BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Jim Beall, Chair


          BILL NO:       AB 1899                                      
          A
          AUTHOR:        Brown                                        
          B
          VERSION:       May 23, 2014
          HEARING DATE:  June 24, 2014                                
          1
          FISCAL:        Yes                                          
          8
                                                                      
          9
          CONSULTANT:    Sara Rogers                                  
          9

                                        

                                     SUBJECT
                                         
                  Residential Care Facilities For the Elderly

                                     SUMMARY  

          This bill provides that a license that is forfeited or  
          revoked following abandonment of a facility shall not be  
          eligible for reinstatement on or after January 1, 2015. 

                                     ABSTRACT  

           Existing Law:
           
          1.Establishes the Residential Care Facilities for the  
            Elderly (RCFE) Act which requires the California  
            Department of Social Services (CDSS) to license and  
            regulate RCFEs as a separate category within the existing  
            residential care licensing structure of CDSS. (HSC 1569  
            et seq.) 


          2.Requires applicants for an RCFE license to file an  
            application including a criminal record clearance,  

                                                         Continued---




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            employment history, character  references, evidence of  
            certification, and disclosure of previous service in  
            other RCFEs, outpatient health clinics, health facilities  
            (including hospitals, skilled nursing facilities or  
            intermediate face facilities), or a community care  
            facility, among other requirements. (HSC 1569.15)


          3.Requires that procedures for the suspension, revocation  
            or denial of license be conducted in accordance with the  
            administrative adjudication provisions of the  
            Administrative Procedure Act that grants a licensee the  
            right to appeal a license denial, revocation or  
            suspension to the Office of Administrative Hearings. (HSC  
            1569.51 and GC 11500 et seq.)


          4.Permits the director of CDSS to temporarily suspend any  
            license, prior to any hearing when, in the opinion of the  
            director, the action is necessary to protect residents or  
            clients of the facility from physical or mental abuse,  
            abandonment, or any other substantial threat to health or  
            safety. Requires the department to verify within 30 days  
            that the facility is nonoperational. (HSC 1569.50,  
            1569.510 and GC 11460.10 et seq.)


          5.Provides that the failure of an applicant for licensure  
            or a licensee to pay all applicable and accrued fees and  
            civil penalties shall constitute grounds for denial or  
            forfeiture of a license. (HSC 1569.185)


          6.Provides that a license shall be forfeited when a  
            licensee sells the facility, surrenders the license to  
            CDSS, is convicted of a prohibited offense, dies, or  
            abandons the facility.  (HSC 1569.19)


          7.Through regulation, defines "licensee abandons the  
            facility" to mean either of the following:


                     The licensee informs the licensing agency that  
                 the licensee no longer accepts responsibility for  





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                 the facility, or
                     The licensing agency is unable to determine the  
                 licensee's whereabouts after the following:


                     i.          The licensing agency requests  
                      information of the licensee's whereabouts from  
                      the facility's staff if any staff can be  
                      contacted; and. 


                     ii.         The licensing agency has made at  
                      least one (1) phone call per day, to the  
                      licensee's last telephone number of record, for  
                      five (5) consecutive workdays with no response;  
                      and


                     iii.        The licensing agency has sent a  
                      certified letter, requesting the licensee to  
                      contact the licensing agency, to the licensee's  
                      last mailing address of record with no response  
                      within seven (7) calendar days. (CCR Title 22  
                      87112)


          1.Requires the director, when it is necessary to suspend or  
            revoke an RCFE license, to make every effort to minimize  
            trauma for residents. Permits CDSS to require the  
            licensee to prepare a written relocation plan for  
            residents. Requires the licensee to provide a 60-day  
            written notice of license revocation within 24 hours of  
            receipt of a revocation order. (HSC 1569.525)


          2.Requires RCFE licensees, prior to transferring residents  
            as a result of a specified instances of license  
            forfeiture, to take certain actions to minimize transfer  
            trauma including providing 60-day written notice,  
            preparing a relocation evaluation, providing a list of  
            nearby facilities, and other actions. (HSC 1569.682)


           This bill:






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           1.Prohibits a license forfeited following abandonment of a  
            facility from being eligible for reinstatement on or  
            after January 1, 2015. 


          2.Prohibits that a license revoked following the licensee's  
            abandonment of a facility from being be eligible for  
            reinstatement on or after January 1, 2015. 


                                  FISCAL IMPACT  

          The current provisions of this bill have not been analyzed  
          by a fiscal committee.

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill:


           This bill is sponsored by California Advocates for Nursing  
          Home Reform (CANHR) as one of a large package of bills  
          responding to a series of recent events that call into  
          question the adequacy of CDSS oversight and the state's  
          ability to protect people who reside in RCFEs.


