Senate Bill 2354c1

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    Florida Senate - 1999                           CS for SB 2354

    By the Committee on Children and Families; and Senator Forman





    300-2157-99

  1                      A bill to be entitled

  2         An act relating to assisted living facilities;

  3         amending ss. 400.408, 400.419, F.S.; revising

  4         penalties applicable to operating an unlicensed

  5         facility; amending ss. 400.621, 633.022, F.S.;

  6         providing for uniform firesafety standards for

  7         adult family-care homes; directing the Agency

  8         for Health Care Administration and the

  9         Department of Elderly Affairs to establish a

10         work group on the problem of unlicensed

11         assisted living facilities; requiring reports;

12         providing an effective date.

13

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

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16         Section 1.  Subsection (1) of section 400.408, Florida

17  Statutes, 1998 Supplement, is amended to read:

18         400.408  Unlicensed facilities; referral of person for

19  residency to unlicensed facility; penalties; verification of

20  licensure status.--

21         (1)(a)  It is unlawful to own, operate, or maintain an

22  assisted living facility without obtaining a license under

23  this part.

24         (b)  Except as provided under paragraph (d), any person

25  who owns, operates, or maintains an unlicensed assisted living

26  facility commits a felony of the third degree, punishable as

27  provided in s. 775.082, s. 775.083, or s. 775.084. Each day of

28  continued operation is a separate offense. Application for

29  licensure within 10 working days after notification shall be

30  an affirmative defense to this felony violation.

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    Florida Senate - 1999                           CS for SB 2354
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  1         (c)  Any person found guilty of violating paragraph (a)

  2  a second or subsequent time commits a felony of the second

  3  degree, punishable as provided under s. 775.082, s. 775.083,

  4  or s. 775.084. Each day of continued operation is a separate

  5  offense.

  6         (d)  Any person who owns, operates, or maintains an

  7  unlicensed assisted living facility due to a change in this

  8  part or a modification in department rule within 6 months

  9  after the effective date of such change and who, within 10

10  working days after receiving notification from the agency,

11  fails to cease operation or apply for a license under this

12  part commits a felony of the third degree, punishable as

13  provided in s. 775.082, s. 775.083, or s. 775.084. Each day of

14  continued operation is a separate offense.

15         (e)  Pursuant to this subsection, Any facility that

16  fails to apply for a license or cease operation after agency

17  notification may be fined for each day of noncompliance

18  pursuant to s. 400.419.

19         (f)  When a licensee has an interest in more than one

20  assisted living facility, and fails to license any one of

21  these facilities, the agency may revoke the license, or impose

22  a moratorium, or impose a fine under s. 400.419, on any or all

23  of the licensed facilities until such time as the unlicensed

24  facility is licensed applies for licensure or ceases

25  operation.

26         (g)  If the agency determines that an owner is

27  operating or maintaining an assisted living facility without

28  obtaining a license and determines that a condition exists in

29  the facility that poses a threat to the health, safety, or

30  welfare of a resident of the facility, the owner is subject to

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    Florida Senate - 1999                           CS for SB 2354
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  1  the same actions and fines imposed against a licensed facility

  2  as specified in ss. 400.414 and 400.419.

  3         (h)  Any person aware of the operation of an unlicensed

  4  assisted living facility must report that facility to the

  5  agency. The agency shall provide to the department's

  6  department and to elder information and referral providers a

  7  list, by county, of licensed assisted living facilities, to

  8  assist persons who are considering an assisted living facility

  9  placement in locating a licensed facility.

10         Section 2.  Subsection (7) and (8) of section 400.419,

11  Florida Statutes, 1998 Supplement, are amended to read:

12         400.419  Violations; administrative fines.--

13         (7)  Except as provided in subsection (8), Any

14  unlicensed facility that continues to operate without having

15  applied for a license 10 days after agency notification is

16  subject to a $1,000 fine. Each day beyond 5 working 20 days

17  after agency notification constitutes a separate violation,

18  and the facility is subject to a fine of $500 per day.

19         (8)  Any licensed facility Unlicensed facilities whose

20  owner or administrator concurrently operates an unlicensed a

21  licensed facility is, has previously operated a licensed

22  facility, or has been employed in a licensed facility shall

23  immediately be subject to an administrative fine of $5,000

24  upon agency notification. Each day that the unlicensed a

25  facility continues to operate beyond 5 without having applied

26  for a license within 10 working days after agency notification

27  constitutes a separate violation, and the licensed such

28  facility is shall be subject to a fine of $500 per day

29  retroactive to the date of agency notification.

