BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1688
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          Date of Hearing:   April 8, 2014

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                  Mark Stone, Chair
                    AB 1688 (Conway) - As Amended:  March 26, 2014
           
          SUBJECT  :  Developmental centers: crime.

           SUMMARY  :  Requires reimbursement to cities and counties for  
          costs related to the investigation and prosecution of crimes  
          committed by developmental center employees against  
          developmental center residents.

          Specifically,  this bill  :

          1)Provides that a city or county shall be reimbursed for  
            reasonable and necessary costs related to the investigation or  
            prosecution of a crime committed by a developmental center  
            employee against a developmental center resident and places a  
            six-month limitation on a city or county requesting a  
            reimbursement and on such a reimbursement being paid, as  
            specified.

          2)Describes reimbursable costs incurred by a city or county,  
            including costs incurred for providing training in the  
            investigation or prosecution associated with a crime committed  
            by a developmental center employee against a developmental  
            center resident, and provides a standard for costs being  
            deemed "reasonable and necessary" under this section.

          3)Requires a city or county to submit a statement of costs to  
            the state Controller for approval and requires the Controller  
            to reimburse the city or county within 60 days after receipt  
            of the statement or provide a written statement as to the  
            reason for not providing a reimbursement, as specified.

          4)Requires the Controller to request the Director of Finance to  
            include any amounts necessary to satisfy a claim that cannot  
            be fulfilled due to insufficient funds in a request for a  
            deficiency appropriation.

          5)Requires a local law enforcement agency with jurisdiction  
            within the city or county in which a developmental center is  
            located to respond within 24 hours of receiving an allegation  
            that a crime has occurred at a developmental center.








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           EXISTING LAW  

          1)Establishes the Lanterman Developmental Disabilities Services  
            Act (Lanterman Act), under which the Department of  
            Developmental Services (DDS) is authorized to contract with  
            private non-profit regional centers to provide case management  
            services and arrange for, or purchase, services that meet the  
            needs of individuals with developmental disabilities, as  
            defined.  (WIC 4500 et seq.)

          2)Grants all individuals with developmental disabilities, among  
            all other rights and responsibilities established for any  
            individual by the United States Constitution and laws and the  
            California Constitution and laws, the right to treatment and  
            habilitation services and supports in the least restrictive  
            environment and the right to be free from harm, including  
            unnecessary physical restraint or isolation, excessive  
            medication, abuse, or neglect.  (WIC 4502)

          3)Establishes an investigative force within each developmental  
            center for the purpose of enforcing the rules and regulations  
            of the hospital, preserving peace and order on the premises  
            thereof, and protecting and preserving the property of the  
            state.  (WIC 4493)

          4)Requires a developmental center to immediately, but no later  
            than within two hours, report specified incidents involving  
            death, abuse, or harm of a resident to the local law  
            enforcement agency having jurisdiction over the city or county  
            in which the developmental center is located.  (WIC 4427.5)

          5)Requires the physician in charge of a patient receiving mental  
            health services, or the professional person in charge of the  
            facility in which the patient resides, to release information  
            about the patient to governmental law enforcement agencies  
            when he or she has probable cause to believe the patient has  
            committed or been the victim of specified crimes, including  
            sexual assault.  (WIC 5328.4)

          6)Designates as a mandated reporter of abuse any person with  
            responsibility for care or custody of an elder or dependent  
            adult and requires that mandated reporter to report the known  
            or suspected incident of abuse immediately or as soon as  
            practicably possible, as specified.  (WIC 15630)








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          7)Establishes minimum standards for the examination and  
            treatment of victims of sexual assault, including notification  
            of law enforcement and a requirement that consent be provided  
            by the victim prior to a physical examination, as specified.   
            (PC 13823.11)

          8)Defines protection and advocacy agency as the private,  
            nonprofit corporation designated by the Governor, pursuant to  
            federal law, for the protection and advocacy of the rights of  
            persons with disabilities, including people with developmental  
            disabilities and people with mental illness, as specified.   
            (WIC 4900(i))  

           FISCAL EFFECT  :  Unknown.

