BILL NUMBER: AB 1753	CHAPTERED  09/14/00

	CHAPTER   434
	FILED WITH SECRETARY OF STATE   SEPTEMBER 14, 2000
	APPROVED BY GOVERNOR   SEPTEMBER 12, 2000
	PASSED THE ASSEMBLY   AUGUST 10, 2000
	PASSED THE SENATE   JULY 6, 2000
	AMENDED IN SENATE   JUNE 29, 2000
	AMENDED IN SENATE   JUNE 8, 2000
	AMENDED IN ASSEMBLY   MAY 8, 2000
	AMENDED IN ASSEMBLY   APRIL 24, 2000
	AMENDED IN ASSEMBLY   APRIL 10, 2000
	AMENDED IN ASSEMBLY   MARCH 28, 2000

INTRODUCED BY   Assembly Member Romero and Senator Hughes
   (Principal coauthors:  Assembly Members Alquist and Shelley)
   (Coauthors:  Assembly Members Aroner, Bock, Keeley, Kuehl,
Lowenthal, Machado, Pescetti, and Washington)
   (Coauthors:  Senators Alpert, Johnston, Rainey, and Solis)

                        JANUARY 13, 2000

   An act to amend Sections 1569.15, 1569.33, and 1569.616 of, and to
add Sections 1569.626 and 1569.627 to, the Health and Safety Code,
relating to Alzheimer's disease.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1753, Romero.  Alzheimer's disease and related disorders.
   Existing law provides for the licensure and regulation of
residential care facilities for the elderly by the State Department
of Social Services.  Existing law authorizes residential care
facilities for the elderly that care for people with dementia,
including Alzheimer's disease and related disorders, that meet
certain requirements to utilize secured perimeter fences or locked
exit doors.  A violation of these provisions is subject to criminal
sanctions.
   Existing law requires the Director of Social Services to ensure
that operators and staff of residential care facilities for the
elderly have appropriate training to provide the care and services
for which a license or certificate is issued.
   This bill would enact the Alzheimer's Training Act of 2000, which
would require any residential care facility for the elderly that
advertises or promotes special care, special programming, or a
special environment for persons with dementia, to meet specified
training requirements for all direct care staff.  The bill would
require these facilities to make designated disclosures to the
department and the public regarding the special features of the
facility.
   Existing law provides for the periodic inspection and evaluation
of the quality of care in residential care facilities for the
elderly, at least once a year.
   This bill would require that on and after July 1, 2001, as a part
of the annual evaluation process, the department conduct a specified
review of any residential care facility for the elderly that
advertises or promotes special care, special programming, or a
special environment for persons with dementia to monitor compliance
with the training and disclosure requirements of this bill.
   Existing law requires that an administrator of a residential care
facility for the elderly successfully complete a department approved
certification program prior to employment, which includes a minimum
40-hour classroom instruction training requirement and 40 hours of
continuing education.
   This bill would require that the 40 hours of classroom instruction
and the 40 hours of continuing education both include instruction on
serving clients with dementia.
   Existing law requires the department to establish, by regulation,
the procedures to be used to authorize the conduct of certification
programs and continuing education courses for administrators of
residential care facilities for the elderly.  Existing law requires
that the regulations be developed in consultation with provider
organizations.
   This bill would require that these regulations also be developed
in consultation with consumer organizations.
   Because the bill would change the definition of an existing crime,
it would impose a state-mandated local program.
   This bill would incorporate additional changes to Section 1569.616
of the Health and Safety Code proposed by AB 1445, to be operative
only if this bill and AB 1445 are both enacted and become effective
on or before January 1, 2001, and this bill is enacted last.
  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.
   This bill would provide that no reimbursement is required by this
act for a specified reason.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  This act shall be known and may be cited as the
Alzheimer's Training Act of 2000.
  SEC. 2.  Section 1569.15 of the Health and Safety Code is amended
to read:
   1569.15.  Any person desiring issuance of a license for a
residential care facility for the elderly under this chapter shall
file with the department, pursuant to regulations, an application on
forms furnished by the department, which shall include, but not be
limited to:
   (a) Evidence satisfactory to the department of the ability of the
applicant to comply with this chapter and of rules and regulations
adopted under this chapter by the department.
