2) Commencing in the fiscal year immediately following the
33fiscal year in which the necessary federal approval
pursuant to
34paragraph (1) is secured, county child welfare agencies shall
35provide health care oversight and coordination services pursuant
36to this section, and may accomplish this through agreements with
37local public health agencies.
38(f) (1) Notwithstanding Section 10101, prior to the 2011-12
39fiscal year, there shall be no required county match of the
40nonfederal cost of this program.
P57 1(2) Commencing in the 2011-12 fiscal year, and each fiscal
2year thereafter, funding and expenditures for programs and
3activities under this section shall be in accordance with the
4requirements provided in Sections 30025 and 30026.5 of the
5Government Code.
6(g) Public health nurses shall receive training developed
7pursuant to
subdivision (d) of Section 16501.4.
Section 16501.4 is added to the Welfare and
9Institutions Code, to read:
In order to ensure the oversight of psychotropic
11medications that are prescribed for children pursuant to Section
12369.5 or 739.5, all of the following shall occur:
13(a) The State Department of Health Care Services shall provide
14to the State Department of Social Services, pursuant to a data
15sharing agreement meeting the requirements of applicable state
16and federal law and regulations, information for administration,
17oversight, and implementation of federal and state health and public
18social service programs for children in foster care. The departments
19shall also develop, in consultation with counties, a data sharing
20agreement in which county placing agencies may opt to
participate,
21which shall enable the county to, at a minimum, receive data
22reports developed pursuant to this section.
23(b) (1) In consultation with the State Department of Health
24Care Services, the County Welfare Directors Association of
25California, the County Behavioral Health Directors Association
26of California, the Chief Probation Officers of California, and
27stakeholders, the State Department of Social Services shall develop
28the content and format for monthly, county-specific reports that
29describe each child for whom one or more psychotropic
30medications have been paid for under Medi-Cal, including paid
31claims and managed care encounters. At a minimum, the report
32shall include the following information:
33(A) Psychotropic medications that have been authorized for the
34child
pursuant to Section 369.5 or 739.5.
35(B) Pharmacy data, based on paid claims and managed care
36encounters, including the name of the psychotropic medication,
37quantity, and dose prescribed for the child.
38(C) Other available data, including, but not limited to,
39information regarding psychosocial interventions and incidents of
40polypharmacy.
P58 1(2) The report shall includebegin delete an indicator that identifiesend deletebegin insert one or
2more indicators, developed in consultation with the stakeholders
3identified in paragraph (1), that note children for whom additional
4followup may be appropriate. The indicators may include, but
5need not
be limited to, an indicator that identifiesend insert each child under
6five years of age for whom one or more psychotropic medications
7is prescribed andbegin insert an indicator that identifiesend insert each child of any age
8for whom three or more psychotropic medications are prescribed.
9(c) (1) The State Department of Social Services shall distribute
10to a county placing agency the monthly report for children under
11its jurisdiction, if the placing agency is a signatory to the data
12sharing agreement described in subdivision (a).
13(2) A county placing agency shall use the form developed
14pursuant to paragraph (3) to share
information pertaining to a child
15with the appropriate juvenile court, the child’s attorney, the county
16department of behavioral health, and the court-appointed special
17advocate, if one has been appointed.
18(A) In the case of the juvenile court, the information described
19in subdivision (a) shall be shared in conjunction with reports
20prepared for each regularly scheduled court hearing.
21(B) In the case of the child’s attorney, the county department
22of behavioral health, and court-appointed special advocate, the
23information described in subdivision (a) shall be shared initially
24for each child served by these individuals upon the authorization
25of psychotropic medication, and subsequently when that
26information changes.
27(3) In consultation with the State Department of Health Care
28Services, the County Welfare Directors Association, the County
29Behavioral Health Directors Association of California, the Chief
30Probation Officers of California, and stakeholders, the State
31Department of Social Services shall develop a form to be utilized
32in sharing the information required by paragraph (2).
33(d) In consultation with the State Department of Health Care
34Services, the Judicial Council, the County Welfare Directors
35Association of California, the County Behavioral Health Directors
36Association of California, the Chief Probation Officers of
37California, and stakeholders, the State Department of Social
38Services shall develop training that may be provided to county
39child welfare social workers, probation officers, courts hearing
40cases pursuant to Section
300, 601, or 602, children’s attorneys,
P59 1children’s caregivers, court-appointed special advocates, and other
2relevant staff who work with children under the jurisdiction of the
3juvenile court that addresses the authorization, uses, risks, benefits,
4assistance with self-administration, oversight, and monitoring of
5psychotropic medications, trauma, and substance use disorder and
6mental health treatments, including how to access those treatments.
