BILL ANALYSIS                                                                                                                                                                                                    �




                                                                  SB 1051
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          Date of Hearing:   June 26, 2012

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
               SB 1051 (Liu and Emmerson) - As Amended:  June 18, 2012

           SENATE VOTE  :  39-0
           
          SUBJECT  :  Reports of death, injury, and abuse: developmental 
          centers and state hospitals: mandated reporters

           SUMMARY  :  Establishes qualifications for the chief of the 
          Department of Developmental Services (DDS) Office of Protective 
          Services (OPS) and describes reporting requirements for state 
          developmental centers (DCs) and state mental hospitals.  
          Specifically,  this bill  :   

          1)Provides that the chief of OPS within DDS-with responsibility 
            and authority to manage all protective service components 
            within DDS's law enforcement and fire protection divisions, 
            including those at each DC-shall be known as the Director of 
            Protective Services and shall:

             a)   Be an experienced law enforcement officer with a Peace 
               Officers Standards and Training Management Certificate or 
               higher; and,

             b)   Have extensive management experience directing uniformed 
               peace officer and investigation operations.

          2)Provides 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 
            (CHHS).

          3)Requires DDS to report to the state's protection and advocacy 
            agency any of the following incidents involving a resident of 
            a DC 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 DC or DDS employee; and,









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             c)   Any report made to the local law enforcement agency that 
               involves physical abuse, as defined, in which a staff 
               member is implicated.

          4)Requires the state Department of State Hospitals to report to 
            the state's 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;

             b)   Any sexual assault allegation implicating the 
               involvement of a state mental hospital employee or employee 
               of the Department of Corrections and Rehabilitation; and,

             c)   Any report made to the local law enforcement agency 
               involving physical abuse, as defined, in which a staff 
               member is implicated.

          5)Requires that mandated reports of reportable incidents at a DC 
            or state mental hospital be made no later than the close of 
            the first business day following the discovery of the 
            reportable incident.

          6)Requires, pursuant to the Elder Abuse and Dependent Adult 
            Civil Protection Act, DDS mandated reporters to immediately 
            report suspected abuse to OPS or to the local law enforcement 
            agency.

          7)Contains an urgency clause requiring it to take effect 
            immediately.

           EXISTING LAW  

          1)Establishes jurisdiction of DDS over state DCs, which provide 
            residential care to individuals with developmental 
            disabilities.

          2)Establishes OPS as a police force within DDS to enforce DC 
            rules, preserve peace and protect the property of the state's 
            developmental centers. 

          3)Requires a DC to immediately report all resident deaths and 
            serious injuries of unknown origin to the appropriate local 








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            law enforcement agency.

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

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

          6)Designates a nonprofit organization, pursuant to federal law, 
            for the protection and advocacy of the rights of persons with 
            disabilities.

          7)Requires that deaths or serious injuries occurring in DCs 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.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :

           Purpose of this bill

           According to the authors, this bill is the result of information 
          presented during a Senate Human Services Committee hearing on 
          March 13, 2012 regarding the practices of OPS, which serves as 
          the law enforcement agency for the state DCs.  The authors note 
          that the quality of investigations by these officers has been 
          the subject of inquiry and controversy for more than a decade. 

          A number of government agencies and advocacy organizations have 
          evaluated this issue and concluded that officers were poorly 
          trained and inexperienced.  In February, a series of highly 
          critical news articles published by California Watch questioned 
          the ability of OPS to conduct complex criminal investigations. 
          The Senate Human Services Committee hearing in March also 
          explored these issues.  Referring to this hearing, the authors 
          say that:

               As we learned, the OPS officers are trained at law 








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               enforcement academies, but many of them lack the 
               experience to conduct major criminal investigations. 
               Testimony at the hearing highlighted concerns about 
               interference from administrators, the qualifications 
               of the chief of OPS, and about the delay in reporting 
               potential crimes to either OPS or law enforcement. The 
               administration has announced plans to address issues 
               within OPS, but in the meantime, we want to provide 
               stronger oversight of their activities by ensuring 
               there is reporting to outside agencies.