   (b) Evidence satisfactory to the department that the applicant is
of reputable and responsible character.  The evidence shall include,
but not be limited to, a criminal record clearance pursuant to
Section 1569.17, employment history, and character references.  If
the applicant is a firm, association, organization, partnership,
business trust, corporation, or company, like evidence shall be
submitted as to the members or shareholders thereof, and the person
in charge of the residential care facility for the elderly which
application for issuance of license or special permit is made.
   (c) Evidence satisfactory to the department that the applicant has
sufficient financial resources to maintain the standards of service
required by regulations adopted pursuant to this chapter.
   (d) Disclosure of the applicant's prior or present service as an
administrator, general partner, corporate officer or director of, or
as a person who has held or holds a beneficial ownership of 10
percent or more in, any residential care facility for the elderly or
in any facility licensed pursuant to Chapter 1 (commencing with
Section 1200), Chapter 2 (commencing with Section 1250), or Chapter 3
(commencing with Section 1500).
   (e) Disclosure of any revocation or other disciplinary action
taken, or in the process of being taken, against a license held or
previously held by the entities specified in subdivision (c).
   (f) Any other information as may be required by the department for
the proper administration and enforcement of this chapter.
   (g) Failure of the applicant to cooperate with the licensing
agency in the completion of the application shall result in the
denial of the application.  Failure to cooperate means that the
information described in this section and in regulations of the
department has not been provided, or not provided in the form
requested by the licensing agency, or both.
   (h) Following the implementation of Article 7 (commencing with
Section 1569.70) evidence satisfactory to the department of the
applicant's ability to meet regulatory requirements for the level of
care the facility intends to provide.
   (i) Evidence satisfactory to the department of adequate knowledge
of supportive services and other community supports which may be
necessary to meet the needs of elderly residents.
   (j) A signed statement that the person desiring issuance of a
license has read and understood the residential care facility for the
elderly statute and regulations.
   (k) Designation by the applicant of the individual who shall be
the administrator of the facility, including, if the applicant is an
individual, whether or not the licensee shall also be the
administrator.
   (l) Evidence of successfully completing a certified prelicensure
education program pursuant to Section 1569.23.
   (m) For any facility that promotes or advertises or plans to
promote or advertise special care, special programming, or special
environments for persons with dementia, disclosure to the department
of the special features of the facility in its plan of operation.
  SEC. 3.  Section 1569.33 of the Health and Safety Code is amended
to read:
   1569.33.  (a) Every licensed residential care facility for the
elderly shall be periodically inspected and evaluated for quality of
care by a representative or representatives designated by the
director.  Evaluations shall be conducted at least once per year and
as often as necessary to ensure the quality of care being provided.
   (b) The department shall notify the residential care facility for
the elderly in writing of all deficiencies in its compliance with the
provisions of this chapter and the rules and regulations adopted
pursuant to this chapter, and shall set a reasonable length of time
for compliance by the facility.
   (c) Reports on the results of each inspection, evaluation, or
consultation shall be kept on file in the department, and all
inspection reports, consultation reports, lists of deficiencies, and
plans of correction shall be open to public inspection in the county
in which the facility is located.
   (d) On and after July 1, 2001, as a part of the department's
annual evaluation process, the department shall review the plan of
operation, training logs, and marketing materials of any residential
care facility for the elderly that advertises or promotes special
care, special programming, or a special environment for persons with
dementia to monitor compliance with Sections 1569.626 and 1569.627.

  SEC. 4.  Section 1569.616 of the Health and Safety Code is amended
to read:
   1569.616.  (a) (1) An administrator of a residential care facility
for the elderly shall be required to successfully complete a
department approved certification program prior to employment.
   (2) In those cases where the individual is both the licensee and
the administrator of a facility, or a licensed nursing home
administrator, the individual shall comply with the requirements of
this section unless he or she qualifies for one of the exemptions
provided for in subdivision (b).
