AB 1454, as amended, Ian Calderon. Care facilities: regulatory visits.
Under existing law, the State Department of Social Services regulates the licensure and operation of community care facilities, residential care facilities for the elderly, child day care centers, and family day care homes. Existing law requires that these facilities be subject to unannounced visits by the department that occur at least once every 5 years. Existing law requires the department to conduct an annual unannounced visit under specified circumstances, including when a license is on probation, and to conduct annual unannounced visits to no less than 20% of the facilities not subject to an evaluation under those specified circumstances.
This bill would insteadbegin delete require these facilities to beend deletebegin insert
make every facility of the types described aboveend insert subject to an annual unannounced visit by the department. The bill would require the department to conduct more frequent unannounced visits under specified circumstances. The bill would delete the provisions requiring the department to conduct annual unannounced visits to no less than 20% of the facilities and the provisions requiring an unannounced visit at least once every 5 years.
Existing law requires the department to immediately request a fire clearance and notify an applicant to arrange a time for the department to conduct a prelicensure survey if an application for initial licensure is complete.
This bill would provide that the prelicensure survey is optional at the discretion of the department if the department determines that an application is for licensure of a currently licensed facility, as specified.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 1534 of the Health and Safety Code is
2amended to read:
(a) (1) Every licensed community care facility shall be
4subject to an annual unannounced visit by the department. The
5department shall visit these facilities as often as necessary to ensure
6the quality of care provided.
7(A) The department shall conduct
more frequent unannounced
8visits to a facility under any of the following circumstances:
9(i) When a license is on probation.
10(ii) When the terms of agreement in a facility compliance plan
11require more frequent unannounced visits.
12(iii) When an accusation against a licensee is pending.
13(iv) When a facility requires more frequent unannounced visits
14as a condition of receiving federal financial participation.
15(v) In order to verify that a person who has been ordered out of
16a facility by the department is no longer at the facility.
17(B) In order to facilitate direct contact with group home clients,
18the department may interview children who are clients of group
19homes at any public agency or private agency at which the client
20may be found, including, but not limited to, a juvenile hall,
21recreation or vocational program, or a nonpublic school. The
22department shall respect the rights of the child while conducting
23the interview, including informing the child that he or she has the
P3 1right not to be interviewed and the right to have another adult
2present during the interview.
3(2) The department shall notify the community care facility in
4writing of all deficiencies in its compliance with the provisions of
5this chapter and the rules and regulations adopted pursuant to this
6chapter, and shall set a reasonable length of time for compliance
7by the facility.
8(3) Reports on the results of each inspection, evaluation, or
9consultation shall be kept on file in the department, and all
10inspection reports, consultation reports, lists of deficiencies, and
11plans of correction shall be open to public inspection.
12(b) (1) begin deleteNothing in this end deletebegin insertThis end insertsectionbegin delete shallend deletebegin insert does notend insert limit the
13authority of the department to inspect or evaluate a licensed foster
14family agency, a certified family home, or any aspect
of a program
15begin delete whereend deletebegin insert
in whichend insert a licensed community care facility is certifying
16compliance with licensing requirements.
17(2) Upon a finding of noncompliance by the department, the
18department may require a foster family agency to deny or revoke
19the certificate of approval of a certified family home, or take other
20action the department may deem necessary for the protection of a
21child placed with the family home. The family home shall be
22afforded the due process provided pursuant to this chapter.
23(3) If the department requires a foster family agency to deny or
24revoke the certificate of approval, the department shall serve an
25order of denial or revocation upon the certified or prospective
26foster parent and foster family agency that shall notify the certified
27or
prospective foster parent of the basis of the department’s action
28and of the certified or prospective foster parent’s right to a hearing.
29(4) Within 15 days after the department serves an order of denial
30or revocation, the certified or prospective foster parent may file a
31written appeal of the department’s decision with the department.
32The department’s action shall be final if the certified or prospective
33foster parent does not file a written appeal within 15 days after the
34
department serves the denial or revocation order.
35(5) The department’s order of the denial or revocation of the
36certificate of approval shall remain in effect until the hearing is
37completed and the director has made a final determination on the
38merits.
39(6) A certified or prospective foster parent who files a written
40appeal of the department’s order with the department pursuant to
P4 1this section shall, as part of the written request, provide his or her
2current mailing address. The certified or prospective foster parent
3shall subsequently notify the department in writing of any change
4in mailing address, until the hearing process has been completed
5or terminated.
6(7) Hearings held pursuant to this section shall
be conducted in
7accordance with Chapter 5 (commencing with Section 11500) of
8
Part 1 of Division 3 of Title 2 of the Government Code. In all
9proceedings conducted in accordance with this section, the standard
10of proof shall be by a preponderance of the evidence.
