Bill Text: NY S06278 | 2011-2012 | General Assembly | Introduced


Bill Title: Relates to increasing penalties for violations relating to residential care programs for adults and children; and amends provisions relating to determination of violations.

Spectrum: Slight Partisan Bill (Democrat 3-1)

Status: (Introduced - Dead) 2012-05-22 - REPORTED AND COMMITTED TO FINANCE [S06278 Detail]

Download: New_York-2011-S06278-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         6278
                                   I N  S E N A T E
                                   January 19, 2012
                                      ___________
       Introduced  by Sen. GRISANTI -- read twice and ordered printed, and when
         printed to be committed to the Committee on Social Services
       AN ACT to amend the social services law, in relation  to  penalties  for
         violations relating to residential care programs for adults
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subdivision 7 and paragraphs (a) and (b) of  subdivision  9
    2  of  section 460-d of the social services law, subdivision 7  as added by
    3  chapter 669 of the laws of 1977,  paragraph  (a)  of  subdivision  7  as
    4  amended by chapter 719 of the laws of 1989, paragraph (b) of subdivision
    5  7 as amended by chapter 524 of the laws of 1984, subparagraph 2 of para-
    6  graph  (b)  of  subdivision  7  as amended by chapter 733 of the laws of
    7  1994, paragraph (a) of subdivision 9 as amended by chapter  558  of  the
    8  laws  of 1999 and paragraph (b) of subdivision 9 as added by chapter 848
    9  of the laws of 1992, are amended to read as follows:
   10    7. (a) The  department  shall  adopt  regulations  establishing  civil
   11  penalties  of up to [one] FIVE thousand dollars PER VIOLATION per day to
   12  be assessed against all adult care facilities except facilities operated
   13  by a social services district for violations of (i) regulations  of  the
   14  department  pertaining to the care of residents in such facilities, (ii)
   15  paragraph (a) of subdivision three of section four  hundred  sixty-one-a
   16  of this [chapter] ARTICLE, or (iii) an order issued pursuant to subdivi-
   17  sion eight of this section. The regulations shall specify the violations
   18  subject  to  penalty  and  the  amount  of the penalty to be assessed in
   19  connection with each such violation and shall specify  that  only  civil
   20  penalties  of  up  to  [one] FIVE thousand dollars PER VIOLATION per day
   21  [per violation] shall be assessed pursuant to this paragraph against  an
   22  adult  care  facility  found  responsible  for  an act of retaliation or
   23  reprisal against any resident, employee,  or  other  person  for  having
   24  filed  a  complaint with or having provided information to any long term
   25  care [patient] ombudsman functioning in accordance  with  section  [five
   26  hundred  forty-four  or five hundred forty-five] TWO HUNDRED EIGHTEEN of
   27  the [executive] ELDER law.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD13829-02-2
       S. 6278                             2
    1    (b) [(1)] In addition to any other civil or criminal penalty  provided
    2  by law, the department shall have the power to assess civil penalties in
    3  accordance  with  its  regulations  adopted pursuant to paragraph (a) of
    4  this subdivision, after a  hearing  conducted  in  accordance  with  the
    5  procedures established by regulations of the department. Such procedures
    6  shall require that notice of the time and place of the hearing, together
    7  with  a statement of charges of violations, shall be served in person or
    8  by certified mail addressed to the facility at least thirty  days  prior
    9  to the date of the hearing. The statement of charges of violations shall
   10  set  forth  the  existence  of the violations, the amount of penalty for
   11  which it may become liable and the steps which must be taken to  rectify
   12  the  violation  and,  where  applicable, a statement that the department
   13  contends that a penalty may be imposed under this  paragraph  regardless
   14  of  rectification.  An  answer to the charges of violations, in writing,
   15  shall be filed with the department, not less than ten days prior to  the
   16  date  of  hearing. The answer shall notify the department of the facili-
   17  ty's position with respect to each of the charges and shall include  all
   18  matters which if not disclosed in the answer would be likely to take the
   19  department  by  surprise. The commissioner, or a member of his staff who
   20  is designated and authorized by him to hold such  hearing,  may  in  his
   21  discretion  allow  the  facility to prove any matter not included in the
   22  answer.
   23    (C) Where the facility satisfactorily demonstrates that it either  had
   24  rectified the violations within thirty days of receiving CERTIFIED writ-
   25  ten  notification  of  the results of the inspection pursuant to section
   26  four hundred sixty-one-a of this [chapter]  ARTICLE,  or  had  submitted
   27  within thirty days an acceptable plan for rectification and was rectify-
   28  ing  the  violations  in  accordance with the steps and within the addi-
   29  tional periods of time as accepted by the department in such plan,  [no]
   30  THE  DEPARTMENT  MAY DETERMINE THAT THE penalty UNDER THIS SECTION shall
   31  be REDUCED FROM WHAT OTHERWISE WOULD BE imposed[, except as provided  in
   32  subparagraph two of this paragraph.
   33    (2)  Rectification  shall  not preclude the assessment of a penalty if
   34  the department establishes at a hearing that] OR  WAIVED.  IN  MAKING  A
   35  DETERMINATION UNDER THIS PARAGRAPH, THE DEPARTMENT SHALL CONSIDER:
   36    (I)  WHETHER  a particular violation[, although corrected,] endangered
   37  or resulted in harm to any resident [as the result of:
   38    (i)], IN WHICH CASE THE PENALTY SHALL NOT BE REDUCED OR WAIVED. ENDAN-
   39  GERMENT IS DEFINED AS:
   40    (A) the total or substantial failure of the facility's fire  detection
