Article 1. General Provisions of California Health And Safety Code >> Division 2. >> Chapter 3. >> Article 1.
This chapter shall be known and may be cited as the
California Community Care Facilities Act.
(a) The Legislature hereby finds and declares that there is
an urgent need to establish a coordinated and comprehensive statewide
service system of quality community care for mentally ill,
developmentally and physically disabled, and children and adults who
require care or services by a facility or organization issued a
license or special permit pursuant to this chapter.
(b) Therefore, the Legislature declares it is the intent of the
state to develop policies and programs designed to: (1) insure a
level of care and services in the community which is equal to or
better than that provided by the state hospitals; (2) assure that all
people who require them are provided with the appropriate range of
social rehabilitative, habilitative and treatment services, including
residential and nonresidential programs tailored to their needs; (3)
protect the legal and human rights of a person in or receiving
services from a community care facility; (4) insure continuity of
care between the medical-health elements and the supportive
care-rehabilitation elements of California's health systems; (5)
insure that facilities providing community care are adequate, safe
and sanitary; (6) assure that rehabilitative and treatment services
are provided at a reasonable cost; (7) assure that state payments for
community care services are based on a flexible rate schedule
varying according to type and cost of care and services provided; (8)
encourage the utilization of personnel from state hospitals and the
development of training programs to improve the quality of staff in
community care facilities; and (9) insure the quality of community
care facilities by evaluating the care and services provided and
furnishing incentives to upgrade their quality.
(a) It is the policy of the state to facilitate the proper
placement of every child in residential care facilities where the
placement is in the best interests of the child. A county may require
placement or licensing agencies, or both placement and licensing
agencies, to actively seek out-of-home care facilities capable of
meeting the varied needs of the child. Therefore, in placing children
in out-of-home care, particular attention should be given to the
individual child's needs, the ability of the facility to meet those
needs, the needs of other children in the facility, the licensing
requirements of the facility as determined by the licensing agency,
and the impact of the placement on the family reunification plan.
(b) Pursuant to this section, children with varying designations
and varying needs, including, on and after January 1, 2012, nonminor
dependents, as defined in subdivision (v) of Section 11400 of the
Welfare and Institutions Code, except as provided by statute, may be
placed in the same facility provided the facility is licensed,
complies with all licensing requirements relevant to the protection
of the child, and has a special permit, if necessary, to meet the
needs of each child so placed. A facility may not require, as a
condition of placement, that a child be identified as an individual
with exceptional needs as defined by Section 56026 of the Education
Code.
(c) Neither the requirement for any license nor any regulation
shall restrict the implementation of the provisions of this section.
Implementation of this section does not obviate the requirement for a
facility to be licensed by the department.
(d) Pursuant to this section, children with varying designations
and varying needs, including, on and after January 1, 2012, nonminor
dependents, as defined in subdivision (v) of Section 11400 of the
Welfare and Institutions Code, except as provided by statute, may be
placed in the same licensed foster family home or with a foster
family agency for subsequent placement in a certified family home.
Children, including nonminor dependents, with developmental
disabilities, mental disorders, or physical disabilities may be
placed in licensed foster family homes or certified family homes,
provided that an appraisal of the child's or nonminor dependent's
needs and the ability of the receiving home to meet those needs is
made jointly by the placement agency and the licensee in the case of
licensed foster family homes or the placement agency and the foster
family agency in the case of certified family homes, and is followed
by written confirmation prior to placement. The appraisal shall
confirm that the placement poses no threat to any child in the home.
For purposes of this chapter, the placing of children by foster
family agencies shall be referred to as "subsequent placement" to
distinguish the activity from the placing by public agencies.
As used in this chapter:
(a) "Community care facility" means any facility, place, or
building that is maintained and operated to provide nonmedical
residential care, day treatment, adult day care, or foster family
agency services for children, adults, or children and adults,
including, but not limited to, the physically handicapped, mentally
impaired, incompetent persons, and abused or neglected children, and
includes the following:
(1) "Residential facility" means any family home, group care
facility, or similar facility determined by the director, for 24-hour
nonmedical care of persons in need of personal services,
supervision, or assistance essential for sustaining the activities of
daily living or for the protection of the individual.
(2) "Adult day program" means any community-based facility or
program that provides care to persons 18 years of age or older in
need of personal services, supervision, or assistance essential for
sustaining the activities of daily living or for the protection of
these individuals on less than a 24-hour basis.
(3) "Therapeutic day services facility" means any facility that
provides nonmedical care, counseling, educational or vocational
support, or social rehabilitation services on less than a 24-hour
basis to persons under 18 years of age who would otherwise be placed
in foster care or who are returning to families from foster care.
Program standards for these facilities shall be developed by the
department, pursuant to Section 1530, in consultation with
therapeutic day services and foster care providers.
(4) "Foster family agency" means any public agency or private
organization engaged in the recruiting, certifying, and training of,
and providing professional support to, foster parents, or in finding
homes or other places for placement of children for temporary or
permanent care who require that level of care. Private foster family
agencies shall be organized and operated on a nonprofit basis.
(5) "Foster family home" means any residential facility providing
24-hour care for six or fewer foster children that is owned, leased,
or rented and is the residence of the foster parent or parents,
including their family, in whose care the foster children have been
placed. The placement may be by a public or private child placement
agency or by a court order, or by voluntary placement by a parent,
parents, or guardian. It also means a foster family home described in
Section 1505.2.
(6) "Small family home" means any residential facility, in the
licensee's family residence, that provides 24-hour care for six or
fewer foster children who have mental disorders or developmental or
physical disabilities and who require special care and supervision as
a result of their disabilities. A small family home may accept
children with special health care needs, pursuant to subdivision (a)
of Section 17710 of the Welfare and Institutions Code. In addition to
placing children with special health care needs, the department may
approve placement of children without special health care needs, up
to the licensed capacity.
(7) "Social rehabilitation facility" means any residential
facility that provides social rehabilitation services for no longer
than 18 months in a group setting to adults recovering from mental
illness who temporarily need assistance, guidance, or counseling.
Program components shall be subject to program standards pursuant to
Article 1 (commencing with Section 5670) of Chapter 2.5 of Part 2 of
Division 5 of the Welfare and Institutions Code.
(8) "Community treatment facility" means any residential facility
that provides mental health treatment services to children in a group
setting and that has the capacity to provide secure containment.
Program components shall be subject to program standards developed
and enforced by the State Department of Health Care Services pursuant
to Section 4094 of the Welfare and Institutions Code.
Nothing in this section shall be construed to prohibit or
discourage placement of persons who have mental or physical
disabilities into any category of community care facility that meets
the needs of the individual placed, if the placement is consistent
with the licensing regulations of the department.
(9) "Full-service adoption agency" means any licensed entity
engaged in the business of providing adoption services, that does all
of the following:
(A) Assumes care, custody, and control of a child through
relinquishment of the child to the agency or involuntary termination
of parental rights to the child.
(B) Assesses the birth parents, prospective adoptive parents, or
child.
(C) Places children for adoption.
(D) Supervises adoptive placements.
Private full-service adoption agencies shall be organized and
operated on a nonprofit basis. As a condition of licensure to provide
intercountry adoption services, a full-service adoption agency shall
be accredited and in good standing according to Part 96 of Title 22
of the Code of Federal Regulations, or supervised by an accredited
primary provider, or acting as an exempted provider, in compliance
with Subpart F (commencing with Section 96.29) of Part 96 of Title 22
of the Code of Federal Regulations.
(10) "Noncustodial adoption agency" means any licensed entity
engaged in the business of providing adoption services, that does all
of the following:
(A) Assesses the prospective adoptive parents.
(B) Cooperatively matches children freed for adoption, who are
under the care, custody, and control of a licensed adoption agency,
for adoption, with assessed and approved adoptive applicants.
(C) Cooperatively supervises adoptive placements with a
full-service adoptive agency, but does not disrupt a placement or
remove a child from a placement.
Private noncustodial adoption agencies shall be organized and
operated on a nonprofit basis. As a condition of licensure to provide
intercountry adoption services, a noncustodial adoption agency shall
be accredited and in good standing according to Part 96 of Title 22
of the Code of Federal Regulations, or supervised by an accredited
primary provider, or acting as an exempted provider, in compliance
with Subpart F (commencing with Section 96.29) of Part 96 of Title 22
of the Code of Federal Regulations.
(11) "Transitional shelter care facility" means any group care
facility that provides for 24-hour nonmedical care of persons in need
of personal services, supervision, or assistance essential for
sustaining the activities of daily living or for the protection of
the individual. Program components shall be subject to program
standards developed by the State Department of Social Services
pursuant to Section 1502.3.
(12) "Transitional housing placement provider" means an
organization licensed by the department pursuant to Section 1559.110
and Section 16522.1 of the Welfare and Institutions Code to provide
transitional housing to foster children at least 16 years of age and
not more than 18 years of age, and nonminor dependents, as defined in
subdivision (v) of Section 11400 of the Welfare and Institutions
Code, to promote their transition to adulthood. A transitional
housing placement provider shall be privately operated and organized
on a nonprofit basis.
(13) "Group home" means a residential facility that provides
24-hour care and supervision to children, delivered at least in part
by staff employed by the licensee in a structured environment. The
care and supervision provided by a group home shall be nonmedical,
except as otherwise permitted by law.
(14) "Runaway and homeless youth shelter" means a group home
licensed by the department to operate a program pursuant to Section
1502.35 to provide voluntary, short-term, shelter and personal
services to runaway youth or homeless youth, as defined in paragraph
(2) of subdivision (a) of Section 1502.35.
(15) "Enhanced behavioral supports home" means a facility
certified by the State Department of Developmental Services pursuant
to Article 3.6 (commencing with Section 4684.80) of Chapter 6 of
Division 4.5 of the Welfare and Institutions Code, and licensed by
the State Department of Social Services as an adult residential
facility or a group home that provides 24-hour nonmedical care to
individuals with developmental disabilities who require enhanced
behavioral supports, staffing, and supervision in a homelike setting.
An enhanced behavioral supports home shall have a maximum capacity
of four consumers, shall conform to Section 441.530(a)(1) of Title 42
of the Code of Federal Regulations, and shall be eligible for
federal Medicaid home- and community-based services funding.
(16) "Community crisis home" means a facility certified by the
State Department of Developmental Services pursuant to Article 8
(commencing with Section 4698) of Chapter 6 of Division 4.5 of the
Welfare and Institutions Code, and licensed by the State Department
of Social Services pursuant to Article 9.7 (commencing with Section
1567.80), as an adult residential facility, providing 24-hour
nonmedical care to individuals with developmental disabilities
receiving regional center service, in need of crisis intervention
services, and who would otherwise be at risk of admission to the
acute crisis center at Fairview Developmental Center, Sonoma
Developmental Center, an acute general hospital, acute psychiatric
hospital, an institution for mental disease, as described in Part 5
(commencing with Section 5900) of Division 5 of the Welfare and
Institutions Code, or an out-of-state placement. A community crisis
home shall have a maximum capacity of eight consumers, as defined in
subdivision (a) of Section 1567.80, shall conform to Section 441.530
(a)(1) of Title 42 of the Code of Federal Regulations, and shall be
eligible for federal Medicaid home- and community-based services
funding.
