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SB-361 Human services.(1995-1996)

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SB361:v93#DOCUMENT

Senate Bill No. 361
CHAPTER 546

An act to amend Sections 4689.2 and 5370.2 of, to amend and repeal Sections 5510 and 5512 of, the Welfare and Institutions Code, relating to human services.

[ Filed with Secretary of State  October 04, 1995. Approved by Governor  October 04, 1995. ]

LEGISLATIVE COUNSEL'S DIGEST


SB 361, Wright. Human services.
Existing law sets forth procedures for the filing of fingerprints of specified persons providing family home services to persons with developmental disabilities. In addition to the fingerprint requirements, these persons would be subject to a criminal background check from the Department of Justice.
This bill would provide that the criminal background check would also be obtained from, if applicable, the Federal Bureau of Investigation.
Existing law, until January 1, 1996, requires the State Department of Mental Health to contract for the provision of mental health patients’ rights and advocacy services.
Existing law, commencing January 1, 1996, would create the Patients’ Rights Office in the State Department of Mental Health, to ensure that mental health laws, regulations, and policies on the rights of recipients of mental health services are observed in state hospitals and in licensed health and community care facilities.
This bill would repeal the provisions that would create the Patients’ Rights Office, and would continue the requirement that the department contract for the provision of patients’ services.
Existing law, until January 1, 1996, requires the nonprofit agency contracting with the state for protection and advocacy services for persons with mental illness to provide training in specified elements for county patients’ rights advocates and thereafter would require the State Patients’ Rights Office to provide that training.
This bill would continue the requirement that the entity contracting with the state for the provision of protection and advocacy services for persons with mental disabilities to provide the training to the county patients’ rights advocates and would revise the schedule of elements that is contained in the training.

The people of the State of California do enact as follows:


SECTION 1.

 Section 4689.2 of the Welfare and Institutions Code is amended to read:

4689.2.
 (a)  It is the intent of the Legislature in enacting this section to require the filing of fingerprints of those individuals whose contact with consumers receiving services and supports from family home agencies, as defined in subdivision (c) of Section 4689.1, and family homes, as defined in subdivision (b) of Section 4689.1, may pose a risk to the consumers’ health and safety.
(b)  As part of the vendor approval process for family home agencies and family homes, the State Department of Developmental Services shall secure from the Department of Justice and, if applicable, the Federal Bureau of Investigation, a full criminal history to determine whether the applicant or any other person specified in subdivision (c) has ever been convicted of, or arrested for, a crime other than a minor traffic violation. If it is found that the applicant, or any other person specified in subdivision (c), has been convicted of, or is awaiting trial for, a crime other than a minor traffic violation, the vendor application shall be denied, unless the director grants an exemption pursuant to subdivision (f). If no criminal record information has been recorded, the Department of Justice shall provide the applicant and the State Department of Developmental Services with a statement of that fact.
(c)  In addition to the applicant, this section shall be applicable to criminal convictions of the following persons:
(1)  Adults responsible for administration or direct supervision of staff.
(2)  Any adult other than a consumer residing in the family home.
(3)  Any adult who provides assistance to the consumer in dressing, grooming, bathing, or personal hygiene.
(4)  Any staff person, employee, consultant, or volunteer who has frequent and routine contact with the consumer. In determining who has frequent contact, any consultant or volunteer shall be exempt unless the volunteer is used to replace or supplement staff or family home personnel in providing services or supports, or both, to consumers. In determining who has routine contact, staff and employees under direct onsite supervision of the family home agency and who are not providing direct services and supports or who have only occasional or intermittent contact with consumers shall be exempt.
(5)  The executive director of the entity applying for vendorization or other person serving in like capacity.
(6)  Officers of the governing body of the applicant, or other persons with a financial interest in the applicant, as determined necessary by the department by regulation. The criteria used in the development of these regulations shall be based on the person’s capability to exercise substantial influence over the operation of the family home agency or family home.
(d)  (1)  Subsequent to vendorization, any person specified in subdivision (c) and not exempted from fingerprinting shall, as a condition to employment, residence, or presence in a family home agency or a family home, be fingerprinted and sign a declaration under penalty of perjury regarding any prior criminal convictions. The vendor shall submit these fingerprints to the Department of Justice not later than four calendar days following employment, residence, or initial presence in the family home agency or family home. These fingerprints shall be on a card provided by the State Department of Developmental Services for the purpose of obtaining a permanent set of fingerprints. If fingerprints are not submitted to the Department of Justice, as required in this section, that failure shall result in a sanction and the fingerprints shall then be submitted to the State Department of Developmental Services for processing. Upon request of the vendor, who shall enclose a self-addressed stamped postcard for this purpose, the Department of Justice shall verify receipt of the fingerprints.
(2)  Within 30 calendar days of the receipt of the fingerprints, the Department of Justice shall notify the State Department of Developmental Services of the criminal record information, as provided in subdivision (b). If no criminal record information has been recorded, the Department of Justice shall provide the vendor and the State Department of Developmental Services with a statement of that fact within 15 calendar days of receipt of the fingerprints. If new fingerprints are required for processing, the Department of Justice shall, within 15 calendar days from the date of receipt of the fingerprints, notify the vendor that the fingerprints were illegible.
(3)  (A)  Except for persons specified in paragraph (2) of subdivision (c), the vendor shall endeavor to ascertain the previous employment history of persons required to be fingerprinted under this subdivision. If it is determined by the State Department of Developmental Services, on the basis of the fingerprints submitted to the Department of Justice, that the person has been convicted of, or is awaiting trial for, a sex offense against a minor, or has been convicted for an offense specified in Section 243.4, 273a, 273d, or subdivision (a) or (b) of Section 368 of the Penal Code, or has been convicted of a felony, the State Department of Developmental Services shall notify the vendor to act immediately to terminate the person’s employment, remove the person from the family home, or bar the person from entering the family home. The State Department of Developmental Services may subsequently grant an exemption pursuant to subdivision (f).
(B)  If the conviction or arrest was for another crime, except a minor traffic violation, the vendor shall, upon notification by the State Department of Developmental Services, act immediately to do either of the following:
(i)  Terminate the person’s employment, remove the person from the family home, or bar the person from entering the family home.
(ii)  Seek an exemption pursuant to subdivision (f). The State Department of Developmental Services shall determine if the person shall be permitted to remain in the family home until a decision on the exemption is rendered.
(e)  For purposes of this section or any other provision of this chapter, a conviction means a plea or verdict of guilty or a conviction following a plea of nolo contendere. Any action that the State Department of Developmental Services is permitted to take following the establishment of a conviction may be taken when the time for appeal has elapsed, or the judgment of conviction has been affirmed on appeal or when an order granting probation is made suspending the imposition of sentence, notwithstanding a subsequent order pursuant to Sections 1203.4 and 1203.4a of the Penal Code permitting the person to withdraw his or her plea of guilty, or dismissing the accusation, information, or indictment. For purposes of this section or any other provision of this chapter, the record of a conviction, or a copy thereof certified by the clerk of the court or by a judge of the court in which the conviction occurred, shall be conclusive evidence of the conviction. For purposes of this section or any other provision of this chapter, the arrest disposition report certified by the Department of Justice and, if applicable, the Federal Bureau of Investigation, or documents admissible in a criminal action pursuant to Section 969b of the Penal Code, shall be prima facie evidence of the conviction, notwithstanding any other provision of law prohibiting the admission of these documents in a civil or administrative action.
(f)  After review of the record, the Director of Developmental Services may grant an exemption from denial of vendor approval pursuant to subdivision (b), or for employment in a family home agency or family home of residence or presence in a family home as specified in subdivision (c), if the director has substantial and convincing evidence to support a reasonable belief that the applicant and the person convicted of the crime, if other than the applicant, are of such good character as to justify vendor approval or granting an exemption for purposes of subdivision (c). Except as otherwise provided in this subdivision, no exemption shall be granted if the conviction was for an offense specified in Section 220, 243.4, 264.1, paragraph (1) of subdivision (a) of Section 273a, Section 273d, 288, 289, or subdivision (a) or (b) of Section 368 of the Penal Code, or for another crime against an individual specified in subdivision (c) of Section 667.5 of the Penal Code. The director may grant an exemption if the employee, prospective employee, or other person identified in subdivision (c) who was convicted of a crime against an individual in paragraph (1), (2), (7), or (8) of subdivision (c) of Section 667.5 of the Penal Code, has been rehabilitated as provided in Section 4852.03 of the Penal Code and has maintained the conduct required in Section 4852.05 of the Penal Code for at least 10 years and has the recommendation of the district attorney representing the employee’s county of residence, or if the employee, prospective employee, or other persons identified in subdivision (c) has received a certificate of rehabilitation pursuant to Chapter 3.5 (commencing with Section 4852.01) of Title 6 of Part 3 of the Penal Code.
(g)  For purposes of compliance with this section, the department may permit an individual to transfer a current criminal record clearance, as described in subdivision (b), from one family home agency or family home to another, as long as the criminal record clearance has been processed through the State Department of Developmental Services.
(h)  If a family home agency or a family home is required by law to deny employment or to terminate employment of any employee based on written notification from the state department pursuant to subdivision (c) the family home agency or the family home shall not incur civil liability or unemployment insurance liability as a result of that denial or termination.