   (3) Failure to comply with this section shall constitute cause for
revocation of the license of the facility where an individual is
functioning as the administrator.  The licensee shall notify the
department within 30 days of any change in administrators.
   (b) Individuals seeking exemptions under paragraph (2) of
subdivision (a) shall meet the following criteria and fulfill the
required portions of the certification program, as the case may be:
   (1) An individual designated as the administrator of a residential
care facility for the elderly who holds a valid license as a nursing
home administrator issued in accordance with Chapter 8.5 (commencing
with Section 3901) of Division 2 of the Business and Professions
Code shall be required to complete the areas in the uniform core of
knowledge required by this section that pertain to the law,
regulations, policies, and procedural standards that impact the
operations of residential care facilities for the elderly, the use,
misuse, and interaction of medication commonly used by the elderly in
a residential setting, and resident admission, retention, and
assessment procedures, equal to 12 hours of classroom instruction.
An individual meeting the requirements of this paragraph shall not be
required to take a written test.
   (2) In those cases where the individual was both the licensee and
administrator on or before July 1, 1991, the individual shall be
required to complete all the areas specified for the certification
program but shall not be required to take the written test required
by this section.  Those individuals exempted from the written test
shall be issued a conditional certification that is valid only for
the administrator of the facility for which the exemption was
granted.
   (A) As a condition to becoming an administrator of another
facility the individual shall be required to pass the written test
provided for in this section.
   (B) As a condition to applying for a new facility license, the
individual shall be required to pass the written test provided for in
Section 1569.23.
   (c) (1) The administrator certification program shall require a
minimum of 40 hours of classroom instruction that provides training
on a uniform core of knowledge in each of the following areas:
   (A) Laws, regulations, and policies and procedural standards that
impact the operations of residential care facilities for the elderly.

   (B) Business operations.
   (C) Management and supervision of staff.
   (D) Psychosocial needs of the elderly.
   (E) Community and support services.
   (F) Physical needs for elderly persons.
   (G) Use, misuse, and interaction of medication commonly used by
the elderly.
   (H) Resident admission, retention, and assessment procedures.
   (I) Training focused specifically on serving clients with
dementia.  This training shall be for at least four hours.
   (2) Individuals applying for certification under this section
shall successfully complete an approved certification program, pass a
written test administered by the department within 60 days of
completing the program, and submit the documentation required by
subdivision (d) to the department within 30 days of being notified of
having passed the test.  The department may extend these time
deadlines for good cause.  The department shall notify the applicant
of his or her test results within 30 days of administering the test.

   (d) The department shall not begin the process of issuing a
certificate until receipt of all of the following:
   (1) A certificate of completion of the administrator training
required pursuant to this chapter.
   (2) The fee required for issuance of the certificate.  A fee of
one hundred dollars ($100) shall be charged by the department to
cover the costs of processing the application for certification.
   (3) Documentation of passing the written test or of qualifying for
an exemption pursuant to subdivision (b).
   (4) Submission of fingerprints.  The department and the Department
of Justice shall expedite the criminal record clearance for holders
of certificates of completion.  The department may waive the
submission for those persons who have a current clearance on file.
   (e) It shall be unlawful for any person not certified under this
section to hold himself or herself out as a certified administrator
of a residential care facility for the elderly.  Any person willfully
making any false representation as being a certified administrator
is guilty of a misdemeanor.
   (f) (1) Certificates issued under this section shall be renewed
every two years and renewal shall be conditional upon the certificate
holder submitting documentation of completion of 40 hours of
continuing education related to the core of knowledge specified in
paragraph (1) of subdivision (c).  For purposes of this section,
individuals who hold a valid license as a nursing home administrator
issued in accordance with Chapter 8.5 (commencing with Section 3901)
of Division 2 of the Business and Professions Code and meet the
requirements of paragraph (1) of subdivision (b) shall only be
required to complete 20 hours of continuing education.
   (2) Every certified administrator of a residential care facility
for the elderly is required to renew his or her certificate and shall
complete the continuing education requirements of this subdivision
whether he or she is certified according to subdivision (a) or (b).
