Senate Bill 1188

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    Florida Senate - 1998                                  SB 1188

    By Senator Rossin





    35-825A-98

  1                      A bill to be entitled

  2         An act relating to investigation of cases

  3         involving adult abuse, neglect, and

  4         exploitation; amending s. 415.102, F.S.;

  5         redefining the term "closed without

  6         classification" and defining the term

  7         "self-neglect"; amending s. 415.1045, F.S.;

  8         providing duties when a case is determined to

  9         be self-neglect; amending s. 415.1055, F.S.;

10         revising requirements for notification

11         regarding the classification of reports

12         alleging abuse, neglect, and exploitation;

13         amending s. 415.1065, F.S.; providing

14         guidelines for retaining records of reports of

15         self-neglect; amending s. 415.1102, F.S.;

16         deleting reference to self-neglect; amending s.

17         430.205, F.S.; revising circumstances under

18         which elderly persons must receive primary

19         consideration of community-care-for-the-elderly

20         services; providing an effective date.

21

22  Be It Enacted by the Legislature of the State of Florida:

23

24         Section 1.  Subsection (5) of section 415.102, Florida

25  Statutes, is amended, present subsections (32), (33), (34),

26  and (35) of that section are renumbered as subsections (33),

27  (34), (35), and (36), respectively, and a new subsection (32)

28  is added to that section, to read:

29         415.102  Definitions of terms used in ss.

30  415.101-415.113.--As used in ss. 415.101-415.113, the term:

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    Florida Senate - 1998                                  SB 1188
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  1         (5)  "Closed without classification" means the closure

  2  of a report in which an adult protective investigator

  3  determines that:

  4         (a)  Some evidence exists that abuse, neglect, or

  5  exploitation has occurred, but a preponderance of evidence

  6  cannot be established; or

  7         (b)  A preponderance of the evidence exists that abuse,

  8  neglect, or exploitation has occurred, but no perpetrator can

  9  be identified.; or

10         (c)  Self-neglect is the sole cause of the neglect.

11         (32)  "Self-neglect" means the failure of a disabled

12  adult or elderly person who is not under the care of a

13  caregiver to provide for that person's own basic needs. Such

14  needs include, but are not limited to, food, clothing,

15  shelter, medicine, and medical services that a prudent person

16  would consider essential for the well-being of the disabled

17  adult or elderly person.

18         Section 2.  Subsections (2) and (7) of section

19  415.1045, Florida Statutes, are amended to read:

20         415.1045  Protective investigations; onsite

21  investigations; photographs, videotapes, and medical

22  examinations; abrogation of privileged communications;

23  confidential records and documents; classification or closure

24  of records.--

25         (2)  ONSITE INVESTIGATIONS OR ASSESSMENTS.--For each

26  report it receives, the department shall perform an onsite

27  investigation to:

28         (a)  Determine whether the person is a disabled adult

29  or an elderly person as defined in s. 415.102.

30         (b)  Determine whether there is an indication that any

31  disabled adult or elderly person has been or is being abused,

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    Florida Senate - 1998                                  SB 1188
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  1  neglected, or exploited, including a determination of the

  2  immediate and long-term risk; the nature and extent of present

  3  or prior injuries; and the nature and extent of any abuse,

  4  neglect, or exploitation, and any evidence thereof.

  5         (c)  Determine whether protective and ameliorative

  6  services are necessary to safeguard and ensure the disabled

  7  adult's or elderly person's well-being and cause the delivery

  8  of those services.

  9         (d)  Determine the person or persons apparently

10  responsible for the abuse, neglect, or exploitation or

11  determine whether the case is one of self-neglect. If the case

12  is one of self-neglect and referral is appropriate, the person

13  must be referred to the Department of Elderly Affairs for

14  services pursuant to s. 430.205(5).

15         (e)  Determine the composition of the family or

16  household, including all disabled adults and elderly persons

17  named in the report, all persons in the care of the caregiver,

18  any other persons responsible for the disabled adult's or

19  elderly person's welfare, and any other adults or children in

20  the same household.

21         (f)  Gather appropriate demographic data.  Each person

22  must cooperate to the fullest extent possible by providing the

23  person's name, address, date of birth, social security number,

24  sex, and race to the department's representative.

