BILL ANALYSIS                                                                                                                                                                                                    �




                                                                  AB 419
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          Date of Hearing:   April 26, 2011

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
                   AB 419 (Mitchell) - As Amended:  April 14, 2011
                              AS PROPOSED TO BE AMENDED
           
          SUBJECT  :  Community care facilities

           SUMMARY  :  Increases the frequency of licensing evaluation visits 
          of most categories of facilities licensed by the Department of 
          Social Services.  Specifically, as proposed to be amended, this 
          bill  :  

          1)Repeals current law specifying the frequency of inspection 
            visits for facilities licensed by the Community Care Licensing 
            Division (CCLD) of the state Department of Social Services 
            (DSS) and, instead, provides that, with the exception of 
            Family Day Care Homes, every licensed facility shall be 
            subject to an unannounced evaluation at least annually and as 
            often as necessary to ensure the quality of care provided.  
            Provides that, with the exception of Foster Family Homes, such 
            evaluation visits shall be unannounced.

          2)Provides that Family Day Care Homes shall be subject to an 
            unannounced evaluation visit at least once every 2 years and 
            as often as necessary to ensure the quality of care provided, 
            and that such visits shall take place only during the period 
            beginning one hour before and ending one hour after the 
            facility's normal business hours or at any time child care 
            services are being provided.

          3)Provides that inspections shall use inspection protocols that 
            are research-based, field tested, reviewed by stakeholders and 
            evaluated annually to ensure their efficacy.

             a)   Requires that all inspection visits include review of 
               "zero tolerance" violations for the facility type and that 
               an annual visit will trigger a comprehensive inspection if 
               either of the following occurs:

               i)     One zero tolerance violation, including fire 
                 clearance violations; absence of supervision; accessible 
                 bodies of water; accessible firearms or ammunition; 
                 refused entry to a facility or any part of a facility; 









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                 and the presence of an excluded person on the premises; 
                 or,

               ii)    A combination of other violations as determined by 
                 DSS and reported to the Legislature.  For the first two 
                 years following implementation this is defined as any two 
                 Type A (immediate risk) violations, regardless of whether 
                 they are listed as part of the annual protocol. 

             b)   Requires that CCLD address any violation observed during 
               an annual inspection, even if not listed as part of the 
               protocol.

             c)   Requires, in the case of Residential Care Facilities for 
               the Elderly (RCFEs), that enhancements to the reviews are 
               to be included for facilities caring for individuals with 
               dementia or who are bedridden, and for facilities providing 
               hospice services.

          4)Authorizes CCLD to elect not to conduct a prelicensing visit 
            in the case of applicants for licensure of certain currently 
            or previously licensed RCFEs or certain Child Day Care 
            Facilities; but, authorizes DSS to make an initial site visit 
            in its discretion. 

          5)Requires CCLD to conduct its first annual unannounced visit to 
            an RCFE within 90 days after the facility accepts its first 
            resident for placement following its initial licensure.

          6)Requires that on or before both January 31, 2012 and January 
            31, 2013, DSS convene a workgroup to review the annual 
            licensing protocols and their implementation, and to make 
            recommendations concerning improving the protocols.

             a)   Requires that the workgroup include representatives from 
               departments within the Health and Human Services Agency, 
               legislative staff, and stakeholders representing providers 
               and consumers of all facility types.

             b)   Requires that DSS address workgroup activities and 
               include information and data on the annual visit protocol 
               in its annual report to the Assembly and Senate budget 
               sub-committees overseeing CCLD.

           EXISTING LAW  









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          1)Provides for the licensure and regulation by CCLD of 
            nonmedical community programs and facilities for adults and 
            children with disabilities, seniors, and abused and neglected 
            children, including group homes, adult residential care 
            facilities, RCFEs, adult day programs, child care facilities, 
            foster family agencies, and foster family homes.

          2)Requires DSS to charge specified application fees for the 
            issuance of a license and annual fees thereafter, based on 
            facility type and capacity.

          3)Establishes requirements for inspection visits to 
            CCLD-licensed facilities to assess compliance with rules and 
            regulations and to assess the facility's continuing ability to 
            meet regulatory requirements, and authorizes DSS to take 
            appropriate remedial action to address noncompliance.

          4)Extends a 3% reduction in payments for services and supports 
            to most CCLD-licensed providers of services to people with 
            developmental disabilities under the Lanterman Developmental 
            Disabilities Services Act (Lanterman Act), and increases the 
            reduction to 4.25%, through June 30, 2012.