On and after January 1, 2002, at least eight hours of the 40-hour
continuing education requirement for a certified administrator of a
residential care facility for the elderly shall include instruction
on serving clients with dementia, including, but not limited to,
instruction related to direct care, physical environment, and
admissions procedures and assessment.
   (3) Certificates issued under this section shall expire every two
years, on the anniversary date of the initial issuance of the
certificate, except that any administrator receiving his or her
initial certification on or after January 1, 1999, shall make an
irrevocable election to have his or her recertification date for any
subsequent recertification either on the date two years from the date
of issuance of the certificate or on the individual's birthday
during the second calendar year following certification.  The
department shall send a renewal notice to the certificate holder 90
days prior to the expiration date of the certificate.  If the
certificate is not renewed prior to its expiration date,
reinstatement shall only be permitted after the certificate holder
has paid a delinquency fee equal to three times the renewal fee and
has provided evidence of completion of the continuing education
required.
   (4) To renew a certificate, the certificate holder shall, on or
before the certificate expiration date, request renewal by submitting
to the department documentation of completion of the required
continuing education courses and pay the renewal fee of one hundred
dollars ($100), irrespective of receipt of the department's
notification of the renewal.  A renewal request postmarked on or
before the expiration of the certificate is proof of compliance with
this paragraph.
   (5) A suspended or revoked certificate is subject to expiration as
provided for in this section.  If reinstatement of the certificate
is approved by the department, the certificate holder, as a condition
precedent to reinstatement, shall pay a fee in an amount equal to
the renewal fee, plus the delinquency fee, if any, accrued at the
time of its revocation or suspension.
   (6) A certificate that is not renewed within four years after its
expiration shall not be renewed, restored, reissued, or reinstated
except upon completion of a certification program, passing any test
that may be required of an applicant for a new certificate at that
time, and paying the appropriate fees provided for in this section.
   (7) A fee of twenty-five dollars ($25) shall be charged for the
reissuance of a lost certificate.
   (8) A certificate holder shall inform the department of his or her
employment status within 30 days of any change.
   (g) The department may revoke a certificate issued under this
section for any of the following:
   (1) Procuring a certificate by fraud or misrepresentation.
   (2) Knowingly making or giving any false statement or information
in conjunction with the application for issuance of a certificate.
   (3) Criminal conviction unless an exemption is granted pursuant to
Section 1569.17.
   (h) The certificate shall be considered forfeited under the
following conditions:
   (1) The administrator has had a license revoked, suspended, or
denied as authorized under Section 1569.50.
   (2) The administrator has been denied employment, residence, or
presence in a facility based on action resulting from an
administrative hearing pursuant to Section 1569.58.
   (i) (1) The department shall establish, by regulation, the program
content, the testing instrument, the process for approving
certification programs, and criteria to be used in authorizing
individuals, organizations, or educational institutions to conduct
certification programs and continuing education courses.  These
regulations shall be developed in consultation with provider and
consumer organizations, and shall be made available at least six
months prior to the deadline required for certification.  The
department may deny vendor approval to any agency or person that has
not provided satisfactory evidence of their ability to meet the
requirements of vendorization set out in the regulations adopted
pursuant to subdivision (j).
   (2) The department may authorize vendors to conduct the
administrator certification training program pursuant to provisions
set forth in this section.  The department shall conduct the written
test pursuant to regulations adopted by the department.
   (3) The department shall prepare and maintain an updated list of
approved training vendors.
   (4) The department may inspect training programs and continuing
education courses to determine if content and teaching methods comply
with regulations.  If the department determines that any vendor is
not complying with the intent of this section, the department shall
take appropriate action to bring the program into compliance, which
may include removing the vendor from the approved list.
   (5) The department shall establish reasonable procedures and
timeframes not to exceed 30 days for the approval of vendor training
programs.
   (6) The department may charge a reasonable fee, not to exceed one
hundred fifty dollars ($150) every two years to certification program
vendors for review and approval of the initial 40-hour training
program pursuant to subdivision (c).  The department may also charge
the vendor a fee not to exceed one hundred dollars ($100) every two
years for the review and approval of the continuing education courses
needed for recertification pursuant to this subdivision.
