BILL ANALYSIS                                                                                                                                                                                                    �



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          ASSEMBLY THIRD READING
          AB 1571 (Eggman)
          As Amended  May 23, 2014
          Majority vote 

           HUMAN SERVICES      6-0         APPROPRIATIONS      13-0        
           
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          |Ayes:|Stone, Maienschein,       |Ayes:|Gatto, Bocanegra,         |
          |     |Ammiano,                  |     |Bradford,                 |
          |     |Ian Calderon, Garcia,     |     |Ian Calderon, Campos,     |
          |     |Hall                      |     |Eggman, Gomez, Holden,    |
          |     |                          |     |Linder, Pan, Quirk,       |
          |     |                          |     |Ridley-Thomas, Weber      |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Places additional requirements on Residential Care  
          Facilities for the Elderly (RCFE) licensee applicants and  
          requires the Department of Social Services (DSS) to establish a  
          RCFE  consumer information service system.  Specifically,  this  
          bill  :   

          1)Deletes the requirement that an applicant for a RCFE license  
            identify whether they are applying as firm, association,  
            organization, partnership, business trust, corporation, or  
            company.

          2)Requires the applicant to disclose whether they are a  
            for-profit or not-for-profit provider, which shall include the  
            names and license numbers of other facilities owned, managed,  
            or operated by the same licensee, and the names and addresses  
            of any persons or organizations listed as owner of record in  
            the real estate, including the buildings and grounds  
            appurtenant to the buildings. 

          3)Clarifies the requirement that applicants provide information  
            relating to any prior involvement with a RCFE in California  
            and adds an additional requirement that the information  
            include whether that prior involvement included a facility in  
            another state or another similarly licensed facility,  
            including the applicant's history of compliance applicable  
            state and federal laws, regulations, and licensing  
            requirements, as specified.








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          4)Requires DSS to cross check all applicant information with the  
            Department of Public Health (DPH) to determine if the  
            applicant has a prior history of operating health care  
            facilities, as specified.

          5)Requires specified information be provided to DSS upon initial  
            application for licensure, and any change in the information  
            shall be provided to DSS within 30 calendar days of that  
            change.

          6)Provides that the failure of an applicant to cooperate with  
            DSS in the completion of an application shall result in the  
            denial of the application and specifies that failure to  
            cooperate means statutorily and regulatory required  
            information, as specified, has not been provided, or has not  
            been provided in the form requested by DSS.

          7)Requires DSS to deny an application for licensure and permits  
            DSS to subsequently revoke a license on the grounds that the  
            applicant knowingly made a false statement or withheld  
            enforcement actions against a previously held license, as  
            specified.

          8)Requires DSS, by July 1, 2015 to post on its Internet Web site  
            RCFE profiles, with data, including, but not limited to all of  
            the following: 

             a)   The name, address, and telephone number of the licensed  
               providers, including the owner and the licensee;

             b)   The number of licensed beds in the facility, including  
               the number of nonambulatory beds;

             c)   Whether the facility is permitted to provide hospice  
               care services;

             d)   Whether the facility has a special care unit or program  
               for people with Alzheimer's disease and other dementias or  
               has a delayed egress or secured perimeter system in place;   
               and

             e)   Aggregate information on each facility, including, for  
               each of the previous five years, the number of complaints  








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               filed against the facility, the number of deficiencies,  
               enforcement actions resulting in fines against the  
               facility, and the amount of the fines assessed and the  
               amount collected.

          9)Requires the system, by January 1, 2019, to the extent that  
            DSS's computer system can accommodate additional information,  
            to include on each RCFE profile all of the following:

             a)   Information regarding the nature of complaints, results  
               of complaint investigations, actions taken, and the dates  
               the complaints were received, investigated and closed; 

             b)   Information regarding violations assessed, including the  
               type of deficiency, status of the violation, the facility's  
               plan of correction, when the corrections were completed,  
               information as to whether an appeal has been filed, whether  
               fines were assessed and the amount collected, and whether a  
               deficiency was dismissed on appeal; 

             c)   Inspection reports and plans of correction, including  
               findings of the most recent inspection report and the date  
               that the inspection was conducted; and 

             d)   Any resolution of an appeal pertaining to a violation or  
               complaint shall be updated in a timely manner. 

          10)Requires that, by July 1, 2019, each RCFE submit a profile of  
            resident characteristics to DSS on an annual basis, including,  
            but not limited to, the number of residents in the facility  
            who are bedridden, nonambulatory, receiving hospice care, have  
            one or more allowable health conditions, have one or more  
            restricted or prohibitive health conditions, or have dementia;  
            and requires DSS to annually include this information on the  
            facility profile and on the online consumer information  
            system.

          11)Requires DSS, by July 1, 2019, to develop and implement a  
            RCFE rating system and states the intent of the Legislature  
            that DSS work with stakeholder groups, including consumer  
            organizations in the development of the system. 

          12)Requires the rating system to include at a minimum, the most  
            recent inspection report, as specified, and be based upon a  








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            facility's inspection, and other factors as determined by DSS  
            and stakeholders. 