          While the administration has recently announced a series of 
          measures to address these questions, the authors state that 
          additional oversight and reporting elements are needed to ensure 
          proper protocols are followed in all cases.

           Developmental Centers
           
          DCs are part of a system of care overseen by the DDS. With a 
          proposed budget of $4.7 billion for 2012-2013, DDS is 
          responsible for coordinating care and providing services for 
          about 1,700 individuals living in DCs, 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 disability that 
          originates before an individual attains age 18 years, continues, 
          or can be expected to continue, indefinitely, and constitutes a 
          substantial disability for the individual.   Developmental 
          disabilities include mental retardation, cerebral palsy, autism, 
          epilepsy, and conditions found to be closely related to mental 
          retardation or to require treatment similar to that required for 
          individuals with mental retardation.  Welfare & Institutions 
          Code Section 4512(a).

          According to DDS, care in the DCs 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 
          DCs included individuals with the following characteristics<1>:

                 87% were diagnosed with medical conditions requiring 
               treatment;
                 69% had severe to profound mental retardation;
                 60% had a dual diagnosis of both developmental 
             --------------------------
          <1> Residents may be reflected in more than one category








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               disability and mental health condition (an increase of over 
               10% since 2008);
                 54% required support to walk/move about their 
               environment;
                 46% had severe behavior conditions;
                 45% of the total population had visual deficits.

           Office of Protective Services (OPS)
           
          The creation of a protective force within the DCs 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 DCs 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. 

          The Background Paper for the Senate Human Services March 13th 
          hearing notes that:  

               Currently, �OPS] employs 94 sworn officers, including 
               20 investigators.  Over the past several decades, the 
               duties and responsibilities of OPS has evolved into 
               something that resembles the general law enforcement 
               duties performed by municipal, county and university 
               campus law enforcement officers.  Yet, those familiar 
               with OPS and the �DCs] are quick to point out that the 
               environment and investigative skills needed to work 
               with clients who are victims and witnesses is 
               significantly different than what a municipal law 
               enforcement officer would encounter.

               This need for specialized experience in working with 
               clients in �DCs] has preserved the Office of 
               Protective Services' role, despite prior concerns 
               about investigatory outcomes.  The force has some 
               similarities to the internal police force that works 
               for the state hospitals within the Department of 
               Mental Health, although there are key differences.  
               Perhaps the most significant difference is that OPS 
               officers receive training at the same Peace Officers 








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               Standards and Training �POST] academies that municipal 
               police and sheriff's departments use.  Officers in the 
               state mental hospitals do not receive POST training, 
               but are trained through other methods.

               The need for an effective investigative body is 
               especially critical for individuals in �DCs].  People 
               with Developmental Disabilities are at 
               disproportionately high risk to become victims of 
               abuse and neglect.  A number of studies have 
               documented high rates of violence and abuse, and some 
               experts estimate that people with disabilities are at 
               a minimum four times more likely to be victimized than 
               people without disabilities. Individuals with an 
               intellectual disability are at the highest risk of 
               victimization.  Some studies have shown that the rates 
               of victimization are higher for people living in 
               institutions than for those who live in the community.

          (Citations omitted.  Available at: 
           http://shum.senate.ca.gov/sites/shum.senate.ca.gov/files/3-13-12B
          ackground%20paper.pdf  .)

           History of investigative concerns
           
          California Attorney General 
          In 2002 the California Attorney General's office, acting upon a 
          request of the Senate Select Committee on Developmental 
          Disabilities and Mental Health, released a report prepared by 
          two expert consultants who evaluated investigative practices 
          within the DCs.  The 82-page paper, Policing in the Department 
          of Developmental Services, A Review of the Organization and 
          Operations 2000-2001, found a number of concerns, including (at 
          p. 3) that:

               the majority of (law enforcement) personnel lack the 
               training, experience and proper equipment to completely 
               preserve and collect crime scene evidence. While there is a 
               critical need to train personnel, there should also be 
               prearranged agreements with outside agencies to take over 
               the evidence processing upon request.