To the extent that this act has an overall effect of
8increasing the costs already borne by a local agency for programs
9or levels of service mandated by the 2011 Realignment Legislation
10within the meaning of Section 36 of Article XIII of the California
11Constitution, it shall apply to local agencies only to the extent that
12the state provides annual funding for the cost increase. Any new
13program or higher level of service provided by a local agency
14pursuant to this act above the level for which funding has been
15provided shall not
require a subvention of funds by the state nor
16otherwise be subject to Section 6 of Article XIII B of the California
17Constitution.
(a) Sections 1.5, 2.1, and 2.2 of this bill incorporate
19amendments to Sections 1522.41 and 1529.2 of the Health and
20Safety Code proposed by both this bill and Assembly Bill 403. They
21shall only become operative if (1) both bills are enacted and
22become effective on or before January 1, 2016, (2) each bill
23amends Sections 1522.41 and 1529.2 of the Health and Safety
24Code, and (3) this bill is enacted after Assembly Bill 403, in which
25case Sections 1 and 2 of this bill shall not become operative.
26(b) Section 4.5 of this bill incorporates amendments to Section
27317 of the Welfare and Institutions Code proposed by both this
28bill and Assembly Bill 224. It shall only become operative if (1)
29both bills are enacted and become effective on or before January
301, 2016, (2) each bill amends Section 317 of the Welfare and
31Institutions Code, and (3) this bill is enacted after Assembly Bill
32224, in which case Section 4 of this bill shall not become operative.
33(c) (1) Section 7.1 of this bill incorporates amendments to
34Section 16003 of the Welfare and Institutions Code proposed by
35both this bill and Assembly Bill 403. It shall only become operative
36if (1) both bills are enacted and become effective on or before
37January 1, 2016, (2) each bill amends Section 16003 of the Welfare
38and Institutions Code, and (3) Senate Bill 794 is not enacted or
39as enacted does not amend that
section, and (4) this bill is enacted
P60 1after Assembly Bill 403, in which case Sections 7, 7.2, and 7.3 of
2this bill shall not become operative.
3(2) Section 7.2 of this bill incorporates amendments to Section
416003 of the Welfare and Institutions Code proposed by both this
5bill and Senate Bill 794. It shall only become operative if (1) both
6bills are enacted and become effective on or before January 1,
72016, (2) each bill amends Section 16003 of the Welfare and
8Institutions Code, (3) Assembly Bill 403 is not enacted or as
9enacted does not amend that section, and (4) this bill is enacted
10after Senate Bill 794, in which case Sections 7, 7.1, and 7.3 of this
11bill shall not become operative.
12(3) Section 7.3 of this bill incorporates amendments to Section
1316003 of the Welfare and Institutions Code proposed by this bill,
14Assembly Bill 403, and Senate Bill 794. It shall only become
15
operative if (1) all three bills are enacted and become effective on
16or before January 1, 2016, (2) all three bills amend Section 16003
17of the Welfare and Institutions Code, and (3) this bill is enacted
18after Assembly Bill 403 and Senate Bill 794, in which case Sections
197, 7.1, and 7.2 of this bill shall not become operative.
20(d) Section 9.5 of this bill incorporates amendments to Section
2116501.3 of the Welfare and Institutions Code proposed by both
22this bill and Senate Bill 319. It shall only become operative if (1)
23both bills are enacted and become effective on or before January
241, 2016, (2) each bill amends Section 16501.3 of the Welfare and
25Institutions Code, and (3) this bill is enacted after Senate Bill 319,
26in which case Section 9 of this bill shall not become operative.
(a) To the extent that this act has an overall effect
28of increasing the costs already borne by a local agency for
29programs or levels of service mandated by the 2011 Realignment
30Legislation, Section 36 of Article XIII of the California Constitution
31shall govern this act’s application to local agencies and the state’s
32funding of those programs or levels of service.
33(b) However, if the Commission on State Mandates determines
34that this act contains other costs mandated by the state for
35programs or levels of service not described in subdivision (a),
36reimbursement to
local agencies and school districts for those
37costs shall be made pursuant to Part 7 (commencing with Section
3817500) of Division 4 of Title 2 of the Government Code.
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