SEC. 2.

 Section 5370.2 of the Welfare and Institutions Code is amended to read:

5370.2.
 (a)  Beginning January 1, 1996, the State Department of Mental Health shall contract with a single nonprofit agency that meets the criteria specified in subdivision (b) of Section 5510 to conduct the following activities:
(1)  Provide patients’ rights advocacy services for, and conduct investigations of alleged or suspected abuse and neglect of, including deaths of, persons with mental disabilities residing in state hospitals.
(2)  Investigate and take action as appropriate and necessary to resolve complaints from or concerning recipients of mental health services residing in licensed health or community care facilities regarding abuse, and unreasonable denial, or punitive withholding of rights guaranteed under this division that cannot be resolved by county patients’ rights advocates.
(3)  Provide consultation, technical assistance, and support to county patients’ rights advocates in accordance with their duties under Section 5520.
(4)  Conduct program review of patients’ rights programs.
(b)  The services shall be provided in coordination with the appropriate mental health patients’ rights advocates.
(c)  (1)  The contractor shall develop a plan to provide patients’ rights advocacy services for, and conduct investigations of alleged or suspected abuse and neglect of, including the deaths of, persons with mental disabilities residing in state hospitals.
(2)  The contractor shall develop the plan in consultation with the statewide organization of mental health patients’ rights advocates, the statewide organization of mental health clients, and the statewide organization of family members of persons with mental disabilities, and the statewide organization of county mental health directors.
(3)  In order to ensure that persons with mental disabilities have access to high quality advocacy services, the contractor shall establish a grievance procedure and shall advise persons receiving services under the contract of the availability of other advocacy services, including services provided by the protection and advocacy agency specified in Section 4901 and the county patients’ rights advocates specified in Section 5520.
(d)  Nothing contained in this section shall be construed to restrict or limit the authority of the department to conduct the reviews and investigations it deems necessary for personnel, criminal, and litigation purposes.
(e)  The State Department of Mental Health shall contract on a multiyear basis for a contract term of up to three years.

SEC. 3.

