BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1554
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          Date of Hearing:  April 29, 2014

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                                Mariko Yamada, Chair
                   AB 1554 (Skinner) - As Amended:  April 22, 2014
           
          SUBJECT  :  Residential care facilities for the elderly (RCFE):  
          complaint investigations.

           SUMMARY  :  Requires the Department of Social Services (DSS)  
          Community Care Licensing Division (CCLD) to investigate  
          complaints involving abuse, neglect, or serious harm
          to a RCFE resident within 24 hours, or 10 days depending on the  
          nature of the complaint, and to complete investigations within  
          30 or 90 days, depending on the nature of the complaint.   
          Specifically, this bill  :  

          1)Clarifies that complainants may seek investigations, instead  
            of inspections, when credible, non-harassing assertions of  
            violations of law or regulation are made by any person.  

          2)Allows complaints to be made electronically or verbally, as  
            well as in writing.  

          3)Requires DSS to make a preliminary review of the complaint  
            upon receipt.  

          4)Requires DSS to notify the complainant of the name of the  
            investigator within 2 working days, and then make an onsite  
            investigation within 10 days after receiving the complaint.  

          5)Provides for a more immediate investigation within 24 hours if  
            the complaint alleges credible abuse (including neglect), or  
            an imminent threat of death or serious harm.  

          6)Assures priority action by DSS when the Long-Term Care  
            Ombudsman submits a complaint that a licensee fails to provide  
            the Ombudsman with a roster, census, or list of names and room  
            numbers and locations of residents, or is restricting the  
            Ombudsman's ability to:

             a.   enter a facility;  
             b.   conduct unescorted and unhindered movement within the  
               facility in order to provide visits, or hear, investigate  
               and resolve complaints;  








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             c.   observe and monitor conditions of residents and the  
               facility;  
             d.   speak confidentially with residents; and  
             e.   assist residents to protect their health, safety and  
               rights.  

          7)Requires investigators to confer with complainants before  
            conducting an onsite investigation in order to convey the  
            proposed course of action.  

          8)Allows DSS to coordinate investigations when existing  
            investigations are underway.  

          9)Maintains the confidentiality of the complainant unless the  
            complainant specifically requests his/her name be released,  
            and prohibits the department from giving a licensee advance  
            notice of an inspection.  


          10)Provides for immediate civil monetary penalty of $1000 for  
            each day, of each violation and allows the department to take  
            any other authorized enforcement actions for violations.  

          11)Itemizes the elements of the investigation to include all  
            evidence, observed conditions, witness statements, interviews  
            with facility staff, other residents, family members,  
            visitors, long-term care ombudsman, and others who may have  
            information about the complaint, or facility records.  

          12)Requires the investigation to be completed within 90 days  
            unless law enforcement has established an investigation  
            already, in which case DSS may extend the investigation if the  
            department notifies the complainant with 48 hours; or 30 days  
            for complaints involving imminent harm.  

          13)Provides for an appeal process in the event the complainant  
            is dissatisfied with the department's findings or  
            investigation, or enforcement actions resulting therein.  

          14)Specifically exempts from the California Public Records Act,  
            disclosure of names of individuals identified in records  
            collected by the Department of Social Services related to  
            investigations and inspections of RCFEs.  

          15) Requires DSS to assure that licensees, officers and  








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            employees of licensees comply with anti-retaliation and  
            anti-discrimination provisions of the RCFE Act.  

           EXISTING LAW  :  

          1)Establishes the California Community Care Facilities Act  
            (CCFA) to provide a comprehensive statewide service system of  
            quality community care for people who have a mental illness, a  
            developmental or physical disability, and children and adults  
            who require care or services by a facility or organization.  

          2)Establishes the California RCFE Act, which requires facilities  
            that provide personal care and supervision, protective  
            supervision or health related services for persons 60 years of  
            age or older who voluntarily choose to reside in that facility  
            to be licensed by DSS.  

          3)Prohibits any person, firm, partnership, association,  
            corporation or public agency from establishing, operating,  
            managing, conducting or maintaining a Community Care Facility  
            (CCF) or RCFE without a valid license provided by DSS.  

          4)Provides that any person who violates the RCFE Act shall be  
            guilty of a misdemeanor and upon conviction be fined no more  
            than $1,000, imprisoned in county jail for up to one year, or  
            both.  

          5)Establishes the Long-Term Care Ombudsman program as a result  
            of the federal Older Americans Act (OAA) and the  
            Mello-Granlund Older Californians Act (OCA), and places it  
            within the California Department of Aging to encourage  
            community contact and involvement with elderly patients or  
            residents of long-term care facilities through the use of  
            volunteers and volunteer programs.  

          6)Requires the Ombudsman, either personally or through  
            representatives, to identify, investigate, and resolve  
            complaints that may adversely affect the health, safety,  
            welfare, or rights of residents of long-term care facilities.   