(17) "Crisis nursery" means a facility licensed by the department
to operate a program pursuant to Section 1516 to provide short-term
care and supervision for children under six years of age who are
voluntarily placed for temporary care by a parent or legal guardian
due to a family crisis or stressful situation.
(18) "Short-term residential treatment center" means a residential
facility licensed by the department pursuant to Section 1562.01 and
operated by any public agency or private organization that provides
short-term, specialized, and intensive treatment, and 24-hour care
and supervision to children. The care and supervision provided by a
short-term residential treatment center shall be nonmedical, except
as otherwise permitted by law.
(b) "Department" or "state department" means the State Department
of Social Services.
(c) "Director" means the Director of Social Services.
For purposes of this chapter, a "community care facility,"
pursuant to Section 1502, includes a transitional shelter care
facility. A "transitional shelter care facility" means a short-term
residential care program that meets all of the following
requirements:
(a) It is owned by the county, and operated by the county or by a
private nonprofit organization under contract to the county.
(b) It is a group care facility that provides for 24-hour
nonmedical care of persons, under 18 years of age, who are in need of
personal services, supervision, or assistance that is essential for
sustaining the activities of daily living, or for the protection of
the individual on a short-term basis. As used in this section,
"short-term" means up to 90 days from the date of admission.
(c) It is for the sole purpose of providing care for children who
have been removed from their homes as a result of abuse or neglect,
or both; for children who have been adjudged wards of the court; and,
for children who are seriously emotionally disturbed children. For
purposes of this subdivision, "abuse or neglect" means the same as
defined in Section 300 of the Welfare and Institutions Code. For
purposes of this subdivision, "wards of the court" means the same as
defined in Section 602 of the Welfare and Institutions Code. For
purposes of this subdivision, "seriously emotionally disturbed
children" means the same as defined in subdivision (a) of Section
5600.3 of the Welfare and Institutions Code.
(d) It primarily serves children who have previously been placed
in a community care facility and are awaiting placement into a
different community care facility that is appropriate to their needs.
Children residing in transitional shelter care facilities may
include children who are very difficult to place in appropriate
community care facilities because of factors which may be present in
combination, including: threatening, aggressive, suicide, runaway or
destructive behaviors and behaviors as defined in Section 5600.3 of
the Welfare and Institutions Code.
(e) Based upon an agreement with the county, the licensee shall
agree to accept, for placement into its transitional shelter care
program, all children referred by the county.
(f) The licensee shall not discharge any child without the
permission of the county, except when a child:
(1) Commits an unlawful act and the child must be detained in a
juvenile institution.
(2) Requires either of the following:
(A) Physical health care in an acute care hospital.
(B) Mental health services in an acute psychiatric hospital.
(g) The licensee shall provide a program that is designed to be
flexible enough to care for a highly variable population size and
shall allow for the special needs of sibling groups.
(a) The department shall license a runaway and homeless
youth shelter as a group home pursuant to this chapter. A runaway and
homeless youth shelter shall meet all of the following requirements:
(1) The shelter shall offer short-term, 24-hour, nonmedical care
and supervision and personal services to youth who voluntarily enter
the shelter. As used in this paragraph, "short-term" means no more
than 21 consecutive days from the date of admission.
(2) The shelter shall serve homeless youth and runaway youth.
(A) "Homeless youth" means a youth 12 to 17 years of age,
inclusive, or 18 years of age if the youth is completing high school
or its equivalent, who is in need of services and without a place of
shelter.
(B) "Runaway youth"means a youth 12 to 17 years of age, inclusive,
or 18 years of age if the youth is completing high school or its
equivalent, who absents himself or herself from home or place of
legal residence without the permission of his or her family, legal
guardian, or foster parent.
(3) The shelter shall have a maximum capacity of 25 youths.
(4) The shelter shall have a ratio of one staff person to every
eight youths. For purposes of this paragraph, a volunteer may be
counted in the staff-to-youth ratio if the volunteer has satisfied
the same training requirements as a paid shelter staff member and
other requirements set forth in regulations, and a paid shelter staff
member is present during the time the volunteer is on duty.
(5) Bunk beds may be permitted in the shelter, but shall not
consist of more than two tiers.
(6) The shelter shall be owned and operated on a nonprofit basis
by a private nonprofit corporation, a nonprofit organization, or a
public agency.
(b) Shelter staff shall, prior to admission into the shelter,
determine if a youth poses a threat to himself or herself or others
in the shelter. A youth may not be admitted into the shelter if it is
determined that the youth poses such a threat.
(c) An assessment shall not be required for admission, but shelter
staff shall assess youth served within 72 hours of admission to the
shelter.
(d) Shelter staff shall assist youth served in obtaining emergency
health-related services.
(e) The shelter shall establish procedures to assist youth in
securing long-term stability that includes all of the following:
(1) Reconnecting the youth with his or her family, legal guardian,
or nonrelative extended family members when possible to do so.
(2) Coordinating with appropriate individuals, local government
agencies, or organizations to help foster youth secure a suitable
foster care placement.
(f) The shelter shall ensure all homeless youth and runaway youth
have fair and equal access to services, care, and treatment provided
by the shelter, and are not subjected to discrimination or harassment
on the basis of actual or perceived race, ethnic group
identification, ancestry, national origin, color, religion, sex,
sexual orientation, gender identity, mental or physical disability,
or HIV status.
(g) Prior to employment or interaction with youth at a runaway and
homeless youth shelter, all persons specified in subdivision (b) of
Section 1522 shall complete a criminal record review pursuant to
Section 1522 and a Child Abuse Central Index check pursuant to
Section 1522.1.
(h) A runaway and homeless youth shelter shall collect and
maintain all of the following information in a monthly report, in a
format specified by the department, and make the report available to
the department upon request:
(1) Total number of youth served per month.
(2) Age of each youth served.
(3) Length of stay of each youth served.
(4) Number of times a youth accesses the shelter and services at
the shelter.
(i) Notwithstanding Section 1522.43, the department shall not
require a runaway and homeless youth shelter to maintain a needs and
services plan, as defined in Section 84001 of Title 22 of the
California Code of Regulations, for a youth served. Nothing in this
subdivision precludes the department from requiring a runaway and
homeless youth shelter to maintain an assessment, as defined by the
department, for youths served.
(j) The department may license a shelter pursuant to this section
if the shelter is operating in two physical locations on or before
January 1, 2013, with only one physical location providing overnight
residential care, and the shelter meets the requirements of this
section. If a shelter described in this subdivision is licensed
pursuant to this section, the department shall permit the shelter to
retain its two physical locations and issue a license for each
physical location.
(k) A runaway and homeless youth shelter is not an eligible
placement option pursuant to Sections 319, 361.2, 450, and 727 of the
Welfare and Institutions Code.
(l) A runaway and homeless youth shelter's program shall not be
eligible for a rate pursuant to Section 11462 of the Welfare and
Institutions Code. This does not preclude a runaway and homeless
youth shelter from receiving reimbursement for providing services to
a foster youth as may be provided at the discretion of a county.
(m) On or before December 1, 2014, the department shall adopt
regulations to implement this section, in consultation with
interested parties, including representatives of provider
organizations that serve homeless or runaway youth. The regulations
developed pursuant to this subdivision shall be contained in the
regulations for group homes found in Chapter 5 (commencing with
Section 84000) of Division 6 of Title 22 of the California Code of
Regulations.
(n) Notwithstanding the Administrative Procedure Act (Chapter 3.5
(commencing with Section 11340) of Part 1 of Division 3 of Title 2 of
the Government Code), the department may implement the applicable
provisions of this section by publishing information releases or
similar instructions from the director until the regulations adopted
by the department pursuant to subdivision (l) become effective.
(a) (1) A community care facility licensed as a group home
for children pursuant to this chapter may accept for placement, and
provide care and supervision to, a child assessed as seriously
emotionally disturbed, as long as the child does not need inpatient
care in a licensed health facility.
(2) For the purpose of this chapter, the following definitions
shall apply:
(A) "Health facility" has the meaning set forth in Section 1250.
(B) "Seriously emotionally disturbed" has the same meaning as that
term is used in subdivision (a) of Section 5600.3 of the Welfare and
Institutions Code.
(b) If a child described in subdivision (a) is placed into a group
home program classified at rate classification level 13 or rate
classification level 14 pursuant to Section 11462.01 of the Welfare
and Institutions Code, the licensee shall meet both of the following
requirements:
(1) The licensee shall agree to accept, for placement into its
group home program, only children who have been assessed as seriously
emotionally disturbed, by either of the following:
(A) An interagency placement committee, as described in Section
4096 of the Welfare and Institutions Code or by a licensed mental
health professional, as defined in subdivision (g) of Section 4096 of
the Welfare and Institutions Code.
(B) A licensed mental health professional as defined in
subdivision (g) of Section 4096 of the Welfare and Institutions Code
if the child is privately placed or only county funded.
(2) The program is certified by the State Department of Health
Care Services, pursuant to Section 4096.5 of the Welfare and
Institutions Code, as a program that provides mental health treatment
services for seriously emotionally disturbed children.
(c) The department shall not evaluate, or have any responsibility
or liability with regard to the evaluation of, the mental health
treatment services provided pursuant to this section.
(d) This section shall remain in effect only until January 1,
2017, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2017, deletes or extends
that date.
(a) A licensed short-term residential treatment center, as
defined in paragraph (18) of subdivision (a) of Section 1502, may
only accept for placement a child who does not require inpatient care
in a licensed health facility and who has been assessed pursuant to
Section 11462.01 of the Welfare and Institutions Code as meeting the
applicable criteria for placement in a short-term residential
treatment center.
(b) A licensed foster family agency, as defined in paragraph (4)
of subdivision (a) of Section 1502, may accept for placement a child
who does not require inpatient care in a licensed health facility, as
defined in Section 1250, and who has been assessed pursuant to
Section 11462.01 of the Welfare and Institutions Code as meeting the
applicable criteria for placement by a foster family agency.
(c) For the purposes of this chapter, the following definitions
shall apply:
(1) "Health facility" has the meaning set forth in Section 1250.
(2) "Seriously emotionally disturbed" has the same meaning as that
term is used in subdivision (a) of Section 5600.3 of the Welfare and
Institutions Code.
(d) The department shall not evaluate, nor have any responsibility
or liability with regard to the evaluation of, the mental health
treatment services provided pursuant to this section.
(e) This section shall become operative on January 1, 2017.
(a) (1) Notwithstanding Section 1502.4, a community care
facility licensed as a group home for children pursuant to this
chapter may only accept for placement, and provide care and
supervision to, a child assessed as seriously emotionally disturbed
as long as the child does not need inpatient care in a licensed
health facility, as defined in Section 1250.
(2) For the purpose of this section, the following definitions
shall apply:
(A) "Health facility" has the meaning set forth in Section 1250.
(B) "Seriously emotionally disturbed" has the same meaning as that
term is used in subdivision (a) of Section 5600.3 of the Welfare and
Institutions Code.