25         (7)  CLASSIFICATIONS AND CLOSURES.--No later than 45

26  days after receiving an initial report in which the department

27  has jurisdiction, the adult protective investigator shall

28  complete the investigation and classify the report as proposed

29  confirmed or unfounded, or close the report without

30  classification. No classification will be assigned to cases

31  determined to be self-neglect. The adult protective

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    Florida Senate - 1998                                  SB 1188
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  1  investigator must document the details of the investigation,

  2  close the report, and enter the data into the central abuse

  3  registry and tracking system no later than 60 days after

  4  receiving the initial report.

  5         Section 3.  Subsection (2) of section 415.1055, Florida

  6  Statutes,, is amended to read:

  7         415.1055  Notification to administrative entities,

  8  subjects, and reporters; notification to law enforcement and

  9  state attorneys.--

10         (2)  NOTIFICATION TO OTHER PERSONS.--

11         (a)  In the case of a report that has been classified

12  as unfounded, notice of the classification must be given to

13  the disabled adult or elderly person, the guardian of that

14  person, the caregiver of that person, and the person who had

15  been named as the alleged perpetrator.  The notice must be

16  sent by regular mail and must advise the recipient that the

17  report will be expunged in 1 year.

18         (b)  If a report in which an alleged perpetrator is

19  named has been classified as proposed confirmed, notice of the

20  classification must be given to the disabled adult or elderly

21  person, the guardian of that person, the caregiver of that

22  person, and the alleged perpetrator, and legal counsel, if

23  known, for those persons.

24         1.  The notice must state the nature of the alleged

25  abuse, neglect, or exploitation and the facts that are alleged

26  to support the proposed confirmed classification.

27         2.  The notice must advise the recipient of the

28  recipient's right to request a copy of the report within 60

29  days after receipt of the notice.

30         3.  The notice must clearly advise the alleged

31  perpetrator that the alleged perpetrator has the right to

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    Florida Senate - 1998                                  SB 1188
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  1  request amendment or expunction of the report within 60 days

  2  after receipt of the notice, and that failure to request

  3  amendment or expunction within 60 days means that the report

  4  will be reclassified as confirmed at the expiration of the 60

  5  days and that the alleged perpetrator agrees not to contest

  6  the classification of the report. No further administrative or

  7  judicial proceedings in the matter are allowed.

  8         4.  The notice must state that, if the report becomes

  9  confirmed, the alleged perpetrator may be disqualified from

10  working with children, the developmentally disabled, disabled

11  adults, and elderly persons.

12         5.  Notice of a proposed confirmed report must be

13  personally served upon the alleged perpetrator in this state

14  by an adult protective investigator, a sheriff, or a private

15  process server in the district in which the alleged

16  perpetrator resides, works, or can be found. Proof of service

17  of the notice must be by affidavit prepared by the individual

18  serving the notice upon the alleged perpetrator.  The

19  affidavit must state the name of the person serving the

20  notice, the name of the alleged perpetrator served, the

21  location at which the alleged perpetrator was served, and the

22  time the notice was served. If the notice of a proposed

23  confirmed report cannot be personally served upon the alleged

24  perpetrator in this state or if the alleged perpetrator does

25  not reside in this state, the notice of the proposed confirmed

26  report must be sent by certified mail, return receipt

27  requested, forwarding and address correction requested, to the

28  last known address of the alleged perpetrator.  If an alleged

29  perpetrator cannot be served either by personal service or by

30  certified mail, the record of the proposed confirmed report

31  must be maintained pursuant to s. 415.1065.

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    Florida Senate - 1998                                  SB 1188
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  1         6.  Notice to other named persons may be sent by

  2  regular mail, with the department giving notice to the

  3  caregiver, the guardian, legal counsel for all parties, and

  4  the disabled adult or elderly person.

  5         7.  If a proposed confirmed report becomes confirmed

  6  because the alleged perpetrator fails to make a timely request

  7  to amend or expunge the proposed confirmed report, the

  8  department must give notice of the confirmed classification to

  9  the perpetrator and the perpetrator's legal counsel.

10         a.  Notice of the confirmed classification must inform

11  the perpetrator that the perpetrator may be disqualified from

12  working with children, the developmentally disabled, disabled

13  adults, and elderly persons.

14         b.  The notice must inform the perpetrator that further

15  departmental proceedings in the matter are not allowed.

16         c.  The notice of the confirmed classification must be

17  sent by certified mail, return receipt requested.