          7)Provides that representatives of the Ombudsman program have  
            access to long-term care facilities and residents, and the  
            medical and social records of residents.  









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          8)Prohibits willful interference with the functions of the  
            Ombudsman representative and the Ombudsman program.  

          9)Prohibits retaliation and reprisals by a long-term care  
            facility, and provides for sanctions with respect to  
            interference, retaliation, and reprisals.  

          10)Provides that representatives of the Ombudsman program have  
            the right to enter and move about long-term care facilities to  
            identify, hear, investigate, and resolve complaints; observe  
            and monitor conditions of residents and facilities; speak  
            confidentially with residents; and provide services to assist  
            residents in protecting their health, safety, welfare, and  
            rights.  

          11)Prohibits RCFE licensees or their staff from discriminating  
            or retaliating against a resident if the resident has  
            participated in the filing of a complaint, grievance, or  
            request for inspection with the California Department of  
            Social Services (DSS) or with a local or state ombudsman.  

          12)Prohibits an RCFE licensee or their staff from discriminating  
            or retaliating against a fellow staff person, as specified, if  
            the staff person has participated in the filing of a  
            complaint, grievance, or request for inspection with DSS or  
            with a local or state ombudsman.  

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  

           Author's Statement  :  "Due to the lack of regular inspections of  
          RCFEs, it is critical that CCL have a strong and effective  
          complaint investigation system to identify and stop instances of  
          abuse and neglect.  Yet the opposite is true.  CCL's current  
          complaint investigation system is plagued by problems of  
          inadequate investigation, poor communication with complainants,  
          lack of transparency, weak enforcement, and appeal procedures  
          that protect operators and imperil residents.  CCL does not send  
          written findings to complainants except upon request, and does  
          not give complainants an opportunity to appeal CCL's findings.    
          Even when complaints are substantiated, meaningful enforcement  
          action by CCL is very rare.  

          "Elders living in RCFEs today are especially vulnerable to  








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          abuse, neglect and other types of mistreatment.  Many, if not  
          most of them, suffer from dementia, are in poor health and are  
          physically and emotionally fragile.  Despite their growing  
          needs, they live in facilities that are loosely regulated and  
          are not necessarily designed or required to accommodate their  
          needs.  According to CCL, it received nearly 3,000 complaints  
          against RCFEs in FY 2011/12, an astounding number when one  
          considers that many residents and their families may have never  
          seen a CCL inspector.  These complaints may be the tip of the  
          iceberg.  The California Long Term Care Ombudsman Program  
          reported receiving 11,673 complaints against RCFEs in 
          FY 2012, 1,673 of which involved abuse.  
               
          "AB 1554 would require CCL to begin investigations of complaints  
          involving abuse, neglect, or serious harm to a RCFE resident  
          within 24 hours, complete investigations of these highest  
          priority complaints within 30 days, and ensure the  
          confidentiality of patients, staff, and whistleblowers.   
          Additionally, the bill would require CCL to complete  
          investigations of all other complaints within 90 days; to  
          interview complainants, residents and other pertinent parties  
          during investigations; to send written findings to complainants;  
          and to provide complainants an opportunity to appeal complaint  
          findings."  

           Background  :  California has the largest population of people age  
          65 and older of any state in the nation.  California's 65+  
          population is projected to double from its 2010 census of about  
          4.3, to 8.4 million 2030.  By 2035, the 65+ population will  
          exceed 20% of the population.  This year, California's 65+  
          population will reach 5 million people.  Although research shows  
          that older, low-income women's life-spans are decreasing, most  
          other populations are experiencing longer life-spans.  As  
          California's population ages, it is becoming more culturally and  
          ethnically diverse.  Disability is highly associated with age,  
          and as the aged population expands, so will the presence of  
          disabilities within our communities.

          RCFE is a model of care overseen by the Department of Social  
          Services.  RCFEs provide care, supervision and assistance with  
          activities of daily living, such as bathing, dressing,  
          ambulating, grooming, and other personal activities.  They may  
          also provide incidental medical services under special care  
          plans.  Facilities provide services to persons 60 years of age  
          and over and persons under 60 with compatible needs.  RCFEs are  








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          also referred to as assisted living facilities or board and care  
          homes.  Facilities can range in size from six or fewer, to over  
          100 beds.  Residents in RCFEs require varying levels of personal  
          care and protective supervision.  Since RCFEs are non-medical  
          facilities, they are not required to have nurses or other health  
          personnel on staff.  Oversight of RCFEs consists of licensing  
          visits once every 5 years.  For RCFEs under the scrutiny of the  
          CCL division, or on probation, annual unannounced visits from  
          CCL occur.  