          13)Permits DSS to deny an application for licensure on the  
            grounds that the applicant has a history of noncompliance with  
            the requirements of a licensed health clinic, health care  
            facility, community care facility, as defined, or a similarly  
            licensed facility in another state, applicable state and  
            federal laws and regulations, and the requirements governing  
            the operators of those facilities, as specified.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee:

          1)On-going costs, likely minor, to cross check all applicant  
            information with the Department of Public Health for prior  
            history of operating health care facilities. DSS indicates  
            they do this now for applicants who self-identify as having  
            this type of prior history.

          2)Ongoing costs of approximately $700,000 for project  
            development, testing and maintenance and other related IT  
            [information technology] contract work related to website  
            improvement and the development and implementation of a RCFE  
            rating system.

          3)On-going costs, likely minor, to maintain and periodically  
            update the facility rating system.

          4)The Governor has proposed several budget initiatives to assist  
            DSS with its oversight activities, including centralized  
            application processing and establishing a statewide quality  
            assurance unit to track complaints and performance.  These  
            budget proposals could assist with some of the requirements  
            outlined in this bill.

           COMMENTS  :    

          Background:  It is the intent of the Legislature, in  
          establishing the RCFE Act, to help provide a system of  
          residential care to allow older persons to be able to  
          voluntarily live independently in a homelike environment as  
          opposed to being forced to live in an institutionalized  
          facility, such as a nursing home, or having to move between  








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          medical and nonmedical environments.  RCFEs, commonly referred  
          to as assisted living facilities, are licensed retirement  
          residential homes and board and care homes that accommodate and  
          provide services to meet the varying, and at times, fluctuating  
          health care needs of individuals who are 60 years of age and  
          over, and persons under the age of 60 with compatible needs.   
          Licensed by the DSS Community Care Licensing Division (CCLD),  
          they can range in size from residential homes with six or less  
          beds to more formal residential facilities with 100 beds or  
          more. 

          There is also no uniform common care model; rather the types of  
          assistive services can vary widely, which can include differing  
          levels of personal care and protective supervision, based upon  
          the needs of the resident. 

          When a resident needs medical care in his or her residence in  
          order to maintain an independent lifestyle, incidental medical  
          services are permitted to be provided by a licensed or otherwise  
          approved external provider, such as a home healthcare agency  
          (HHA), which is licensed by the California Department of Public  
          Health.  Additionally, some RCFEs, upon approval of DSS and  
          after having met specified orientation and training  
          requirements, may provide assistive memory care services to  
          individuals with dementia or Alzheimer's disease. 

          Transparency or lack thereof:  Under current law, DSS is  
          required to operate an automated RCFE license information system  
          to provide information on licensees and former licensees of  
          licensed RCFEs.  Although this requirement was established in  
          statute in 1985 (SB 185 (Mello) Chapter 1127, Statutes of 1985),  
          it is unclear how DSS is complying with this requirement.  It  
          currently has available a searchable database of RCFEs on its  
          website, however information is limited to the name, location,  
          contact information, type of facility and whether the facility's  
          license is current or pending.  It does not provide information  
          such as a facility's licensing history, the expertise and  
          certification of staff, or its complaints history, including  
          whether the complaint was resolved.  In order to acquire  
          additional information relating to the quality of a facility, a  
          person must travel to one of DSS' eight regional licensing  
          offices and request the information in person. 

          DSS also currently operates a webpage entitled "myccl" on its  








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          departmental Internet Web site. However, it is only accessible  
          to RCFE licensees, administrators, board members of the RCFE,  
          staff, or related individuals per the approval of DSS. 

          Other than DSS' searchable database, which is limited to general  
          information of RCFEs, there currently does not exist an online  
          or other automated system provided by DSS whereby the public can  
          review or learn more about licensed RCFEs.  This not only limits  
          the public's access to information about RCFEs, but it is also  
          limits CCLD's internal ability to track patterns of poor care  
          within a single facility, much less across facilities with the  
          same licensee.  Under current practice, when a licensee  
          undergoes a licensing inspection or is subject to a complaint  
          investigation, the information reported by CCLD is maintained in  
          a paper-based format.  This limits CCLD's ability to track  
          licensees' overtime and know whether they operate other  
          facilities that should undergo additional scrutiny. 

          According to DSS, there are approximately 462 licensing program  
          analysts responsible for the more than 75,000 licensed community  
          care facilities, including RCFEs, and the nearly 1.4 million  
          individuals they serve, ranging from the earliest stages of life  
          to the end of life care.  This comes to a ratio of one licensing  
          analyst per 162 facilities and 3,030 individuals in care.

          However, due to the current statutory requirement that all  
          community care facilities, including RCFEs, undergo an  
          unannounced licensing inspection visit at least once every five  
          years, rather than annually as required prior to 2003, the  
          reliability and relevance of information included in this  
          database will be limited.  Whereas more information would be  
          available for those facilities that have recently been inspected  
          or undergone a complaint investigation, information for a  
          facility that has not had any complaints filed against it nor  
          has undergone a licensing inspection in several years be limited  
          to basic demographic information related to the facility.

           
          Analysis Prepared by  :    Chris Reefe / HUM. S. / (916) 319-2089 


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