See other bills
under the
same topic
        PRIOR PRINTER'S NOS. 3397, 3438               PRINTER'S NO. 3654

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2480 Session of 1990


        INTRODUCED BY STUBAN, JAROLIN, STISH, KASUNIC, HALUSKA, DALEY,
           STAIRS, PETRARCA, KONDRICH, CARLSON, F. TAYLOR, WILLIAMS,
           LEVDANSKY, PHILLIPS, BOWLEY, OLASZ, LaGROTTA, MARKOSEK,
           BISHOP, BORTNER, BLACK, SEMMEL, ARGALL, S. H. SMITH, TELEK,
           D. F. CLARK AND ANGSTADT, APRIL 23, 1990

        AS RE-REPORTED FROM COMMITTEE ON APPROPRIATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 5, 1990

                                     AN ACT

     1  Authorizing the Department of Aging to license and inspect older
     2     adult daily living centers; imposing additional powers and
     3     duties on the Department of Aging; and making repeals.

     4                         TABLE OF CONTENTS
     5  Section 1.  Short title.
     6  Section 2.  Definitions.
     7  Section 3.  Operation and maintenance without license
     8                 prohibited.
     9  Section 4.  License.
    10  Section 5.  Interim license.
    11  Section 6.  Provisional license.
    12  Section 7.  Term and content of license.
    13  Section 8.  Right to enter and inspect.
    14  Section 9.  Records.
    15  Section 10.  Regulations.
    16  Section 11.  Refusal to issue license; revocation; notice.


     1  Section 12.  Violation; penalty.
     2  Section 13.  Actions against unlicensed older adult daily living
     3                 centers.
     4  Section 14.  Actions against violations of laws and rules and
     5                 regulations.
     6  Section 15.  Jurisdiction.
     7  Section 16.  Injunction or restraining order when appeal is
     8                 pending.
     9  Section 17.  Injunction or restraining order when no appeal is
    10                 pending.
    11  Section 18.  Search warrants.
    12  Section 19.  Bonds and costs.
    13  Section 20.  Law supplementary.
    14  Section 21.  Repeals.
    15  Section 22.  Effect on issued certificates.
    16  Section 23.  Effective date.
    17     The General Assembly of the Commonwealth of Pennsylvania
    18  hereby enacts as follows:
    19  Section 1.  Short title.
    20     This act shall be known and may be cited as the Older Adult
    21  Daily Living Centers Licensing Act.
    22  Section 2.  Definitions.
    23     The following words and phrases when used in this act shall
    24  have the meanings given to them in this section unless the
    25  context clearly indicates otherwise:
    26     "Department."  The Department of Aging of the Commonwealth.
    27     "Older adult daily living center."  Any premises operated for
    28  profit or not-for-profit in which older adult daily living
    29  services are simultaneously provided for four or more adults who
    30  are not relatives of the operator.
    19900H2480B3654                  - 2 -

     1     "Older adult daily living services."  Services provided or
     2  arranged for part of a 24-hour day to assist in meeting the
     3  needs, including, but not limited to, personal care, social,
     4  nutritional, health and educational needs, of persons who are
     5  predominantly 60 years of age or older or who are under 60 years
     6  of age but who have a dementia-related disease, such as
     7  Alzheimer's disease, as a primary diagnosis. The term does not
     8  include services provided for persons whose needs are such that
     9  they can only be met in a long-term care facility or on an        <--
    10  inpatient basis receiving professionally supervised nursing care
    11  and related medical and other health services.
    12     "Relative."  Any parent, child, stepparent, stepchild,
    13  grandparent, grandchild, brother, sister, half brother, half
    14  sister, aunt, uncle, niece or nephew.
    15  Section 3.  Operation and maintenance without license
    16                 prohibited.
    17     No person shall maintain, operate or conduct any older adult
    18  daily living center without having a license issued by the
    19  department.
    20  Section 4.  License.
    21     (a)  General rule.--The department shall, after an
    22  investigation and after a departmental determination that the
    23  applicant complies with the provisions of this section, issue to
    24  any applicant a license to operate an older adult daily living
    25  center.
    26     (b)  Requirements.--An applicant for a license to operate an
    27  older adult daily living center shall comply with all of the
    28  following requirements:
    29         (1)  The applicant for a license is a responsible person.
    30         (2)  The place to be used as a facility is suitable for
    19900H2480B3654                  - 3 -

