House Bill 0645e1

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                                    CS/HB 645, First Engrossed/ntc



  1                      A bill to be entitled

  2         An act relating to assisted living facilities;

  3         amending s. 400.408, F.S.; revising penalties

  4         relating to unlicensed ownership, operation, or

  5         maintenance of such a facility; amending s.

  6         400.419, F.S.; revising timeframes for

  7         application of penalties for operation of an

  8         unlicensed facility; amending ss. 400.621 and

  9         633.022, F.S.; providing for uniform firesafety

10         standards for adult family-care homes;

11         directing the Agency for Health Care

12         Administration and the Department of Elderly

13         Affairs to establish a work group on the

14         problem of unlicensed assisted living

15         facilities; requiring reports; providing an

16         effective date.

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

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

21  Statutes, 1998 Supplement, is amended to read:

22         400.408  Unlicensed facilities; referral of person for

23  residency to unlicensed facility; penalties; verification of

24  licensure status.--

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

26  assisted living facility without obtaining a license under

27  this part.

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

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

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

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


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                                    CS/HB 645, First Engrossed/ntc



  1  continued operation is a separate offense. Application for

  2  licensure within 10 working days after notification shall be

  3  an affirmative defense to this felony violation.

  4         (c)  Any person found guilty of violating paragraph (a)

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

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

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

  8  offense.

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

10  unlicensed assisted living facility due to a change in this

11  part or a modification in department rule within 6 months

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

13  working days after receiving notification from the agency,

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

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

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

17  continued operation is a separate offense.

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

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

20  notification may be fined for each day of noncompliance

21  pursuant to s. 400.419.

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

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

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

25  a moratorium, or impose a fine pursuant to s. 400.419, on any

26  or all of the licensed facilities until such time as the

27  unlicensed facility is licensed applies for licensure or

28  ceases operation.

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

30  operating or maintaining an assisted living facility without

31  obtaining a license and determines that a condition exists in


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                                    CS/HB 645, First Engrossed/ntc



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

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

  3  the same actions and fines imposed against a licensed facility

  4  as specified in ss. 400.414 and 400.419.

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

  6  assisted living facility must report that facility to the

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

  8  department and to elder information and referral providers a

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

10  assist persons who are considering an assisted living facility

11  placement in locating a licensed facility.

12         Section 2.  Subsections (7) and (8) of section 400.419,

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

14         400.419  Violations; administrative fines.--

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

16  unlicensed facility that continues to operate without having

17  applied for a license 10 days after agency notification is

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

19  after agency notification constitutes a separate violation,

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

21         (8)  Any licensed facility Unlicensed facilities whose

22  owner or administrator concurrently operates an unlicensed a

23  licensed facility, has previously operated a licensed

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

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

26  upon agency notification. Each day that the unlicensed a

27  facility continues to operate beyond 5 without having applied

28  for a license within 10 working days after agency notification

29  constitutes a separate violation, and the licensed such

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

31  retroactive to the date of agency notification.


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                                    CS/HB 645, First Engrossed/ntc



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

  2  Statutes, 1998 Supplement, is amended to read:

  3         400.621  Rules and standards relating to adult

  4  family-care homes.--

  5         (2)  The department shall by rule provide minimum

  6  standards and procedures for emergencies. Pursuant to s.

  7  633.022, Minimum firesafety standards shall be established and

  8  enforced by the State Fire Marshall, in consultation

  9  cooperation with the department and the agency, shall adopt

10  uniform firesafety standards for adult family-care homes.

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

12  department after consultation with the State Fire Marshal and

13  the agency.

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

15  633.022, Florida Statutes, is amended to read:

16         633.022  Uniform firesafety standards.--The Legislature

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

18  and welfare it is necessary to provide for firesafety

19  standards governing the construction and utilization of

20  certain buildings and structures.  The Legislature further

21  determines that certain buildings or structures, due to their

22  specialized use or to the special characteristics of the

23  person utilizing or occupying these buildings or structures,

24  should be subject to firesafety standards reflecting these

25  special needs as may be appropriate.

26         (1)  The Department of Insurance shall establish

27  uniform firesafety standards that apply to:

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

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

30  correctional facilities, public schools, transient public

31  lodging establishments, public food service establishments,


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                                    CS/HB 645, First Engrossed/ntc



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

  2  parks, recreational vehicle parks, recreational camps,

  3  residential and nonresidential child care facilities,

  4  facilities for the developmentally disabled, motion picture

  5  and television special effects productions, and self-service

  6  gasoline stations, of which standards the State Fire Marshal

  7  is the final administrative interpreting authority. With

  8  respect to public schools, the department shall utilize

  9  firesafety standards that have been adopted by the State Board

10  of Education.

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

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

14  requiring a more stringent uniform firesafety standard for

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

16  administrative interpreting authority and the State Fire

17  Marshal's interpretation regarding the uniform firesafety

18  standards shall be considered final agency action.

19         Section 5.  The Agency for Health Care Administration

20  and the Department of Elderly Affairs shall establish a work

21  group to identify additional legal and administrative steps

22  needed to discourage the operation of unlicensed facilities in

23  this state and to enhance the probability that all such

24  facilities will be subject to effective enforcement. The

25  report of the work group shall include recommendations

26  regarding the transfer and discharge from health care and

27  long-term care settings to unlicensed assisted living

28  facilities; unlicensed assisted living facility resident

29  characteristics and their care needs; and other existing

30  barriers to closing unlicensed assisted living facilities. The

31  work group shall consist of representatives of the agency, the


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                                    CS/HB 645, First Engrossed/ntc



  1  Department of Elderly Affairs, the Department of Children and

  2  Family Services, the Department of Business and Professional

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

  4  Fire Marshal's Office. In addition, the agency and the

  5  Department of Elderly Affairs shall appoint representatives

  6  from local law enforcement authorities, the health care

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

  8  representation and activities, the work group shall give

  9  priority to the problem of unlicensed facilities in Dade

10  County. The work group shall be appointed and have its first

11  meeting by August 1, 1999, and shall submit a report to the

12  Legislature with recommendations for legal administrative

13  action by February 1, 2000. Where administrative remedies

14  requiring state agency action are identified, the work group

15  shall submit a report to the applicable agency by February 1,

16  2000, which shall submit a response to the Legislature by

17  February 15, 2000. Appointing entities or individual members

18  shall be responsible for travel and per diem, except that

19  state agencies may reimburse consumer representatives.

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

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