 Section 5510 of the Welfare and Institutions Code, as amended by the second Section 26 of Chapter 722 of the Statutes of 1992, is amended to read:

5510.
 (a)  The Legislature finds and declares as follows:
(1)  The State of California accepts its responsibility to ensure and uphold the right of persons with mental disabilities and an obligation, to be executed by the State Department of Mental Health, to ensure that mental health laws, regulations and policies on the rights of recipients of mental health services are observed and protected in state hospitals and in licensed health and community care facilities.
(2)  Persons with mental disabilities are vulnerable to abuse, neglect, and unreasonable and unlawful deprivations of their rights.
(3)  Patients’ rights advocacy and investigative services concerning patient abuse and neglect currently provided by the State Department of Mental Health, including the department’s Office of Human Rights and investigator, and state hospital patients’ rights advocates and state hospital investigators may have conflicts of interest or the appearance of a conflict of interest.
(4)  The services provided to patients and their families is of such a special and unique nature that they must be contracted out pursuant to paragraph (3) of subdivision (b) of Section 19130 of the Government Code.
(b)  Therefore, to avoid the potential for a conflict of interest or the appearance of a conflict of interest, it is the intent of the Legislature that the patients’ rights advocacy and investigative services described in this article be provided by a single contractor specified in Section 5370.2 that meets both of the following criteria:
(1)  The contractor can demonstrate the capability to provide statewide advocacy services for persons with mental disabilities.
(2)  The contractor has no direct or indirect responsibility for providing services to persons with mental disabilities, except advocacy services.
(c)  For the purposes of this article, the Legislature further finds and declares, because of a potential conflict of interest or the appearance of a conflict of interest, that the goals and purposes of the state patients’ rights advocacy and investigative services cannot be accomplished through the utilization of persons selected pursuant to the regular state civil service system. Accordingly, the contracts into which the department enters pursuant to this section are permitted and authorized by paragraphs (3) and (5) of subdivision (b) of Section 19130 of the Government Code. The State Department of Mental Health shall contract with a single nonprofit entity to provide for the protection and advocacy services to persons with mental disabilities. The entity shall be responsible for ensuring that mental health laws, regulations, and policies on the rights of recipients of mental health services are observed in state hospitals and in licensed health and community care facilities.
(d)  The findings and declarations of potential conflict of interest provided in this section shall not apply to advocacy services provided under Article 3 (commencing with Section 5520).

SEC. 4.

 Section 5510 of the Welfare and Institutions Code, as added by the second Section 27 of Chapter 722 of the Statutes of 1992, is repealed.

SEC. 5.

 Section 5512 of the Welfare and Institutions Code, as amended by the second Section 28 of Chapter 722 of the Statutes of 1992, is repealed.

SEC. 6.

 Section 5512 of the Welfare and Institutions Code, as added by the second Section 29 of Chapter 722 of the Statutes of 1992, is amended to read:

5512.
 Training of county patients’ rights advocates shall be provided by the contractor specified in Section 5510 responsible for the provision of protection and advocacy services to persons with mental disabilities. Training shall be directed at ensuring that all county patients’ rights advocates possess:
(a)  Knowledge of the service system, financial entitlements, and service rights of persons receiving mental health services. This knowledge shall include, but need not be limited to, knowledge of available treatment and service resources in order to ensure timely access to treatment and services.
(b)  Knowledge of patients’ rights in institutional and community facilities.
(c)  Knowledge of civil commitment statutes and procedures.
(d)  Knowledge of state and federal laws and regulations affecting recipients of mental health services.
(e)  Ability to work effectively and respectfully with service recipients and providers, public administrators, community groups, and the judicial system.
(f)  Skill in interviewing and counseling service recipients, including giving information and appropriate referrals.
(g)  Ability to investigate and assess complaints and screen for legal problems.
(h)  Knowledge of administrative and judicial due process proceedings in order to provide representation at administrative hearings and to assist in judicial hearings when necessary to carry out the intent of Section 5522 regarding cooperation between advocates and legal representatives.
(i)  Knowledge of, and commitment to, advocacy ethics and principles.
(j)  This section shall become operative on January 1, 1996.