           COMMENTS  :  This bill seeks to remove any fiscal disincentive to  
          prompt responses by local law enforcement upon receiving reports  
          of alleged crimes committed by developmental center employees  
          against developmental center residents. 

           Developmental Services  :  The Lanterman Act guides the provision  
          of services and supports for Californians with developmental  
          disabilities.  Each individual under the Act, typically referred  
          to as a "consumer," is legally entitled to treatment and  
          habilitation services and supports in the least restrictive  
          environment.  Lanterman Act services are designed to enable all  
          consumers to live more independent and productive lives in the  
          community.  The term "developmental disability" means a  
          disability that originates before an individual attains 18 years  
          of age, is expected to continue indefinitely, and constitutes a  
          substantial disability for that individual.  It includes  
          intellectual disabilities, cerebral palsy, epilepsy, and autism  
          spectrum disorders (ASD).  Other developmental disabilities are  
          those disabling conditions similar to an intellectual disability  
          that require care and management similar to that required by  
          individuals with intellectual disabilities.

          The Department of Developmental Services (DDS) contracts with 21  
          regional centers, which are private nonprofit entities, to carry  
          out many of the state's responsibilities under the Lanterman  
          Act.  The regional center caseload is comprised of over 260,000  
          consumers who receive services such as residential placements,  
          supported living services, respite care, transportation, day  
          treatment programs, work support programs, and various social  








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          and therapeutic activities.

           Developmental centers (DCs)  :  Approximately 1,300 regional  
          center consumers reside at one of California's four  
          developmental centers (Lanterman, Porterville, Sonoma, and  
          Fairview) and one state-operated, specialized community facility  
          (Canyon Springs).  These facilities provide 24-hour habilitation  
          and medical and social treatment services.  While some residents  
          in these facilities were voluntarily placed there by relatives  
          and conservators due to acute medical needs and other special  
          needs that make it unsafe for them to live in the community,  
          some residents have experienced involuntary placements due to  
          court orders (e.g., forensic placements at Porterville DC).

           Developmental center police services  :  The Office of Protective  
          Services (OPS) within developmental centers consists of on-site  
          police officers and investigators charged with preserving the  
          peace, enforcing laws and regulations, and maintaining and  
          protecting facility residents and their rights.  The  
          investigators and officers within OPS are charged with duties  
          within the facilities similar to those of peace officers in the  
          community, including responding to allegations of sexual  
          assault.  However, incidents brought to light in 2012 show that  
          OPS investigators in the state's developmental centers were not  
          handling reports of sexual assault appropriately for a number of  
          years.  According to numerous reports from the state's  
          protection and advocacy organization, Disability Rights  
          California, developmental center residents accused facility  
          caretakers of rape and molestation 36 times from 2009 to 2012,  
          but none of those residents were sent out for an independent  
          examination by a trained medical professional, nor were they  
          even examined using a sexual assault response team (SART) exam,  
          also known as a "rape kit," which is standard law enforcement  
          practice in the community.  

           Need for this bill  :  Since these reports of abuse, several  
          legislative bills have been signed into law, resulting in more  
          stringent requirements for police officers and other staff  
          within developmental centers to report certain incidents to  
          local law enforcement.  As a result, developmental centers have  
          had to tighten their processes with respect to responding to and  
          reporting allegations of sexual assault, which has led to more  
          cases being referred out of facilities for appropriate exams,  
          and more reports being made to Disability Rights California, as  
          required by law.








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          According to the author, recent legislation and policy changes  
          within the developmental centers have primarily been aimed at  
          improving the internal response to abuse against residents, but  
          there are still gaps in the response from outside law  
          enforcement.  By explicitly requiring law enforcement to respond  
          to allegations of certain crimes against developmental center  
          residents while also providing a mechanism for reimbursement of  
          local law enforcement duties surrounding the investigation and  
          prosecution of such crimes-including the cost of training needed  
          to effectively carry out such duties-this bill seeks to better  
          protect developmental center residents.