     1     the purpose.
     2         (3)  The facility is appropriately equipped.
     3         (4)  The applicant and the place to be used as a facility
     4     meet all the requirements of this act or any other applicable
     5     statutes, ordinances and regulations.
     6     (c)  Record.--The department shall keep a record of all
     7  applications and all licenses issued under this act.
     8     (d)  Cooperation with Department of Public Welfare.--It is
     9  the intent of the General Assembly to empower the department to
    10  license and regulate older adult daily living centers which
    11  provide a program of activities in a protected, nonresidential
    12  environment to adults who are functionally impaired but are
    13  capable of maintaining independence within the community. The
    14  department shall coordinate with the Department of Public
    15  Welfare to regulate facilities in those limited cases where the
    16  facility provides services to persons under this act and to
    17  persons who receive services under Articles IX and X of the act
    18  of June 13, 1967 (P.L.31, No.21), known as the Public Welfare
    19  Code.
    20  Section 5.  Interim license.
    21     The department shall have the power to issue an interim
    22  license, not exceeding six months, to an applicant seeking to
    23  operate an older adult daily living center for the first time at
    24  a specified location. The department may issue such license when
    25  it is satisfied that the applicant is suitable, the premises are
    26  safe and the applicant is likely to substantially comply with
    27  applicable regulations prior to expiration of the interim
    28  license. Interim licenses shall not be renewable.
    29  Section 6.  Provisional license.
    30     When there has been substantial but not complete compliance
    19900H2480B3654                  - 4 -

     1  with all the applicable statutes, ordinances and regulations and
     2  when the applicant has taken appropriate steps to correct
     3  deficiencies, the department shall issue a provisional license,
     4  not exceeding six months, which may be renewed two times. Upon a
     5  departmental determination of full compliance, a regular license
     6  shall be issued immediately.
     7  Section 7.  Term and content of license.
     8     A license issued by the department under this act shall:
     9         (1)  Be issued for a specified period of not more than 12
    10     months.
    11         (2)  Be on a form prescribed by the department.
    12         (3)  Not be transferable.
    13         (4)  Be issued only to the person for the premises and
    14     for the facility named in the application.
    15         (5)  Specify the maximum number of individuals who may be
    16     cared for in the facility at any one time.
    17         (6)  At all times be posted in a conspicuous place at the
    18     older adult daily living center.
    19  Section 8.  Right to enter and inspect.
    20     (a)  Inspection.--For the purpose of determining the
    21  suitability of the applicants and of the premises or whether or
    22  not any premises in fact qualifies as an older adult daily
    23  living center or the continuing conformity of the licensees to
    24  this act and to the applicable regulations of the department,
    25  any authorized agent of the department shall have the right to
    26  enter, visit and inspect any facility licensed or requiring a
    27  license under this act and shall have full and free access to
    28  the records of the facility and to the individuals and full
    29  opportunity to interview, inspect or examine such individuals.
    30     (b)  Conferences.--An authorized agent of the department
    19900H2480B3654                  - 5 -

     1  shall also confer with the operators of facilities regarding the
     2  minimum standards of the department, encourage the adoption of
     3  higher standards and recommend methods of improving care and
     4  services.
     5  Section 9.  Records.
     6     Every person licensed under this act to maintain, operate and
     7  conduct a facility shall keep such records and make such reports
     8  as are required by the department.
     9  Section 10.  Regulations.
    10     The department shall promulgate regulations to establish
    11  minimum standards for building, equipment, operation, care,
    12  program and services, to provide for the issuance of licenses
    13  and for the licensing appeal process, and to establish and
    14  collect fees to offset the cost of issuing licenses.
    15  Section 11.  Refusal to issue license; revocation; notice.
    16     (a)  Appeal.--Any applicant refused a license by the
    17  department shall be prohibited from conducting an older adult
    18  daily living center under this act. Any appeal of that
    19  determination may be made to the department but in no event may
    20  an applicant commence providing older adult daily living
    21  services prior to licensure by the department. The court shall
    22  enjoin, upon proof by the department, any activity by an
    23  applicant refused a license pursuant to this subsection.
    24     (b)  Notice of violation.--Whenever the department, upon
    25  inspection or investigation, learns of a violation of this act
    26  or of regulations adopted by the department pursuant to this
    27  act, it shall give written notice thereof to the offending
    28  person. The notice shall require the offending person to take
    29  action to bring the facility into compliance with this act or
    30  with the relevant regulations within a specified time.
    19900H2480B3654                  - 6 -