(b) If a child described in subdivision (a) is placed into a group
home program classified at rate classification level 13 or rate
classification level 14 pursuant to Section 11462.015 of the Welfare
and Institutions Code, the licensee shall meet both of the following
requirements:
(1) The licensee shall agree to accept, for placement into its
group home program, only children who have been assessed as seriously
emotionally disturbed by either of the following:
(A) An interagency placement committee, as described in Section
4096.1 of the Welfare and Institutions Code or by a licensed mental
health professional, as defined in subdivision (g) of Section 4096 of
the Welfare and Institutions Code.
(B) A licensed mental health professional as defined in
subdivision (g) of Section 4096 of the Welfare and Institutions Code
if the child is privately placed or only county funded.
(2) The program is certified by the State Department of Health
Care Services, pursuant to Section 4096.55 of the Welfare and
Institutions Code, as a program that provides mental health treatment
services for seriously emotionally disturbed children.
(c) The department shall not evaluate, or have any responsibility
or liability with regard to the evaluation of, the mental health
treatment services provided pursuant to this section.
(d) This section shall only apply to a group home that has been
granted an extension pursuant to the exception process described in
subdivision (d) of Section 11462.04 of the Welfare and Institutions
Code.
(e) This section shall become operative on January 1, 2017.
(f) This section shall remain in effect only until January 1,
2019, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2019, deletes or extends
that date.
Notwithstanding Section 1502, residential care facilities
for the elderly, as defined in Section 1569.2, shall not be
considered community care facilities and shall be subject only to the
California Residential Care Facilities for the Elderly Act (Chapter
3.2 (commencing with Section 1569)).
The department shall deny a private adoption agency a
license, or revoke an existing private adoption agency license,
unless the applicant or licensee demonstrates that it currently and
continuously employs either an executive director or a supervisor who
has had at least five years of full-time social work employment in
the field of child welfare as described in Chapter 5 (commencing with
Section 16500) of Part 4 of Division 9 of the Welfare and
Institutions Code or Division 13 (commencing with Section 8500) of
the Family Code, two years of which shall have been spent performing
adoption social work services in either the department or a licensed
California adoption agency.
(a) On or before July 1, 2012, the department, in
consultation with representatives of the Legislature, the County
Welfare Directors Association, the Chief Probation Officers of
California, the California Youth Connection, the Judicial Council,
former foster youth, child advocacy organizations, dependency counsel
for children, juvenile justice advocacy organizations, foster
caregiver organizations, labor organizations, and representatives of
tribes, shall revise regulations regarding health and safety
standards for licensing foster family homes and community care
facilities in which nonminor dependents, as defined in subdivision
(v) of Section 11400 of the Welfare and Institutions Code, of the
juvenile court are placed under the responsibility of the county
welfare or probation department or an Indian tribe that entered into
an agreement pursuant to Section 10553.1 of the Welfare and
Institutions Code.
(b) The regulations shall recognize the status of nonminor
dependents as legal adults. At a minimum, the regulations shall
provide both of the following:
(1) That nonminors described in subdivision (a) shall have the
greatest amount of freedom that will safely prepare them for
self-sufficiency.
(2) That nonminors described in subdivision (a) in a community
care facility shall not be subject to criminal background clearances
pursuant to Sections 1522 and 1522.1, for the purposes of facility
licensing.
(c) Notwithstanding the Administrative Procedure Act, Chapter 3.5
(commencing with Section 11340) of Part 1 of Division 3 of Title 2 of
the Government Code, the department shall, in consultation with the
stakeholders listed in subdivision (a), prepare for implementation of
the applicable provisions of this section by publishing all-county
letters or similar instructions from the director by October 1, 2011,
to be effective January 1, 2012. Emergency regulations to implement
this section may be adopted by the director in accordance with the
Administrative Procedure Act. The initial adoption of the emergency
regulations and one readoption of the initial regulations shall be
deemed to be an emergency and necessary for the immediate
preservation of the public peace, health, safety, or general welfare.
Initial emergency regulations and the first readoption of those
emergency regulations shall be exempt from review by the Office of
Administrative Law. The emergency regulations authorized by this
section shall be submitted to the Office of Administrative Law for
filing with the Secretary of State and shall remain in effect for no
more than 180 days.
The department shall adopt regulations consistent with
paragraph (24) of subdivision (a) of Section 16001.9 of the Welfare
and Institutions Code.
As used in this chapter, "license" means a basic permit to
operate a community care facility.
A license shall not be transferable.
Every facility licensed or certified pursuant to this
chapter shall have one or more carbon monoxide detectors in the
facility that meet the standards established in Chapter 8 (commencing
with Section 13260) of Part 2 of Division 12. The department shall
account for the presence of these detectors during inspections.
(a) A facility shall be deemed to be an "unlicensed
community care facility" and "maintained and operated to provide
nonmedical care" if it is unlicensed and not exempt from licensure
and any one of the following conditions is satisfied:
(1) The facility is providing care or supervision, as defined by
this chapter or the rules and regulations adopted pursuant to this
chapter.
(2) The facility is held out as or represented as providing care
or supervision, as defined by this chapter or the rules and
regulations adopted pursuant to this chapter.
(3) The facility accepts or retains residents who demonstrate the
need for care or supervision, as defined by this chapter or the rules
and regulations adopted pursuant to this chapter.
(4) The facility represents itself as a licensed community care
facility.
(5) The facility is performing any of the functions of a foster
family agency or holding itself out as a foster family agency.
(6) The facility is performing any of the functions of an adoption
agency or holding itself out as performing any of the functions of
an adoption agency as specified in paragraph (9) of subdivision (a)
of Section 1502 or subdivision (b) of Section 8900.5 of the Family
Code.
(b) No unlicensed community care facility, as defined in
subdivision (a), shall operate in this state.
(c) Upon discovery of an unlicensed community care facility, the
department shall refer residents to the appropriate local or state
ombudsman, or placement, adult protective services, or child
protective services agency if either of the following conditions
exist:
(1) There is an immediate threat to the clients' health and
safety.
(2) The facility will not cooperate with the licensing agency to
apply for a license, meet licensing standards, and obtain a valid
license.
As used in this chapter, "special permit" means a permit
issued by the state department authorizing a community care facility
to offer specialized services as designated by the director in
regulations.
A special permit shall not be transferable.
(a) (1) This chapter does not apply to any independent
living arrangement or supportive housing, described in paragraph (2)
of subdivision (c), for individuals with disabilities who are
receiving community living support services, as described in
paragraph (1) of subdivision (c).
(2) This section does not affect the provisions of Section 1503.5
or 1505.
(3) Community living support services described in paragraph (1)
of subdivision (c) do not constitute care or supervision.
(b) (1) The Legislature finds and declares that there is an urgent
need to increase the access to supportive housing, as described in
paragraph (2) of subdivision (c), and to foster community living
support services, as described in paragraph (1) of subdivision (c),
as an effective and cost-efficient method of serving persons with
disabilities who wish to live independently.
(2) It is the intent of the Legislature that persons with
disabilities be permitted to do both of the following:
(A) Receive one or more community living support services in the
least restrictive setting possible, such as in a person's private
home or supportive housing residence.
(B) Voluntarily choose to receive support services in obtaining
and maintaining supportive housing.
(3) It is the intent of the Legislature that community living
support services, as described in paragraph (1) of subdivision (c),
enable persons with disabilities to live more independently in the
community for long periods of time.
(c) (1) "Community living support services," for purposes of this
section, are voluntary and chosen by persons with disabilities in
accordance with their preferences and goals for independent living.
"Community living support services" may include, but are not limited
to, any of the following:
(A) Supports that are designed to develop and improve independent
living and problemsolving skills.
(B) Education and training in meal planning and shopping,
budgeting and managing finances, medication self-management,
transportation, vocational and educational development, and the
appropriate use of community resources and leisure activities.
(C) Assistance with arrangements to meet the individual's basic
needs such as financial benefits, food, clothing, household goods,
and housing, and locating and scheduling for appropriate medical,
dental, and vision benefits and care.
(2) "Supportive housing," for purposes of this section, is rental
housing that has all of the following characteristics:
(A) It is affordable to people with disabilities.
(B) It is independent housing in which each tenant meets all of
the following conditions:
(i) Holds a lease or rental agreement in his or her own name and
is responsible for paying his or her own rent.
(ii) Has his or her own room or apartment and is individually
responsible for arranging any shared tenancy.
(C) It is permanent, wherein each tenant may stay as long as he or
she pays his or her share of rent and complies with the terms of his
or her lease.
(D) It is tenancy housing under which supportive housing providers
are required to comply with applicable state and federal laws
governing the landlord-tenant relationship.
(E) Participation in services or any particular type of service is
not required as a condition of tenancy.
(d) Counties may contract with agencies or individuals to assist
persons with disabilities in securing their own homes and to provide
persons with disabilities with the supports needed to live in their
own homes, including supportive housing.
(e) For purposes of this section and notwithstanding any other
provision of law, an individual with disabilities may contract for
the provision of any of the community support services specified in
paragraph (1) of subdivision (c) in the individual's own home
including supportive housing, as part of that individual's service,
care, or independent living plan, only through a government funded
program or a private health or disability insurance plan.
(f) An individual's receipt of community living support services
as defined in paragraph (1) of subdivision (c) shall not be construed
to mean that the individual requires care or supervision or is
receiving care or supervision.
This chapter does not apply to any of the following:
(a) Any health facility, as defined by Section 1250.
(b) Any clinic, as defined by Section 1202.
(c) Any juvenile placement facility approved by the Department of
Corrections and Rehabilitation, Division of Juvenile Justice, or any
juvenile hall operated by a county.
(d) Any place in which a juvenile is judicially placed pursuant to
subdivision (a) of Section 727 of the Welfare and Institutions Code.
(e) Any child day care facility, as defined in Section 1596.750.
(f) Any facility conducted by and for the adherents of any
well-recognized church or religious denomination for the purpose of
providing facilities for the care or treatment of the sick who depend
upon prayer or spiritual means for healing in the practice of the
religion of the church or denomination.
(g) Any school dormitory or similar facility determined by the
department.
(h) Any house, institution, hotel, homeless shelter, or other
similar place that supplies board and room only, or room only, or
board only, provided that no resident thereof requires any element of
care as determined by the director.
(i) Recovery houses or other similar facilities providing group
living arrangements for persons recovering from alcoholism or drug
addiction where the facility provides no care or supervision.
(j) Any alcoholism or drug abuse recovery or treatment facility as
defined by Section 11834.11.
(k) Any arrangement for the receiving and care of persons by a
relative or any arrangement for the receiving and care of persons
from only one family by a close friend of the parent, guardian, or
conservator, if the arrangement is not for financial profit and
occurs only occasionally and irregularly, as defined by regulations
of the department. For purposes of this chapter, arrangements for the
receiving and care of persons by a relative shall include relatives
of the child for the purpose of keeping sibling groups together.
(l) (1) Any home of a relative caregiver of children who are
placed by a juvenile court, supervised by the county welfare or
probation department, and the placement of whom is approved according
to subdivision (d) of Section 309 of the Welfare and Institutions
Code.