30         Section 3.  Subsection (2) of section 400.621, Florida

31  Statutes, 1998 Supplement, is amended to read:

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    Florida Senate - 1999                           CS for SB 2354
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  1         400.621  Rules and standards relating to adult

  2  family-care homes.--

  3         (2)  The department shall by rule provide minimum

  4  standards and procedures for emergencies. Pursuant to s.

  5  633.022, minimum firesafety standards shall be established and

  6  enforced by the State Fire Marshal, in consultation

  7  cooperation with the department and the agency, shall adopt

  8  uniform firesafety standards for adult family-care homes.

  9  Such standards must be included in the rules adopted by the

10  department after consultation with the State Fire Marshal and

11  the agency.

12         Section 4.  Paragraph (b) of subsection (1) of section

13  633.022, Florida Statutes, is amended to read:

14         633.022  Uniform firesafety standards.--The Legislature

15  hereby determines that to protect the public health, safety,

16  and welfare it is necessary to provide for firesafety

17  standards governing the construction and utilization of

18  certain buildings and structures.  The Legislature further

19  determines that certain buildings or structures, due to their

20  specialized use or to the special characteristics of the

21  person utilizing or occupying these buildings or structures,

22  should be subject to firesafety standards reflecting these

23  special needs as may be appropriate.

24         (1)  The Department of Insurance shall establish

25  uniform firesafety standards that apply to:

26         (b)  All new, existing, and proposed hospitals, nursing

27  homes, assisted living facilities, adult family-care homes,

28  correctional facilities, public schools, transient public

29  lodging establishments, public food service establishments,

30  elevators, migrant labor camps, mobile home parks, lodging

31  parks, recreational vehicle parks, recreational camps,

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    Florida Senate - 1999                           CS for SB 2354
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  1  residential and nonresidential child care facilities,

  2  facilities for the developmentally disabled, motion picture

  3  and television special effects productions, and self-service

  4  gasoline stations, of which standards the State Fire Marshal

  5  is the final administrative interpreting authority. With

  6  respect to public schools, the department shall utilize

  7  firesafety standards that have been adopted by the State Board

  8  of Education.

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10  In the event there is a dispute between the owners of the

11  buildings specified in paragraph (b) and a local authority

12  requiring a more stringent uniform firesafety standard for

13  sprinkler systems, the State Fire Marshal shall be the final

14  administrative interpreting authority and the State Fire

15  Marshal's interpretation regarding the uniform firesafety

16  standards shall be considered final agency action.

17         Section 5.  The Agency for Health Care Administration

18  and the Department of Elderly Affairs shall establish a work

19  group to identify additional legal and administrative steps

20  needed to discourage the operation of unlicensed assisted

21  living facilities in this state and to enhance the probability

22  that all such facilities will be subject to effective

23  regulation. The work group is directed to develop a report

24  that includes recommendations regarding the transfer and

25  discharge from health care and long-term care settings to

26  unlicensed assisted living facilities; an assessment of

27  unlicensed assisted living facility resident characteristics

28  and their care needs; and an assessment of existing barriers

29  to closing unlicensed assisted living facilities. The work

30  group shall consist of representatives of the agency, the

31  Department of Elderly Affairs, the Department of Children and

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    Florida Senate - 1999                           CS for SB 2354
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  1  Family Services, the Department of Business and Professional

  2  Regulation, the Department of Community Affairs, and the State

  3  Fire Marshal's Office, as designated by each appropriate

  4  agency head. In addition, the agency and the Department of

  5  Elderly Affairs shall appoint representatives from local law

  6  enforcement authorities, the health care industry, the

  7  long-term care industry, and consumers. In its representation

  8  and activities, the work group shall give priority to the

  9  problem of unlicensed facilities in Dade County. The work

10  group shall be appointed and have its first meeting by August

11  1, 1999, and shall submit a report to the Legislature with

12  recommendations for legal administrative action by February 1,

13  2000. Where administrative remedies requiring state agency

14  action are identified, the work group shall submit a report to

15  the applicable agency by February 1, 2000, which shall submit

16  a response to the Legislature by February 15, 2000. Appointing

17  entities or individual members shall be responsible for travel

18  and per diem, except that state agencies may reimburse

19  consumer representatives.

20         Section 6.  This act shall take effect July 1, 1999.

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22          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
23                         Senate Bill 2354

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25  Provides for the establishment, by the State Fire Marshal, of
    uniform fire safety standards in adult family-care homes.
26
    Authorizes the organization of a work group to identify and
27  report on additional steps that may be taken to discourage the
    operation of unlicensed assisted living facilities.
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