   (j) This section shall be operative upon regulations being adopted
by the department to implement the administrator certification
program as provided for in this section.
   (k) The department shall establish a registry for holders of
certificates that shall include, at a minimum, information on
employment status and criminal record clearance.
  SEC. 4.5.  Section 1569.616 of the Health and Safety Code is
amended to read:
   1569.616.  (a) (1) An administrator of a residential care facility
for the elderly shall be required to successfully complete a
department approved certification program prior to employment.
   (2) In those cases where the individual is both the licensee and
the administrator of a facility, or a licensed nursing home
administrator, the individual shall comply with the requirements of
this section unless he or she qualifies for one of the exemptions
provided for in subdivision (b).
   (3) Failure to comply with this section shall constitute cause for
revocation of the license of the facility where an individual is
functioning as the administrator.  The licensee shall notify the
department within 30 days of any change in administrators.
   (b) Individuals seeking exemptions under paragraph (2) of
subdivision (a) shall meet the following criteria and fulfill the
required portions of the certification program, as the case may be:
   (1) An individual designated as the administrator of a residential
care facility for the elderly who holds a valid license as a nursing
home administrator issued in accordance with Chapter 8.5 (commencing
with Section 3901) of Division 2 of the Business and Professions
Code shall be required to complete the areas in the uniform core of
knowledge required by this section that pertain to the law,
regulations, policies, and procedural standards that impact the
operations of residential care facilities for the elderly, the use,
misuse, and interaction of medication commonly used by the elderly in
a residential setting, and resident admission, retention, and
assessment procedures, equal to 12 hours of classroom instruction.
An individual meeting the requirements of this paragraph shall not be
required to take a written test.
   (2) In those cases where the individual was both the licensee and
administrator on or before July 1, 1991, the individual shall be
required to complete all the areas specified for the certification
program but shall not be required to take the written test required
by this section.  Those individuals exempted from the written test
shall be issued a conditional certification that is valid only for
the administrator of the facility for which the exemption was
granted.
   (A) As a condition to becoming an administrator of another
facility the individual shall be required to pass the written test
provided for in this section.
   (B) As a condition to applying for a new facility license, the
individual shall be required to pass the written test provided for in
Section 1569.23.
   (c) (1) The administrator certification program shall require a
minimum of 40 hours of classroom instruction that provides training
on a uniform core of knowledge in each of the following areas:
   (A) Laws, regulations, and policies and procedural standards that
impact the operations of residential care facilities for the elderly.

   (B) Business operations.
   (C) Management and supervision of staff.
   (D) Psychosocial needs of the elderly.
   (E) Community and support services.
   (F) Physical needs for elderly persons.
   (G) Use, misuse, and interaction of medication commonly used by
the elderly.
   (H) Resident admission, retention, and assessment procedures.
   (I) Training focused specifically on serving clients with
dementia.  This training shall be for at least four hours.
   (2) Individuals applying for certification under this section
shall successfully complete an approved certification program, pass a
written test administered by the department within 60 days of
completing the program, and submit the documentation required by
subdivision (d) to the department within 30 days of being notified of
having passed the test.  The department may extend these time
deadlines for good cause.  The department shall notify the applicant
of his or her test results within 30 days of administering the test.

   (d) The department shall not begin the process of issuing a
certificate until receipt of all of the following:
   (1) A certificate of completion of the administrator training
required pursuant to this chapter.
   (2) The fee required for issuance of the certificate.  The
department shall fix the amount of the fee so that the proceeds of
the fees collected are sufficient to cover the department's
regulatory enforcement costs, but in no event shall the fee exceed
one hundred dollars ($100) .
   (3) Documentation of passing the written test or of qualifying for
an exemption pursuant to subdivision (b).
   (4) Submission of fingerprints.  The department and the Department
of Justice shall expedite the criminal record clearance for holders
of certificates of completion.  The department may waive the
submission for those persons who have a current clearance on file.