(2) Any home of a nonrelative extended family member, as described
in Section 362.7 of the Welfare and Institutions Code, providing
care to children who are placed by a juvenile court, supervised by
the county welfare or probation department, and the placement of whom
is approved according to subdivision (d) of Section 309 of the
Welfare and Institutions Code.
(3) On and after January 1, 2012, any supervised independent
living placement for nonminor dependents, as defined in subdivision
(w) of Section 11400 of the Welfare and Institutions Code, who are
placed by the juvenile court, supervised by the county welfare
department, probation department, Indian tribe, consortium of tribes,
or tribal organization that entered into an agreement pursuant to
Section 10553.1 of the Welfare and Institutions Code, and whose
placement is approved pursuant to subdivision (k) of Section 11400 of
the Welfare and Institutions Code.
(4) A Transitional Housing Program-Plus, as defined in subdivision
(s) of Section 11400 of the Welfare and Institutions Code, that
serves only eligible former foster youth over 18 years of age who
have exited from the foster care system on or after their 18th
birthday, and that has obtained certification from the applicable
county in accordance with subdivision (c) of Section 16522 of the
Welfare and Institutions Code.
(m) Any supported living arrangement for individuals with
developmental disabilities, as defined in Section 4689 of the Welfare
and Institutions Code.
(n) (1) Any family home agency, family home, or family teaching
home as defined in Section 4689.1 of the Welfare and Institutions
Code, that is vendored by the State Department of Developmental
Services and that does any of the following:
(A) As a family home approved by a family home agency, provides
24-hour care for one or two adults with developmental disabilities in
the residence of the family home provider or providers and the
family home provider or providers' family, and the provider is not
licensed by the State Department of Social Services or the State
Department of Public Health or certified by a licensee of the State
Department of Social Services or the State Department of Public
Health.
(B) As a family teaching home approved by a family home agency,
provides 24-hour care for a maximum of three adults with
developmental disabilities in independent residences, whether
contiguous or attached, and the provider is not licensed by the State
Department of Social Services or the State Department of Public
Health or certified by a licensee of the State Department of Social
Services or the State Department of Public Health.
(C) As a family home agency, engages in recruiting, approving, and
providing support to family homes.
(2) No part of this subdivision shall be construed as establishing
by implication either a family home agency or family home licensing
category.
(o) Any facility in which only Indian children who are eligible
under the federal Indian Child Welfare Act (Chapter 21 (commencing
with Section 1901) of Title 25 of the United States Code) are placed
and that is one of the following:
(1) An extended family member of the Indian child, as defined in
Section 1903 of Title 25 of the United States Code.
(2) A foster home that is licensed, approved, or specified by the
Indian child's tribe pursuant to Section 1915 of Title 25 of the
United States Code.
(p) (1) (A) Any housing occupied by elderly or disabled persons,
or both, that is initially approved and operated under a regulatory
agreement pursuant to Section 202 of Public Law 86-372 (12 U.S.C.
Sec. 1701q), or Section 811 of Public Law 101-625 (42 U.S.C. Sec.
8013), or whose mortgage is insured pursuant to Section 236 of Public
Law 90-448 (12 U.S.C. Sec. 1715z), or that receives mortgage
assistance pursuant to Section 221d (3) of Public Law 87-70 (12
U.S.C. Sec. 1715l), where supportive services are made available to
residents at their option, as long as the project owner or operator
does not contract for or provide the supportive services.
(B) Any housing that qualifies for a low-income housing credit
pursuant to Section 252 of Public Law 99-514 (26 U.S.C. Sec. 42) or
that is subject to the requirements for rental dwellings for
low-income families pursuant to Section 8 of Public Law 93-383 (42
U.S.C. Sec. 1437f), and that is occupied by elderly or disabled
persons, or both, where supportive services are made available to
residents at their option, as long as the project owner or operator
does not contract for or provide the supportive services.
(2) The project owner or operator to which paragraph (1) applies
may coordinate, or help residents gain access to, the supportive
services, either directly, or through a service coordinator.
(q) A resource family, as defined in Section 16519.5 of the
Welfare and Institutions Code
(r) Any similar facility determined by the director.
A licensing agency may authorize a foster family home to
provide 24-hour care for up to eight foster children, for the purpose
of placing siblings or half siblings together in foster care. This
authorization may be granted only if all of the following conditions
are met:
(A) The foster family home is not a specialized foster care home
as defined in subdivision (i) of Section 17710 of the Welfare and
Institutions Code.
(B) The home is sufficient in size to accommodate the needs of all
children in the home.
(C) For each child to be placed, the child's placement social
worker has determined that the child's needs will be met and has
documented that determination.
The licensing agency may authorize a foster family home to provide
24-hour care for more than eight children only if the foster family
home specializes in the care of sibling groups, that placement is
solely for the purpose of placing together one sibling group that
exceeds eight children, and all of the above listed conditions are
met.
(a) The director shall adopt regulations authorizing
residential facilities, as defined in Section 1502, to fill unused
capacity on a short-term, time-limited basis to provide temporary
respite care for persons who are frail and elderly, adults with
functional impairments, and persons with mental health disorders who
need 24-hour supervision and who are being cared for by a caretaker
or caretakers. The regulations shall address provisions for liability
coverage and the level of facility responsibility for routine
medical care and medication management, and may require screening of
persons to determine the level of care required, a physical history
completed by the person's personal physician, and other alternative
admission criteria to protect the health and safety of persons
applying for respite care. The regulations shall permit these
facilities to charge a fee for services provided, which shall
include, but not be limited to, supervision, room, leisure
activities, and meals.
(b) No facility shall accept persons in need of care beyond the
level of care for which that facility is licensed.
(a) (1) Any holder of a valid license issued by the
department that authorizes the licensee to engage in foster family
agency functions may use only a certified family home that has been
certified by that agency or a licensed foster family home approved
for this use by the licensing county pursuant to Section 1506.5.
(2) Any home selected and certified for the reception and care of
children by that licensee shall not, during the time it is certified
and used only by that agency for these placements or care, be subject
to Section 1508. A certified family home may not be concurrently
licensed as a foster family home or as any other licensed residential
facility.
(3) A child with a developmental disability who is placed in a
certified family home by a foster family agency that is operating
under agreement with the regional center responsible for that child
may remain in the certified family home after the age of 18 years.
The determination regarding whether and how long he or she may remain
as a resident after the age of 18 years shall be made through the
agreement of all parties involved, including the resident, the foster
parent, the foster family agency social worker, the resident's
regional center case manager, and the resident's parent, legal
guardian, or conservator, as appropriate. This determination shall
include a needs and service plan that contains an assessment of the
child's needs to ensure continued compatibility with the other
children in placement. The needs and service plan shall be completed
no more than six months prior to the child's 18th birthday. The
assessment shall be documented and maintained in the child's file
with the foster family agency.
(b) (1) A foster family agency shall certify to the department
that the home has met the department's licensing standards. A foster
family agency may require a family home to meet additional standards
or be compatible with its treatment approach.
(2) The foster family agency shall issue a certificate of approval
to the certified family home upon its determination that it has met
the standards established by the department and before the placement
of any child in the home. The certificate shall be valid for a period
not to exceed one year. The annual recertification shall require a
certified family home to complete at least 12 hours of structured
applicable training or continuing education. At least one hour of
training during the first six months following initial certification
shall be dedicated to meeting the requirements of paragraph (1) of
subdivision (b) of Section 11174.1 of the Penal Code.
(3) If the agency determines that the home no longer meets the
standards, it shall notify the department and the local placing
agency.
(c) As used in this chapter, "certified family home" means a
family residence certified by a licensed foster family agency and
issued a certificate of approval by that agency as meeting licensing
standards, and used only by that foster family agency for placements.
(d) (1) Requirements for social work personnel for a foster family
agency shall be a master's degree from an accredited or
state-approved graduate school in social work or social welfare, or
equivalent education and experience, as determined by the department.
(2) Persons who possess a master's degree from an accredited or
state-approved graduate school in any of the following areas, or
equivalent education and experience, as determined by the department,
shall be considered to be qualified to perform social work
activities in a foster family agency:
(A) Marriage, family, and child counseling.
(B) Child psychology.
(C) Child development.
(D) Counseling psychology.
(E) Social psychology.
(F) Clinical psychology.
(G) Educational psychology, consistent with the scope of practice
as described in Section 4989.14 of the Business and Professions Code.
(H) Education, with emphasis on counseling.
(e) (1) In addition to the degree specifications in subdivision
(d), all of the following coursework and field practice or
experience, as defined in departmental regulations, shall be required
of all new hires for the position of social work personnel effective
January 1, 1995:
(A) At least three semester units of field practice at the master'
s level or six months' full-time equivalent experience in a public or
private social service agency setting.
(B) At least nine semester units of coursework related to human
development or human behavior, or, within the first year of
employment, experience working with children and families as a major
responsibility of the position under the supervision of a supervising
social worker.
(C) At least three semester units in working with minority
populations or six months of experience in working with minority
populations or training in cultural competency and working with
minority populations within the first six months of employment as a
condition of employment.
(D) At least three semester units in child welfare or at least six
months of experience in a public or private child welfare social
services setting for a nonsupervisory social worker. A supervising
social worker shall have two years' experience in a public or private
child welfare social services setting.
(2) (A) Persons who do not meet the requirements specified in
subdivision (d) or (e) may apply for an exception as provided for in
subdivisions (f) and (g).
(B) Exceptions granted by the department prior to January 1, 1995,
shall remain in effect.
(3) (A) Persons who are hired as social work personnel on or after
January 1, 1995, who do not meet the requirements listed in this
subdivision shall be required to successfully meet those requirements
in order to be employed as social work personnel in a foster family
agency.
(B) Employees who were hired prior to January 1, 1995, shall not
be required to meet the requirements of this subdivision in order to
remain employed as social work personnel in a foster family agency.
(4) Coursework and field practice or experience completed to
fulfill the degree requirements of subdivision (d) may be used to
satisfy the requirements of this subdivision.
(f) Individuals seeking an exception to the requirements of
subdivision (d) or (e) based on completion of equivalent education
and experience shall apply to the department by the process
established by the department.
(g) The department shall be required to complete the process for
the exception to minimum education and experience requirements
described in subdivisions (d) and (e) within 30 days of receiving the
exception application of social work personnel or supervising social
worker qualifications from the foster family agency.
(h) The department shall review the feasibility of instituting a
licensure category to cover foster homes that are established
specifically to care for and supervise adults with developmental
disabilities, as defined in subdivision (a) of Section 4512 of the
Welfare and Institutions Code, to prevent the institutionalization of
those individuals.
(i) For purposes of this section, "social work personnel" means
supervising social workers as well as nonsupervisory social workers.
(a) A foster family agency shall prepare and maintain a
current, written plan of operation as required by the department.
(b) (1) On and after January 1, 2017, a foster family agency shall
have national accreditation from an entity identified by the
department pursuant to the process described in paragraph (8) of
subdivision (b) of Section 11463 of the Welfare and Institutions
Code.
