BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1329
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          SENATE THIRD READING
          SB 1329 (Leno)
          As Amended  August 2, 2010
          Majority vote 

           SENATE VOTE  :30-0  
           
           HUMAN SERVICES      4-0         JUDICIARY           7-0         
           
           ----------------------------------------------------------------- 
          |Ayes:|Beall, Ammiano, Chesbro,  |Ayes:|Feuer, Tran , Brownley,   |
          |     |Portantino                |     |Evans, Huffman, Jones,    |
          |     |                          |     |Monning                   |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |Nays:|Hagman, Knight, Saldana   |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 

          APPROPRIATIONS      13-4                                        
           
           ----------------------------------------------------------------- 
          |Ayes:|Fuentes, Conway,          |     |                          |
          |     |Bradford,                 |     |                          |
          |     |Charles Calderon, Coto,   |     |                          |
          |     |Davis,                    |     |                          |
          |     |De Leon, Gatto, Hall,     |     |                          |
          |     |Skinner, Solorio,         |     |                          |
          |     |Torlakson, Torrico        |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Harkey, Miller, Nielsen,  |     |                          |
          |     |Norby                     |     |                          |
           ----------------------------------------------------------------- 

           SUMMARY  :  Requires licensees of residential care facilities for  
          the elderly (RCFEs), with certain exceptions, to notify the  
          Department of Social Services (DSS) and, in some instances,  
          residents and applicants for potential residence, of specified  
          events, and requires DSS to initiate compliance plans,  
          noncompliance conferences, or other administrative actions upon  
          receipt of the notification.  Specifically,  this bill  :

          1)Requires that an RCFE licensee notify DSS in writing within  








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            two business days of any of the following events, or obtaining  
            knowledge of the event:

             a)   Failure to make one or more mortgage, lease, or rental  
               payments on the property within 30 days of the due date;

             b)   A utility company, defined as a provider of electricity,  
               gas, or water services, has sent notice of intent to  
               terminate a utility on the property;

             c)   A financial institution refuses to honor a check or  
               other instrument issued by the licensee to its employees  
               for a regular payroll due to insufficient funds; or,

             d)   The financial resources of the licensee fall below the  
               amount needed to operate the facility for at least the next  
               45 days.

          2)Requires that an RCFE licensee notify DSS, all residents, and,  
            if applicable, their legal representatives in writing two  
            business days, and, prior to admission, all applicants for  
            potential residence, and, if applicable, their legal  
            representatives of any of the following events, or knowledge  
            of the event:

             a)   A notice of default, notice of trustee's sale, or any  
               other indication of foreclosure is issued on the property;

             b)   An unlawful detainer is initiated against the licensee;  
               or,

             c)   The licensee files for bankruptcy.

          3)Requires that DSS initiate a compliance plan, noncompliance  
            conference, or other administrative action upon receipt of a  
            notice specifying an event listed in 2) above.

          4)Provides for civil penalties of $100 per day, up to a maximum  
            of $2,500, for a licensee's failure to provide required notice  
            as described above.

          5)Authorizes DSS to suspend or revoke the licensee's license or  
            permanently revoke the licensee's ability to operate or act as  
            an administrator of a facility anywhere in the state if a  








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            resident is relocated without the required notification, or if  
            the resident's health and safety has been compromised as a  
            result of a relocation that occurs without the required  
            notification. 

          6)Exempts from the requirements of this bill RCFE licensees who  
            have been authorized by DSS to enter into continuing care  
            contracts at a continuing care retirement community.

           FISCAL EFFECT  :   According to the Assembly Appropriations  
          Committee:  On-going workload costs potentially in excess of  
          $100,000 ($60,000 GF) per year for the DSS Community Care  
          Licensing Division to review incident reports and initiate  
          administrative actions against licensees.

           COMMENTS  :  RCFEs are assisted living facilities for seniors  
          where varying levels of care and supervision, protective  
          supervision, or personal care are provided, based upon  
          residents' needs.  As of March 2010, there were 7,825 licensed  
          facilities in the state with a total capacity of 170,290  
          residents.

          According to the author: 

               Reports of RCFE properties in foreclosure or  
               bankruptcy have surged.  The State Long-term Care  
               Ombudsman Program, which tracks its complaints,  
               reported a six-fold increase in the number of RCFEs in  
               financial distress from 2006 to 2008.  ? The impact of  
               a foreclosure on RCFE residents can be particularly  
               devastating because they often rely on the facility to  
               provide assistance with most of their activities of  
               daily living.  A foreclosure or bankruptcy not only  
               requires they find a new home but also must find new  
               care providers, disrupting the patterns of care to  
               which they had become accustomed.  

          This bill requires RCFE operators to give notice to the  
          Community Care Licensing Division of DSS of foreclosures and  
          other specified events indicating financial distress that would  
          threaten the housing security of the residents, including a  
          missed mortgage payment or a threatened utility shut-off.  The  
          notice would trigger a discretionary response by DSS, which will  
          enable staff to assist the operator and ensure the residents are  








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          protected.  With the most severe signs of financial distress,  
          the residents must also be notified and DSS must take action.

          California Advocates for Nursing Home Reform, co-sponsor of this  
          bill, says that this bill "ensures vulnerable RCFE residents and  
          their loved ones are notified and protected when their home is  
          being threatened due to financial hardship.  With such  
          notification, they will be better able to carefully plan for a  
          possible move and avoid dangerous last-minute evictions." 


           Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089 


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