          5)Pursuant to the Fiscal Year 2011-12 human services budget 
            trailer bill (Chapter 8, Statutes of 2011), further reduces 
            cash assistance provided through the Supplemental Security 
            Income/State Supplementary Payment (SSI/SSP) Program for 
            individuals by $15 per month effective July 1, 2011, reducing 
            the maximum grant from $845 to $830, the minimum level allowed 
            by federal law.  

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  

           Annual inspection visits

           Prior to 2003, the required frequency of CCLD facility visits 
          was annually for most facility types (and tri-annually for 
          family child care).  Since then, in response to the state's 
          fiscal situation, it was deemed necessary to find ways to reduce 
          costs.  As a result, under the Community Care Facilities Act and 
          RCFE Act, CCLD is now required to do unannounced visits annually 
          only in circumstances when the facility has a history of 









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          compliance problems-approximately 10% of facilities.<1>  For 
          those residential facilities not subject to annual inspections, 
          CCLD is currently required to conduct comprehensive compliance 
          inspections of a 30% random sample of facilities each year, with 
          no facility being visited less than once every 5 years.  There 
          are additional inspection requirements for new facilities or 
          when changes occur to the license.  These pre-licensing 
          inspection and post-licensing inspections help to ensure that a 
          new licensee starts off correctly.

          In a Spring Finance Letter from February, 2010, DSS stated that 
          "�a]s the result of several consecutive years of unallocated 
          reductions and position sweeps, CCLD is no longer able to 
          sustain the required inspection frequency."  The Spring Finance 
          Letter also noted that "CCLD's experience with the random sample 
          inspection protocol and fluctuations in resources have put 
          client health and safety at risk."  As a result, CCLD has been 
          in the process of developing a "Key Indicator Compliance 
          Inspection" protocol for prioritizing its inspection activities. 
           DSS intends to use the key indicator protocols for licensing 
          inspections to increase the frequency and efficiency of 
          licensing visits while maintaining the health & safety oversight 
          of all facilities.  These key indicators are research-based and 
          pilot tested.

          This bill, while not explicitly referencing the key indicator 
          method, authorizes the use of inspection protocols-which must be 
          "research based, field tested, reviewed by stakeholders, and 
          evaluated annually"-to enable CCLD to increase both the 
          frequency of visits and the efficient use of staff time in 
          maintaining the oversight of facilities.  This bill requires 
          CCLD-licensed facilities to be inspected annually (except for 
          family child care home which will be inspected biannually).  The 
          author of this bill notes that increasing the frequency of 
          licensing visits "demonstrates that in the State of California 
          ---------------------------
          <1> Annual unannounced visits are also required "when a facility 
          requires an annual visit as a condition of receiving federal 
          financial participation."  Health & Safety Code Section 
          1534(a)(1)(A)(iv).  This includes facilities vendorized by 
          regional centers for people with developmental disabilities that 
          provide services to individuals funded under the federal Home 
          and Community Based Services Waiver for Individuals with 
          Developmental Disabilities (DD Waiver).  According to DSS, this 
          requirement applies to approximately 2,800 of 5,000 adult care 
          programs.








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          we value those we care for and place their health and safety as 
          a high priority."

          A letter from Penn State University Professor, Richard Fiene, 
          Ph.D., indicates that he developed the Key Indicator Methodology 
          being used by DSS in the 1970s and 1980s.  According to Dr. 
          Fiene, "�b]y using the Key Indicator System, �California] will 
          be able to do more, not less, program reviews of facilities.  
          This is in the best interests of all clients being served by 
          your state and is clearly a win-win situation given the present 
          budget scenario we face as a nation and in California."  
          Preschool California, a co-sponsor of this bill, says that "�b]y 
          focusing inspections on key indicators that are predictive of 
          compliance with all of the licensing regulations, as opposed to 
          the existing comprehensive review, significantly less time will 
          be spent on individual inspections and therefore facilities will 
          be able to be visited more frequently at no additional cost to 
          the state."  In support of this bill, Aging Services of 
          California says that:  "National best practices for human care 
          regulatory agencies issued by the National Association for 
          Regulatory Administration (NARA) recommend inspection occur 
          'with sufficient frequency to protect consumers and to prevent 
          or reduce compliance deterioration-at least twice yearly, unless 
          the agency has a reliable system to reduce the frequency of 
          routine monitoring for stable, high compliance facilities, 
          provided that all facilities are inspected at least once a 
          year.'"