          The report recommended that DDS establish Memorandums of 
          Understanding (MOUs) with local law enforcement agencies that 
          provide authority for those agencies to independently review 








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          investigations completed by OPS, and to create a process for 
          local agencies to assist or take over investigations that are in 
          progress. 

          AB 430 (Cardenas), Chapter 171, Statutes of 2001, requires DDS 
          to report specified deaths to local law enforcement agency.  DDS 
          testified that it has established MOUs; however, it is unclear 
          what investigations have been taken over or aided by local law 
          enforcement agencies. 

          Civil Rights of Institutionalized Persons Act 
          In 2004, the federal Department of Justice opened an 
          investigation under the Civil Rights for Institutionalized 
          Persons Act (CRIPA) into practices at Lanterman Developmental 
          Center.  Under CRIPA, federal investigators inspect state- and 
          locally run facilities to determine whether there is a pattern 
          or practice of violations of residents' federal rights.  In 
          2006, the U.S. Attorney General outlined findings in a 57-page 
          letter to then-Governor Schwarzenegger.  It labeled as 
          "troubling" the high number of injuries of unknown origin 
          recorded by staff.  In a 13-month period, almost half of all 
          incidents recorded were listed as having unknown origin, or more 
          than 760 cases.  The federal investigators also found that "an 
          inadequate incident reporting and investigative system" often 
          hampers resolution of cases of assault by one client upon 
          another.

          Disability Rights California 
          In a 2003 report Abuse and Neglect of Adults with Developmental 
          Disabilities: A Public Health Priority for the State of 
          California, the state-designated protection and advocacy agency 
          urged California to begin collecting data on crime victims, 
          noting that: 

               Data from California's criminal justice and developmental 
               disabilities systems do not provide a clear picture of the 
               incidence of abuse, neglect, and victimization of people 
               with developmental disabilities.

          The report noted that, without accurate data, the state cannot 
          monitor the extent of victimization of individuals with 
          developmental disabilities, or to direct resources and evaluate 
          interventions.  It recommended adding a field to all criminal 
          justice data forms identifying whether a crime victim has a 
          developmental disability, among other indicators.








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          Existing law requires a DC to report all resident deaths and 
          serious injuries of unknown origin to the appropriate law 
          enforcement agency.  This bill would in addition require DDS and 
          the Department of State Hospitals (the proposed successor agency 
          to DMH responsible for oversight of the state mental hospitals) 
          to report to the state's designated protection and advocacy 
          agency specified incidents involving a resident of a DC or state 
          mental hospital.  This bill also requires that mandated 
          reporters of DDS shall immediately report suspected abuse to the 
          Office of Protective Services or to local law enforcement.  This 
          will clarify any confusion as to whom they are required to 
          report.

          This bill, the authors say, is a bi-partisan bill resulting from 
          the Senate Human Services Committee hearing.  It seeks to 
          strengthen oversight and tracking of crimes in several key ways, 
          including by requiring state DCs and state mental hospitals to 
          report suspicious deaths, sexual assaults involving staff 
          members and other crimes to the state-designated protection and 
          advocacy agency.  It requires employees in DCs to immediately 
          report suspected crimes to OPS, and elevates the oversight of 
          the Director of Protective Services by making it an appointment 
          of the Secretary of CHHS.

           Requested amendment  :  The Arc and United Cerebral Palsy in 
          California supports this bill but asks that the bill be amended 
          to require that the Director of Protective Services be appointed 
          by the Governor and subject to confirmation by the Senate.  The 
          authors believe this is unnecessary, and likely would create 
          delays in the appointment process.

           Related legislation  

          SB 1522 (Leno, 2012) - would specify a list of suspected crimes 
          that DC employees are required to report immediately to local 
          law enforcement. 

           SECOND COMMITTEE OF REFERENCE  .  This bill was previously heard 
          in the Assembly Public Safety Committee on June 26, 2012, and 
          was approved on a ____ vote.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 








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          Association of Regional Center Agencies
          Developmental Disabilities Area Board 10
          Disability Rights California
          The Arc and United Cerebral Palsy in California
           
            Opposition 
           
          None on file

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