(2) Notwithstanding paragraph (1), the department may issue a
provisional license to a foster family agency and may extend the term
of the provisional license in order for the foster family agency to
secure accreditation as set forth in subdivision (c) of Section
1525.5.
(c) (1) On and after January 1, 2017, a foster family agency's
plan of operation shall demonstrate the foster family agency's
ability to support the differing needs of children and their
families.
(2) On and after January 1, 2017, a foster family agency's plan of
operation shall contain a plan for the supervision, evaluation, and
training of staff. The training plan shall be appropriate to meet the
needs of children, and it shall be consistent with the training
provided to resource families as set forth in Section 16519.5 of the
Welfare and Institutions Code.
(3) In addition to complying with the rules and regulations
adopted pursuant to this chapter, on and after January 1, 2017, a
foster family agency's plan of operation shall include a program
statement. The program statement shall contain a description of all
of the following:
(A) The core services and supports, as set forth in paragraph (5)
of subdivision (b) of Section 11463 of the Welfare and Institutions
Code, and as prescribed by the department, to be offered to children
and their families, as appropriate or as necessary.
(B) The treatment practices that will be used in serving children
and families.
(C) The procedures for the development, implementation, and
periodic updating of the needs and services plan for children placed
with the foster family agency or served by the foster family agency,
and procedures for collaborating with the child and family team as
described in paragraph (4) of subdivision (a) of Section 16501 of the
Welfare and Institutions Code, that includes, but is not limited to,
a description of the services to be provided to meet the treatment
needs of children assessed pursuant to subdivision (d) or (e) of
Section 11462.01 of the Welfare and Institutions Code.
(D) How the foster family agency will comply with the resource
family approval standards and requirements, as set forth in Section
16519.5 of the Welfare and Institutions Code.
(E) A description of the population or populations to be served.
(F) Any other information that may be prescribed by the department
for the proper administration of this section.
(d) In addition to the rules and regulations adopted pursuant to
this chapter, a county licensed to operate a foster family agency
shall describe, in the plan of operation, its conflict-of-interest
mitigation plan, on and after January 1, 2017, as set forth in
subdivision (g) of Section 11462.02 of the Welfare and Institutions
Code.
(e) The foster family agency's plan of operation shall demonstrate
the foster family agency's ability to provide treatment services to
meet the individual needs of children placed in licensed, approved,
or certified relative and nonrelative foster families, as specified
in Section 11402 of the Welfare and Institutions Code.
(f) The department shall have the authority to inspect a foster
family agency pursuant to the system of governmental monitoring and
oversight developed by the department on and after January 1, 2017,
pursuant to subdivision (c) of Section 11463 of the Welfare and
Institutions Code.
(g) The department shall establish procedures for a county review
process, at the county's option, for foster family agencies, which
may include the review of the foster family agency's program
statement, and which shall be established in consultation with the
County Welfare Directors Association of California, Chief Probation
Officers of California, and stakeholders, as appropriate.
(a) A foster family agency that provides treatment of
children in foster families shall employ one full-time social work
supervisor for every eight social workers or fraction thereof in the
agency.
(b) This section shall remain in effect only until the date when
the total foster family agency rate by age group paid to licensed
foster family agencies for the placement of children in certified
foster family homes is restored to at least the rate in effect on
September 30, 2009, and the Director of Social Services issues a
declaration to this effect to the Senate Committee on Budget and
Fiscal Review, Senate Committee on Human Services, the Assembly
Committee on Budget, and the Assembly Committee on Human Services, or
their successor committees. Upon the restoration to at least the
rate in effect on September 30, 2009, the director shall issue the
declaration. On that date, this section shall be repealed.
(a) Foster family agencies shall not use foster family
homes licensed by a county without the approval of the licensing
county. When approval is granted, a written agreement between the
foster family agency and the county shall specify the nature of
administrative control and case management responsibility and the
nature and number of the children to be served in the home.
(b) Before a foster family agency may use a licensed foster family
home it shall review and, with the exception of a new fingerprint
clearance, qualify the home in accordance with Section 1506.
(c) When approval is given, and for the duration of the agreement
permitting the foster family agency use of its licensed foster family
home, no child shall be placed in that home except through the
foster family agency.
(d) Nothing in this section shall transfer or eliminate the
responsibility of the placing agency for the care, custody, or
control of the child. Nothing in this section shall relieve a foster
family agency of its responsibilities for or on behalf of a child
placed with it.
(e) (1) If an application to a foster family agency for a
certificate of approval indicates, or the department determines
during the application review process, that the applicant previously
was issued a license under this chapter or under Chapter 1
(commencing with Section 1200), Chapter 2 (commencing with Section
1250), Chapter 3.01 (commencing with Section 1568.01), Chapter 3.2
(commencing with Section 1569), Chapter 3.4 (commencing with Section
1596.70), Chapter 3.5 (commencing with Section 1596.90), or Chapter
3.6 (commencing with Section 1597.30) and the prior license was
revoked within the preceding two years, the foster family agency
shall cease any further review of the application until two years
have elapsed from the date of the revocation.
(2) If an application to a foster family agency for a certificate
of approval indicates, or the department determines during the
application review process, that the applicant previously was issued
a certificate of approval by a foster family agency that was revoked
by the department pursuant to subdivision (b) of Section 1534 within
the preceding two years, the foster family agency shall cease any
further review of the application until two years have elapsed from
the date of the revocation.
(3) If an application to a foster family agency for a certificate
of approval indicates, or the department determines during the
application review process, that the applicant was excluded from a
facility licensed by the department or from a certified family home
pursuant to Section 1558, 1568.092, 1569.58, or 1596.8897, the foster
family agency shall cease any further review of the application
unless the excluded person has been reinstated pursuant to Section
11522 of the Government Code by the department.
(4) The cessation of review shall not constitute a denial of the
application for purposes of subdivision (b) of Section 1534 or any
other law.
(f) (1) If an application to a foster family agency for a
certificate of approval indicates, or the department determines
during the application review process, that the applicant had
previously applied for a license under any of the chapters listed in
paragraph (1) of subdivision (e) and the application was denied
within the last year, the foster family agency shall cease further
review of the application as follows:
(A) In cases where the applicant petitioned for a hearing, the
foster family agency shall cease further review of the application
until one year has elapsed from the effective date of the decision
and order of the department upholding a denial.
(B) In cases where the department informed the applicant of his or
her right to petition for a hearing and the applicant did not
petition for a hearing, the foster family agency shall cease further
review of the application until one year has elapsed from the date of
the notification of the denial and the right to petition for a
hearing.
(2) The foster family agency may continue to review the
application if the department has determined that the reasons for the
denial of the application were due to circumstances and a condition
that either have been corrected or are no longer in existence.
(3) The cessation of review shall not constitute a denial of the
application for purposes of subdivision (b) of Section 1534 or any
other law.
(g) (1) If an application to a foster family agency for a
certificate of approval indicates, or the department determines
during the application review process, that the applicant had
previously applied for a certificate of approval with a foster family
agency and the department ordered the foster family agency to deny
the application pursuant to subdivision (b) of Section 1534, the
foster family agency shall cease further review of the application as
follows:
(A) In cases where the applicant petitioned for a hearing, the
foster family agency shall cease further review of the application
until one year has elapsed from the effective date of the decision
and order of the department upholding a denial.
(B) In cases where the department informed the applicant of his or
her right to petition for a hearing and the applicant did not
petition for a hearing, the foster family agency shall cease further
review of the application until one year has elapsed from the date of
the notification of the denial and the right to petition for a
hearing.
(2) The foster family agency may continue to review the
application if the department has determined that the reasons for the
denial of the application were due to circumstances and conditions
that either have been corrected or are no longer in existence.
(3) The cessation of review shall not constitute a denial of the
application for purposes of subdivision (b) of Section 1534 or any
other law.
It is the intent of the Legislature that public and private
efforts to recruit foster parents not be competitive and that the
total number of foster parents be increased. A foster family agency
shall not certify a family home which is licensed by the department
or a county. A licensed foster family home shall forfeit its license,
pursuant to subdivision (b) of Section 1524, concurrent with final
certification by the foster family agency. The department or a county
shall not license a family home that is certified by a foster family
agency. A certified family home shall forfeit its certificate
concurrent with final licensing by the department or a county.
(a) A foster family agency shall require the owner or
operator of a family home applying for certification to sign an
application that shall contain, but shall not be limited to, the
following information:
(1) Whether the applicant has been certified, and by which foster
family agency.
(2) Whether the applicant has been decertified, and by which
foster family agency.
(3) Whether a placement hold has been placed on the applicant by a
foster family agency, and by which foster family agency.
(4) Whether the applicant has been a foster home licensed by a
county or by the state and, if so, by which county or state, or
whether the applicant has been approved for relative placement by a
county and, if so, by which county.
(b) (1) The application form signed by the owner or operator of
the family home applying for certification shall contain notice to
the applicant for certification that the foster family agency is
required to check references of all foster family agencies that have
previously certified the applicant and of all state or county
licensing offices that have licensed the applicant as a foster
parent, and that the signing of the application constitutes the
authorization of the applicant for the foster family agency to
conduct its check of references.
(2) The application form signed by the owner or operator of the
family home applying for certification shall be signed with a
declaration by the applicant that the information submitted is true,
correct, and contains no material omissions of fact to the best
knowledge and belief of the applicant. Any person who declares as
true any material matter pursuant to this section that he or she
knows to be false is guilty of a misdemeanor. The application shall
include a statement that submitting false information is a violation
of law punishable by incarceration, a fine, or both incarceration and
a fine.
Before certifying a family home, a foster family agency
shall contact any foster family agencies by whom an applicant has
been previously certified and any state or county licensing offices
that have licensed the applicant as a foster parent, and shall
conduct a reference check as to the applicant.
(a) No person shall incur civil liability as a result of
providing the department with any of the following:
(1) The foster family agency providing to the department a log of
family homes certified and decertified.
(2) The foster family agency notifying the department of its
determination to decertify a certified family home due to any of the
following actions by the certified family parent:
(A) Violating licensing rules and regulations.
(B) Aiding, abetting, or permitting the violation of licensing
rules and regulations.
(C) Conducting oneself in a way that is inimical to the health,
morals, welfare, or safety of a child placed in that certified family
home.
(D) Being convicted of a crime while a certified family parent.
(E) Knowingly allowing any child to have illegal drugs or alcohol.
(F) Committing an act of child abuse or neglect or an act of
violence against another person.
(b) Neither the department, a foster family agency, or a county
shall incur civil liability for providing a county or a foster family
agency with information if the communication is for the purpose of
aiding in the evaluation of an application for certification of a
family home by a foster family agency or for licensure as a foster
home or approval of a relative placement by a county or by the
department.
(a) Notwithstanding any other provision of law, incidental
medical services may be provided in a community care facility. If the
medical services constitute a substantial component of the services
provided by the community care facility as defined by the director in
regulations, the medical services component shall be approved as set
forth in Chapter 1 (commencing with Section 1200) or Chapter 2
(commencing with Section 1250).
