Bill Text: CA SB799 | 2011-2012 | Regular Session | Amended
Bill Title: Long-term care.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2012-01-31 - Returned to Secretary of Senate pursuant to Joint Rule 56. [SB799 Detail]
Download: California-2011-SB799-Amended.html
BILL NUMBER: SB 799 AMENDED BILL TEXT AMENDED IN SENATE MARCH 30, 2011 AMENDED IN SENATE MARCH 22, 2011 INTRODUCED BY Senator Negrete McLeod FEBRUARY 18, 2011 An act to amend Section 1420 of the Health and Safety Code, relating to health facilities. LEGISLATIVE COUNSEL'S DIGEST SB 799, as amended, Negrete McLeod. Long-term care. Existing law provides for the licensing and regulation of health facilities by the State Department of Public Health. Existing law, the Long-Term Care, Health, Safety, and Security Act of 1973, in part, requires the department to investigate complaints relating to long-term health facilities, as defined. This bill would require the department, with certain exceptions, to complete its investigation within 90 working days. The bill would require the department to assess its compliance with this requirement in prescribed annual reports to the Legislature. The bill would also require the department to apply the timeframes for investigation or inspection when a report is made by a facility of an alleged violation of applicable requirements of state or federal law or any alleged facts that might constitute a violation of those requirements. Existing law authorizes a complainant who is dissatisfied with the department's inspection or investigation to, within 5 business days, notify the director in writing of his or her request for an informal conference. This bill would change that time period from 5 business days to 15 working days. Existing law requires a miniexit conference to be held with the administrator or his or her representative upon leaving the facility at the completion of the investigation to inform him or her of the status of the investigation. This bill would, instead, require a miniexit conference to be held upon leaving the facility and at the completion of the investigation. Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Section 1420 of the Health and Safety Code is amended to read: 1420. (a) (1) Upon receipt of a written or oral complaint, the state department shall assign an inspector to make a preliminary review of the complaint and shall notify the complainant within two working days of the receipt of the complaint of the name of the inspector. Unless the state department determines that the complaint is willfully intended to harass a licensee or is without any reasonable basis, it shall make an onsite inspection or investigation within 10 working days of the receipt of the complaint. In any case in which the complaint involves a threat of imminent danger of death or serious bodily harm, the state department shall make an onsite inspection or investigation within 24 hours of the receipt of the complaint. In any event, the complainant shall be promptly informed of the state department's proposed course of action and of the opportunity to accompany the inspector on the inspection or investigation of the facility. Upon the request of either the complainant or the state department, the complainant or his or her representative, or both, may be allowed to accompany the inspector to the site of the alleged violations during his or her tour of the facility, unless the inspector determines that the privacy of any patient would be violated thereby. (2) When conducting an onsite inspection or investigation pursuant to this section, the state department shall collect and evaluate all available evidence and may issue a citation based upon, but not limited to, all of the following: (A) Observed conditions. (B) Statements of witnesses. (C) Facility records. (3) The department shall complete its investigation within 90 working days from receipt of the complaint and the department shall issue a citation within the mandatory timeframes established pursuant to Section 1423, including, but not limited to, serving the citation upon the licensee within three days after completion of the investigation, excluding Sundays and holidays, unless the licensee agrees in writing to an extension of time. The 90-working-day period may be extended if the department has exercised reasonable diligence in attempting to, but has not been able to, obtain all necessary evidence related to the investigation. The department shall analyze its compliance with this requirement in its annual system and staffing analysis prepared pursuant to subparagraph (B) of paragraph (2) of subdivision (d) of Section 1266. (4) Within 10 working days of the completion of the complaint investigation, the state department shall notify the complainant and licensee in writing of the department's determination as a result of the inspection or investigation. (b) Upon being notified of the state department's determination as a result of the inspection or investigation, a complainant who is dissatisfied with the state department's determination, regarding a matter which would pose a threat to the health, safety, security, welfare, or rights of a resident, shall be notified by the state department of the right to an informal conference, as set forth in this section. The complainant may, within 15 working days after receipt of the notice, notify the director in writing of his or her request for an informal conference. The informal conference shall be held with the designee of the director for the county in which the long-term health care facility which is the subject of the complaint is located. The long-term health care facility may participate as a party in this informal conference. The director's designee shall notify the complainant and licensee of his or her determination within 10 working days after the informal conference and shall apprise the complainant and licensee in writing of the appeal rights provided in subdivision (c). (c) If the complainant is dissatisfied with the determination of the director's designee in the county in which the facility is located, the complainant may, within 15 days after receipt of this determination, notify in writing the Deputy Director of the Licensing and Certification Division of the state department, who shall assign the request to a representative of the Complainant Appeals Unit for review of the facts that led to both determinations. As a part of the Complainant Appeals Unit's independent investigation, and at the request of the complainant, the representative shall interview the complainant in the district office where the complaint was initially referred. Based upon this review, the Deputy Director of the Licensing and Certification Division of the state department shall make his or her own determination and notify the complainant and the facility within 30 days. (d) Any citation issued as a result of a conference or review provided for in subdivision (b) or (c) shall be issued and served upon the facility within three working days of the final determination, unless the licensee agrees in writing to an extension of this time. Service shall be effected either personally or by registered or certified mail. A copy of the citation shall also be sent to each complainant by registered or certified mail. (e) A miniexit conference shall be held with the administrator or his or her representative upon leaving the facility and at the completion of the investigation to inform him or her of the status of the investigation. The department shall also state the items of noncompliance and compliance found as a result of a complaint and those items found to be in compliance, provided the disclosure maintains the anonymity of the complainant. In any matter in which there is a reasonable probability that the identity of the complainant will not remain anonymous, the state department shall also notify the facility that it is unlawful to discriminate or seek retaliation against a resident, employee, or complainant. (f) For purposes of this section, "complaint" means any oral or written notice to the state department, other than a report from the facility of an alleged violation of applicable requirements of state or federal law or any alleged facts that might constitute such a violation. (g) The department shall apply the timeframes for investigation or inspection established pursuant to this section when a report is made by a facility of an alleged violation of applicable requirements of state or federal law or any alleged facts that might constitute a violation of those requirements.