          In support of this bill, Disability Rights California writes,  
          "By ensuring a prompt response to allegations of abuse at  
          developmental centers, [this bill] will make sure crime scene  
          evidence does not degrade, witness memories are fresh, and  
          residents don't have to endure more abuse at the hands of the  
          same perpetrator."
           
          RECOMMENDED AMENDMENTS  :  

          Because the author intends to improve the response to, and the  
          investigation of, alleged crimes committed by developmental  
          center employees against developmental center residents,  
          committee staff recommends the following amendment to make the  
          reports of alleged crimes to which law enforcement is to respond  
          within 24 hours consistent with the rest of the language in the  
          bill:

           Page 5

           5    Chapter 2. Response of Local Law Enforcement 
          6
          7    4499.50. A local law enforcement agency having jurisdiction  

          8    within the city or county in which the developmental center  

          9    is located shall respond within 24 hours of receiving an  
          allegation 
          10   that a crime has  occurred at the  been committed by a  
               developmental center employee against a developmental  
               center resident. 

          Further, while the author has set a timeframe of 24 hours for  








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          local law enforcement to respond to an allegation that a  
          developmental center employee has committed a crime against a  
          developmental center resident, there is ambiguity around what  
          constitutes a "response," potentially rendering the language  
          ineffective in achieving the author's goal of encouraging and  
          expediting investigations of abuse against developmental center  
          residents.  A response could range anywhere from verbally  
          acknowledging receipt of the allegation that a crime has been  
          committed to going to the developmental center to initiate an  
          investigation.  

          Staff also notes that if it is the author's intent that the  
          response from law enforcement is actually the initiation of an  
          investigation, then perhaps the 24 hour timeline is too long.   
          While OPS functions within the developmental centers to serve as  
          an internal police force, the author has purposefully included  
          local law enforcement in this bill to ensure a thorough process  
          of investigation and prosecution of crimes committed by  
          developmental center employees against residents.  Should this  
          bill move forward, committee staff recommends that the author  
          provide a clear definition for what constitutes a response from  
          local law enforcement and amends the bill to shorten the  
          response timeline if the author indeed intends the "response" to  
          be the timely initiation of an investigation.

           PRIOR LEGISLATION  :
          
          AB 602 (Yamada) Chapter 673, Statutes of 2013, established a  
          timeline for reporting specific incidents of abuse in  
          developmental centers, required development of POST training on  
          law enforcement interaction with mentally disabled and  
          developmentally disabled persons living within a state mental  
          hospital or a state developmental center by July 1, 2015, and  
          made other changes to reporting and investigation requirements  
          for mental hospitals and developmental centers.

          SB 651 (Pavley) Chapter 724, Statutes of 2013, established  
          requirements for sexual assault examinations of residents in  
          state hospitals and developmental centers, and establishes a new  
          penalty for failure of developmental centers to report specified  
          incidents.

          SB 1051 (Liu, Emmerson) Chapter 660, Statutes of 2012,  
          established a requirement for DDS and DSH to report certain  
          crimes involving death or major injury to the state's designated  








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          protection and advocacy agency, required that mandated reporters  
          within a developmental center immediately report suspected abuse  
          to OPS, and defined the job requirements for the director of  
          OPS. 

          SB 1522 (Leno) Chapter 666, Statutes of 2012, established the  
          requirement that DDS report major crimes, as specified, to the  
          local law enforcement agency with jurisdiction over the  
          developmental center regardless of whether OPS had investigated  
          the facts of the incident. 

          SB 110 (Liu) chapter 617, Statutes of 2010, requires law  
          enforcement to retain exclusive responsibility for criminal  
          investigations against elders, dependent adults and persons with  
          disabilities when Adult Protective Services and local ombudsman  
          are conducting concurrent investigations.

          AB 430, (Cardenas) Chapter 171, Statutes of 2001, the health  
          trailer bill, required developmental centers to establish  
          Memorandums of Understanding with local law enforcement  
          agencies.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Disability Rights California

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Myesha Jackson / HUM. S. / (916)  
          319-2089