          Most recently, in late October 2013, 19 frail seniors were  
          abandoned at Valley Springs Manor in Castro Valley by the  
          licensee and all but two staff after the state began  
          license revocation proceedings. CDSS inspectors, noting the  
          facility had been abandoned, left the two unpaid service  
          staff to care for the abandoned residents with insufficient  
          food and medication, handing them a $3,800 citation before  
          leaving for the weekend. The next day sheriff's deputies  
          and paramedics sent the patients to local hospitals. The  
          Department indicated that the owner of this facility had  
          previously owned a nursing home facility licensed by CDPH,  
          and another facility in Modesto owned by the same licensee  
          was subsequently taken over by CDSS, which appointed a  
          temporary manager.


          The author states that nothing in existing law would  





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          prevent this licensee from seeking licensure again in the  
          future. The Department stated that the maximum civil  
          penalty that it could assess on the licensee for abandoning  
          the facility was the $150 per day per violation. This bill  
          seeks to block licensees who are the subject of revocation  
          or who abandon a facility from being granted licensure  
          again.


          Residential Care Facilities for the Elderly


          Within California's continuum of long term care, situated  
          between in-home care and skilled nursing facilities, is the  
          RCFE, also commonly called Assisted Living, Board and Care,  
          or Residential Care. There are approximately 8,000 Assisted  
          Living, Board and Care, and Continuing Care Retirement  
          homes that are licensed as RCFEs in California. These  
          residences are designed to provide homelike options to  
          seniors and other adults who need some help with activities  
          of daily living, such as cooking, bathing, or getting  
          dressed, but otherwise do not need continuous, 24-hour  
          assistance or nursing care. Increasingly residents are  
          entering RCFEs with significant health needs including  
          diabetes, bedsores, or require the use of oxygen tanks,  
          catheters or colostomies.


          The RCFE licensure category includes facilities with as few  
          as six beds to those with hundreds of residents, whose  
          needs may vary widely. Typically, the smaller facilities  
          are homes in residential neighborhoods while the larger  
          facilities resemble apartment complexes with structured  
          activities for their residents. Residents may reside in  
          their own apartment, or may share a bedroom. Generally,  
          residents are free to leave the facility if they choose,  
          and may entertain guests, and otherwise maintain a high  
          level of independence. Facilities licensed to serve  
          residents with dementia or Alzheimer's disease, also known  
          as "memory care units" may maintain a secure perimeter. 


          Financial Structure







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          More than 90 percent of RCFE licenses in California are  
          held by for-profit providers, the majority of which have  
          six or fewer beds.<1> Most residents pay privately or with  
          long-term care insurance since there is very little public  
          funding available through Medi-Cal, Supplemental Security  
          Income (SSI/SSP) or Medicare, and fees can range from  
          $2,500 to more than $8,000 per month. A very few beds are  
          available to seniors who pay their entire SSI/SSP checks in  
          rent. In 2013, the maximum SSI/SSP grant was $866.40.  
          Residents who rely solely on Social Security Income may  
          have a maximum payment of $2,642 per month in 2014,  
          although that amount varies widely based on the recipient's  
          prior income while working.<2>


          Increasingly, complex corporate mergers and acquisitions  
          have meant that many RCFEs are owned by national corporate  
          chains that control more than one facility. Administrators  
          employed by these chains may also oversee multiple  
          facilities. This development has led to regulatory  
          challenges since CCL citations and other licensing reports  
          are facility specific, and management problems common to  
          multiple RCFEs with the same owner may easily go unnoticed.


          Licensee and administrator requirements


          California statute differentiates between facility  
          licensees, who often are the business owners and may be  
          property owners, and administrators, who are charged with  
          overseeing the quality of the day-to-day operations and are  
          generally required to be present at the facility during  
          normal working hours.

          -------------------------
          <1> "Residential Care in California: Unsafe, Unregulated &  
          Unaccountable," California Advocates for Nursing Home  
          Reform, 2013


          <2>  
           http://www.ssa.gov/pressoffice/factsheets/colafacts2014.pdf   







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          State law requires prospective RCFE licensees to provide  
          evidence that he or she is of "reputable and responsible  
          character"<3> including a criminal background clearance,  
          employment history and character references. Licensees must  
          document sufficient financial resources to maintain the  
          standard of care required by law, must disclose any prior  
          role as an administrator or owner of any community care  
          facility and any prior disciplinary action. In order to be  
          certified, each licensee must complete at least 40 hours of  
          classroom instruction covering relevant laws and  
          regulations, management of staff, physical and psychosocial  
          needs of elderly residents, and other issues.