           Concerns  :  Advocates for seniors and others who receive services 
          from CCLD-licensed facilities have been working with the author 
          to address concerns with this bill.  The amendments proposed by 
          the author are an effort to address many of those concerns; 
          however, others remain unresolved.  California Advocates for 
          Nursing Home Reform, for example, believes this bill should more 
          explicitly identify core standards for RCFE inspections, and 
          that key indicator protocols should evaluate compliance with 
          residents' rights.  CANHR says that it is committed to working 
          with the author's office to address its concerns, and the author 
          and sponsors report that they are continuing to work with 
          advocates to address outstanding issues.

           Fee increases
           
          In addition to increasing the frequency of inspections of 
          CCLD-licensed facilities, the most recent amended version of 









                                                                  AB 419
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          this bill also increases initial application and annual 
          licensing fees for these facilities by 10% and modifies 
          provisions concerning compliance fees.  As noted in the February 
          2010 Spring Finance Letter in which DSS proposed the fee 
          increase, however, this proposal was intended to "help stabilize 
          the funding for the Community Care Licensing Program and ensure 
          these critical health and safety resources are less reliant on 
          the GF."  That is, the proposal to increase fees was not 
          directly tied to the proposal for annual inspections using key 
          indicators.

          With limited exceptions, most community provider rates for 
          CCLD-licensed facilities serving people with developmental 
          disabilities under the Lanterman Act have been frozen since 
          fiscal year 2003-04.  The limited cost-of-living and other rate 
          adjustments granted by the Legislature for residential and day 
          programs in the past two decades have been far outstripped by 
          inflation.  The Fiscal Year (FY) 2008-09 and FY 2009-10 state 
          budgets included an additional 3% reduction in provider rates.  
          The FY 2010-11 budget continues the 3% reduction and includes an 
          additional 1.25% reduction.  Therefore, a 10% fee increase would 
          hit these programs particularly hard.  While the fee increase is 
          not directly tied to the provisions of this bill increasing the 
          frequency of inspections, as noted in footnote 1, most community 
          programs for people with developmental disabilities, serving 
          individuals funded in part under the federal DD Waiver, are 
          already subject to annual inspections.

          The California Council of Community Mental Health Agencies also 
          notes, as the basis for its opposition to this bill, that 
          facilities cannot afford fee increases at a time when SSI 
          payments-often the sole source of payments for residential 
          care-are being further reduced.





















                                                                  AB 419
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           Amendments proposed by the author
           
          1)Because the annual inspection protocols are not directly tied 
            to or dependent on the fee increases provided for in this 
            bill, the author proposes to delete the provisions of this 
            bill related to application fees, annual licensing fee 
            increases, and reinspection fees.

          2)As proposed to be amended, this bill also makes technical and 
            clarifying amendments in response to input from stakeholders, 
            including providers, advocates for seniors and other service 
            recipient constituencies, and DSS.
           
          REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Advancement Project
          Aging Services of California
          Alzheimer's Association
          BANANAS Inc.
          Bay Area Council
          California Assisted Living Association (CALA)
          California Child Care Coordinators Association
          California Child Care Resource & Referral Network (co-sponsor)
          California Child Development Administrators Association
          California Head Start Association
          California State PTA
          Central Valley Children's Services Network
          Child Care Resource Center
          Child Development Policy Institute 
          Children Now
          Choices for Children
          Community Child Care Council of Alameda County
          Community Child Care Council of Sonoma County
          Community Resources for Children
          Contra Costa Child Care Council
          Crystal Stairs, Inc.
          Del Norte Child Care Council
          Department of Defense-State Liaison Office, Military Community 
          and Family Policy
          Early Care and Education Consortium
          Family Resource and Referral Center
          Fresno County Office of Education









                                                                  AB 419
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          Los Angeles Universal Preschool (LAUP)
          Marin Child Care Council
          Mexican American Opportunity Foundation
          Pathways
          Preschool California (co-sponsor)
          Professional Association for Childhood Education
          Solano Family & Children's Services
          Valley Oak Children's Services
          Wu Yee Children's Services
          Zero To Three
          1 individual

           Opposition 
           
          California Council of Community Mental Health Agencies
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089