   (e) It shall be unlawful for any person not certified under this
section to hold himself or herself out as a certified administrator
of a residential care facility for the elderly.  Any person willfully
making any false representation as being a certified administrator
is guilty of a misdemeanor.
   (f) (1) Certificates issued under this section shall be renewed
every two years and renewal shall be conditional upon the certificate
holder submitting documentation of completion of 40 hours of
continuing education related to the core of knowledge specified in
paragraph (1) of subdivision (c).  For purposes of this section,
individuals who hold a valid license as a nursing home administrator
issued in accordance with Chapter 8.5 (commencing with Section 3901)
of Division 2 of the Business and Professions Code and meet the
requirements of paragraph (1) of subdivision (b) shall only be
required to complete 20 hours of continuing education.
   (2) Every certified administrator of a residential care facility
for the elderly is required to renew his or her certificate and shall
complete the continuing education requirements of this subdivision
whether he or she is certified according to subdivision (a) or (b).
On and after January 1, 2002, at least eight hours of the 40-hour
continuing education requirement for a certified administrator of a
residential care facility for the elderly shall include instruction
on serving clients with dementia, including, but not limited to,
instruction related to direct care, physical environment, and
admissions procedures and assessment.
   (3) Certificates issued under this section shall expire every two
years, on the anniversary date of the initial issuance of the
certificate, except that any administrator receiving his or her
initial certification on or after January 1, 1999, shall make an
irrevocable election to have his or her recertification date for any
subsequent recertification either on the date two years from the date
of issuance of the certificate or on the individual's birthday
during the second calendar year following certification.  The
department shall send a renewal notice to the certificate holder 90
days prior to the expiration date of the certificate.  If the
certificate is not renewed prior to its expiration date,
reinstatement shall only be permitted after the certificate holder
has paid a delinquency fee equal to three times the renewal fee and
has provided evidence of completion of the continuing education
required.
   (4) To renew a certificate, the certificate holder shall, on or
before the certificate expiration date, do both of the following:
   (A) Request renewal by submitting to the department documentation
of completion of the required continuing education courses ,
irrespective of receipt of the department's notification of the
renewal.  A renewal request postmarked on or before the expiration of
the certificate is proof of compliance with this subparagraph.
   (B) Pay a renewal fee in the amount determined pursuant to
paragraph (2) of subdivision (d).
   (5) A suspended or revoked certificate is subject to expiration as
provided for in this section.  If reinstatement of the certificate
is approved by the department, the certificate holder, as a condition
precedent to reinstatement, shall pay a fee in an amount equal to
the renewal fee, plus the delinquency fee, if any, accrued at the
time of its revocation or suspension.
   (6) A certificate that is not renewed within four years after its
expiration shall not be renewed, restored, reissued, or reinstated
except upon completion of a certification program, passing any test
that may be required of an applicant for a new certificate at that
time, and paying the appropriate fees provided for in this section.
   (7) A fee of twenty-five dollars ($25) shall be charged for the
reissuance of a lost certificate.
   (8) A certificate holder shall inform the department of his or her
employment status within 30 days of any change.
   (g) The department may revoke a certificate issued under this
section for any of the following:
   (1) Procuring a certificate by fraud or misrepresentation.
   (2) Knowingly making or giving any false statement or information
in conjunction with the application for issuance of a certificate.
   (3) Criminal conviction unless an exemption is granted pursuant to
Section 1569.17.
   (h) The certificate shall be considered forfeited under the
following conditions:
   (1) The administrator has had a license revoked, suspended, or
denied as authorized under Section 1569.50.
   (2) The administrator has been denied employment, residence, or
presence in a facility based on action resulting from an
administrative hearing pursuant to Section 1569.58.
              (i) (1) The department shall establish, by regulation,
the program content, the testing instrument, the process for
approving certification programs, and criteria to be used in
authorizing individuals, organizations, or educational institutions
to conduct certification programs and continuing education courses.
These regulations shall be developed in consultation with provider
and consumer organizations, and shall be made available at least six
months prior to the deadline required for certification.  The
department may deny vendor approval to any agency or person that has
not provided satisfactory evidence of their ability to meet the
requirements of vendorization set out in the regulations adopted
pursuant to subdivision (j).