     1     (c)  Reasons for refusal or revocation.--The department shall
     2  refuse to reissue a license or shall revoke a license for any of
     3  the following reasons:
     4         (1)  Violation of or noncompliance with the provisions of
     5     this act or the regulations.
     6         (2)  Fraud or deceit in obtaining or attempting to obtain
     7     a license.
     8         (3)  Lending, borrowing or using the license of another
     9     or in any way knowingly aiding or abetting the improper
    10     granting of a license.
    11         (4)  Gross incompetence, negligence or misconduct in
    12     operating the facility.
    13         (5)  Mistreating or abusing individuals cared for in the
    14     facility.
    15     (d)  Notice of refusal or revocation.--Whenever the
    16  department refuses to issue or revokes a license, it shall give
    17  written notice thereof by certified mail. The notice shall
    18  specify the reason for the refusal or revocation.
    19  Section 12.  Violation; penalty.
    20     Any person operating a facility within this Commonwealth
    21  without a license required by this act commits a summary offense
    22  and shall, upon conviction, be sentenced to pay a fine of not
    23  less than $50 nor more than $300, and costs of prosecution, and
    24  in default of the payment thereof to undergo imprisonment for
    25  not less than ten days nor more than 30 days. Each day of
    26  operating a facility without a license required by this act
    27  shall constitute a separate offense.
    28  Section 13.  Actions against unlicensed older adult daily living
    29                 centers.
    30     Whenever a license is required by law for the establishment,
    19900H2480B3654                  - 7 -

     1  operation or conduct of an older adult daily living center, the
     2  department, upon advice of the Attorney General, may maintain an
     3  action in the name of the Commonwealth for an injunction or
     4  other process restraining or prohibiting any person from
     5  establishing, conducting or operating any older adult daily
     6  living center during any period after a license to engage in
     7  such activity has been refused, has not been renewed or has been
     8  revoked by the department.
     9  Section 14.  Actions against violations of laws and rules and
    10                 regulations.
    11     Whenever any person, regardless of whether such person is a
    12  licensee, has violated the laws of this Commonwealth pertaining
    13  to the licensing of an older adult daily living center or the
    14  rules and regulations adopted pursuant to such laws by the
    15  department, the department, upon the advice of the Attorney
    16  General, may maintain an action in the name of the Commonwealth
    17  for an injunction or other process restraining or prohibiting
    18  such person from engaging in such activity.
    19  Section 15.  Jurisdiction.
    20     An action authorized under the provisions of this act shall
    21  be instituted in the Commonwealth Court or court of common pleas
    22  in the county where the alleged unauthorized activity is
    23  committed.
    24  Section 16.  Injunction or restraining order when appeal is
    25                 pending.
    26     Whenever the department has refused to renew a license or
    27  revoked a license required by this act or has ordered the person
    28  to refrain from conduct violating the rules and regulations of
    29  the department and the person has appealed the action of the
    30  department, the court shall, during pendency of the appeal,
    19900H2480B3654                  - 8 -

     1  issue a restraining order or injunction upon proof by the
     2  department that the operation of the older adult daily living
     3  center or its failure to comply with the order of the department
     4  is a threat to the well-being and safety of the adults attending
     5  the older adult daily living center.
     6  Section 17.  Injunction or restraining order when no appeal is
     7                 pending.
     8     Should a person, who is refused a license or the renewal of a
     9  license to operate or conduct an older adult daily living center
    10  or whose license is revoked or who has been ordered to refrain
    11  from conduct or activity which violates the rules and
    12  regulations of the department, fail to appeal or should such
    13  appeal be decided finally favorably to the department, then the
    14  court shall issue a permanent injunction upon proof that the
    15  person is operating or conducting an older adult daily living
    16  center without a license as required by law or has continued to
    17  violate the rules and regulations of the department.
    18  Section 18.  Search warrants.
    19     Upon a showing of reasonable cause to suspect that specified
    20  premises are being used in violation of any provision of this
    21  act or regulations adopted pursuant thereto, any district
    22  justice in the district wherein the premises are located shall
    23  issue an administrative search warrant to any authorized agent
    24  of the department, identifying the premises to be searched, the
    25  scope of the search and the hours during which the search may be
    26  conducted.
    27  Section 19.  Bonds and costs.
    28     No bond shall be required of and no costs shall be taxed
    29  against the department on account of any such action.
    30  Section 20.  Law supplementary.
    19900H2480B3654                  - 9 -

     1     No action brought under the provision of this act shall
     2  prevent the prosecution or institution of any civil or criminal
     3  action otherwise provided by law for violation of any law
     4  providing for licensing or departmental rules or regulations
     5  promulgated thereunder.
     6  Section 21.  Repeals.
     7     Articles IX and X of the act of June 13, 1967 (P.L.31,
     8  No.21), known as the Public Welfare Code, are repealed insofar
     9  as they are inconsistent with this act.
    10  Section 22.  Effect on issued certificates.
    11     Any certificate of compliance issued by the Department of
    12  Public Welfare with an effective date prior to January 1, 1991,
    13  shall remain in effect until the expiration of that certificate
    14  of compliance unless a license is issued by the Department of
    15  Aging prior to the expiration of the certificate of compliance.
    16  Section 23.  Effective date.
    17     This act shall take effect January 1, 1991.









    D18L71WMB/19900H2480B3654       - 10 -