Article 9. Admission Agreements of California Health And Safety Code >> Division 2. >> Chapter 3.2. >> Article 9.
(a) For purposes of this section, an "admission agreement"
includes all documents that a resident or his or her representative
must sign at the time of, or as a condition of, admission to a
residential care facility for the elderly licensed under this
(b) The admission agreement shall not include any written
attachment containing any provision that is prohibited from being
included in the admission agreement.
(a) Every residential care facility for the elderly shall
make blank complete copies of its admission agreement available to
the public immediately, subject to time required for copying or
mailing, at cost, upon request.
(b) Every residential care facility for the elderly shall
conspicuously post in a location accessible to the public view within
the facility either a complete copy of the admission agreement, or a
notice of its availability from the facility.
(a) The admission agreement shall be printed in black
type of not less than 12-point type size, on plain white paper. The
print shall appear on one side of the paper only.
(b) The admission agreement shall be written in clear, coherent,
and unambiguous language, using words with common and everyday
meanings. It shall be appropriately divided, and each section shall
be appropriately captioned.
(a) The admission agreement shall not include unlawful
waivers of facility liability for the health and safety or personal
property of residents.
(b) The admission agreement shall not include any provision that
the facility knows or should know is deceptive, or unlawful under
state or federal law.
The admission agreement shall include all of the
(a) A comprehensive description of any items and services provided
under a single fee, such as a monthly fee for room, board, and other
items and services.
(b) A comprehensive description of, and the fee schedule for, all
items and services not included in a single fee. In addition, the
agreement shall indicate that the resident shall receive a monthly
statement itemizing all separate charges incurred by the resident.
(c) A facility may assess a separate charge for an item or service
only if that separate charge is authorized by the admission
agreement. If additional services are available through the facility
to be purchased by the resident that were not available at the time
the admission agreement was signed, a list of these services and
charges shall be provided to the resident or the resident's
representative. A statement acknowledging the acceptance or refusal
to purchase the additional services shall be signed and dated by the
resident or the resident's representative and attached to the
(d) An explanation of the use of third-party services within the
facility that are related to the resident's service plan, including,
but not limited to, ancillary, health, and medical services, how they
may be arranged, accessed, and monitored, any restrictions on
third-party services, and who is financially responsible for the
(e) A comprehensive description of billing and payment policies
(f) The conditions under which rates may be increased pursuant to
(g) The facility's policy concerning family visits and other
communication with residents, pursuant to Section 1569.313.
(h) The facility's policy concerning refunds, including the
conditions under which a refund for advanced monthly fees will be
returned in the event of a resident's death, pursuant to Section
(i) Conditions under which the agreement may be terminated.
(j) An explanation of the facility's responsibility to prepare a
relocation evaluation, for each resident and a closure plan and to
provide notice in the case of an eviction pursuant to Section
(a) When referring to a resident's obligation to observe
facility rules, the admission agreement shall indicate that the rules
must be reasonable, and that there is a facility procedure for
suggesting changes in the rules. A facility rule shall not violate
any right set forth in this article or in other applicable laws and
(b) The admission agreement shall specify that a copy of the
facility grievance procedure for resolution of resident complaints
about facility practices shall be made available to the resident or
his or her representative.
(c) The admission agreement shall inform a resident of the right
to contact the State Department of Social Services, the long-term
care ombudsman, or both, regarding grievances against the facility.
(d) A copy of any applicable resident's rights specified by law or
regulation shall be an attachment to all admission agreements.
(e) The statement of resident's rights attached to admissions
agreements by a residential care facility for the elderly shall
include information on the reporting of suspected or known elder and
dependent adult abuse, as set forth in Section 1569.889.
(a) The admission agreement shall not include any ground
for involuntary transfer or eviction of the resident unless those
grounds are specifically enumerated under state law or regulation.
(b) The admission agreement shall list the justifications for
eviction permissible under state law or regulation, exactly as they
are worded in the applicable law or regulation.
(c) The admission agreement shall include an explanation of the
resident's right to notice prior to an involuntary transfer,
discharge, or eviction, the process by which the resident may appeal
the decision and a description of the relocation assistance offered
by the facility.
(d) The admission agreement shall state the responsibilities of
the licensee and the rights of the resident when a facility evicts
residents pursuant to Section 1569.682.
(a) The admission agreement shall be signed and dated,
acknowledging the contents of the document, by the resident or the
(b) The licensee shall retain in the resident's file the original
signed and dated initial agreement and all subsequent modifications.
(c) The licensee shall provide a copy of the signed and dated
admission agreement to the resident or the resident's representative,
(d) The admission agreement shall be reviewed at the time of the
compliance visit and in response to a complaint involving the
(a) The requirements of this article relating to
admission agreements for residential care facilities for the elderly
are intended to be in addition to, and not exclusive of, any other
requirements established by state law or regulation.
(b) This article shall not apply to licensees of residential care
facilities for the elderly that have obtained a certificate of
authority to offer continuing care contracts, as defined in paragraph
(5) of subdivision (c) of Section 1771.
(a) The personal rights form made available by the
department's Community Care Licensing Division to residential care
facilities for the elderly shall include a statement regarding
procedures for reporting known or suspected elder and dependent adult
abuse, including the toll-free telephone number of the State
Long-Term Care Ombudsman's CRISISline and a blank space for the
telephone number of the nearest approved organization for long-term
care ombudsperson activities. A residential care facility for the
elderly shall insert in the form's blank space the telephone number
of the nearest approved organization for long-term care ombudsperson
(b) The department's Community Care Licensing Division shall adopt
or amend any regulation and revise any document or policy as
necessary to implement this section.