18         (c)  If a report in which an alleged perpetrator is

19  named or suspected is closed without classification, notice

20  must be given to the guardian of the disabled adult or elderly

21  person, the disabled adult or elderly person, the caregiver of

22  that person, any person or facility named in the report, and

23  the person who had been named as the alleged perpetrator.  The

24  notice must be sent by regular mail and must advise the

25  recipient that:

26         1.  The report will be retained for 7 years.

27         2.  The recipient has a right to request a copy of this

28  report.

29         3.  Any person or facility named in a report classified

30  as closed without classification has the right to request

31  amendment or expunction of the report within 60 days after the

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    Florida Senate - 1998                                  SB 1188
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  1  receipt of the notice, and that failure to request amendment

  2  or expunction within 60 days means that the report will remain

  3  classified as closed without classification and that the

  4  person agrees not to contest the classification of the report.

  5  No further proceeding will be allowed in this matter.

  6         (d)  The department shall adopt rules prescribing the

  7  content of the notices to be provided and requiring uniformity

  8  of content and appearance of each notice of classification or

  9  closure without classification.

10         Section 4.  Present subsections (5), (6), (7), and (8)

11  of section 415.1065, Florida Statutes, are renumbered as

12  subsections (6), (7), (8), and (9), respectively, and a new

13  subsection (5) is added to that section, to read:

14         415.1065  Records management.--All records must be

15  maintained in their entirety for their full retention period,

16  except as otherwise provided in this section:

17         (5)  RECORDS OF REPORTS OF SELF-NEGLECT.--The

18  department shall maintain the record of each report of

19  self-neglect until 5 years after the report is closed in the

20  central abuse hotline and tracking system.

21         (a)  After 5 years, the department shall expunge the

22  hard copy file of the record in its entirety.

23         (b)  During the 5-year retention, the department shall

24  index each report by the name of the disabled adult or elderly

25  person and by the report number.

26         Section 5.  Subsection (2) of section 415.1102, Florida

27  Statutes, is amended to read:

28         415.1102  Adult protection teams; services; eligible

29  cases.--Subject to an appropriation, the department may

30  develop, maintain, and coordinate the services of one or more

31  multidisciplinary adult protection teams in each of the

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    Florida Senate - 1998                                  SB 1188
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  1  districts of the department. Such teams may be composed of,

  2  but need not be limited to, representatives of appropriate

  3  health, mental health, social service, legal service, and law

  4  enforcement agencies.

  5         (2)  The adult abuse, neglect, or exploitation cases

  6  that are appropriate for referral by the adult protective

  7  services program to adult protection teams for supportive

  8  services include, but are not limited to, cases involving:

  9         (a)  Unexplained or implausibly explained bruises,

10  burns, fractures, or other injuries in a disabled adult or an

11  elderly person.

12         (b)  Sexual abuse or molestation, or sexual

13  exploitation, of a disabled adult or elderly person.

14         (c)  Reported medical, physical, or emotional neglect,

15  either self or second party, of a disabled adult or an elderly

16  person.

17         (d)  Reported financial exploitation of a disabled

18  adult or elderly person.

19

20  In all instances in which an adult protection team is

21  providing certain services to abused, neglected, or exploited

22  disabled adults or elderly persons, other offices and units of

23  the department shall avoid duplicating the provisions of those

24  services.

25         Section 6.  Subsection (5) of section 430.205, Florida

26  Statutes, is amended to read:

27         430.205  Community care service system.--

28         (5)  Any person who has been classified as a

29  functionally impaired elderly person is eligible to receive

30  community-care-for-the-elderly core services. Those elderly

31  persons who are determined by the functional assessment to be

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    Florida Senate - 1998                                  SB 1188
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  1  at risk of institutionalization, or to be and victims of

  2  abuse, neglect, or exploitation who are in need of immediate

  3  services to prevent further harm and are referred by adult

  4  protective services, shall be given primary consideration for

  5  receiving community-care-for-the-elderly services. As used in

  6  this subsection, the term "primary consideration" means that

  7  an assessment and services must commence within 72 hours after

  8  referral to the Department of Elderly Affairs or as

  9  established in accordance with department contracts by local

10  protocols developed between department service providers and

11  adult protective services.

12         Section 7.  This act shall take effect July 1, 1998.

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15                          SENATE SUMMARY

16    Provides requirements for reporting cases of self-neglect
      by disabled adults or elderly persons, for retaining
17    records of cases of self-neglect, and for classification
      of reports of self-neglect.  Revises standards under
18    which persons will be considered for
      community-care-for-the-elderly services.
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