(b) Notwithstanding any other provision of law, if the
requirements of subdivision (c) are met, the department shall permit
incidental medical services to be provided in community care
facilities for adults by facility staff who are not licensed health
care professionals but who are trained by a licensed health care
professional and supervised according to the client's individualized
health care plan prepared pursuant to subdivision (c). Incidental
medical services provided by trained facility staff for the following
conditions shall be limited as follows:
(1) Colostomy and ileostomy: changing bags and cleaning stoma.
(2) Urinary catheter: emptying bags in day care facilities;
emptying and changing bags in residential facilities.
(3) Gastrostomy: feeding, hydration, cleaning stoma, and adding
medication per physician's or nurse practitioner's orders for the
routine medication of patients with chronic, stable conditions.
(c) Facility staff may provide incidental medical services if the
following conditions have been met:
(1) For regional center clients the following shall apply:
(A) An individualized health care plan, which may be part of a
client's individual program plan, shall be prepared for each client
by a health care team that shall include the client or his or her
designee if the client is not able to participate in planning his or
her health care, the client's primary care physician or nurse
practitioner or other health care professional designated by the
physician or nurse practitioner, the licensee or licensee's designee,
any involved social worker or regional center worker, and any health
care professional designated to monitor the client's individualized
health care plan.
(B) The client's individualized health care plan shall be
reassessed at least every 12 months or more frequently as determined
by the client's physician or nurse practitioner during the time the
client receives incidental medical services in the facility.
(C) The client's regional center, primary care physician or nurse
practitioner, or other health care professional designated by the
physician or nurse practitioner shall identify the health care
professional who shall be responsible for training facility staff in
the provision of incidental medical services.
(D) Facility staff shall be trained by the identified health care
professional practicing within his or her scope of practice who shall
monitor, according to the individualized health care plan, the staff'
s ability to provide incidental medical services and who shall
review, correct, or update facility staff training as the health care
professional deems necessary.
(E) The regional center or placing agency shall evaluate, monitor,
and have responsibility for oversight of the incidental medical
services provided in the facility by facility staff. However, nothing
in this section shall preclude the department from taking an
administrative action against a licensee or facility staff member for
failure or refusal to carry out, or negligence in carrying out, his
or her duties in providing these incidental medical services.
(2) For persons who are not regional center clients, the following
shall apply:
(A) An individualized health care plan shall be prepared that
includes the physician's or nurse practitioner's order for services
to be provided during the time the client is in the day care
facility. The plan shall be prepared by a team that includes the
client or his or her designee if the client is not able to
participate in planning his or her care, the client's social worker,
conservator, or legal guardian, as appropriate, a licensed health
care professional, and the licensee or the licensee's designee.
(B) The client's individualized health care plan shall be
reassessed at least every 12 months or more frequently as determined
by the client's physician or nurse practitioner during the time the
client receives incidental medical services in the facility.
(C) A licensed health care professional practicing within his or
her scope of practice shall train the staff of the facility on
procedures for caring for clients who require incidental medical
services and shall periodically review, correct, or update facility
staff training as the health care professional deems necessary.
(d) Facilities providing incidental medical services shall remain
in substantial compliance with all other applicable regulations of
the department.
(e) The department shall adopt emergency regulations for community
care facilities for adults by February 1, 1997, to do all of the
following:
(1) Specify incidental medical services that may be provided.
These incidental medical services shall include, but need not be
limited to, any of the following: gastrostomy, colostomy, ileostomy,
and urinary catheters.
(2) Specify the conditions under which incidental medical services
may be provided.
(3) Specify the medical services that, due to the level of care
required, are prohibited services.
(f) The department shall consult with the State Department of
Developmental Services, the State Department of Health Care Services,
the Association of Regional Center Agencies, and provider
associations in the development of the regulations required by
subdivision (e).
(a) An adult community care facility may permit incidental
medical services to be provided through a home health agency licensed
pursuant to Chapter 8 (commencing with Section 1725) when all of the
following conditions are met:
(1) The facility, in the judgment of the department, has the
ability to provide the supporting care and supervision appropriate to
meet the needs of the client receiving care from a home health
agency.
(2) The home health agency has been advised of the regulations
pertaining to adult community care facilities and the requirements
related to incidental medical services being provided in the
facility.
(3) There is evidence of an agreed-upon protocol between the home
health agency and the adult community care facility. The protocol
shall address areas of responsibility of the home health agency and
the adult community care facility and the need for communication and
the sharing of client information related to the home health care
plan. Client information may be shared between the home health agency
and the adult community care facility relative to the client's
medical condition and the care and treatment provided to the client
by the home health agency, including, but not limited to, medical
information defined by the Confidentiality of Medical Information
Act, Part 2.6 (commencing with Section 56) of Division 1 of the Civil
Code.
(4) There is ongoing communication between the home health agency
and the adult community care facility about the services provided to
the client by the home health agency and the frequency and duration
of care to be provided.
(b) Nothing in this section is intended to expand the scope of
care and supervision for an adult community care facility, as
prescribed by this chapter.
(c) Nothing in this section shall require any care or supervision
to be provided by the adult community care facility beyond that which
is permitted in this chapter.
(d) The department shall not be responsible for the evaluation of
medical services provided to the client of the adult community care
facility by the home health agency.
(e) Any regulations, policies, or procedures related to sharing
client information and development of protocols, established by the
department pursuant to this section, shall be developed in
consultation with the State Department of Health Services and persons
representing home health agencies and adult community care
facilities.
Every community care facility that provides adult
residential care or offers an adult day program shall, for the
purpose of addressing issues that arise when an adult resident or an
adult day program participant is missing from the facility, develop
and comply with an absentee notification plan for each resident or
participant. The plan shall be part of the written Needs and Services
Plan. The plan shall include and be limited to the following: a
requirement that an administrator of the facility, or his or her
designee, inform the resident's or participant's authorized
representative when that resident or participant is missing from the
facility and the circumstances in which an administrator of the
facility, or his or her designee, shall notify local law enforcement
when a resident or participant is missing from the facility.
Notwithstanding any other provision of this chapter, a
child with special health care needs, as defined in subdivision (a)
of Section 17710 of the Welfare and Institutions Code, may be
accepted in a specialized foster care home, as defined in subdivision
(i) of Section 17710 of the Welfare and Institutions Code, or
retained beyond the age of 18, in accordance with Part 5.5
(commencing with Section 17700) of Division 9 of the Welfare and
Institutions Code, relating to children with special health care
needs. If the facility accepts a child with special health care
needs, or retains a child with special health care needs beyond the
age of 18 years, the facility shall maintain all documents required
as evidence of compliance with Part 5.5 (commencing with Section
17700) of Division 9 of the Welfare and Institutions Code in the
files of the facility that are available for inspection by the
certifying or licensing agency.
(a) (1) Notwithstanding any other law, a person described
in paragraph (2), who is not a licensed health care professional, but
who is trained to administer injections by a licensed health care
professional practicing within his or her scope of practice, may
administer emergency medical assistance and injections for severe
diabetic hypoglycemia and anaphylactic shock to a foster child in
placement.
(2) The following individuals shall be authorized to administer
emergency medical assistance and injections in accordance with this
subdivision:
(A) A relative caregiver.
(B) A nonrelative extended family member.
(C) A foster family home parent.
(D) A member of a resource family, as defined in subdivision (c)
of Section 16519.5 of the Welfare and Institutions Code.
(E) A small family home parent.
(F) A certified parent of a foster family agency.
(G) A substitute caregiver of a foster family home or a certified
family home.
(H) A staff member of a small family home or a group home who
provides direct care and supervision to children and youth residing
in the small family home or group home.
(I) A staff member of a short-term residential treatment center
who provides direct care and supervision to children and youth
residing in the short-term residential treatment center.
(3) The licensed health care professional shall periodically
review, correct, or update training provided pursuant to this section
as he or she deems necessary and appropriate.
(b) (1) Notwithstanding any other law, a person described in
paragraph (2), who is not a licensed health care professional, but
who is trained to administer injections by a licensed health care
professional practicing within his or her scope of practice, may
administer subcutaneous injections of other medications, including
insulin, as prescribed by the child's physician, to a foster child in
placement.
(2) The following individuals shall be authorized to give
prescribed injections including insulin in accordance with this
subdivision:
(A) A relative caregiver.
(B) A nonrelative extended family member.
(C) A foster family home parent.
(D) A member of a resource family, as defined in subdivision (c)
of Section 16519.5 of the Welfare and Institutions Code.
(E) A small family home parent.
(F) A certified parent of a foster family agency.
(G) In the absence of a foster parent, a designated substitute
caregiver in a foster family home or a certified family home.
(H) A direct care staff member of a short-term residential
treatment center who provides direct care and supervision to children
and youth residing in the short-term residential treatment center.
(3) The licensed health care professional shall periodically
review, correct, or update training provided pursuant to this section
as he or she deems necessary and appropriate.
(c) For purposes of this section, administration of an insulin
injection shall include all necessary supportive activities related
to the preparation and administration of the injection, including
glucose testing and monitoring.
(d) Notwithstanding Part 5.5 (commencing with Section 17700) of
Division 9 of, and particularly subdivision (g) of Section 17710 of,
the Welfare and Institutions Code, a child's need to receive
injections pursuant to this section shall not be the sole basis for
determining that the child has a medical condition requiring
specialized in-home health care.
(e) This section does not supersede the requirements of Section
369.5 of the Welfare and Institutions Code, with respect to the
administration of psychotropic medication to a dependent child of the
court.
(a) Notwithstanding Section 1566.45 or any other provision
of law, a residential facility that provides care to adults may
obtain a waiver from the department for the purpose of allowing a
resident who has been diagnosed as terminally ill by his or her
physician and surgeon to remain in the facility, or allowing a person
who has been diagnosed as terminally ill by his or her physician and
surgeon to become a resident of the facility if that person is
already receiving hospice services and would continue to receive
hospice services without disruption if he or she became a resident,
when all of the following conditions are met:
(1) The facility agrees to retain the terminally ill resident, or
accept as a resident the terminally ill person, and to seek a waiver
on behalf of the individual, provided the individual has requested
the waiver and is capable of deciding to obtain hospice services.
(2) The terminally ill resident, or the terminally ill person to
be accepted as a resident, has obtained the services of a hospice
certified in accordance with federal medicare conditions of
participation and licensed pursuant to Chapter 8 (commencing with
Section 1725) or Chapter 8.5 (commencing with Section 1745).
(3) The facility, in the judgment of the department, has the
ability to provide care and supervision appropriate to meet the needs
of the terminally ill resident, or the terminally ill person to be
accepted as a resident, and is in substantial compliance with
regulations governing the operation of residential facilities that
provide care to adults.
(4) The hospice has agreed to design and provide for care,
services, and necessary medical intervention related to the terminal
illness as necessary to supplement the care and supervision provided
by the facility.
(5) An agreement has been executed between the facility and the
hospice regarding the care plan for the terminally ill resident, or
the terminally ill person to be accepted as a resident. The care plan
shall designate the primary caregiver, identify other caregivers,
and outline the tasks the facility is responsible for performing and
the approximate frequency with which they shall be performed. The
care plan shall specifically limit the facility's role for care and
supervision to those tasks authorized for a residential facility
under this chapter.
