HB-5795, As Passed House, June 30, 2004                                     

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 5795                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1979 PA 218, entitled                                             

                                                                                

    "Adult foster care facility licensing act,"                                 

                                                                                

    by amending sections 9, 13, and 22 (MCL 400.709, 400.713, and               

                                                                                

    400.722), sections 13 and 22 as amended by 2004 PA 59, and by               

                                                                                

    adding section 27a.                                                         

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 9.  (1) The department shall administer this act and                   

                                                                                

2   shall require reports, establish procedures, make inspections,              

                                                                                

3   and conduct investigations pursuant to law to enforce the                   

                                                                                

4   requirements of this act and the rules promulgated under this               

                                                                                

5   act.                                                                        

                                                                                

6       (2) The department shall provide advice and technical                       

                                                                                

7   assistance to facilities covered by this act to assist facilities           

                                                                                

8   in meeting the requirements of this act and the rules promulgated           

                                                                                

9   under this act.  The department shall offer consultation, upon              

                                                                                


                                                                                

1   request, in developing methods for the improvement of service.              

                                                                                

2   The department shall cooperate with other state departments and             

                                                                                

3   agencies and local units of government in administering this                

                                                                                

4   act.                                                                        

                                                                                

5       (3) The department shall provide education to the public                    

                                                                                

6   regarding the requirements of this act through the ongoing use of           

                                                                                

7   mass media and other methods.                                               

                                                                                

8       (4) If the department recommends, after conducting an                       

                                                                                

9   investigation or inspection, a change in the licensee's licensure           

                                                                                

10  status, the department shall transmit a written or electronic               

                                                                                

11  copy of that investigation or inspection report to the licensee             

                                                                                

12  within 15 days after the investigation or inspection report is              

                                                                                

13  completed.                                                                  

                                                                                

14      Sec. 13.  (1) A person, partnership, corporation,                           

                                                                                

15  association, or a department or agency of the state, county,                

                                                                                

16  city, or other political subdivision shall not establish or                 

                                                                                

17  maintain an adult foster care facility unless licensed by the               

                                                                                

18  department.                                                                 

                                                                                

19      (2) Application for a license shall be made on forms provided               

                                                                                

20  and in the manner prescribed by the department.  The application            

                                                                                

21  shall be accompanied by the fee prescribed in section 13a.                  

                                                                                

22      (3) Before issuing or renewing a license, the department                    

                                                                                

23  shall investigate the activities and standards of care of the               

                                                                                

24  applicant,  and  shall make an on-site evaluation of the                    

                                                                                

25  facility, and shall review the most recent investigation and                

                                                                                

26  inspection reports and any written determinations or resolutions            

                                                                                

27  made under section 23 or 24 concerning a complaint filed within             


                                                                                

1   the past 2 years.  On-site inspections conducted in response to             

                                                                                

2   the application may be conducted without prior notice to the                

                                                                                

3   applicant.  Subject to subsections (9), (10), and (11), the                 

                                                                                

4   department shall issue or renew a license if satisfied as to all            

                                                                                

5   of the following:                                                           

                                                                                

6       (a) The financial stability of the facility.                                

                                                                                

7       (b) The applicant's compliance with this act and rules                      

                                                                                

8   promulgated under this act.                                                 

                                                                                

9       (c) The good moral character of the applicant, or owners,                   

                                                                                

10  partners, or directors of the facility, if other than an                    

                                                                                

11  individual.  Each of these persons shall be not less than 18                

                                                                                

12  years of age.                                                               

                                                                                

13      (d) The physical and emotional ability of the applicant, and                

                                                                                

14  the person responsible for the daily operation of the facility to           

                                                                                

15  operate an adult foster care facility.                                      

                                                                                

16      (e) The good moral character of the person responsible for                  

                                                                                

17  the daily operations of the facility and all employees of the               

                                                                                

18  facility.  The applicant shall be responsible for assessing the             

                                                                                

19  good moral character of the employees of the facility.  The                 

                                                                                

20  person responsible for the daily operation of the facility shall            

                                                                                

21  be not less than 18 years of age.                                           

                                                                                

22      (4) The department shall require an applicant or a licensee                 

                                                                                