   41  or  prevention systems, or emergency evacuation procedures prescribed by
   42  department safety standard regulations;
   43    [(ii)] (B) the retention of any resident who has been evaluated by the
   44  resident's physician as being medically or mentally unsuited for care in
   45  the facility or as requiring placement  in  a  hospital  or  residential
   46  health  care facility and for whom the operator is not making persistent
   47  efforts to secure appropriate placement;
   48    [(iii)] (C) the failure in systemic practices and procedures;
   49    [(iv)] (D) the failure of the operator to take actions as required  by
   50  department regulations in the event of a resident's illness or accident;
   51    [(v)]  (E)  the failure of the operator to provide at all times super-
   52  vision of residents by numbers of staff at least equivalent to the night
   53  staffing requirement set forth in department regulations; or
   54    [(vi)] (F) unreasonable threats of retaliation  or  taking  reprisals,
   55  including  but not limited to unreasonable threats of eviction or hospi-
   56  talization against any resident, employee or other person  who  makes  a
       S. 6278                             3
    1  complaint  concerning  the  operation of an adult care facility, partic-
    2  ipates in the investigation of a complaint  or  is  the  subject  of  an
    3  action identified in a complaint.
    4    The  department  shall  specify in its regulations those [regulations]
    5  VIOLATIONS to which this [subparagraph two] PARAGRAPH shall apply[.
    6    (3) In assessing penalties pursuant to this paragraph, the  department
    7  shall consider promptness];
    8    (II) WHETHER A PARTICULAR VIOLATION IS ONE OF THE FOLLOWING:
    9    (A)  A  VIOLATION  WHEREIN  HARM,  SHORT OF ENDANGERMENT AS DEFINED IN
   10  SUBPARAGRAPH (I) OF THIS PARAGRAPH, WAS ACTUALLY COMMITTED;
   11    (B) A VIOLATION WHEREIN A RESIDENT OR RESIDENTS WERE PUT  AT  RISK  OF
   12  HARM; OR
   13    (C)  A VIOLATION WHEREIN A RESIDENT WAS NEITHER HARMED NOR PUT AT RISK
   14  OF HARM;
   15    (III) THE FACILITY'S HISTORY OF PROVIDING  QUALITY  CARE,  VIOLATIONS;
   16  AND
   17    (IV)  PROMPTNESS of rectification, delay occasioned by the department,
   18  and the specific circumstances of the violations as mitigating factors.
   19    [(c)] (D) Upon the request of the department, the attorney general may
   20  commence an action in any court of competent  jurisdiction  against  any
   21  facility  subject  to  the  provisions  of this section, and against any
   22  person or corporation operating such facility, for the recovery  of  any
   23  penalty  assessed by the department in accordance with the provisions of
   24  this subdivision.
   25    [(d)] (E) Any such penalty assessed by the department may be  released
   26  or  compromised by the department before the matter has been referred to
   27  the attorney general, and where such matter has  been  referred  to  the
   28  attorney  general,  any  such penalty may be released or compromised and
   29  any action commenced to recover the same may be settled and discontinued
   30  by the attorney general with the consent of the department.
   31    (a) The department shall have authority to impose a civil penalty  not
   32  exceeding [one] FIVE thousand dollars PER VIOLATION per day against, and
   33  to issue an order requiring the closing of, after notice and opportunity
   34  to  be  heard,  any  facility  which  does not possess a valid operating
   35  certificate issued by the department  and  is  an  adult  care  facility
   36  subject  to  the  provisions  of this article and the regulations of the
   37  department. A hearing shall be conducted in accordance  with  procedures
   38  established  by  department  regulations  which procedures shall require
   39  that notice of the determination that the  facility  is  an  adult  care
   40  facility  and  the reasons for such determination and notice of the time
   41  and place of the hearing be served in person on the operator,  owner  or
   42  prime  lessor,  if  any, or by certified mail, return receipt requested,
   43  addressed to such person and received at least twenty days prior to  the
   44  date of the hearing. If such operator, owner or prime lessor, if any, is
   45  not  known to the department, then service may be made by posting a copy
   46  thereof in a conspicuous place within the facility or by sending a  copy
   47  thereof  by  certified  mail, return receipt requested, addressed to the
   48  facility. A written answer to the notice of violation may be filed  with
   49  the department not less than five days prior to the date of the hearing.
   50  Demonstration by the facility that it possessed an operating certificate
   51  issued  pursuant  to  this  article,  article twenty-eight of the public
   52  health law or article sixteen, [twenty-three,] thirty-one or  thirty-two
   53  of  the  mental  hygiene law at the time the hearing was commenced shall
   54  constitute a complete defense to  any  charges  made  pursuant  to  this
   55  subdivision.
       S. 6278                             4
    1    (b)  [The penalty authorized by this section shall begin to run thirty
    2  days after the department provides the  operator,  in  writing,  with  a
    3  summary of the inspection of the facility by which the department deter-
    4  mined  that  he or she is operating an uncertified adult care facility.]
    5  The  submission  of  an  application  by  the  operator for an operating
    6  certificate for the facility shall not act as a bar to the imposition of
    7  a penalty against the operator OF AN UNLICENSED ADULT CARE FACILITY.
    8    S 2. This act shall take effect on the ninetieth day  after  it  shall
    9  have  become  a  law;  provided  that any rules and regulations, and any
   10  other actions necessary to implement the provisions of this act  on  its
   11  effective  date are authorized and directed to be completed on or before
   12  such date.
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