11(8) The department may institute or continue a disciplinary
12proceeding against a certified or prospective foster parent upon
13any ground provided by this section, enter an order denying or
14revoking the certificate of approval, or otherwise take disciplinary
15action against the certified or prospective foster parent,
16notwithstanding any resignation, withdrawal of application,
17surrender of the certificate of approval, or denial or revocation of
18the certificate of approval by the foster family agency.
19(9) A foster family agency’s failure to comply with the
20department’s order to deny or revoke
the certificate of employment
21by placing or retaining children in care shall be grounds for
22disciplining the licensee pursuant to Section 1550.
Section 1569.20 of the Health and Safety Code is
24amended to read:
Upon the filing of the application for issuance of an
26initial license, the department shall, within five working days of
27the filing, make a determination regarding the completeness of the
28application. If the application is complete, the department shall
29immediately request a fire clearance and notify the applicant to
30arrange a time for the department to conduct a prelicensure survey.
31If the department determines that an application is for licensure
32of a currently licensed facility for which there will be no material
33change to the management or operations of the facility, the
34prelicensure survey is optional at the discretion of the department.
35If the application is incomplete, the department shall notify the
36applicant and
request the necessary information. Within 60 days
37of making a determination that the file is complete, the department
38shall make a determination whether the application is in compliance
39with this chapter and the rules and regulations of the department
40and shall either immediately issue the license or notify the applicant
P5 1of the deficiencies. The notice shall specify whether the
2deficiencies constitute denial of the application or whether further
3corrections for compliance will likely result in approval of the
4application.
Section 1569.33 of the Health and Safety Code is
6amended to read:
(a) Every licensed residential care facility for the
8elderly shall be subject to an annual unannounced visit by the
9department. The department shall visit these facilities as often as
10necessary to ensure the quality of care provided.
11(b) The department shall conduct
more frequent unannounced
12visits of a facility under any of the following circumstances:
13(1) When a license is on probation.
14(2) When the terms of agreement in a facility compliance plan
15require more frequent unannounced visits.
16(3) When an accusation against a licensee is pending.
17(4) When a facility requires more frequent unannounced visits
18as a condition of receiving federal financial participation.
19(5) In order to verify that a person who has been ordered out of
20the facility for the elderly by the department is no longer at the
21facility.
22(c) The department shall notify the residential care facility for
23the elderly in writing of all deficiencies in its compliance with the
24provisions of this chapter and the rules and regulations adopted
25pursuant to this chapter, and shall set a reasonable length of time
26for compliance by the facility.
27(d) Reports on the results of each inspection, evaluation, or
28consultation shall be kept on file in the department, and all
29inspection reports, consultation reports, lists of deficiencies, and
30plans of correction shall be open to public inspection.
31(e) As a part of the department’s evaluation process, the
32department shall review the plan of operation, training logs, and
33marketing materials of any residential care facility for the elderly
34that advertises or promotes special care,
special programming, or
35a special environment for persons with dementia to monitor
36compliance with Sections 1569.626 and 1569.627.
Section 1597.09 of the Health and Safety Code is
38amended to read:
(a) Each licensed child day care center shall be
40subject to an annual unannounced visit by the department. The
P6 1department shall visit these facilities as often as necessary to ensure
2the quality of care provided.
3(b) The department shall conduct
more frequent unannounced
4visits to a licensed child day care center under any of the following
5circumstances:
6(1) When a license is on probation.
7(2) When the terms of agreement in a facility compliance plan
8require more frequent unannounced visits.
9(3) When an accusation against a licensee is pending.
10(4) In order to verify that a person who has been ordered out of
11a child day care center by the department is no longer at the facility.
Section 1597.55a of the Health and Safety Code is
13amended to read:
Every family day care home shall be subject to an
15annual unannounced visit by the department as provided in this
16section. The department shall visit these facilities as often as
17necessary to ensure the quality of care provided.
18(a) The department shall conduct an announced site visit prior
19to the initial licensing of the applicant.
20(b) The department shall conduct
more frequent unannounced
21visits to a facility under any of the following circumstances:
22(1) When a license is on probation.
23(2) When the terms of agreement in a facility compliance plan
24require more frequent unannounced visits.
25(3) When an accusation against a licensee is pending.
26(4) In order to verify that a person who has been ordered out of
27a family day care home by the department is no longer at the
28facility.
29(c) A public agency under contract with the department may
30make spot checks if it does not result in any cost to the state.
31However, spot checks shall not be required
by the department.
32(d) The department or licensing agency shall make an
33unannounced site visit on the basis of a complaint and a followup
34visit as provided in Section 1596.853.
35(e) An unannounced site visit shall adhere to both of the
36following conditions:
37(1) The visit shall take place only during the facility’s normal
38business hours or at any time family day care services are being
39provided.
P7 1(2) The inspection of the facility shall be limited to those parts
2of the facility in which family day care services are provided or
3to which the children have access.
4(f) The department shall implement
this section during periods
5that Section 1597.55b is not being implemented in accordance
6with Section 18285.5 of the Welfare and Institutions Code.
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