23  to disclose the names, addresses, and official positions of all             

                                                                                

24  persons who have an ownership interest in the adult foster care             

                                                                                

25  facility.  If the adult foster care facility is located on or in            

                                                                                

26  real estate that is leased, the applicant or licensee shall                 

                                                                                

27  disclose the name of the lessor of the real estate and any direct           


                                                                                

1   or indirect interest that the applicant or licensee has in the              

                                                                                

2   lease other than as lessee.                                                 

                                                                                

3       (5) Each license shall state the maximum number of persons to               

                                                                                

4   be received for foster care at 1 time.                                      

                                                                                

5       (6) If applicable, a license shall state the type of                        

                                                                                

6   specialized program for which certification has been received               

                                                                                

7   from the department.                                                        

                                                                                

8       (7) A license shall be issued to a specific person for a                    

                                                                                

9   facility at a specific location, shall be nontransferable, and              

                                                                                

10  shall remain the property of the department.  The prohibition               

                                                                                

11  against transfer of a license to another location does not apply            

                                                                                

12  if a licensee's adult foster care facility or home is closed as a           

                                                                                

13  result of eminent domain proceedings, if the facility or home, as           

                                                                                

14  relocated, otherwise meets the requirements of this act and the             

                                                                                

15  rules promulgated under this act.                                           

                                                                                

16      (8) An applicant or licensee proposing a sale of an adult                   

                                                                                

17  foster care facility or home to another owner shall provide the             

                                                                                

18  department with advance notice of the proposed sale in writing.             

                                                                                

19  The applicant or licensee and other parties to the sale shall               

                                                                                

20  arrange to meet with specified department representatives and               

                                                                                

21  shall obtain before the sale a determination of the items of                

                                                                                

22  noncompliance with applicable law and rules that shall be                   

                                                                                

23  corrected.  The department shall notify the respective parties of           

                                                                                

24  the items of noncompliance before the change of ownership, shall            

                                                                                

25  indicate that the items of noncompliance shall be corrected as a            

                                                                                

26  condition of issuance of a license to the new owner, and shall              

                                                                                

27  notify the prospective purchaser of all licensure requirements.             


                                                                                

1       (9) The department shall not issue a license to or renew the                

                                                                                

2   license of a person who has been convicted of a felony under this           

                                                                                

3   act or under chapter XXA of the Michigan penal code, 1931 PA 328,           

                                                                                

4   MCL 750.145m to 750.145r.  The department shall not issue a                 

                                                                                

5   license to or renew the license of a person who has been                    

                                                                                

6   convicted of a misdemeanor under this act or under chapter XXA of           

                                                                                

7   the Michigan penal code, 1931 PA 328, MCL 750.145m to 750.145r,             

                                                                                

8   for a period of 10 years after the conviction.                              

                                                                                

9       (10) If the department has revoked, suspended, or refused to                

                                                                                

10  renew a person's license for an adult foster care facility                  

                                                                                

11  according to section 22, the department may refuse to issue a               

                                                                                

12  license to or renew a license of that person for a period of 5              

                                                                                

13  years after the suspension, revocation, or nonrenewal of the                

                                                                                

14  license.                                                                    

                                                                                

15      (11) The department may refuse to issue a license to or renew               

                                                                                

16  the license of an applicant if the department determines that the           

                                                                                

17  applicant has a relationship with a former licensee whose license           

                                                                                

18  under this act has been suspended, revoked, or nonrenewed under             

                                                                                

19  subsection (9) or section 22 or a convicted person to whom a                

                                                                                

20  license has been denied under subsection (9).  This subsection              

                                                                                

21  applies for 5 years after the suspension, revocation, or                    

                                                                                

22  nonrenewal of the former licensee's license or the denial of the            

                                                                                

23  convicted person's license.  For purposes of this subsection, an            

                                                                                

24  applicant has a relationship with a former licensee or convicted            

                                                                                

25  person if the former licensee or convicted person is involved               

                                                                                

26  with the facility in 1 or more of the following ways:                       

                                                                                

27      (a) Participates in the administration or operation of the                  


                                                                                

1   facility.                                                                   

                                                                                

2       (b) Has a financial interest in the operation of the                        

                                                                                

3   facility.                                                                   

                                                                                

4       (c) Provides care to residents of the facility.                             