(6) The facility has obtained the agreement of those residents who
share the same room with the terminally ill resident, or any
resident who will share a room with the terminally ill person to be
accepted as a resident, to allow the hospice caregivers into their
residence.
(b) At any time that the licensed hospice, the facility, or the
terminally ill resident determines that the resident's condition has
changed so that continued residence in the facility will pose a
threat to the health and safety of the terminally ill resident or any
other resident, the facility may initiate procedures for a transfer.
(c) A facility that has obtained a hospice waiver from the
department pursuant to this section, or an Adult Residential Facility
for Persons with Special Health Care Needs (ARFPSHN) licensed
pursuant to Article 9 (commencing with Section 1567.50), need not
call emergency response services at the time of a life-threatening
emergency if the hospice agency is notified instead and all of the
following conditions are met:
(1) The resident is receiving hospice services from a licensed
hospice agency.
(2) The resident has completed an advance directive, as defined in
Section 4605 of the Probate Code, requesting to forego resuscitative
measures.
(3) The facility has documented that facility staff have received
training from the hospice agency on the expected course of the
resident's illness and the symptoms of impending death.
(d) Nothing in this section is intended to expand the scope of
care and supervision for a residential facility, as defined in this
chapter, that provides care to adults nor shall a facility be
required to alter or extend its license in order to retain a
terminally ill resident, or allow a terminally ill person to become a
resident of the facility, as authorized by this section.
(e) Nothing in this section shall require any care or supervision
to be provided by the residential facility beyond that which is
permitted in this chapter.
(f) Nothing in this section is intended to expand the scope of
life care contracts or the contractual obligation of continuing care
retirement communities as defined in Section 1771.
(g) The department shall not be responsible for the evaluation of
medical services provided to the resident by the hospice and shall
have no liability for the independent acts of the hospice.
(h) The department, in consultation with the State Fire Marshal,
shall develop and expedite implementation of regulations related to
residents who have been diagnosed as terminally ill who remain in the
facility and who are nonambulatory that ensure resident safety but
also provide flexibility to allow residents to remain in the least
restrictive environment.
(i) Nothing in this section shall be construed to relieve a
licensed residential facility that provides care to adults of its
responsibility to do both of the following:
(1) Notify the fire authority having jurisdiction of the presence
of a bedridden resident in the facility as required pursuant to
subdivision (e) of Section 1566.45.
(2) Obtain and maintain a fire clearance from the fire authority
having jurisdiction.
(j) The requirement in paragraph (1) of subdivision (a) to obtain
a waiver, and the requirement in paragraph (1) of subdivision (i)
shall not apply to a facility licensed as an ARFPSHN pursuant to
Article 9 (commencing with Section 1567.50).
(a) In-home medical care and home and community-based
services, as described in subdivisions (t) and (u) of Section 14132
of the Welfare and Institutions Code, may, when deemed medically
appropriate by the State Department of Health Services, be provided
by a licensed home health agency to children with special medical
needs, as defined by the State Department of Health Services, in
foster family homes. For children described in this section, these
medical services shall not be considered as a substantial component
of the services provided by the licensee for the purposes of Section
1507. To be eligible under this section for placement in a foster
home, a child shall be receiving medical supervision and medical case
management by an agent designated by the State Department of Health
Services.
(b) No more than two children eligible for services under this
section may be placed in a single licensed foster family home at one
time.
(c) The State Department of Social Services and its agents shall
not evaluate or have any responsibility or liability for the
evaluation of the medical services described in this section.
(a) Mental health services, as deemed necessary by the
placing agency, may be provided to children in a group home. Except
for the physical safety and direct care and supervision of children
so placed, the State Department of Social Services and its agents
shall not evaluate or have responsibility or liability for the
evaluation of mental health services provided in those homes.
Supervision of mental health treatment services provided to a child
in a group home shall be a case management responsibility of the
placing agency.
(b) (1) Psychotropic medications shall be used only in accordance
with the written directions of the physician prescribing the
medication and as authorized by the juvenile court pursuant to
Section 369.5 or 739.5 of the Welfare and Institutions Code.
(2) The facility shall maintain in a child's records all of the
following information:
(A) A copy of any court order authorizing the psychotropic
medication for the child.
(B) A separate log for each psychotropic medication prescribed for
the child, showing all of the following:
(i) The name of the medication.
(ii) The date of the prescription.
(iii) The quantity of medication and number of refills initially
prescribed.
(iv) When applicable, any additional refills prescribed.
(v) The required dosage and directions for use as specified in
writing by the physician prescribing the medication, including any
changes directed by the physician.
(vi) The date and time of each dose taken by the child.
(3) This subdivision does not apply to a runaway and homeless
youth shelter, as defined in Section 1502.
No person, firm, partnership, association, or corporation
within the state and no state or local public agency shall operate,
establish, manage, conduct, or maintain a community care facility in
this state, without a current valid license therefor as provided in
this chapter.
No person, firm, partnership, association, or corporation within
the state and no state or local public agency shall provide
specialized services within a community care facility in this state,
without a current valid special permit therefor as provided in this
chapter.
Except for a juvenile hall operated by a county, or a public
recreation program, this section applies to community care facilities
directly operated by a state or local public agency. Each community
care facility operated by a state or local public agency shall comply
with the standards established by the director for community care
facilities.
As used in this chapter, "local public agency" means a city,
county, special district, school district, community college
district, chartered city, or chartered city and county.
The state department shall inspect and license community care
facilities, except as otherwise provided in Section 1508. The state
department shall inspect and issue a special permit to a community
care facility to provide specialized services.
(a) The department and the licensing agencies with which it
contracts for licensing shall review and make a final determination
within 60 days of an applicant's submission of a complete application
on all applications for a license to operate a community care
facility if the applicant possesses a current valid license to
operate a community care facility at another site. Applicants shall
note on the application, or in a cover letter to the application,
that they possess a current valid license at another site, and the
number of that license.
(b) The department shall request a fire safety clearance from the
appropriate fire marshal within five days of receipt of an
application described in subdivision (a). The applicant shall be
responsible for requesting and obtaining the required criminal record
clearances.
(c) If the department for any reason is unable to comply with
subdivision (a), it shall, within 60 days of receipt of the
application described in subdivision (a), grant a provisional license
to the applicant to operate for a period not to exceed six months,
except as provided in subdivision (d). While the provisional license
is in effect, the department shall continue its investigation and
make a final determination on the application before the provisional
license expires. The provisional license shall be granted, provided
the department knows of no life safety risks, the criminal records
clearances, if applicable, are complete, and the fire safety
clearance is complete. The director may extend the term of a
provisional license for an additional six months at the time of the
application, if the director determines that more than six months
will be required to achieve full compliance with licensing standards
due to circumstances beyond the control of the applicant, and if all
other requirements for a license have been met.
(d) If the department does not issue a provisional license
pursuant to subdivision (c), the department shall issue a notice to
the applicant identifying whether the provisional license has not
been issued due to the existence of a life safety risk, lack of a
fire safety clearance, lack of a criminal records clearance, failure
to complete the application, or any combination of these reasons. If
a life safety risk is identified, the risk preventing the issuance of
the provisional license shall be clearly explained. If a lack of the
fire safety clearance is identified, the notice shall include the
dates on which the department requested the clearance and the current
status of that request, and the fire marshal's name and telephone
number to whom a fire safety clearance request was sent. The
department shall identify the names of individuals for whom criminal
records clearances are lacking. If failure to complete the
application is identified, the notice shall list all of the forms or
attachments that are missing or incorrect. This notice shall be sent
to the applicant no later than 60 days after the applicant filed the
application. If the reasons identified in the notice are corrected,
the department shall issue the provisional license within five days
after the corrections are made.
(e) The department shall, immediately after January 1, 1993,
develop expedited procedures necessary to implement subdivisions (a),
(b), (c), and (d).
(f) The department shall, immediately after January 1, 1993,
develop an appeal procedure for applicants under this section for
both denial of licenses and delay in processing applications.
The state department may provide consulting services upon
request to any community care facility to assist in the
identification or correction of deficiencies and in the upgrading of
the quality of care provided by such community care facility.
The state department may contract for state, county, or other
public agencies to assume specified licensing, approval, or
consultation responsibilities. In exercising the authority so
delegated, such agencies shall conform to the requirements of this
chapter and to the rules, regulations, and standards of the state
department. The state department shall reimburse agencies for
services performed pursuant to this section, and such payments shall
not exceed actual cost.
If any grants-in-aid are made by the federal government for the
support of any inspection or consultation service approved by the
state department, the amount of the federal grant shall first be
applied to defer the cost of the service before state reimbursement
is made.
Each residential community care facility shall state, on its
client information form or admission agreement, and on its patient's
rights form, the facility's policy concerning family visits and other
communication with resident clients and shall, except as otherwise
provided in this section, promptly post notice of its visiting policy
at a location in the facility that is accessible to residents and
families. The requirement that a facility post notice of the facility'
s visiting policy does not apply to any facility serving six or fewer
clients.
The community care facility's policy concerning family visits and
communication shall be designed to encourage regular family
involvement with the resident client and shall provide ample
opportunities for family participation in activities at the facility.
(a) No residential facility may prohibit the formation of a
family council, and, when requested by a member of the resident's
family or the resident's responsible party, the family council shall
be allowed to meet in a common meeting room of the facility during
mutually agreed upon hours.
(b) Facility policies on family councils shall in no way limit the
right of residents and family members to meet independently with
outside persons, including members of nonprofit or government
organizations or with facility personnel during nonworking hours.
(c) "Family council" for the purpose of this section means a
meeting of family members, friends, responsible parties, or agents as
defined in Section 14110.8 of the Welfare and Institutions Code of
two or more patients to confer in private without facility staff.
(d) Family councils shall also be provided adequate space on a
prominent bulletin board or other posting area for the display of
meeting notices, minutes, and newsletters.
No license or special permit issued pursuant to the
provisions of this chapter shall have any property value for sale or
exchange purposes and no person, including any owner, agent, or
broker, shall sell or exchange any license or special permit for any
commercial purpose.
(a) Each residential care facility licensed under this
chapter shall reveal its license number in all advertisements,
publications, or announcements made with the intent to attract
clients or residents.
(b) Advertisements, publications, or announcements subject to the
requirements of subdivision (a) shall include, but are not limited
to, those contained in the following:
(1) Newspaper or magazine.
(2) Consumer report.
(3) Announcement of intent to commence business.
(4) Telephone directory yellow pages.
(5) Professional or service directory.
(6) Radio or television commercial.
(a) The department shall authorize county welfare departments
to undertake comprehensive recruitment programs, including but not
limited to media advertising, public awareness campaigns and public
speaking engagements to ensure an adequate number of foster homes are
available to meet the child welfare placement needs in each county.
(b) In counties in which the county has contracted with the state
to license foster parents, if the county undertakes a recruitment
program, it shall be done by the placement agency. The state shall
not be required to perform any acts in connection with a recruitment
program.