          The number of RCFEs, and corresponding workload to oversee and  
          enforce laws and regulations therein, has grown rapidly during  
          the past decade.  In 2004, there were about 6,500 licensed  
          facilities.  By 2014, nearly 7,600 facilities housing over  
          175,000 people are in operation throughout the state.  Recent  
          media has captured the ramifications of the rapid expansion, and  
          diversification of the RCFE industry, as it struggles to meet  
          the housing and care needs of a growing aged population, and the  
          growing presence of more disabilities.  Although most RCFE's are  
          administered and staffed by competent caregivers and people  
          committed to the wellbeing of their clients, frightening  
          accounts of poor care and administration has focused policy  
          makers on the RCFE model of care.  In September 2013, the  
          California Health Care Foundation (CHCF) Center for Health  
          Reporting and San Diego Union Tribune reported that at least 27  
          San Diego County seniors died from neglect and injuries in  
          RCFEs, in some cases with no investigation by CCL.  Also  
          reported, The CCL Investigations Branch, an internal police  
          force, has not made an arrest in nine years even though the  
          investigation found that hundreds of RCFE residents have  
          suffered sexual assaults, physical abuse, medication errors,  
          life threatening bedsores and other abuses.  During the past  
          year, Californians monitoring local, state and national media  
          have been confronted with no less than the following range of  
          media reports about RCFEs:

           PBS Frontline/ProPublica: "Life and Death in Assisted Living"  
            and "Elderly, At Risk and Haphazardly Protected" July, 2013.

           San Diego Union Tribune, California Health Care Foundation  
            Center for Health Reporting: "Deadly Neglect, Medical Errors,  
            Weaker Rules Signal Safety Problems in California Assisted  
            Living Homes" September, 2013.

           San Jose Mercury: "Shuttering Castro Valley Senior Care  








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            Facility Sparks Criminal Investigation" October, 2013.

           The Sacramento Bee: "Care Home Owner to Stand Trial" March  
            2013.

           Governor's Budget Proposal  :  Coinciding with critical media  
          coverage of RCFE oversight, Governor Brown proposed the  
          following budget concepts:

          1)Additional positions.  The additional 71.5 positions to assist  
            in CCL enforcement activities include six special investigator  
            assistants, a nurse practitioner, five licensing program  
            managers, and others.

          2)Staff training and development for new field staff and  
            training for supervisors and managers by expanding the  
            Licensing Program Analyst academy, implementing ongoing  
            training, and strengthening the Administrator Certification  
            Section.  

          3)Create a Mental Health Populations Unit which would provide  
            technical assistance to enforcement staff and licensees, as  
            well as to individuals who reside in facilities who have  
            increasing mental health care needs.  

          4)Establish a Corporate Accountability Unit.  With increased  
            applications for Residential  Care Facilities for the Elderly  
            and corporate mergers and acquisitions for facilities, the  
            additional attorney and associate governmental program analyst  
            would perform systemic noncompliance analysis and ensure  
            corrective actions; create management reports that identify  
            patterns and trends; make corrective action recommendations;  
            and, follow-up on corrective action plans to ensure that  
            licensees with poor compliance patterns do not support  
            operational expansions.  

          5)Increased civil penalties.  Because the current civil penalty  
            structure is related to a "per violation" event, the current  
            maximum civil penalty, even in response to serious injury or  
            death of a resident, is $150.  

          6)Establish a Temporary Manager and Receivership Process, to  
            appoint a temporary manager or receiver to act as the  
            provisional licensee, if DSS determines that residents of a  
            facility are likely to be in danger of serious injury or  








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            death, and the immediate relocation of clients is not  
            feasible.  

          7)Specialized complaint hotline.  Create a specialized and  
            centralized toll-free public complaint hotline, which can help  
            acquire better initial information, conduct consistent  
            prioritization, and dispatch incoming complaints to regional  
            offices.  

          8)Centralize application processing for Adult and Senior Care  
            facilities, which is expected to increase inspections of  
            licensed facilities to at least once every two years.  

          9)Establish a statewide Quality Assurance Unit to track  
            information statewide, including complaints, actions, or  
            performance.  

          10)Establish an Emergency Client/Resident Contingency Account to  
            be used at the discretion of the Director of DSS for the care  
            and relocation of clients and residents, when a facility's  
            license is revoked or temporarily suspended.  
           
          Supporters  :  The California Advocates for Nursing Home Reform,  
          the measure's sponsor, writes that "the last year has brought  
          many shocking revelations about the mistreatment of California  
          elders who live in Residential Care Facilities for the Elderly  
          (RCFEs).  A central theme of the media and advocacy reports is  
          that RCFE residents are increasingly exposed to serious harm and  
          death due to their extraordinary vulnerability and California's  
          failure to respond when their mistreatment is reported or  
          discovered.  AB 1554 will help protect California's at-risk  
          elders in RCFEs by requiring Community Care Licensing (CCL) -  
          the state agency charged with investigating complaints about  
          RCFEs - to begin investigations of the most serious complaints  
          within 24 hours and to complete these investigations within 30  
          days.  The bill also sets standards for completing  
          investigations of less serious complaints and establishes basic  
          due process rights for complainants."  
           
