BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Jim Beall, Chair


          BILL NO:       AB 2621                                      
          A
          AUTHOR:        Garcia                                       
          B
          VERSION:       May 23, 2014
          HEARING DATE:  June 24, 2014                                
          2
          FISCAL:        Yes                                          
          6
                                                                      
          2
          CONSULTANT:    Sara Rogers                                  
          1

                                        

                                     SUBJECT
                                         
                Child day care facilities: licensing information

                                     SUMMARY  

          This bill requires the California Department of Social  
          Service (CDSS) to make specified licensing information  
          regarding day care centers and homes available on its  
          internet website and to update the information monthly.

                                     ABSTRACT  

           Existing Law:
           
          1.Establishes the California Child Day Care Facilities Act  
            to provide for the licensure and regulation of child day  
            care and family day care facilities as a separate  
            licensing category within the existing licensing  
            structure of CDSS. (HSC 1596.72 et seq.)


          2.Provides for the CDSS licensure and regulation of small  
            family day care homes serving between six and eight  

                                                         Continued---




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            children, as specified, in a residentially zoned and  
            occupied property. (HSC 1597.30 et seq.)


          3.Requires child care facilities and homes licensed by CDSS  
            to be subject to unannounced visits by CDSS and requires  
            the department to visit facilities as often as necessary  
            to ensure the quality of care provided. (HSC 1597.09 and  
            1597.55a)


          4.Requires annual unannounced inspections when a license is  
            on probation, when required by the terms of a facility  
            compliance plan, when an accusation against the licensee  
            is pending, or to verify that a person who has been  
            ordered out of the facility is no longer present. (HSC  
            1597.09 and 1597.55a)


          5.Requires CDSS to perform random inspections each year on  
            no fewer than 20 percent of facilities not subject to  
            annual inspections. Provides that this percentage shall  
            increase by 10 percent if the total citations issued by  
            the department exceeds the previous year by 10 percent.  
            As a result of this trigger, CDSS currently is required  
            to perform random inspections on 30 percent of the  
            facilities not subject to annual inspection. Requires  
            CDSS to visit every facility no less than every 5 years.  
            (HSC 1597.09 and 1597.55a)


           This bill:


           1.Codifies existing practice to require CDSS to post  
            licensing information on its internet website as follows:


                     For each day care center and large family day  
                 care home, the information shall include, but is not  
                 limited to, the name and address of the facility,  
                 the status of the license, and the number of site  
                 visits, including the number of substantiated and  
                 inconclusive complaint inspections and noncomplaint  
                 inspections, during the preceding five-year period.





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                     For each small family day care home, the  
                 information shall include, but is not limited to,  
                 the name of the home, the status of the license, and  
                 the number of site visits, including the number of  
                 substantiated and inconclusive complaint inspections  
                 and noncomplaint inspections, during the preceding  
                 five-year period.


          1.Requires the department to update the information posted  
            pursuant to this bill at least monthly.

                                  FISCAL IMPACT 

          The current version of this bill has not been analyzed by a  
          fiscal committee however the current language of the bill  
          codifies the online public database that CDSS released  
          earlier this month.

                            BACKGROUND AND DISCUSSION

           According to the author, California law fails to provide  
          easily accessible means for parents to learn about  
          inspection and complaint reports that have been filed  
          against state-licensed day care, preschool and after-school  
          programs. The author states that "families entrusting the  
          care of their children assume that lawmakers have provided  
          them protection against child care facilities that violate  
          the law, but reporting a violation means nothing if the  
          information is not made transparent to families."



          The California Child Day Care Facilities Act requires the  
          licensing and regulation by CDSS of more than 11,100  
          licensed child care facilities (providing 716,610 slots)  
          and 33,300 licensed family day care homes (providing  
          367,264 slots).<1> In addition to licensed child care  
          facilities, the Act establishes license exempt providers  
          including relatives, child care cooperative arrangements,  
          as defined, extended care programs operated by public or  
          -------------------------

          <1> Resource and Referral Network, 2013 Portfolio. (Report  
          cites 2012 data)





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          private schools with 85 percent of children served from  
          that school, day care where only one additional family is  
          served and nanny services, including nanny shares, as  
          specified. 

          The Community Care Licensing (CCL) division of CDSS  
          provides the primary public oversight over the quality and  
          care provided in licensed child care facilities and homes.  
          Prior to January 2004, CCL conducted annual visits of all  
          child care facilities and homes as well as other licensed  
          facilities within its jurisdiction. However, as a result of  
          a series of budget cuts beginning in 2003, CCL began  
          inspecting facilities based on a random sample protocol.  
          Under this scenario, those facilities that warrant close  
          monitoring because of a poor history of compliance are  
          monitored annually, as well as facilities that are  
          federally required to be inspected annually. Typically,  
          this comprises about 10 percent of all facilities. Of the  
          remaining 90 percent, approximately 30 percent are randomly  
          selected for inspection each year. The current five-year  
          inspection mandate was intended to catch facilities that  
          are not randomly selected at least that often for  
          inspection.


