BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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                              UNFINISHED BUSINESS


          Bill No:  SB 1051
          Author:   Liu (D), et al.
          Amended:  8/20/12
          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

           SENATE FLOOR  :  39-0, 5/29/12 (Consent)
          AYES:  Alquist, Anderson, Berryhill, Blakeslee, Calderon, 
            Cannella, Corbett, Correa, De Le�n, DeSaulnier, Dutton, 
            Emmerson, Evans, Fuller, Gaines, Hancock, Harman, 
            Hernandez, Huff, Kehoe, La Malfa, Leno, Lieu, Liu, 
            Lowenthal, Negrete McLeod, Padilla, Pavley, Price, Rubio, 
            Simitian, Steinberg, Strickland, Vargas, Walters, Wolk, 
            Wright, Wyland, Yee
          NO VOTE RECORDED:  Runner

           ASSEMBLY FLOOR  :  78-0, 8/22/12 - See last page for vote


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

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           SOURCE  :     Author


           DIGEST  :    This bill requires the Department of State 
          Hospitals (DSH) and developmental centers within the 
          Department of Developmental Services (DDS) to report 
          suspected abuse to the designated protection and advocacy 
          agency. 

           Assembly Amendments  make technical changes and add 
          coauthors.

           ANALYSIS  :    

          Existing law:

          1. Establishes jurisdiction of 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. 


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          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. 

          This bill:

          1. Mandates DSH to report, no later than the close of the 
             first business day following the discovery of the 
             reportable incident, to the designated agency the 
             following incidents involving a resident of a state 
             mental hospital: 

             A.    Any unexpected or suspicious death, regardless of 
                whether the cause is immediately known; 

             B.    Any allegation of sexual assault, as defined, in 
                which the alleged perpetrator is an employee or 
                contractor of a state mental hospital or of the 
                Department of Corrections and Rehabilitation; and

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

          2. Provides that the chief of the Office of Protective 
             Services (OPS), who has the responsibility and authority 
             to manage all protective service components within the 
             OPS's law enforcement and fire protection divisions, 
             including those at each state developmental center, 
             shall be known as the "Director of Protective Services." 


          3. Requires the Director of Protective Services to be an 
             experienced law enforcement officer with a Peace 
             Officers Standards and Training Management Certificate 
             or higher, and with extensive management experience 
             directing uniformed peace officer and investigation 

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             operations. 

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

          5. Mandates developmental centers to report, no later than 
             the close of the first business day following the 
             discovery of the reportable incident, to the designated 
             agency, any of the following incidents involving a 
             resident of a developmental center: 

             A.    Any unexpected or suspicious death, regardless of 
                whether the cause is immediately known; 

             B.    Any allegation of sexual assault, as defined, in 
                which the alleged perpetrator is a developmental 
                center or department employee or contractor; and, 

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

          6. Requires mandated reporters within developmental centers 
             to immediately report suspected abuse to OPS or to the 
             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 

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          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).

           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 

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          enforcement officer would encounter and that, therefore, 
          OPS should be preserved.

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

          According to the Assembly Appropriations Committee, minor 
          absorbable state costs to DSH and DDS.  As DSH and DDS 
          employees and all mandated reporters are currently required 
          to report suspected abuse to local law enforcement or 
          department personnel, but not necessarily to the designated 
          protection and advocacy agency, requiring them to report to 
          the protection and advocacy agency in each case, or to 
          local law enforcement, does not create a significant cost. 

           SUPPORT  :   (Verified  5/22/12) (Unable to reverify at time 
          of writing)

          The Arc of California and United Cerebral Palsy


           ASSEMBLY FLOOR  : 78-0, 08/22/12
          AYES: Achadjian, Alejo, Allen, Ammiano, Atkins, Beall, Bill 
            Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Cedillo, Chesbro, Conway, Cook, Davis, Dickinson, 
            Eng, Feuer, Fletcher, Fong, Fuentes, Furutani, Beth 
            Gaines, Galgiani, Garrick, Gatto, Gordon, Gorell, Grove, 
            Hagman, Halderman, Hall, Harkey, Hayashi, Hill, Huber, 
            Hueso, Huffman, Jeffries, Jones, Knight, Lara, Logue, 
            Bonnie Lowenthal, Ma, Mansoor, Mendoza, Miller, Mitchell, 
            Monning, Morrell, Nestande, Nielsen, Norby, Olsen, Pan, 
            Perea, V. Manuel P�rez, Portantino, Silva, Skinner, 
            Smyth, Solorio, Swanson, Torres, Valadao, Wagner, 
            Wieckowski, Williams, Yamada, John A. P�rez
          NO VOTE RECORDED: Donnelly, Roger Hern�ndez


          CTW:dm  8/22/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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