                                                                                

5       (d) Has contact with residents or staff on the premises of                  

                                                                                

6   the facility.                                                               

                                                                                

7       (e) Is employed by the facility.                                            

                                                                                

8       (f) Resides in the facility.                                                

                                                                                

9       (12) If the department determines that an unlicensed facility               

                                                                                

10  is an adult foster care facility, the department shall notify the           

                                                                                

11  owner or operator of the facility that it is required to be                 

                                                                                

12  licensed under this act.  A person receiving the notification               

                                                                                

13  required under this section who does not apply for a license                

                                                                                

14  within 30 days is subject to the penalties described in                     

                                                                                

15  subsection (13).                                                            

                                                                                

16      (13) Subject to subsection (12), a person who violates                      

                                                                                

17  subsection (1) is guilty of a misdemeanor, punishable by                    

                                                                                

18  imprisonment for not more than 2 years or a fine of not more than           

                                                                                

19  $50,000.00, or both.  A person who has been convicted of a                  

                                                                                

20  violation of subsection (1) who commits a second or subsequent              

                                                                                

21  violation is guilty of a felony, punishable by imprisonment for             

                                                                                

22  not more than 5 years or a fine of not more than $75,000.00, or             

                                                                                

23  both.                                                                       

                                                                                

24      Sec. 22.  (1) The department may deny, suspend, revoke, or                  

                                                                                

25  refuse to renew a license, or modify a regular license to a                 

                                                                                

26  provisional license, if the licensee falsifies information on the           

                                                                                

27  application for license or willfully and substantially violates             


                                                                                

1   this act, the rules promulgated under this act, or the terms of             

                                                                                

2   the license.                                                                

                                                                                

3       (2) The department may suspend, revoke, or modify a license                 

                                                                                

4   of an applicant if the department determines that the applicant             

                                                                                

5   has a relationship with a former licensee whose license under               

                                                                                

6   this act has been suspended, revoked, or nonrenewed under this              

                                                                                

7   section or section 13(9) or a convicted person to whom a license            

                                                                                

8   has been denied under section 13(9).  This subsection applies for           

                                                                                

9   10 years after the suspension, revocation, or nonrenewal of the             

                                                                                

10  former licensee's license or the denial of the convicted person's           

                                                                                

11  license.  As used in this subsection, an applicant has a                    

                                                                                

12  relationship with a former licensee or convicted person if the              

                                                                                

13  former licensee or convicted person is involved with the facility           

                                                                                

14  in 1 or more of the following ways:                                         

                                                                                

15      (a) Participates in the administration or operation of the                  

                                                                                

16  facility.                                                                   

                                                                                

17      (b) Has a financial interest in the operation of the                        

                                                                                

18  facility.                                                                   

                                                                                

19      (c) Provides care to residents of the facility.                             

                                                                                

20      (d) Has contact with residents or staff on the premises of                  

                                                                                

21  the facility.                                                               

                                                                                

22      (e) Is employed by the facility.                                            

                                                                                

23      (f) Resides in the facility.                                                

                                                                                

24      (3) A license shall not be denied, suspended, or revoked, a                 

                                                                                

25  renewal shall not be refused, and a regular license shall not be            

                                                                                

26  modified to a provisional license unless the department gives the           

                                                                                

27  licensee or applicant written notice of the grounds of the                  


                                                                                

1   proposed denial, revocation, refusal to renew, or modification.             

                                                                                

2   If a licensee or applicant receives a notice under this                     

                                                                                

3   subsection regarding a proposed change in its licensure status,             

                                                                                

4   the licensee or applicant shall provide each resident and his or            

                                                                                

5   her designated representative with a copy of the department's               

                                                                                

6   summary report that recommended a change in the status of that              

                                                                                

7   facility's license. If the licensee or applicant appeals the                

                                                                                

8   denial, revocation, refusal to renew, or modification by filing a           

                                                                                

9   written appeal with the director within 30 days after receipt of            

                                                                                

10  the written notice, the director or the director's designated               

                                                                                