(c) The recruitment of potential foster parents shall include
diligent efforts to recruit individuals who reflect the ethnic,
racial, and cultural diversity of foster children.
(a) A crisis nursery, as defined in paragraph (17) of
subdivision (a) of Section 1502, shall be licensed by the department
to operate a crisis residential overnight program. Notwithstanding
Section 1596.80, a crisis nursery may also provide crisis day
services.
(b) A crisis nursery shall be organized and operated on a
nonprofit basis by either a private nonprofit corporation or a
nonprofit public benefit corporation.
(c) A facility licensed on or before January 1, 2004, as a group
home for children under six years of age with a licensed capacity
greater than 14 children, but less than 21 children, that provides
crisis nursery services shall be allowed to retain its capacity if
issued a crisis nursery license until there is a change in the
licensee's program, location, or client population.
(d) Each crisis nursery shall collect and maintain information, in
a format specified by the department, indicating the total number of
children placed in the program, the length of stay for each child,
the reasons given for the use of the crisis nursery, and the age of
each child. This information shall be made available to the
department upon request.
(e) Notwithstanding Section 1596.80, a crisis nursery may provide
crisis day services for children under six years of age at the same
site that it is providing crisis residential overnight services.
(1) A child shall not receive crisis day services at a crisis
nursery for more than 30 calendar days, maximum of 12 hours per day,
or a total of 360 hours, in a six-month period unless the department
issues an exception to allow a child to receive additional crisis day
services in a six-month period.
(2) The department, upon receipt of an exception request pursuant
to paragraph (1) and supporting documentation as required by the
department, shall respond within five working days to approve or deny
the request.
(3) No more than two exceptions, in seven-calendar day or 84-hour
increments, may be granted per child in a six-month period.
(f) A crisis nursery license shall be issued for a specific
capacity determined by the department.
(1) (A) The maximum licensed capacity for crisis day services
shall be based on 35 square feet of indoor activity space per child.
Bedrooms, bathrooms, halls, offices, isolation areas,
food-preparation areas, and storage places shall not be included in
the calculation of indoor activity space. Floor area under tables,
desks, chairs, and other equipment intended for use as part of
children's activities shall be included in the calculation of indoor
space.
(B) There shall be at least 75 square feet per child of outdoor
activity space based on the total licensed capacity. Swimming pools,
adjacent pool decking, and natural or man-made hazards shall not be
included in the calculation of outdoor activity space.
(2) Except as provided in subdivision (c), the maximum licensed
capacity for a crisis residential overnight program shall be 14
children.
(3) A child who has been voluntarily placed in a crisis
residential overnight program shall be included in the licensed
capacity for crisis day services.
(g) Exceptions to group home licensing regulations pursuant to
subdivision (c) of Section 84200 of Title 22 of the California Code
of Regulations, in effect on August 1, 2004, for county-operated or
county-contracted emergency shelter care facilities that care for
children under six years of age for no more than 30 days, shall be
contained in regulations for crisis nurseries.
(h) For purposes of this section, the following definitions shall
apply:
(1) "Crisis day services" means temporary, nonmedical care and
supervision for children under six years of age who are voluntarily
placed by a parent or legal guardian due to a family crisis or
stressful situation for less than 24 hours per day. Crisis day
services shall be provided during a time period defined by the crisis
nursery in its plan of operation, but not to exceed a period of 14
hours per day. The plan of operation shall assure sleeping
arrangements are available for children there after 7 p.m. A child
may not receive crisis day services at a crisis nursery for more than
30 calendar days, or a total of 360 hours, in a six-month period
unless the department issues an exception.
(2) "Crisis residential overnight program" means short-term,
24-hour nonmedical residential care and supervision, including
overnight, for children under six years of age who are voluntarily
placed by a parent or legal guardian due to a family crisis or
stressful situation for no more than 30 days.
(3) "Voluntarily placed" means a child, who is not receiving Aid
to Families with Dependent Children-Foster Care, placed by a parent
or legal guardian who retains physical custody of, and remains
responsible for, the care of his or her children who are placed for
temporary emergency care. "Voluntarily placed" does not include
placement of a child who has been removed from the care and custody
of his or her parent or legal guardian and placed in foster care by a
child welfare services agency.
(a) (1) Pursuant to subdivision (a) of Section 16519.5 of the
Welfare and Institutions Code, the State Department of Social
Services, shall implement a unified, family friendly, and
child-centered resource family approval process to replace the
existing multiple processes for licensing foster family homes,
approving relatives and nonrelative extended family members as foster
care providers, and approving adoptive families.
(2) For purposes of this section, a "resource family" means an
individual or couple that has successfully met both the home
environment assessment and the permanency assessment criteria, as set
forth in Section 16519.5 of the Welfare and Institutions Code,
necessary for providing care for a related or unrelated child who is
under the jurisdiction of the juvenile court, or otherwise in the
care of a county child welfare agency or probation department.
(b) A foster family agency that is selected and authorized to
participate in early implementation of the resource family approval
program, pursuant to subdivision (t) of Section 16519.5 of the
Welfare and Institutions Code, shall comply with the provisions of
this section.
(1) Notwithstanding any other law, the foster family agency shall
require its applicants and resource families to meet the resource
family approval standards set forth in Section 16519.5 of the Welfare
and Institutions Code, the written directives adopted thereto, and
other applicable laws prior to approval and in order to maintain
approval.
(2) The foster family agency shall be responsible for all of the
following:
(A) Complying with the applicable provisions of this chapter, the
regulations for foster family agencies, the resource family approval
standards and requirements set forth in Section 16519.5 of the
Welfare and Institutions Code, and the applicable written directives
adopted thereto as directed by the department.
(B) Implementing the requirements for the resource family approval
and utilizing standardized documentation established by the
department.
(C) Ensuring staff have the education and experience necessary to
complete the home environment and psychosocial assessments
competently.
(D) Taking the following actions, as applicable:
(i) Approving or denying resource family applications.
(ii) Rescinding approvals of resource families.
(E) Providing to the department a log of resource families that
were approved or rescinded during the month by the 10th day of the
following month. For purposes of subdivision (d) of Section 1536, a
certified family home includes a resource family approved by the
foster family agency pursuant to this section.
(F) Updating resource family approval annually.
(G) Monitoring resource families through all of the following:
(i) Ensuring that social workers who identify a condition in the
home that may not meet the resource family approval standards while
in the course of a routine visit to children subsequently placed with
a resource family take appropriate action as needed.
(ii) Requiring resource families to comply with corrective action
plans as necessary to correct identified deficiencies. If corrective
action is not completed as specified in the plan, the foster family
agency or the department may rescind the approval of the resource
family in accordance with the written directives adopted pursuant to
Section 16519.5 of the Welfare and Institutions Code.
(iii) Requiring resource families to report to the foster family
agency any incidents as specified in the written directives adopted
pursuant to Section 16519.5 of the Welfare and Institutions Code.
(H) Performing corrective action as required by the department.
(I) Submitting information and data that the department determines
is necessary to study, monitor, and prepare the report specified in
paragraph (9) of subdivision (f) of Section 16519.5 of the Welfare
and Institutions Code.
(J) Ensuring resource family applicants and resource families meet
the training requirements set forth in paragraphs (12) to (14),
inclusive, of subdivisions (g) and (h) of Section 16519.5 of the
Welfare and Institutions Code.
(c) In addition to subdivision (f) of Section 16519.5 of the
Welfare and Institutions Code, the State Department of Social
Services shall be responsible for all of the following:
(1) Investigating all complaints against a resource family
approved by a foster family agency and taking any action it deems
necessary. This shall include investigating any incidents reported
about a resource family indicating that the approval standard is not
being maintained. Complaint investigations shall be conducted in
accordance with the written directives adopted pursuant to Section
16519.5 of the Welfare and Institutions Code.
(2) Rescinding approvals of a resource family approved by a foster
family agency.
(3) Excluding a resource family parent or other individual from
presence in a resource family home or licensed community care
facility, from being a member of the board of directors, an executive
director, or an officer of a licensed community care facility, or
prohibiting a licensed community care facility from employing the
resource family parent or other individual, if appropriate.
(4) Issuing a temporary suspension order that suspends the
resource family approval prior to a hearing, when urgent action is
needed to protect a child or nonminor dependent from physical or
mental abuse, abandonment, or any other substantial threat to health
or safety.
(d) The department may enter and inspect the home of a resource
family approved by a foster family agency to secure compliance with
the resource family approval standards, investigate a complaint or
incident, or ensure the quality of care provided.
(e) Nothing in this section or Section 16519.5 of the Welfare and
Institutions Code limits the authority of the department to inspect,
evaluate, investigate a complaint or incident, or initiate a
disciplinary action against a foster family agency pursuant to this
chapter or to take any action it may deem necessary for the health
and safety of children placed with the foster family agency.
(f) For purposes of paragraph (3) of subdivision (b) of Section
1523.1, a certified family home includes a resource family approved
by a foster family agency pursuant to this section.
(g) (1) On and after January 1, 2017, all licensed foster family
agencies shall approve resource families in lieu of certifying foster
homes. A foster family agency shall require its applicants and
resource families to meet the resource family approval standards and
requirements set forth in Section 16519.5 of the Welfare and
Institutions Code, the written directives adopted thereto, and other
applicable laws prior to approval and in order to maintain approval.
(2) No later than July 1, 2017, each foster family agency shall
provide the following information to all certified family homes:
(A) A detailed description of the resource family approval
program.
(B) Notification that, in order to care for a foster child,
resource family approval is required by December 31, 2019.
(C) Notification that a certificate of approval shall be forfeited
by operation of law as provided for in paragraph (5).
(3) By no later than January 1, 2018, the following shall apply to
all certified family homes:
(A) A certified family home with an approved adoptive home study,
completed prior to January 1, 2018, shall be deemed to be an approved
resource family.
(B) A certified family home that had a child in placement for any
length of time, between January 1, 2017, and December 31, 2017,
inclusive, may be approved as a resource family on the date of
successful completion of a psychosocial assessment pursuant to
subparagraph (B) of paragraph (2) of subdivision (d) of Section
16519.5 of the Welfare and Institutions Code.
(4) A foster family agency may provide supportive services to all
certified family homes with a child in placement to assist with the
resource family transition and to minimize placement disruptions.
(5) All certificates of approval shall be forfeited by operation
of law on December 31, 2019, except as provided in this paragraph:
(A) A certified family home that did not have a child in placement
for any length of time between January 1, 2017, and December 31,
2017, inclusive, shall forfeit by operation of law its certificate of
approval on January 1, 2018.
(B) For a certified family home with a pending resource family
application on December 31, 2019, the certificate of approval shall
be forfeited by operation of law on the date of approval as a
resource family. If approval is denied, forfeiture by operation of
law shall occur on the date of completion of any proceedings required
by law to ensure due process.
(a) Nothing in this chapter shall authorize the imposition of
rent regulations or controls for licensed community care facilities.
(b) Licensed community care facilities shall not be subject to
controls on rent imposed by any state or local agency or other local
government or entity.