          Previous Hearing  :  AB 1554 was previously heard and amended in  
          the Assembly Human Services Committee where it passed on a vote  
          of 6-0-1 (Hall).
           
          Related Legislation  :   
           AB 1816 (Yamada) Nursing Home Investigations: would establish  








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          time-frames for investigations of complaints and reports of  
          abuse, misconduct, and mistreatment within skilled nursing  
          facilities.  

          AB 1554 is one-of a multi-bill package of reform measures  
          currently pending in the legislature:  

          SB 894 (Corbett) Suspensions and Revocation: would amend current  
          law to strengthen and improve the procedures regarding  
          suspension and/or revocation of licenses and to create expedited  
          timelines for the safe relocation of residents when a facility's  
          license has been revoked.  

          SB 895 (Corbett) Annual Inspections: would amend Health and  
          Safety Code section 1569.33 to require CCL to conduct  
          unannounced, comprehensive inspections of all RCFEs at least  
          annually.  

          SB 911 (Block) Administrator and Staff Training: would increase  
          the hours of training for both administrators and direct care  
          staff, and increase the training requirements for staff serving  
          persons with dementia or who distribute medication for resident  
          self-administration.

          SB 1153 (Leno) Ban on Admissions: would give DSS the ability to  
          impose a ban on new admissions to a RCFE to protect unknowing  
          future residents and give the facility time to focus their  
          resources on fixing its problems before taking on additional  
          care responsibilities.  

          AB 1554 (Skinner) Complaint Investigations: would require CCL to  
          begin investigations of complaints involving abuse, neglect, or  
          serious harm to a RCFE resident within 24 hours; to complete  
          investigations of these highest priority complaints within 30  
          days; and to ensure the confidentiality of patients, staff and  
          whistleblowers.  

          AB 1571 (Eggman) Online Consumer Information System: would  
          require that DSS/CCL establish an on-line RCFE Consumer  
          Information system to include specified, updated and accurate  
          license, ownership, survey and enforcement information on every  
          licensed RCFE in California with components to be phased in over  
          a five (5) year period ending June 30, 2019.  

          AB 1572 (Eggman) Resident and Family Councils: would promote the  








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          development of Resident Councils and Family Councils in RCFEs by  
          requiring RCFEs to, among other things, assist in the formation  
          of Resident Councils at the request of two or more residents and  
          prohibit RCFEs from interfering with the formation of Family  
          Councils.  

          AB 2171 (Wieckowski) Resident Bill of Rights: would establish a  
          statutory bill of rights to address the needs and interests of  
          RCFE residents in areas such as visitation, privacy,  
          confidentiality, personalized care, autonomy, informed consent,  
          freedom from abuse and restraint, adequate staffing and others.   


          AB 2236 (Stone and Maienschein) would increase fines for  
          violating laws and regulations and give "teeth" to CCL to stop  
          and deter threats to resident health and safety.  
           
          REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           
          California Advocates for Nursing Home Reform (CANHR) - Sponsor
          Alliance on Aging
          American Association of Retired Persons (AARP)
          American Federation of State, County and Municipal Employees  
          (AFSCME). AFL-CIO
          Assisted Living Consumer Alliance (ALCA)
          California Advocates for Nursing Home Reform (CANHR)
          California Assisted Living Association (CALA)
          California Communities United Institute
          California Continuing Care Residents Association (CALCRA)
          California Long-Term Care Ombudsman Association (CLTCOA)
          California Retired Teachers Association (CalRTA)
          Consumer Federation of California (CRC)
          Contra Costa Advisory Council on aging (CCACOA)
          County of San Diego
          County Welfare Directors Association of California (CWDA)
          Disability Rights California (DRC)
          Elder Abuse Task Force of Santa Clara County
          Elder Law & Advocacy
          Jewish Family Service of Los Angeles
          Johnson Moore Trial Lawyers
          LeadingAge California
          Long Term Care Services of Ventura County, Inc.
          National Association of Social Workers-California Chapter  








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          (NASW-CA)
          National Consumer Voice for Quality Long-Term Care
          Ombudsman & HICAP Services of Northern California
          Ombudsman Services of Contra Costa
                                                          Valentine Law Group
          One individual.

           Opposition 
           
          Numerous individuals (tens).
           
          Analysis Prepared by  :    Robert MacLaughlin / AGING & L.T.C. /  
          (916) 319-3990