11  representative shall conduct a hearing at which the licensee or             

                                                                                

12  applicant may present testimony and confront witnesses.  Notice             

                                                                                

13  of the hearing shall be given to the licensee or applicant by               

                                                                                

14  personal service or delivery to the proper address by registered            

                                                                                

15  mail not less than 2 weeks before the date of the hearing.  The             

                                                                                

16  decision of the director shall be made and forwarded to the                 

                                                                                

17  protesting party by registered mail not more than 30 days after             

                                                                                

18  the hearing.  If the proposed denial, revocation, refusal to                

                                                                                

19  renew, or modification is not protested within 30 days, the                 

                                                                                

20  license shall be denied, revoked, refused, or modified.  As used            

                                                                                

21  in this subsection, "designated representative" means a person,             

                                                                                

22  other than the licensee or an employee or person having a direct            

                                                                                

23  or indirect ownership interest in the facility, designated in               

                                                                                

24  writing by a resident or a resident's guardian for a specific,              

                                                                                

25  limited purpose or for general purposes, or, if a written                   

                                                                                

26  designation of a representative is not made, the guardian of the            

                                                                                

27  resident.                                                                   


                                                                                

1       (4) If the department has revoked, suspended, or refused to                 

                                                                                

2   renew a license, the former licensee shall not receive or                   

                                                                                

3   maintain in that facility an adult who requires foster care.  A             

                                                                                

4   person who violates this subsection is guilty of a felony,                  

                                                                                

5   punishable by imprisonment for not more than 5 years or a fine of           

                                                                                

6   not more than $75,000.00, or both.                                          

                                                                                

7       (5) If the department has revoked, suspended, or refused to                 

                                                                                

8   renew a license, relocation services shall be provided to adults            

                                                                                

9   who were being served by the formerly licensed facility, upon the           

                                                                                

10  department's determination that the adult or his or her                     

                                                                                

11  designated representative is unable to relocate the adult in                

                                                                                

12  another facility without assistance.  The relocation services               

                                                                                

13  shall be provided by the responsible agency, as defined in                  

                                                                                

14  administrative rules, or, if the adult has no agency designated             

                                                                                

15  as responsible, by the department.                                          

                                                                                

16      (6) In the case of facilities that are operated under lease                 

                                                                                

17  with a state department or a community mental health services               

                                                                                

18  board, the department may issue an emergency license for a 90-day           

                                                                                

19  period to avoid relocation of residents following the revocation,           

                                                                                

20  suspension, or nonrenewal of a license, if all of the following             

                                                                                

21  requirements are met:                                                       

                                                                                

22      (a) The leased physical plant is in substantial compliance                  

                                                                                

23  with all licensing requirements.                                            

                                                                                

24      (b) The applicant for the emergency license is a licensee who               

                                                                                

25  is in compliance with all applicable regulations under this act             

                                                                                

26  and under contract with a state department or a community mental            

                                                                                

27  health services board to operate the leased physical plant                  


                                                                                

1   temporarily.                                                                

                                                                                

2       (c) The former licensee's access to the facility according to               

                                                                                

3   a lease, sublease, or contract has been lawfully terminated by              

                                                                                

4   the owner or lessee of the facility.                                        

                                                                                

5       Sec. 27a.  (1) A licensee shall provide each resident and                   

                                                                                

6   his or her designated representative with a copy of the most                

                                                                                

7   recent final investigation report completed within the                      

                                                                                

8   immediately preceding 3 years and a copy of the most recent                 

                                                                                

9   inspection report upon admission to the facility.                           

                                                                                

10      (2) As used in this section, "designated representative"                    

                                                                                

11  means a person, other than the licensee or an employee or person            

                                                                                

12  having a direct or indirect ownership interest in the facility,             

                                                                                

13  designated in writing by a resident or a resident's guardian for            

                                                                                

14  a specific, limited purpose or for general purposes, or, if a               

                                                                                

15  written designation of a representative is not made, the guardian           

                                                                                

16  of the resident.                                                            

                                                                                

17      Enacting section 1.  This amendatory act does not take                      

                                                                                

18  effect unless House Bill No. 5794 of the 92nd Legislature is                

                                                                                

19  enacted into law.