BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1051|
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                                 THIRD READING


          Bill No:  SB 1051
          Author:   Liu (D)
          Amended:  5/10/12
          Vote:     27 - Urgency

           
           SENATE HUMAN SERVICES COMMITTEE  :  7-0, 4/24/12
          AYES:  Liu, Emmerson, Berryhill, Hancock, Strickland, 
            Wright, Yee

           SENATE PUBLIC SAFETY COMMITTEE  :  7-0, 5/8/12
          AYES:  Hancock, Anderson, Calderon, Harman, Liu, Price, 
            Steinberg

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT  :    Developmental centers and state hospitals: 
          reports of death, 
                      injury and abuse: mandated reporters

           SOURCE  :     Author


           DIGEST  :    This bill establishes criteria for employment 
          for the director of the Office of Protective Services (OPS) 
          within the Department of Developmental Services and directs 
          that position be appointed by and serve at the pleasure of 
          the Secretary of the Health and Human Services Agency, 
          requires that mandated reporters working in developmental 
          centers report suspected abuse to the OPS immediately, and 
          requires state hospitals and developmental centers to 
          report specified incidents to the designated Protection and 
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          Advocacy agency.

           ANALYSIS  :    

          Existing law:

          1. Establishes jurisdiction of the Department of 
             Developmental Services (DDS) over state developmental 
             centers, which provide residential care to individuals 
             with developmental disabilities.

          2. Establishes a police force within the state's DDS to 
             enforce developmental center rules, preserve peace and 
             protect the property of the state's developmental 
             centers.  DDS has been designated the OPS.

          3. Requires a developmental center to immediately report 
             all resident deaths and serious injuries of unknown 
             origin to the appropriate local law enforcement agency.

          4. Establishes jurisdiction of the Department of Mental 
             Health over the state's mental hospitals.

          5. Establishes a police force within the Department of 
             Mental Health to enforce hospital rules, preserve peace 
             and protect the property of the state's mental 
             hospitals.

          6. Requires the state to designate a protection and 
             advocacy organization, as specified, to advocate for and 
             investigate allegations of abuse against individuals 
             with disabilities.  This statute reflects federal 
             requirements that states identify and fund such an 
             advocacy organization. 

          7. Requires, in the Health and Safety Code, that deaths or 
             serious injuries occurring in developmental centers or 
             state hospitals that result from the use of restraints 
             be reported to the state-designated protection and 
             advocacy organization.

          8. Requires specified people, known as mandated reporters, 
             to report cases of elder or dependent adult abuse, as 
             defined, and makes the failure to report a misdemeanor. 







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          This bill:

          1. Requires that when DDS employs a Director of Protective 
             Services, that person must have specified qualifications 
             including:

             A.    Bing an experienced law enforcement officer.

             B.    Possessing a Peace Officers Standards and 
                Training Management Certificate or higher.

             C.    Having extensive management experience directing 
                uniformed peace officer and investigation 
                operations.

          2. Specifies that the Director of Protective Services shall 
             be appointed by, and shall serve at the pleasure of, the 
             Secretary of the California Health and Human Services 
             agency.

          3. Requires the DDS to report to the state-identified 
             protection and advocacy agency, any of the following 
             incidents involving a resident of a developmental center 
             no later than close of the first business day following 
             the discovery of the reportable incident:

             A.    Any unexpected or suspicious death.

             B.    Any sexual assault allegation implicating the 
                involvement of a developmental center or department 
                employee.

             C.    Any report made to the local law enforcement 
                agency.

          4. Requires the Department of State Hospitals to report to 
             the state-identified protection and advocacy agency, any 
             of the following incidents involving a resident of a 
             state mental hospital no later than close of the first 
             business day following the discovery of the reportable 
             incident:

             A.    Any unexpected or suspicious death.







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             B.    Any sexual assault allegation implicating the 
                involvement of a state mental hospital employee or 
                employee of the Department of Corrections and 
                Rehabilitation.

             C.    Any report made to the local law enforcement 
                agency.

          5. Requires that mandated reporters who work in 
             developmental centers report suspected abuse immediately 
             to the OPS or their local law enforcement agency.

           Background
           
           Developmental centers  .  The developmental centers are part 
          of a system of care overseen by DDS.  With a proposed 
          budget of $4.7 billion for 2012-2013, DDS is responsible 
          for coordinating care and providing services for about 
          1,800 individuals living in developmental centers, as well 
          as for approximately 250,000 people with developmental 
          disabilities who receive services and supports to live in 
          their communities.  A developmental disability is defined 
          as a severe and chronic disability that is attributable to 
          a mental or physical impairment that begins before age 18.  
          These disabilities include mental retardation, cerebral 
          palsy, autism, epilepsy and other similar conditions.

          According to DDS, care in the developmental centers in 
          recent years has become more focused on serving individuals 
          with severe behaviors, autism, co-occurring mental health 
          disorders and those with hearing and vision deficits. In 
          2011, the population living in Developmental centers 
          included individuals with the following diagnosis.  
          Residents may be reflected in more than one category:

           87 percent were diagnosed with medical conditions 
            requiring treatment.

           69 percent had severe to profound mental retardation.

           60 percent had a dual diagnosis of both developmental 
            disability and mental health.  Condition (an increase of 
            over 10 percent since 2008).







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           54 percent required support to walk/move about their 
            environment.

           46 percent had severe behavior conditions.

           45 percent of the total population had visual deficits.

           Office of Protective Services  .  The creation of a 
          protective force within the developmental centers is found 
          in early statutes, which gave peace officer authority to 
          the hospital administrator and allowed the appointment of 
          part-time officers from the ranks of hospital employees.  
          Current statute confers peace officer status upon police 
          officers in the developmental centers and authorizes them 
          to enforce hospital rules, preserve peace and protect state 
          property.  OPS officers investigate thefts, trespassing and 
          suspicious person claims, respond to missing client calls, 
          enforce restraining orders, patrol the developmental 
          centers' grounds and investigate suspicious deaths, sexual 
          assaults and other major crimes. 

          Evaluations of OPS in developmental centers over the past 
          12 years have considered whether to retain the internal law 
          enforcement presence or remove police functions to an 
          outside entity.  These evaluators concluded that the 
          environment and investigative skills needed to work with 
          victims and witnesses who have developmental disabilities 
          is significantly different than what a municipal law 
          enforcement officer would encounter and that, therefore, 
          OPS should be preserved.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  Yes

           SUPPORT  :   (Verified  5/22/12)

          The Arc of California and United Cerebral Palsy


          CTW:do  5/22/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE








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