   (2) The department may authorize vendors to conduct the
administrator certification training program pursuant to provisions
set forth in this section.  The department shall conduct the written
test pursuant to regulations adopted by the department.
   (3) The department shall prepare and maintain an updated list of
approved training vendors.
   (4) The department may inspect training programs and continuing
education courses to determine if content and teaching methods comply
with regulations.  If the department determines that any vendor is
not complying with the intent of this section, the department shall
take appropriate action to bring the program into compliance, which
may include removing the vendor from the approved list.
   (5) The department shall establish reasonable procedures and
timeframes not to exceed 30 days for the approval of vendor training
programs.
   (6) The department may charge a reasonable fee, not to exceed one
hundred fifty dollars ($150) every two years to certification program
vendors for review and approval of the initial 40-hour training
program pursuant to subdivision (c).  The department may also charge
the vendor a fee not to exceed one hundred dollars ($100) every two
years for the review and approval of the continuing education courses
needed for recertification pursuant to this subdivision.
   (j) This section shall be operative upon regulations being adopted
by the department to implement the administrator certification
program as provided for in this section.
   (k) The department shall establish a registry for holders of
certificates that shall include, at a minimum, information on
employment status and criminal record clearance.
  SEC. 5.  Section 1569.626 is added to the Health and Safety Code,
to read:
   1569.626.  All residential care facilities for the elderly that
advertise or promote special care, special programming, or a special
environment for persons with dementia, in addition to complying with
the training requirements described in Section 1569.625, shall meet
the following training requirements for all direct care staff:
   (a) Six hours of resident care orientation within the first four
weeks of employment.  All six hours shall be devoted to the care of
persons with dementia.  The facility may utilize various methods of
instruction including, but not limited to, preceptorship, mentoring,
and other forms of observation and demonstration.  The orientation
time shall be exclusive of any administrative instruction.
   (b) Eight hours of in-service training per year on the subject of
serving residents with dementia.  This training shall be developed in
consultation with individuals or organizations with specific
expertise in dementia care or by an outside source with expertise in
dementia care.  In formulating and providing this training, reference
may be made to written materials and literature on dementia and the
care and treatment of persons with dementia.  This training
requirement may be satisfied in one day or over a period of time.
This training requirement may be provided at the facility or offsite
and may include a combination of observation and practical
application.
  SEC. 6.  Section 1569.627 is added to the Health and Safety Code,
to read:
   1569.627.  Any residential care facility for the elderly that
advertises or promotes special care, special programming, or a
special environment for persons with dementia shall disclose to the
department the special features of the facility in its plan of
operation.  This information shall be provided to the public by the
facility upon request.  The information shall include a brief
narrative description of all of the following facility features:
   (a) Philosophy, including, but not limited to, program goals.
   (b) Preadmission assessment.
   (c) Admission.
   (d) Assessment.
   (e) Program.
   (f) Staff.
   (g) Staff training.
   (h) Physical environment.
   (i) Changes in condition, including, but not limited to, when and
under what circumstances are changes made to a participant's care
plan.
   (j) Success indicators.
  SEC. 7.  Section 4.5 of this bill incorporates amendments to
Section 1569.616 of the Health & Safety Code proposed by both this
bill and AB 1445.  It shall only become operative if (1) both bills
are enacted and become effective on or before January 1, 2001, (2)
each bill amends Section 1569.616 of the Health & Safety Code, and
(3) this bill is enacted after AB 1445, in which case Section 4 of
this bill shall not become operative.
  SEC. 8.  No reimbursement is required by this act pursuant to
Section 6 of Article XIIIB of the California Constitution because the
only costs that may be incurred by a local agency or school district
will be incurred because this act creates a new crime or infraction,
eliminates a crime or infraction, or changes the penalty for a crime
or infraction, within the meaning of Section 17556 of the Government
Code, or changes the definition of a crime within the meaning of
Section 6 of Article XIIIB of the California Constitution.