          Transparency

          Current law requires CDSS to post the results of a site  
          visit on, or immediately adjacent to, the interior side of  
          the main door of a child care facility including  
          information regarding whether the facility was cited for a  
          violation, the nature of that violation, as specified, and  
          to include a statement explaining that copies of the site  
          visit report may be obtained by contacting the  
          department.<2> The notice is required to remain posted for  
          30 consecutive days, except that a family day care home is  
          required to maintain the posting only during the hours when  
          clients are present. Also, the facility must provide copies  
          of a licensing report that documents serious, Type A  
          citations, to the parents or guardians of each child  
          receiving services, and for each newly enrolled child.


          -------------------------
          <2> Health and Safety Code Section 1596.817





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          Licensed child day care facility additionally are required  
          to make accessible to the public a copy of any licensing  
          report that documents a facility visit, a substantiated  
          complaint investigation, a conference with a local  
          licensing agency management representative and the licensee  
          in which issues of noncompliance are discussed, or a copy  
          of an accusation indicating the department's intent to  
          revoke the facility's license.<3> Licensing documents are  
          not required to be maintained beyond three years from the  
          date of issuance.

          Further, state funded child care resource and referral  
          programs and alternative payment programs are required to  
          advise parents who request referrals of their right to seek  
          and access licensing information from the Community Care  
          Licensing Division of CDSS. 

          CDSS publishes on its website a "myccl" webpage in which  
          the public can search for providers of child care by zip  
          code. Information found on the website includes the  
          facility's license number, its capacity and which CDSS  
          district office houses additional materials. However, the  
          website does not provide information about citations or  
          sanctions against providers. The primary reason for this is  
          a technology barrier, according CDSS. Also, information  
          public disclosure regarding the location of small family  
          homes, defined as caring for 6 or fewer children, is  
          prohibited under statute.
          Currently, CDSS licensing staff input survey results,  
          including citation information, into an antiquated word  
          processing system, Lotus Notes, that does not interact with  
          any of the department's other data collection tools. As a  
          result, the department is unable to track patterns of poor  
          care within a single facility, or across facilities with  
          the same owner. CDSS is also unable to upload information  
          to its web site for the public to see citation information  
          on facilities. Efforts have been made to bridge the  
          antiquated field information system to interact with the  
          department's data collection systems, including a grant  
          from the California Health Care Foundation in 2008. However  
          the Lotus system is so old that those technology patches  
          have been unsuccessful. In order to acquire additional  
          information relating to the quality of a facility, a person  
          -------------------------


          <3> Health and Safety Code Section 1596.859





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          must either contact or travel to one of CDSS's eight  
          regional licensing offices and request the information  
          pertaining to a specific facility.


          In response to increased media coverage of incidents that  
          have occurred in licensed care facilities across the state,  
          CDSS recently released an online database on its website to  
          provide more robust information about licensed facilities.  
          This bill seeks to codify the establishment of this  
          database which currently includes the following:


                 The name of the facility and licensee; 
                 Contact information for the facility and its  
               licensed capacity;
                 The number of site visits, and the dates of those  
               visits;
                 The number of inspections, complaint  
               investigations, and other visits the facility has  
               received.
                 The number of substantiated and inconclusive  
               complaints filed against the facility, including  
               complaint severity and whether a complaint resulted in  
               a citation.

                                     COMMENTS

           Staff recommends amending the bill to reflect the content  
          of the CDSS website as well as a technical amendment as  
          follows:


          SECTION 1.  1596.819


          (a) Except as otherwise prohibited by law, the department  
          shall post licensing information on its Internet Web site  
          as follows:
          (1) For each  child  day care  facility as defined in Section  
          1596.750  center   and large family day care home  , with the  
          exception of small family day care homes  , the information  
          shall include, but is not limited to, the name and address  
          of the facility,  the licensed capacity,  the status of the  
          license, and the number of site visits, including the  





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          number of substantiated and inconclusive complaint  
          inspections and noncomplaint inspections,  and citations  
          assessed  during the preceding five-year period.
          (2) For each small family day care home, the information  
          shall include, but is not limited to, the name of the home,  
          the status of the license, and the number of site visits,  
          including the number of substantiated and inconclusive  
          complaint inspections and noncomplaint inspections,  and  
          citations assessed  during the preceding five-year period.
          (b) The department shall update the information posted  
          under subdivision (a) on at least a monthly basis.
           
                                  PRIOR VOTES  


          Assembly Floor      78 - 0
          Assembly Appropriations  17 - 0
          Assembly Human Services    6 - 0




                                    POSITIONS  


          Support:       California Alternative Payment Program
                         California Child Care Resource and Referral  
                    Network
                         Children Now
                         1 individual

                         
          Oppose:   None received.






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