          Administrators are required to hold a department-approved  
          certificate, similar to the licensee certificate, which  
          must be renewed every two years. Other requirements for  
          administrators are that they must be at least 21 years of  
          age, have a high-school diploma and undergo a criminal  
          record clearance. Those working in larger facilities are  
          required to meet additional educational or experience  
          requirements. Facility administrators may lose  
          certification if they are found to have "engaged in conduct  
          which is inimical to the health, morals, welfare, or safety  
          of either an individual in or receiving services from the  
          facility or the people of the State of California."<4>


           


          Related legislation:


           SB 894 (Corbett) 2014 establishes revises the  
          responsibilities of a licensee under a temporary suspension  
          order or license revocation order and establishes specified  
          actions CDSS must take to protect residents who have been  
          -------------------------


          <3> HSC 1569.15


          <4> Title 22 CCR 87408






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          abandoned by the licensee. This bill is in Assembly  
          Appropriations Committee.


          SB 855 (Committee on Budget) 2014  provides for CDSS to  
          impose a temporary manager or a receiver if a licensee has  
          failed to comply with statutory requirements to protect  
          residents pursuant to a temporary suspension order or  
          license revocation. This bill is before the Governor  
          awaiting signature.


                                     COMMENTS

           Staff recommends the author clarify that a licensee shall  
          be subject to the provisions of this bill, only if the  
          facility is abandoned prior to all residents being safely  
          transferred out of the facility, with no residents  
          remaining under the care of the licensee as follows:

          Page 3, lines 1-3

          (f) The licensee abandons the facility.  A licensee who  
          abandons the facility and the residents in care resulting  
          in an immediate and substantial threat to the health and  
          safety of the abandoned residents, in addition to  
          forfeiture of the license pursuant to this Section, shall  
          be excluded from licensure in facilities licensed by the  
          department pursuant to section 1569.58 without the right to  
          petition for reinstatement.   A license forfeited pursuant to  
          this subdivision shall not be eligible for reinstatement on  
          or after January 1, 2015  .  

           Page 5, lines 12-14

          (c)  A licensee who abandons the facility and the residents  
          in care resulting in an immediate and substantial threat to  
          the health and safety of the abandoned residents, in  
          addition to revocation of the license pursuant to this  
          Section, shall be excluded from licensure in facilities  
          licensed by the department pursuant to section 1569.58  
          without the right to petition for reinstatement.   A license  
          that is revoked pursuant to this section due to the  
          licensee's abandonment of the facility shall not be  
          eligible for reinstatement on or after January 1, 2015  . 





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          Add a new Section to amend Section 1569.682 as follows:


           (e) A licensee who, on or after January 1, 2015, fails to  
          comply with this section and abandons the facility and the  
          residents in care resulting in an immediate and substantial  
          threat to the health and safety of the abandoned residents,  
          in addition to forfeiture of the license pursuant to  
          Section 1569.19, shall be excluded from licensure in  
          facilities licensed by the department pursuant to section  
          1569.58 without the right to petition for reinstatement.


           (e)(  f)  A resident of a residential care facility for the  
          elderly covered under this section, may bring a civil  
          action against any person, firm, partnership, or  
          corporation who owns, operates, establishes, manages,  
          conducts, or maintains a residential care facility for the  
          elderly who violates the rights of a resident, as set forth  
          in this section. Any person, firm, partnership, or  
          corporation who owns, operates, establishes, manages,  
          conducts, or maintains a residential care facility for the  
          elderly who violates this section shall be responsible for  
          the acts of the facility's employees and shall be liable  
          for costs and attorney's fees. Any such residential care  
          facility for the elderly may also be enjoined from  
          permitting the violation to continue. The remedies  
          specified in this section shall be in addition to any other  
          remedy provided by law.


           (  f) (  g)  This section shall not apply to a licensee that has  
          obtained a certificate of authority to offer continuing  
          care contracts, as defined in paragraph (8) of subdivision  
          (c) of Section 1771.

                                   PRIOR VOTES  

          Assembly Floor           77 - 0
          Assembly Appropriations       17 - 0
          Assembly Aging and Long Term Care  7 - 0
          Assembly Human Services         6 - 0
                    





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                                    POSITIONS  

          Support:       California Advocates for Nursing Home Reform
                         California Commission on Aging
                         California Long-Term Care Ombudsman  
                    Association
                         California Police Chiefs Association, Inc.
                         Community Residential Care Association of  
                    California
                         County of San Diego
                         Disability Rights California
                         Long Term Care Ombudsman Services of San  
          Luis Obispo County
                         National Association of Social Workers
                         Office of the State Long-Term Care Ombudsman

          Oppose:   None received.



                                   -- END --